THU0490 DEEP FRICTION MASSAGE VERSUS LOCAL STEROID INJECTION FOR TREATMENT OF PLANTAR FASCIITIS: A RANDOMIZED CONTROLLED TRIAL. (13th June 2020)

• Record Type: Journal Article
• Authors: Moshrif, A.; Elwan, M.; Daifallah, U.
• Is Part Of: Annals of the rheumatic diseases. Volume 79(2020)Supplement 1
• Page Start: 482
• Page End: 482
• Publication Date: 2020-06-13
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2020-eular.5402
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: Deep friction massage (DFM) has long been proven to be effective in the treatment of some tendinopathies. Objectives: to evaluate the efficacy of DFM in the treatment of plantar fasciitis (PF) in comparison with local steroid injection. Methods: In this randomized controlled trial, 60 patients with PF were selected from those attending the rheumatology and rehabilitation outpatient clinic and then randomized to receive either 40 mg triamcinolone local injection (group I: 30 patients; 41 heals) using the medial approach or to receive seven sessions of deep transverse friction massage (10 min each) every other day (group II: 30 patients; 36 heels). The outcome measures were the pain and function assessment by visual analog scale and foot function index, respectively, at 2 and 6 weeks of follow-up. Results: Demographic data showed a statistically insignificant difference in age, female to male ratio, and BMI in both groups. The mean age was 39.42 years in group I and 41.32 years in group II (P=0.86). The female to male ratio was 3: 1 in group I and 2.75: 1 in group II, and the mean BMI was 32.41 in group I and 33.31 in group II (P=0.51). At 2 and 6 weeks of follow-up, DFM led to less improvement in pain and function compared with local steroid injection (P=0.001 and 0.002, respectively, at both time points of follow-up). Conclusion: This study revealed that DFM is not effective as a single modality in treatment of PF. Further large-scale studies are needed to support this observation. Disclosure of Interests: None declared