Effectiveness of Invasive Electrostimulation Combined With an Exercise Program in Plantar Fasciitis

Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal

Status: Completed

Conditions: Fasciitis, Plantar

Treatments: Procedure: Invasive electrostimulation combined with exercises; Procedure: Placebo electrostimulation and exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT03020693

PI-2015-12

Details and patient eligibility

About

This study evaluates the effectiveness of an electrostimulation treatment with TENS using a needle and a surface electrode combined with an exercise program to fasciitis plantar. Half participants will receive invasive electrostimulation (TENS using a needle) and exercises while the other half will receive electrostimulation placebo and exercises.

Full description

There are a lot of treatments to fasciitis plantar. Exercises are the treatments more recommended to fasciitis plantar but not all patients improve only with exercises. Dry needling is recommended to relieve the pain in the heel. TENS is used to decrease the pain in the fasciitis plantar. Investigators will apply to half participants a treatment that combines TENS + Dry needling (invasive electrostimulation ) with exercises while the other half receive electrostimulation placebo (TENS using surface electrodes with non-therapeutic intensity) + exercises.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Medical diagnosis of plantar fasciitis
• Age equal or superior to 18 years old.
• VAS minimum of 2 points int the first steps after a prolonged decreasing period.
• Having an evolution of a month or more of pain.
• Not having received acupuncture or dry needling as treatment.

Exclusion criteria

• Peripheral Neuropathies.
• Tarsus tunnel syndrome.
• Rheumatic diseases.
• Contraindication to dry needling: nickel allergy, fear of needles, sky with erosions.
• Clotting disorders such as thrombosis or thrombophlebitis.
• Fractures, infections and/ or tumor processes.
• Have been treated for plantar fasciitis in the las 4 weeks.
• Previous surgery in the foot
• Pregnancy.
• Communication Disorders.
• Holders of pacemakers or electrostimulators.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Invasive electrostimulation combined with exercises.

Experimental group

Description:

Dry needling + TENS ( 4 Hz 200 microseconds during 30 minutes to therapeutic intensity) combined with exercises program.

Treatment:

Procedure: Invasive electrostimulation combined with exercises

Placebo electrostimulation and exercises.

Active Comparator group

Description:

Sham dry needling + TENS ( 4 Hz 200 microseconds during 30 minutes to non-therapeutic intensity) with surface electrodes combined with exercises program.

Treatment:

Procedure: Placebo electrostimulation and exercises