التهاب اللفافة الأخمصية عندما لا يؤدي العلاج المحافظ من الخط الأول إلى نتيجة

References

• Shockwave therapy is a safe and effective adjunct therapy in the treatment of plantar fasciitis. If one or more of the indications below are met, a course of shockwave therapy can be considered: I. Ultrasonography evidence for plantar fasciitis II. Not better with first-line interventions listed in "Statement 7" after 6 weeks III. Symptoms for more than 6 weeks
• It is typically applied to the most tender point over the medial calcaneal tubercle.
• The response to treatment can be monitored via ultrasonography between 2 to 4 weeks and 3 to 4 months post-procedure.
• The patient may progressively return to lower limb impact activities or sports when any of the following criteria are met: I. At least 2 weeks after procedure II. VAS pain score less than 2 out of 10 III. Lesion is isoechoic/hyperechoic on ultrasonography IV. Patient is accustomed to walking in his/her new orthosis