31Efficacy of Foot Orthoses for the Treatment of Plantar Heel Pain
British Journal of Sports Medicine (2018) · Nadine Rasenberg, Henrik Riel, Michael S Rathleff, Sita M A Bierma-Zeinstra, Marienke van Middelkoop
This systematic review and meta-analysis evaluated randomized controlled trials comparing foot orthoses with control interventions, including no treatment, sham orthoses, and other conservative therapies. The analysis found no significant difference in short-term pain relief between custom, prefabricated, and sham orthoses. Functional outcomes were similarly unaffected. The study concludes that foot orthoses are not superior to sham or conservative treatments in managing plantar heel pain.
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34Risk Factors Affecting Chronic Rupture of the Plantar Fascia
Foot & Ankle International (2014) · Ho Seong Lee, Young Rak Choi, Sang Woo Kim, Jin Yong Lee, Jeong Ho Seo, Jae Jung Jeong
This retrospective comparative study analyzed 286 patients with plantar fasciitis to identify risk factors associated with chronic rupture of the plantar fascia. Among the 35 patients who experienced a rupture, 33 had received corticosteroid injections, indicating a strong association between steroid use and rupture risk. The study concluded that corticosteroid injections should be administered cautiously due to the significantly higher risk of plantar fascia rupture.
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42Weak Evidence for the Safety and Effectiveness of Endoscopic Plantar Fascia Release
Foot and Ankle Surgery (2020) · Michael-Alexander Malahias, Erwin Brian Cantiller, Vikram V. Kadu, Sebastian Muller
This review evaluated 15 studies on endoscopic plantar fascia release (EPFR), totaling 535 patients and 576 feet. Most studies were low-quality case series, with only two randomized controlled trials. Though subjective scores improved postoperatively, the review concluded there is weak evidence supporting EPFR as safe or effective. The overall complication rate was 11.0%, with persistent heel pain (5.6%), paresthesias or numbness (4.3%), soft tissue healing issues (1.7%), and superficial infection (0.4%) being the most common.
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