THE EFFECTIVENESS OF SHOCK WAVE TREATMENT IN SUBCALCANEAL PAIN SYNDROME
Canan GÖNEN AYDIN1, Çağrı ÖZCAN2, Sami SÖKÜCÜ2, Yavuz Selim KABUKÇUOĞLU2
1Baltalimanı Kemik Hastalıkları Eğ. ve Araşt. Hast. Spor Hekimliği, İstanbul
2Baltalimanı Kemik Hastalıkları Eğ. ve Araşt. Hast. Ortopedi ve Travmatoloji Kliniği, İstanbul
Keywords: ESWT, pain, calcaneus, heel spur
The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome. A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal pain were enrolled in the study. Patients had not received any steroid injections within the last six months and could not be relieved with medical treatment. AOFAS, FADI, Roles and Maudsley scores were compared using dependent groups’ t-test. Mann-Whitney U test was used to compare patients with morning pain and those with all day long lasting pain, and patients having symptoms for shorter or longer than a year. AOFAS, FADI, Roles and Maudsley scores before and following the treatments were significantly different (p<0.05). Daily pain pattern and duration of pain from the onset of the symptoms were evaluated, and ESWT was found to be effective in all groups. According to these results, the non-invasive ESWT method can easily be used in patients suffering from subcalcaneal pain. However, there is still need for further studies to determine the best modality of this treatment option.