Evaluation of the Efficiency of ESWT and Custom İnsoles Produced With Podometric Measurement in the Treatment of Painful Heel Spurs (ESWT: Extracorporeal Shock Wave Therapy)

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-01

Study Completion Date

2023-06-15

Brief Summary

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The aim of the study; to determine the effectiveness customized insoles produced by podpmetric analysis and ESWT in patients with painfull heel spur and to determine the superiority of the treatments to each other.

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Detailed Description

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Heel spurs are the most common cause of heel pain in adults. Pain that occurs in heel spur and radiates to the soles of the feet is characteristic of this disease. The pain is most severe in the first steps after rest. Patients typically complain of severe pain on the first steps after getting out of bed in the morning. The pain is partially relieved after a few steps, but may increase again after intense activities. Typical pain history and examination findings are important to diagnose heel spur, and the diagnosis is confirmed by lateral x-ray. Generally, most patients with heel spurs benefit from conservative and medical treatment, and only a few need surgery. These treatment methods include many options such as activity and shoes modifications, topical and oral NSAIDs, insoles, stretching and strengthening exercises, various injections. TENS, ultrasound, electrotherapy modalities that can be used in therapy to relieve pain and promote healing.

Although many studies have been done for ESWT and insoles, there is not any study that comperes these two modalities. In this study, our aim is to investigate the effects of using ESWT and customized insoles alone or together on pain and foot functions in patients with heel spurs.

Conditions

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Heel Spur Heel Spur Syndrome Heel Pain Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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ESWT

Group 1 (n:16) will be given once a week, total 5 sessions of ESWT+ home exercise program

Group Type EXPERIMENTAL

ESWT

Intervention Type DEVICE

will be given once a week, total 5 sessions ofESWT+ home exercises program

customized insoles

Group 2 (n:16) will be given customized insoles+ home exercise program. Insoles will be used for 12 weeks.

Group Type EXPERIMENTAL

customized insoles

Intervention Type DEVICE

Will be given customized insoles+ home exercise program. Insoles will be used for 12 weeks.

combined ESWT and customized insoles

Group 3 (n:16) will be given once a week, total 5 sessions of ESWT+ home exercise program. Also, simultaneous insoles will be provided. Insoles will be used for 12 weeks.

Group Type EXPERIMENTAL

ESWT

Intervention Type DEVICE

will be given once a week, total 5 sessions ofESWT+ home exercises program

customized insoles

Intervention Type DEVICE

Will be given customized insoles+ home exercise program. Insoles will be used for 12 weeks.

combined ESWT and custtomized insoles

Intervention Type COMBINATION_PRODUCT

Will be given once a week, total 5 sessions of ESWT+ home exercise program. Also, simultaneous insoles will be provided. Insoles will be used for 12 weeks.

Interventions

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ESWT

will be given once a week, total 5 sessions ofESWT+ home exercises program

Intervention Type DEVICE

customized insoles

Will be given customized insoles+ home exercise program. Insoles will be used for 12 weeks.

Intervention Type DEVICE

combined ESWT and custtomized insoles

Will be given once a week, total 5 sessions of ESWT+ home exercise program. Also, simultaneous insoles will be provided. Insoles will be used for 12 weeks.

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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Home exercise program( strengthening, stretching exercises, frozen water bottle rolling) Home exercise program( strengthening, stretching exercises, frozen water bottle rolling) Home exercise program( strengthening, stretching exercises, frozen water bottle rolling)

Eligibility Criteria

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Inclusion Criteria

* Aged between 18-65 years
* Pain in the heel for at least 3 weeks
* Confirmation of the diagnosis with lateral foot radiography

Exclusion Criteria

* Be younger than 18 and older than 65
* Patients with systemic rheumatological disease (rheumatoid arthritis, ankylosing spondylitis etc.)
* Entrapment neuropathy in the lower extremities
* Systemic active infection
* Malignancy
* Pregnancy
* Coagulopathy
* Patients who have had a previous heel injection of steroids
* Patients who received physical therapy from the heel area in the last 6 weeks (TENS, ultrasound, hotpack, etc.)
* Inserted cardiac pacemaker
* Underweight, obese, and morbidly obese according to BMI
* Patients using NSAIDs and myorelaxants continuously

Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No