Clinical trial NCT06917937: Is Exercise Program Added to Corticosteroid Injection Effective on Pain and Performance in Plantar Fasciitis?
Official title: Is Exercise Program Added to Corticosteroid Injection Effective on Pain and Performance in Plantar Fasciitis?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Plantar Fascitis
Keywords: Foot
Foot Disease
Plantar Fasciitis
Exercise
Steroid
Lead sponsor: Kutahya Health Sciences University
Sponsor class: OTHER
First posted: 2025-04-09
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A prospective single-center study
Primary purpose: TREATMENT

Brief summary: Plantar fasciitis (PF) involves the degeneration of the medial calcaneal tuberosity and nearby perifascial tissues in the heel. It is the leading cause of heel pain, typically resulting from repetitive strain on the plantar fascia, causing structural damage. Key risk factors for PF include an increased body mass index in active individuals and a greater range of plantar flexion motion. Treatment options for PF vary, and there is no clear consensus on the most effective approach. Conservative treatments may include rest, stretching exercises for the plantar fascia and Achilles tendon, strengthening exercises for foot intrinsic muscles, nonsteroidal anti-inflammatory drugs (NSAIDs), orthotics, heel pads, dorsiflexion night splints, and corticosteroid injections. These treatments may be used individually or in combination. Corticosteroid injections are the most frequently used invasive treatment. However, there has been limited research examining the effects of corticosteroid injections combined with exercises targeting intrinsic foot muscle strength on functionality and walking distance. The objective of this study was to evaluate the impact of an exercise program added to corticosteroid injections on pain relief and functional performance in individuals with PF.


Eligibility criteria: Inclusion Criteria:

* Those over the age of 18
* Those who have pain in the plantar region for 1 month and this pain is 5 or more according to VAS,
* Those who describe pain on the first step of the morning,
* Those with plantar fascia tenderness on palpation,
* Patients who will be in harmony with the physician and physiotherapist in exercise and follow-up throughout the entire study period.

Exclusion Criteria:

* Cases with fracture, entrapment neuropathy and rupture,
* Those with neurological and systemic diseases,
* Those with a Body Mass Index (BMI) of more than 40,
* Conditions with a local contraindication to corticosteroid,
* Participants who have situations that may prevent their safety, execution or interpretation of the results during the continuation of the training and applied of the test protocol.

Primary outcomes:
measure: Muscle Shortness Tests
timeFrame: a day before the rehabilitation
measure: Muscle Shortness Tests
timeFrame: up to 3 weeks
measure: Muscle Shortness Tests
timeFrame: up to 6 weeks
measure: American Orthopedic Foot and Ankle Society Hindfoot Clinical Evaluation System (AOFAS- hindfoot)
timeFrame: a day before the rehabilitation
measure: American Orthopedic Foot and Ankle Society Hindfoot Clinical Evaluation System (AOFAS- hindfoot)
timeFrame: up to 3 weeks
measure: American Orthopedic Foot and Ankle Society Hindfoot Clinical Evaluation System (AOFAS- hindfoot)
timeFrame: up to 6 weeks
measure: American Orthopedic Foot and Ankle Society Midfoot Clinical Evaluation System (AOFAS- midfoot)
timeFrame: a day before the rehabilitation
measure: American Orthopedic Foot and Ankle Society Midfoot Clinical Evaluation System (AOFAS- midfoot)
timeFrame: up to 3 weeks
measure: American Orthopedic Foot and Ankle Society Midfoot Clinical Evaluation System (AOFAS- midfoot)
timeFrame: up to 6 weeks
measure: Foot Function Index
timeFrame: a day before the rehabilitation
measure: Foot Function Index
timeFrame: up to 3 weeks
measure: Foot Function Index
timeFrame: up to 6 weeks
measure: 6-minute walk test
timeFrame: a day before the rehabilitation
measure: 6-minute walk test
timeFrame: up to 3 weeks
measure: 6-minute walk test
timeFrame: up to 6 weeks
measure: 50 meters walking test
timeFrame: a day before the rehabilitation
measure: 50 meters walking test
timeFrame: up to 3 weeks
measure: 50 meters walking test
timeFrame: up to 6 weeks
measure: Visual Analogue Scale
timeFrame: a day before the rehabilitation
measure: Visual Analogue Scale
timeFrame: up to 3 weeks
measure: Visual Analogue Scale
timeFrame: up to 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Kütahya
country: Turkey
facility: Kütahya Health Sciences University
Study officials:
References: