DefinePK

Abstract

Background: Calcaneal spurs are abnormal bone projections that typically form at the inner aspect of the heel bone, specifically at the site where the plantar fascia and certain small muscles of the foot attach. These spurs are relatively common and are often detected incidentally during foot X-rays taken for other medical reasons, such as prior injury to the ankle or foot. Objective: To determine the effects of therapeutic ultrasound and extracorporeal shockwave therapy on improving quality of life and chronic heel spur pain. Methodology: This study was a single-blinded, randomised controlled trial conducted at Sehat Medical Complex, Lahore, during 10 months. Accounting for a 10% attrition rate, the total sample size has been adjusted to 41 participants using a non-probability convenient sampling technique. Patients diagnosed with chronic heel spur pain persisting for more than one month, confirmed through imaging, aged 30–60 years, both genders, were included. Patients with systemic inflammatory conditions such as rheumatoid arthritis or gout, a history of previous steroid injection for less than six weeks, and individuals with contraindications to ultrasound or shockwave therapy, such as pacemakers or implanted devices. Follow-up assessments were conducted at baseline and after eight weeks. Parametric statistical tests were supported by normal data distributions and confirmed a paired sample t-test for within-group analysis and an independent t-test for between-group analysis. Results:  The mean difference of the visual analogue scale of the therapeutic ultrasound group was 1.22±0.07, mean difference of quality of life was 21.88±4.95. The mean score of the foot function index of the ultrasound group before treatment was 63.50±5.55 after the treatment was 46.89±4.58. In the shockwave therapy group, the mean difference of pain score was 2.25±0.16, and the mean difference of quality of life was -11.38±2.95. Mean of function index was 80.11±5.68, and after the treatment was 34.00±4.30. Conclusion:  Group B shows significant variations. Both interventions were effective in improving patient outcomes, but shockwave therapy is more effective in improving pain intensity, quality of life and foot function.