Surgical or Non-surgical Treatment of Plantar Fasciitis - A Randomized Clinical Trial

  • Jensen, Carsten (Head coordinator)
  • Møller, Stefan (Coordinator)
  • Wester, Jens Ulrik (Coordinator)
  • Riel, Henrik (Coordinator)

Project: Research

Project Details


Plantar fasciitis (PF) is one of the most common causes of heel pain in 40-60
year old people. Approximately 10% of the population is affected by the disorder
and the PF prevalence is 3.6-7.0%. The risk factors include decreased ankle
dorsiflexion, overweight (BMI> 27), pronated foot position, and prolonged work
and activity-related weight bearing. The condition affects both active and less
active people.
The typical symptoms are pain around the attachment of the foot's tendon
mirror (fascia plantaris), especially the medial part. The pain is well defined and
occurs during weight bearing activities or during the first steps after rest. The
walking pattern is changed to relieve pain. Ultrasound scan is used to confirm
the diagnosis (thickened tendon mirror> 4 mm). The condition is described as
inflammatory, but the relationship between the initial inflammatory condition and
the chronic tendon mirror overload injury (fasciopathy) is unknown and marked
by degenerative changes.
Although the majority of people improve within 1-2 years, the long-term
prognosis is unknown. People with symptoms lasting > 7 months have poor
prognosis and should be offered other treatment. Non-surgical treatment is
often first line of treatment followed by surgical treatment.
In this clinical trial investigators compare pain levels (FHSQ-DK) in people, who
receive surgical treatment (radiofrequency microtenotomy, shoe inserts and
patient education) and people who receive non-surgical treatment (strength
training, shoe inserts and patient education) with a primary end-point at 6
months. The hypothesis is that surgical treatment is better than non-surgical
treatment measured by FHSQ-DK (pain)
Effective start/end date01/10/201901/10/2022