Low-dose radiotherapy for painful heel spur. Retrospective study of 117 patients

Retrospective analysis of 117 patients treated between 1996 and 2000 with low-dose radiotherapy (RT) for painful heel spurs. 71 women and 46 men were irradiated on 136 painful heel spurs in one (n = 104) or two radiation series (n = 13). The painful spurs were located either at the plantar (n = 94),...

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Bibliographic Details
Published in:	Strahlentherapie und Onkologie Vol. 179; no. 11; pp. 774 - 778
Main Authors:	MÜCKE, Ralph, SCHÖNEKAES, Klaus, MICKE, Oliver, SEEGENSCHMIEDT, M. Heinrich, BERNING, Dorothee, HEYDER, Rainer
Format:	Journal Article
Language:	English
Published:	München Springer 01-11-2003 Springer Nature B.V
Subjects:	Adult Aged Aged, 80 and over Biological and medical sciences Diseases of the osteoarticular system. Orthopedic treatment Drug therapy Female Follow-Up Studies Heel Spur - diagnosis Heel Spur - physiopathology Heel Spur - radiotherapy Humans Male Medical sciences Middle Aged Pain - diagnosis Pain - etiology Pain - prevention & control Pain Measurement Prognosis Radiation therapy Radiotherapy Dosage Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Time Factors Human Low dose Diseases of the osteoarticular system Low-dose radiotherapy Radiotherapy Painful heel spur Calcaneum Exostosis Photon Retrospective Radiation dose Treatment Benign disorder 6-MV photons
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Summary:	Retrospective analysis of 117 patients treated between 1996 and 2000 with low-dose radiotherapy (RT) for painful heel spurs. 71 women and 46 men were irradiated on 136 painful heel spurs in one (n = 104) or two radiation series (n = 13). The painful spurs were located either at the plantar (n = 94), dorsal (n = 5) or bilateral heel (n = 18). 82 patients had prior treatments, in 35 patients RT was the primary treatment. Low-dose RT was performed twice a week with one 6-MV photon field. Ten fractions of 0.5 Gy were applied to a total dose of 5 Gy. Evaluation was done on completion and during follow-up using the four-scale von Pannewitz score. On completion of RT, 27 patients were free of pain, 40 were much improved, 31 reported slight improvement, and 19 experienced no change. After a mean follow-up of 20 months, 75 out of 100 patients were free of pain, twelve had marked and three some improvement. Ten patients reported no change of symptoms. Mean duration of pain before RT was 6 months. RT applied < or = 6 months after the onset of clinical symptoms resulted in improvement in 94%. By contrast, an interval of > 6 months until the initiation of RT resulted in only 73% of patients with clinical improvement. Low-dose RT reveals a benefit in > 80% of the patients. RT should start during the first 6 months of symptoms. Prospective clinical studies with validated symptom scores should be conducted to assess optimal dose and fractionation scheme of RT.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0179-7158 1439-099X
DOI:	10.1007/s00066-003-1126-9