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Minimally invasive surgical treatments versus non-surgical treatments for plantar fasciopathy: a systematic review

  • Stefan Møller
  • , Jonas Ammundsen Ipsen
  • , Henriette Jahn Aunass
  • , Per Aagaard
  • , Bjarke Viberg
  • , Ane Simony
  • , Henrik Riel
  • Syddansk Universitetshospital
  • Odense University Hospital
  • University of Southern Denmark
  • Aalborg University
  • University College of Nothern Denmark

Research output: Contribution to journalConference abstract in journalpeer-review

Abstract

BACKGROUND: Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF).

METHODS: We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo.

RESULTS: Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release.

CONCLUSIONS: This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.
Original languageEnglish
Article number10
JournalBMJ Open Sport & Exercise Medicine
Volume11
Issue numberSuppl. 1
Pages (from-to)A
ISSN2055-7647
DOIs
Publication statusPublished - 15 Jan 2025
Externally publishedYes

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