Comparison of ultrasound guided injection of botulinum toxin at the origin of plantar fasciitis with injection of botulinum toxin by Babcock method in the treatment of plantar fasciitis

Shahid Beheshti University of Medical Sciences0 个研究点目标入组 60 人开始时间: 待定最近更新: 2023年10月16日

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•People aged 30 to 60 years who have been diagnosed with unilateral plantaris fasciitis based on history and clinical examination.
•After 3 months from the onset of symptoms and the use of conservative treatments, including rest, anti-inflammatory drugs, physical modalities and exercise therapy, the patient's symptoms have not improved.

•History of previous surgery for plantaris fasciitis.
•History of injection for treatment of plantaris fasciitis in the last 3 months.
•Bilateral plantaris fasciitis
•Presence of systemic inflammatory diseases such as rheumatoid arthritis and seronegative arthritis.
•History of vascular insufficiency and neuropathic heel pain
•Existence of concomitant diseases in the lower limbs, such as a history of tarsal tunnel syndrome symptoms and positive tinel sign.
•Presence of effusion in the ankle, which suggests an intra-articular disease
•Old fracture of calcaneal bone.
•Presence of retrocalcaneal bursitis, Achilles tendinopathy and ankle osteoarthritis
•Any ankle or foot deformity, including flat foot and pes cavus.
•Uncontrolled diabetes
•BMI more than 33
•Radicular low back pain
•Presence of local infection or trauma near the injection site
•Use of anticoagulants
•Presence of diseases that involve the neuromuscular junction, such as myasthenia gravis and Eaton Lambert
•Known allergy and sensitivity to botulinum toxin or corticosteroids
•Presence of cyst or bone mass in the area of ??the heel
•Pregnancy or breastfeeding

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