Innovative approaches in the treatment of chronic plantar fasciitis: comparison of pulsed radiofrequency ablation and surgical intervention

Innovative approaches in the treatment of chronic plantar fasciitis: comparison of pulsed radiofrequency ablation and surgical intervention

Purpose This study aimed to compare the effectiveness of Pulsed Radiofrequency Ablation (PRFA) and surgery for treating chronic plantar fasciitis, focusing on pain relief and functional outcomes. Methods A prospective study involved 30 patients with chronic plantar fasciitis unresponsive to 12 month...

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Bibliographic Details
Published in:International orthopaedics Vol. 48; no. 10; pp. 2719 - 2726
Main Authors: Armağan, Celal, Karaduman, Zekeriya Okan, Arıcan, Mehmet, Turhan, Yalcın, Kaban, İlyas, Uludağ, Veysel
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-10-2024
Subjects:
Adult
Aged
Chronic Disease
Fasciitis, Plantar - surgery
Fasciitis, Plantar - therapy
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedics
Pain Measurement
Prospective Studies
Pulsed Radiofrequency Treatment - methods
Radiofrequency Ablation - methods
Recovery of Function
Treatment Outcome
Chronic plantar fasciitis
Pulsed radiofrequency ablation
Functional outcomes
Surgical intervention
Pain management
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Summary:Purpose This study aimed to compare the effectiveness of Pulsed Radiofrequency Ablation (PRFA) and surgery for treating chronic plantar fasciitis, focusing on pain relief and functional outcomes. Methods A prospective study involved 30 patients with chronic plantar fasciitis unresponsive to 12 months of conservative treatment. Patients were divided into PRFA ( n  = 17) and surgical ( n  = 13) groups. Clinical evaluations were conducted preoperatively and at three, six and 12 months postoperatively using VAS, AOFAS, FFI, and RMS scores. Radiological measurements assessed foot structure impact. Results Both PRFA and surgery significantly reduced pain and improved function. PRFA had a shorter operative time and quicker return to activities ( p  < 0.001). At 3 months, PRFA showed superior VAS, FFI, and RMS scores ( p  < 0.05). Long-term outcomes were similar. No major complications occurred, but minor complications were higher in the surgical group ( p  < 0.01). Conclusions PRFA is a minimally invasive, effective treatment for chronic plantar fasciitis with quicker recovery and lower complication rates compared to surgery. Both treatments offer comparable long-term benefits. Further studies are needed to confirm these findings.
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ISSN:0341-2695
1432-5195
1432-5195
DOI:10.1007/s00264-024-06261-x