Dry Needling Versus Conventional Physical Therapy in Patients With Plantar Fasciitis

Alabama Physical Therapy & Acupuncture

Status: Completed

Conditions: Plantar Fasciitis

Treatments: Other: Conventional PT; Other: DN and conventional PT

Study type: Interventional

Funder types: Other

Identifiers

NCT02373618

AAMT0002

Details and patient eligibility

About

The purpose of this research is to compare patient outcomes following treatment of plantar fasciitis with conventional physical therapy (stretching, strengthening, ultrasound, manual therapy, and cryotherapy) and conventional physical therapy plus dry needling. Physical therapists commonly use conventional physical therapy techniques and dry needling to treat plantar fasciitis, and this study is attempting to find out if the addition of dry needling to conventional physical therapy is more effective than conventional physical therapy alone.

Full description

Patients with plantar fasciitis will be randomly assigned to receive 1-2 treatments per week for 4 weeks of either: (1) Dry Needling and conventional physical therapy, or the (2) Conventional physical therapy (stretching, strengthening, ultrasound, manual therapy, and cryotherapy)

Enrollment: 108 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Report of at least 3 months of heel pain

2. Patient has not had physical therapy, massage therapy, chiropractic treatment, or injections for plantar heel pain in the least 4 weeks.

3. Diagnosis of plantar heel pain with ALL of the following positive clinical signs:

   • "First---step" pain upon weight bearing in the morning OR after sitting for a period of time
   • Pain localized over the medial calcaneal tubercle
   • Increased pain with extended walking OR standing >15 minutes

4. Plantar heel pain greater than or equal to 2/10 (NPRS 0-10 Scale)

Exclusion criteria

1. Report of red flags to manual physical therapy to include: hypertension, infection, diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe varicosities, tumor, metabolic disease, prolonged steroid use, fracture, RA, osteoporosis, severe vascular disease, malignancy, etc.

2. History of previous surgery to the tibia, fibula, ankle joint, or foot.

3. History of arthrosis or arthritis of the ankle and/or foot.

4. History of significant ankle and/or foot instability.

5. Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:

   • Muscle weakness involving a major lower extremity muscle group
   • Diminished lower extremity patella or Achilles tendon reflexes
   • Diminished / absent sensation in any lower extremity dermatome

6. Involvement in litigation or worker's compensation regarding their foot pain.

7. Any condition that might contraindicate the use of electro---needling

8. The patient is pregnant

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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108 participants in 2 patient groups

Experimental: DN and Conventional PT

Experimental group

Treatment:

Other: DN and conventional PT

Active Comparator: Conventional PT

Active Comparator group

Treatment:

Other: Conventional PT