Effectiveness of Invasive Electrostimulation Combined With an Exercise Program in Plantar Fasciitis

Effectiveness of Invasive Electrostimulation Combined With an Exercise Program in Plantar. A Clinical Trial

This study evaluates the effectiveness of an electrostimulation treatment with TENS using a needle and a surface electrode combined with an exercise program to fasciitis plantar. Half participants will receive invasive electrostimulation (TENS using a needle) and exercises while the other half will receive electrostimulation placebo and exercises.

There are a lot of treatments to fasciitis plantar. Exercises are the treatments more recommended to fasciitis plantar but not all patients improve only with exercises. Dry needling is recommended to relieve the pain in the heel. TENS is used to decrease the pain in the fasciitis plantar. Investigators will apply to half participants a treatment that combines TENS + Dry needling (invasive electrostimulation ) with exercises while the other half receive electrostimulation placebo (TENS using surface electrodes with non-therapeutic intensity) + exercises.

Inclusion Criteria:

• Medical diagnosis of plantar fasciitis
• Age equal or superior to 18 years old.
• VAS minimum of 2 points int the first steps after a prolonged decreasing period.
• Having an evolution of a month or more of pain.
• Not having received acupuncture or dry needling as treatment.

Exclusion Criteria:

• Peripheral Neuropathies.
• Tarsus tunnel syndrome.
• Rheumatic diseases.
• Contraindication to dry needling: nickel allergy, fear of needles, sky with erosions.
• Clotting disorders such as thrombosis or thrombophlebitis.
• Fractures, infections and/ or tumor processes.
• Have been treated for plantar fasciitis in the las 4 weeks.
• Previous surgery in the foot
• Pregnancy.
• Communication Disorders.
• Holders of pacemakers or electrostimulators.