A Clinical Study to Evaluate the Applied Anatomy of Siravyadha in Medial Marginal Vein and Dorsal Venous Arch in Context of Plantar Fascitis
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 120
- 试验地点
- 3
- 主要终点
- The pain will be assessed using visual analogue scale pain scoring
研究概览
简要总结
Plantar fasciitis is the utmost common cause of chronic pain beneath the heel in adults, making up 11-15% of the foot symptoms requiring professional care. It is estimated that 1 in 10 people will develop plantar fasciitis during their lifetime. Although plantar fasciitis occurs at all ages, the highest risk of occurrence of it is in 40 – 60 years of age. In Ayurveda, the condition may be considered under a vatavyadhi called vatakantaka for which Acharya Sushruta mentions siravyadha as treatment. The site for siravyadha in vatakantaka is mentioned in Sushruta Samhita as 2 angulas above kshipra marma2. This site is relevant to the course of dorsal venous arch. However, there are conventional practices prevalent in Kerala where siravyadha is done in the medial aspect of gulpha sandhi which is also observed to give good relief. The conventional site for siravyadha is relevant to the medial marginal vein. This study is aimed at understanding the applied anatomy of siravyadha in dorsal venous arch and medial marginal vein in view of the areas of foot it drains.
Null Hypothesis: There is no anatomical significance to siravyadha in medial marginal vein and dorsal venous arch in plantar fasciitis
Primary Alternate Hypothesi: There is anatomical significance to siravyadha in medial marginal vein and dorsal venous arch in plantar fasciitis
研究设计
- 研究类型
- Interventional
- 分配方式
- Adaptive randomization, such as minimization
- 盲法
- Not Applicable
入排标准
- 年龄范围
- 30.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patients between 30 yrs.
- •60yrs of age, selected irrespective of sex, religion, occupation and socioeconomic status were diagnosed on the basis of signs and symptoms found in Plantar fasciitis 2.Plantar heel pain provoked by first few steps in morning, by standing after prolonged sitting or by prolonged standing. 3.Tenderness localized at the origin of plantar fascia on medial calcaneal tubercle. 4.Positive Windlass test.
排除标准
- •1.Calcaneal spur 2.Calcaneal stress fracture 3.Previous treatment with ultrasound within 3 months 4.Previous foot surgeries.
- •5.Tarsal tunnel syndrome.
- •6.Generalized inflammatory disorders associated with diagnosis of plantar fasciitis including Rheumatoid arthritis, Ankylosis Spondylitis, Reiter’s disease, Gout or Lupus.
- •7.Neoplastic conditions, Nerve entrapment syndromes 8.Participants with impaired circulation to lower extremities 9.Subjects with referred pain due to sciatica and other neurologic disorders 10.Corticosteroid injections to heel, preceeding 3 months.
- •11.Use of pain control (NSAIDS, Analagesics), steroids, heel pads or orthoses at time of recruitment.
- •12.Any other major illnesses.
结局指标
主要结局
The pain will be assessed using visual analogue scale pain scoring
时间窗: 1 week
次要结局
- Efficacy of pain releif of siravedha in median marginal vein and dorsal venous arch will be assessed and compared(1 year)