Are orthotic insoles effective in pain reduction for plantar fasciitis in general practice or sports physician?
- Conditions
- heel spurPlantar fasciitis10043237
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 185
Patients with plantar fasciitis, characterized as pain at the medial hind foot, presenting themselves to a GP or sports physician and aged between 18 and 65 years and a minimal pain duration of 2 weeks are eligible for participation. The diagnosis of plantar fasciitis can be made with reasonable certainty on the basis of clinical assessment alone. Patients typically report a gradual onset of pain in the inferior heel that is usually worse with their first steps in the morning or after a period of inactivity. And secondly there is a localized area of maximal tenderness over the anteromedial aspect of the inferior heel.
Recurrent complaints of plantar fasciitis for more than 2 years; complaints caused by trauma; earlier treatment for plantar fasciitis by a podiatrist or treatment with orthotics; suspected (osteo)arthritis in the subtalar or talonavicular joint; suspicion on tarsal tunnel syndrome, stress fractures, infections or tumours, systemic diseases (Bechterew, psoriasis or multiple sclerosis); no understanding of the Dutch language.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>After 12 weeks:<br /><br>- pain at rest and during activity (11-point NRS scale)</p><br>
- Secondary Outcome Measures
Name Time Method <p>After 6 en 26 weeks:<br /><br>- pain at rest and during activity (11-point NRS scale)<br /><br>- foot function (FFI)<br /><br>- recovery (measured on a 7-point Likert scale ranging from *completely<br /><br>recovered* to *worse than ever*)<br /><br>26 weeks:<br /><br>- cost-effectiveness of the interventions</p><br>