Intrinsic Factors Affecting Early Results of Extracorporeal Shock Wave Therapy (ESWT) Treatment in Patients With Symptomatic Calcaneal Spur
Sabriye Ercan1, Cem Çetin2
1Dr. Ersin Arslan Training and Research Hospital, Department of Sports Medicine, Gaziantep, Turkey
2Süleyman Demirel University, Faculty of Medicine, Department of Sports Medicine, Isparta, Turkey
Keywords: Calcaneal spur, extracorporeal shock wave therapy, Roles and Maudsley score, VAS score.
Objective: Extracorporeal shock wave therapy (ESWT) is a commonly used treatment modality in the treatment of epin calcanei. The aim of this study was to investigate the factors that were influencing the results of ESWT treatment on the patients with symptomatic calcaneal spurs.
Material and Methods: 54 patients with symptomatic calcaneal spur who were administered ESWT treatment out of ninety-two patients who admitted to our clinic with heel pain were included in this study. The initial post treatment VAS scores, Roles and Maudsley score, age, height, body weight, body mass index, gender, calcaneal spur size (mm) of the patients were examined. The effects of gender, body mass index (BMI), age and spur length on efficacy of ESWT treatment have been investigated.
Results: At the end of ESWT treatment, the VAS score and the Roles and Maudsley Pain Scale scores were significantly decreased (p < 0.001). On the other hand, there were no significant differences between subgroups in means of treatment efficacy (p> 0.05).
In patients with symptomatic calcaneal spur, spur length was found to be moderately positively correlated with VAS score before treatment and one week after treatment. No correlation was found between other factors and clinical follow-up data (p>0,05).
Median values of spur length were higher in females and older patients (above 40 years of age) (p <0.05). It was shown that there was a moderate positive correlation between gender and age (r = 0.4, p < 0.01). There was also a nonlinear relationship with body mass index (r = 0.06, p > 0.7) when there was a low negative correlation between body height (r = -0.31, p >0.05) and moderate negative correlation between body weight (r = -0.4, p <0.02).
Conclusion: Extracorporeal shock wave therapy treatment is effective in the treatment of epin calcanei. There is a positive relationship between the spur length and clinical results at the first week. Single-session ESWT treatment in individuals with longer spur size may decrease patient satisfaction. Therefore, ESWT treatment in these patients should be planned as multiple sessions.
Cite this article as; Ercan S, Cetin C Intrinsic Factors Affecting Early Results of Extracorporeal Shock Wave Therapy (ESWT) Treatment in Patients With Symptomatic Calcaneal Spur. Turk J Sports Med 2017; 52(1): 5-13