Percutaneous radiofrequency nerve ablation in patients with chronic heel pain

Yıl 2022, , 168 - 173, 30.09.2022

Mesut Tıkman , Evrim Duman

https://doi.org/10.47482/acmr.1111650

Öz

Background: Heel pain, known as fasciitis, runner’s heel, tennis heel, or police heel, can sometimes become challenging to manage. Many conservative methods, including stretching or orthosis, steroid injection, and extracorporeal shock wave therapy, are used in treating heel pain. This study investigated the therapeutic effect of percutaneous radiofrequency nerve ablation (RFNA) in treating patients with chronic heel pain.

Methods: In this retrospective study, 78 (84 feet) patients with severe and chronic heel pain were included. Patients with heel pain related to calcaneal spur were resistant to conservative methods. Therefore, RFNA was performed on patients who met the criteria. Patients were assessed with a questionnaire and the visual analog scale (VAS) before and after the procedure.

Results: The mean VAS results were 9.3 ± 0.8 before and 3.4 ± 2.6 six months after the procedure, with statistically significant change observed. (p<0.05) Furthermore, 79.2% of participants found RFNA favorable.

Conclusions: According to the findings, we may say that RFNA successfully relieves chronic heel pain.

Anahtar Kelimeler

Chronic Plantar Fasciitis, Radiofrequency Nerve Ablation, Calcaneal Spur.

Kaynakça

• 1. Thomas MJ, Whittle R, Menz HB, Rathod-Mistry T, Marshall M, Roddy E. Plantar heel pain in middle-aged and older adults: population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use. BMC Musculoskelet Disord. 2019;20(1):337.
• 2. Arnold MJ, Moody AL. Common Running Injuries: Evaluation and Management. Am Fam Physician. 2018;97(8):510-516.
• 3. Agyekum EK, Ma K. Heel pain: A systematic review. Chin J Traumatol. 2015;18(3):164-169.
• 4. Irving DB, Cook JL, Young MA, Menz HB. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC Musculoskelet Disord. 2007;8:41.
• 5. Gariani K, Waibel FWA, Viehofer AF, Uckay I. Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management. Diabetes Metab Syndr Obes. 2020;13:1271-1279.
• 6. Liden B, Simmons M, Landsman AS. A retrospective analysis of 22 patients treated with percutaneous radiofrequency nerve ablation for prolonged moderate to severe heel pain associated with plantar fasciitis. J Foot Ankle Surg. 2009;48(6):642-647.
• 7. Baxter DE, Pfeffer GB, Thigpen M. Chronic heel pain. Treatment rationale. Orthop Clin North Am. 1989;20(4):563-569.
• 8. Martin RL, Davenport TE, Reischl SF, et al. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014;44(11):A1-33.
• 9. Thomas JL, Christensen JC, Kravitz SR, et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010;49(3 Suppl):S1-19.
• 10. Malahias MA, Cantiller EB, Kadu VV, Muller S. The clinical outcome of endoscopic plantar fascia release: A current concept review. Foot Ankle Surg. 2020;26(1):19-24.
• 11. Arslan A, Koca TT, Utkan A, Sevimli R, Akel I. Treatment of Chronic Plantar Heel Pain With Radiofrequency Neural Ablation of the First Branch of the Lateral Plantar Nerve and Medial Calcaneal Nerve Branches. J Foot Ankle Surg. 2016;55(4):767-771.
• 12. Chatterton BD, Muller S, Roddy E. Epidemiology of posterior heel pain in the general population: cross-sectional findings from the clinical assessment study of the foot. Arthritis Care Res (Hoboken). 2015;67(7):996-1003.
• 13. Tu P. Heel Pain: Diagnosis and Management. Am Fam Physician. 2018;97(2):86-93.
• 14. LeMelle DP, Kisilewicz P, Janis LR. Chronic plantar fascial inflammation and fibrosis. Clin Podiatr Med Surg. 1990;7(2):385-389.
• 15. Aqil A, Siddiqui MR, Solan M, Redfern DJ, Gulati V, Cobb JP. Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs. Clin Orthop Relat Res. 2013;471(11):3645-3652.
• 16. Sollitto RJ, Plotkin EL, Klein PG, Mullin P. Early clinical results of the use of radiofrequency lesioning in the treatment of plantar fasciitis. J Foot Ankle Surg. 1997;36(3):215-219; discussion 256.
• 17. Cione JA, Cozzarelli J, Mullin CJ. A retrospective study of radiofrequency thermal lesioning for the treatment of neuritis of the medial calcaneal nerve and its terminal branches in chronic heel pain. J Foot Ankle Surg. 2009;48(2):142-147.
• 18. Erken HY, Ayanoglu S, Akmaz I, Erler K, Kiral A. Prospective study of percutaneous radiofrequency nerve ablation for chronic plantar fasciitis. Foot Ankle Int. 2014;35(2):95-103.