Extracorporeal shockwave therapy in the management of plantar fasciitis: A randomized controlled trial

•Routine care or combination of routine care with ESWT improves foot function in patients with plantar fasciitis.•The routine care including exercise and orthotic support was as effective as a combination therapy including routine care and ESWT to improve foot function.•A combination of routine care and ESWT may be more beneficial to improve gait function. This study aimed at estimating the extent to which a combination therapy of extracorporeal shockwave therapy (ESWT) with usual care (exercise and orthotic support) improve functional ability in the patient with plantar fasciitis when compared to usual care alone. Participants with plantar fasciitis were randomly allocated into two groups: ESWT (n=23), and control (n=21). All participants received home exercise program with orthotic support. In addition, ESWT group received 2000 shock waves with 0.02 mJ/mm2 for three sessions. Functional outcomes were measured by function subscale of American orthopedic foot and ankle society (AOFAS-F) score and 12 minutes walking test including walking speed, cadence. The scores were recorded at baseline, third week and third month after the treatment. Analysis was performed using repeated measures ANOVA, and an intention to treat approach using multiple imputations. Results showed that there was a significant improvement in AOFAS-F total score and walking speed over three months in both groups (p0.05). However, groups performed differently in cadence where there was an increase in cadence in ESWT group whereas a decline in control at the third month (p=0.07). The results revealed that ESWT did not have an additive benefit over usual care to improve foot function and walking performance in patient with plantar fasciitis over three months post-treatment.