Effect of Shock Wave Therapy Versus Low Level Laser Therapy in Patients with Plantar Fasciitis

Abstract

Introduction: To compare the efficacy of shock wave therapy versus low level laser therapy in patients with plantar fasciitis.

Methods: Seventy five patients were assigned randomly into three groups. Group A (control group) Patients received conventional physical therapy program in the form of Ice application, deep tissue massage, stretching exercises, joint mobilization,  and isometric exercises. This program was administered over twelve sessions three times per week.. Group B (study group): Patients received low level laser therapy in addition to conventional physical therapy program for nine sessions three times per week. Group C (study group): Patients received shock wave therapy in addition to conventional physical therapy program applied for a total of six applications, one each foot. Outcome measures were visual analogue scale, Pressure algometer for Quadratus plantae, active range of motion of plantarflexion and dorsiflexion, stability score between both sides and activity score, Measurements were recorded before and after treatment.

Results: There was no statistically significant difference observed between activity score, pain level, pain pressure threshold, stability score, and active range of motion of plantarflexors and dorsiflexors prior to the study among the three groups.  Additionally, post-study analysis revealed no substantial differences in the stability score, active range of motion of plantarflexors, and dorsiflexors among the three groups. However, there was substantial difference post study among the three groups in activity score, pain level, pain pressure threshold for Quadratus plantae.

Conclusions: Both shock wave therapy and low level laser therapy were effective in treating patients with plantar fasciitis.