Patients suffering from plantar fasciitis now have a choice to choose above surgery. The new method developed by an Italian Team of researchers used dry-needling to combine it with a steroid injection.

Dry needling is done to reduce inflammation by causing local bleeding in the area where a steroid can be injected to the perifascial soft tissue, which helps in healing the fascia.

Till date, no proper treatment was established for this disease though stretching in the morning, weight loss, and NSAIDS were few things that were advised to the concerned patients. But after a number of clinical trials, researchers have come out with a conclusion that steroids help in reducing pain to a considerable extent.

From medpage today:

For patients with plantar fasciitis, a notoriously difficult condition to treat, an Italian Team has come up with a novel approach that uses dry-needling combined with a steroid injection, researchers said here.

The study, however, had no control group, and Dr. Sconfienza said further research is needed, possibly comparing three groups: dry-needling alone, dry-needling with steroids, and no treatment.

“It’s an interesting approach, but they should still try to try to repeat the study [with a control group],” commented Philip O. Alderson, M.D., of Saint Louis University, who moderated the session at which the study was presented and was not involved in the research. “However, there is still such a good amount of pain relief [shown in this study] and it should be looked at further.”

The efficiencies of dry needling and steroids were assessed by researchers as they conducted a study of 44 patients in the age group of 35-80 years (who were unresponsive to previous therapies). The entire procedures took about 15 minutes. Patients were given local anesthesia guided by dry needling that was then pulled back to the perifascial soft tissues and 1 mL of triamcinolone acetonide 40 mg/mL was injected to reduce inflammation, Luca M. Sconfienza, M.D., of the University of Genoa, said.

This study has been seen as a progressive therapy for reduction of pain and associated symptoms. It is also believed that this is a novel method of treatment to cure even tennis elbow.

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Tags: anesthesia, dry needling, fascia, inflammation, NSAIDs, perifascial

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