Actively Recruiting
Percutaneous Electrolysis Targeting the Muscle-Fascia Chain for Treating Chronic Plantar Fasciitis in Adults
Led by Sivas State Hospital · Updated on 2025-12-19
50
Participants Needed
1
Research Sites
22 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The aim of this study is to compare, in terms of treatment effectiveness, a control group receiving a combination of a conventional exercise program and percutaneous electrolysis applied to the plantar fascia with an intervention group receiving a combination of a conventional exercise program plus percutaneous electrolysis applied both to the plantar fascia and to myofascial trigger points in the gastrosoleus muscles. Patients participating in the study will be randomized into two groups. Both groups will receive a conventional home exercise program. In the intervention group, percutaneous electrolysis treatment will be applied to both the plantar fascia and the trigger points of the gastrosoleus muscles. In the control group, percutaneous electrolysis treatment will be applied only to the plantar fascia. The percutaneous electrolysis treatment protocol will be administered on the 1st, 8th and 14th days of treatment under ultrasound guidance, using 0.3-millimeter acupuncture needles and an EPTE® percutaneous electrolysis device (Ionclinics \& A. Deionic SL, Valencia, Spain) at an intensity of 350 µA for 80 seconds. The conventional home exercise program will include plantar fascia and Achilles tendon stretching, ball or cylinder rolling, and towel-grasping exercises targeting the intrinsic foot muscles. Patients' subjective pain intensity will be assessed using the Visual Analog Scale (VAS), pressure pain threshold using an algometer, functional level using the Foot Function Index (FFI), tissue parameters using ultrasound, and maximum standing and walking times without heel pain; all outcomes will be measured and recorded before treatment, after treatment, and three months after the start of treatment. The aim of the study is to compare, in terms of treatment effectiveness, the control group receiving a combination of a conventional exercise program and percutaneous electrolysis applied to the plantar fascia with the intervention group receiving a combination of a conventional exercise program plus percutaneous electrolysis applied to both the plantar fascia and the myofascial trigger points in the gastrosoleus muscles.
CONDITIONS
Official Title
Percutaneous Electrolysis Targeting the Muscle-Fascia Chain for Treating Chronic Plantar Fasciitis in Adults
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients aged between 18 and 70 years
- Symptoms of plantar fasciitis for at least 6 weeks
- Clinical diagnosis of plantar fasciitis with sharp pain on the bottom of the foot after rest and worst pain with first steps in the morning
- Plantar fascia thickness greater than 4 mm confirmed by ultrasound
- No previous medical treatment for plantar fasciitis
- Agree not to use anti-inflammatory drugs during treatment
- Normal blood laboratory test results
- No known acute or chronic inflammatory diseases
- Sufficient education level to understand treatment and procedures
- Able to complete treatment evaluation forms
You will not qualify if you...
- Presence of malignancy or active infection
- History of systemic inflammatory rheumatic disease
- Trauma, skin lesions, infection, or open wounds on the foot
- Neuropathy, radiculopathy, or peripheral circulatory disorders
- Coagulopathy or use of warfarin
- Arthropathy or deformities of the lower extremities
- Sequelae of lower extremity fracture
- Presence of prosthesis, internal plate, screw fixation, cardiac pacemaker, or metal implant in the treatment area
- Conditions contraindicating physiotherapy such as pregnancy
- Metal allergy
AI-Screening
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Trial Site Locations
Total: 1 location
1
Sivas Devlet Hastanesi
Sivas, Merkez, Turkey (Türkiye)
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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