Comparison of the analgesic effect of ultrasound and low-level laser therapy in patients suffering from plantar fasciitis (calcar calcanei)

To compare the effectiveness of the two therapeutic approaches, ultrasound and low level laser (LLLT) used in 181 patients suffering from calcar calcanei-plantar fasciitis. The effectiveness of the treatment was determined according to the evaluation of the patient using certain criteria described in the table. The complete disappearance of pain was seen in 50% of 60 patients treated with US and partial improvement in 16.6% and 69 patients were treated with LLLT from which 67% described complete pain relief, and 20% partial improvement. The results show that the LLLT is a good therapeutic approach in the treatment of pain in patients suffering from calcar calcanei-plantar fasciitis. The treatment with laser was significantly more successful then the ultrasound therapy, which is currently the most common therapy used for plantar fasciitis.

[1]  A. J. Jex-Blake “Et. all” , 1952 .

[2]  T. Chandler,et al.  A Biomechanical Approach to the Prevention, Treatment and Rehabilitation of Plantar Fasciitis , 1993, Sports medicine.

[3]  M. Bryszewska,et al.  Effect of low-power red light laser irradiation on the viability of human skin fibroblast , 1998, Radiation and environmental biophysics.

[4]  L. H. Gill Plantar Fasciitis: Diagnosis and Conservative Management , 1997, The Journal of the American Academy of Orthopaedic Surgeons.

[5]  M. Snaith,et al.  How effective is therapeutic ultrasound in the treatment of heel pain? , 1996, Annals of the rheumatic diseases.

[6]  L. H. Gill,et al.  Outcome of Nonsurgical Treatment for Plantar Fasciitis , 1996, Foot & ankle international.

[7]  P. Kwong,et al.  Plantar fasciitis. Mechanics and pathomechanics of treatment. , 1988, Clinics in sports medicine.

[8]  W. Harmsen,et al.  A randomized controlled evaluation of low-intensity laser therapy: plantar fasciitis. , 1998, Archives of physical medicine and rehabilitation.