Treatment of Myofascial Pain Components in Plantar Fasciitis Speeds Up Recovery: Documentation by Algometry

SUMMARYPressure algometry was used for the objective diagnosis and quantitative outcome documentation in patients with plantar fasciitis. The efficacy of needling and infiltration [N&I] with 1% lidocaine of myofascial trigger points [MTrPs] and tender spots [TSs] followed by physical medicine procedures was assessed by algometry in up to two years follow-up.Materials and Methods: The diagnostic procedure included search for TrPs and TSs, confirmed and quantified by pressure algometry. Needling and slow infiltration with 1% lidocaine of the tender areas were performed where maximum intensity of pain was detected, during each consultation, usually at a week intervals. It was followed by heat, electric stimulation, stretching and relaxation exercises. Statistical analysis was performed by the Wilcoxon test with significant level of 5%.Results: Functional recovery and return to previous activities in the conventionally treated group of 9 patients took a mean of 21.1 ± 19.5 weeks [range 6–64 weeks]. The 20 pat...