Extracorporeal shockwave therapy (ESWT) in the treatment of plantar fasciitis - A biometrical review

The application of extracorporeal shockwave therapy (ESWT) as a treatment f or conservatively unsuccessfully treated plantar fasciitis has experienced a rapid increase over the last years. However, the efficacy of ESWT has not yet been established unequivocally, as published studies have led to incon sistent results. Further-more, reviews on clinical trials on ESWT are eithe r not up to date, incomplete, or methodologically inadequate. As a conseque nce, a systematic literature search was conducted which yielded 21 relevant articles on ESWT in the treatment of plantar fasciitis. These were rated a ccording to biometrical criteria for the conduct of therapeutic trials base d on international guidelines. None of the rated trials fulfilled all of th e criteria, and it is concluded that at this point the efficacy of ESWT can be neither confirmed nor excluded, Randomised and controlled clinical tria ls are required to adequately estimate the value of ESWT as a treatment for plantar fasciitis.