SINGAPORE INTERNATIONAL PHYSIOTHERAPY CONGRESS 2014
Dry Needling: A Novel Approach in Treating Plantar Fasciitis
Vikrant Bhardwaj1 and Gulshan Lal Khanna2
1Ph.D. Scholar, Faculty of Applied Sciences, Manav Rachna University, Faridabad, India
2Dean, Faculty of Applied Sciences, Manav Rachna University, Faridabad, India
Background: Plantar heel pain (plantar fasciitis) is a common and disabling condition, which has a detrimental impact on health-related quality of life. Despite the optimal treatment options available, a high prevalence of reoccurrence of plantar heel pain is common.
Objective: The present study was designed to determine whether dry needling combined with conventional physiotherapy improves the pain and quality of life (QoL) in patients with plantar fasciitis compared with conventional physiotherapy alone.
Methods: Two groups of 20 patients were recruited. The experimental group was treated with conventional physiotherapy treatment (Moist pack, Localized ultrasonic insonation followed by stretching of calf &foot muscles) and dry needling whilst the control group was treated with conventional physiotherapy treatment & sham needling, for 30 minutes per day for 3 weeks (3 sessions per week)only. The outcome measures included the pain subscale of the Foot Health Status Questionnaire (FHSQ) and “first step” pain as measured on a visual analogue scale (VAS). These patients were then followed up at 6 months after the treatment.
Results: The experimental group reported improved scores on the pain subscale of the FHSQ and significantly reduced Pain scores for the first step pain on VAS than for control group. In addition, the results lasted for a period of 6 months, at follow up.
Conclusion(s): Patients treated with dry needling showed significant improvement in symptoms and has long lasting effect.