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dc.contributor.authorRyan, M.
dc.contributor.authorWong, A.
dc.contributor.authorGillies, J.
dc.contributor.authorWong, J.
dc.contributor.authorTaunton, J.
dc.date.accessioned2017-05-03T16:06:29Z
dc.date.available2017-05-03T16:06:29Z
dc.date.issued2009
dc.date.modified2012-05-15T22:23:27Z
dc.identifier.issn03063674
dc.identifier.doi10.1136/bjsm.2008.050021
dc.identifier.urihttp://hdl.handle.net/10072/41933
dc.description.abstractObjective: To report on the effectiveness of sonographically guided injections of hyperosmolar dextrose at reducing the pain associated with chronic plantar fasciitis. Design: Case series. Setting: Ultrasound division of St Paul's Hospital. Patients: 20 referrals (3 men, 17 women; age 51 (SD 13) years) from local sports medicine primary care practitioners who had failed previous conservative treatments. Interventions: A 27-gauge needle administered a 25% dextrose/lidocaine solution under sonographic guidance at 6 week intervals returning for a median of three consultations. Main outcome measures: Visual analogue scale (VAS) items for pain levels at rest (VAS1), activities of daily living (VAS2), and during or after physical activity (VAS3) were recorded at baseline and at the final treatment consultation (post-test). A telephone interview conducted an average of 11.8 months after the post-test consultation provided a measure of long-term follow-up. Results: 16 patients reported a good to excellent outcome, while the symptoms in 4 patients were unchanged. There was a significant decrease (p<0.001) in all mean VAS items from pre-test to post-test: VAS1 (36.8 (SD 25.6) to 10.3 (10.9)), VAS2 (74.7 (20.8) to 25.0 (27.7)) and VAS3 (91.6 (9.2) to 38.7 (35.1)) and there were no apparent changes after the follow-up interview. Conclusions: Sonographically guided dextrose injections showed a good clinical response in patients with chronic plantar fasciitis insofar as pain was reduced during rest and activity. Further studies including a control group are needed to validate these outcomes.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent170366 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Group
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom303
dc.relation.ispartofpageto306
dc.relation.ispartofissue4
dc.relation.ispartofjournalBritish Journal of Sports Medicine
dc.relation.ispartofvolume43
dc.rights.retentionY
dc.subject.fieldofresearchSports Medicine
dc.subject.fieldofresearchRegenerative Medicine (incl. Stem Cells and Tissue Engineering)
dc.subject.fieldofresearchRadiology and Organ Imaging
dc.subject.fieldofresearchEngineering
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchEducation
dc.subject.fieldofresearchcode110604
dc.subject.fieldofresearchcode100404
dc.subject.fieldofresearchcode110320
dc.subject.fieldofresearchcode09
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode13
dc.titleSonographically guided intratendinous injections of hyperosmolar dextrose/lidocaine: a pilot study for the treatment of chronic plantar fasciitis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© The Author(s) 2009. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the authors.
gro.date.issued2009
gro.hasfulltextFull Text
gro.griffith.authorRyan, Michael


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