Contact us

Make an appointment

our specialists

 

  01 40 79 40 36

 

secretariat

@chirurgiedusport.com

 

SOS KNEE

 

Sports Clinic

36 bd St Marcel

75005 PARIS

Sports clinic Paris

Metro: Saint Marcel

Parking 6 rue test


sur

'Pages chirurgiedusport :

HONCode

Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Sant├ę (HAS).
Check here

QRCode

Youtube video

13:54
Docteur GEROMETTA Antoine - Retour au sp ...
335 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
247 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
185 views


10:55
Docteur BOHU Yoann - 1├Ęre luxation dÔÇÖ ...
97 views


41:09
Surgical management 's knee osteoar ...
2143 views


10:06
Ligamentoplastie du ligament crois├ę an ...
19299 views


09:53
TKA MyKnee PTG Dr. Nicolas Lefevre
683534 views


00:41
Cracked meniscus bucket handle dislocate ...
27258 views


09:33
Arthroscopic knee surgery for fracture o ...
91440 views


07:39
Total knee replacement (TKR), descriptio ...
52946 views


11:04
DIDT TLS: surgery of the anterior crucia ...
380058 views


10:21
Surgery sport, hamstring: surgery of the ...
444557 views


05:12
Zapping meniscus
17306 views


03:37
Combing the patellar tendon under arthro ...
28157 views


05:10
Surgery sport, PIP Prevention of knee in ...
12556 views


00:08
bucket handle meniscal 3D movie
17741 views


05:44
Suture of the lateral meniscus injury ra ...
16311 views


05:18
partial tear of the anterior cruciate li ...
10326 views


02:01
Levy for the hamstring ACL reconstructio ...
30521 views


06:25
partial ACL tear, technical anatomical r ...
11499 views


10:02
Complete rupture hamstring tendon repair ...
18797 views


04:09
Surgery sport, endoscopic treatment of c ...
5301 views


06:18
compartment syndrome 's efforts
40706 views


09:01
Rupture du tendon d'achille chirurgie du ...
6922 views


03:23
greffe de me?nisque Dr Alain myer Dr Yoa ...
1397 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
185 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
247 views


13:54
Docteur GEROMETTA Antoine - Retour au sp ...
335 views


Treatment of plantar fasciitis (plantar myoapon├ęvrosite) wave of electrohydraulic high-energy shock.

Print Article

Treatment of plantar fasciitis (plantar myoapon├ęvrosite) wave of electrohydraulic high-energy shock.

The effectiveness of the treatment of chronic plantar fasciitis (plantar myoapon├ęvrosite) by extracorporeal shock wave (ODCE) was evaluated in 289 patients between 1996 and 2003, through a randomized, double-blind, placebo and cross.
The three main inclusion criteria were selected failure to at least six months of adequate medical treatment (including minimum physiotherapy, orthotics and various local or systemic anti-inflammatory drugs), pain felt by the patient greater than or equal to 5 on the VAS when the pressure exerted by the examiner on the plantar fascia, a pain felt by the patient than or equal to 5 on the VAS after the first 5 minutes of walking in the morning.
All patients received after anesthetic block 1500 shock waves at an intensity of 18 kv at a frequency of 2 Hz, giving a total of 324.25 Joules energy, applied to the maximum area of ??pain in a radius of 1 cm. For the placebo group, a fluid-filled bag is placed in the probe of the device to absorb the shock waves.
Patients were followed for 12 months. They completed a self-assessment questionnaire: rest pain, pain during daily activities, level of recreational activity and ability to work and were regularly assessed by the examiners. 4 success criteria were used: pressure pain and pain in the early morning not reduced by more than 50%, the pain diminished activity of at least 2 points on the VAS, absence of drug intake. A second application was proposed in case of failure.
The results of the study showed 76.8% good and excellent results at 12 months of treatment, with a significant difference compared to placebo. The average age of patients was 48.6 years, 2 women for every man. A heel spur present in 50-60% of heel pain persists after treatment and does not influence the result. Response to treatment was better in patients with a duration of shorter symptoms. No patient was worse.
In conclusion, the treatment of plantar fasciitis is primarily medical, it is satisfactory in 90% of cases. The following regimen may be adopted: first-line orthotics, Stout, to a relaxation of the plantar fascia, associated with NSAID therapy; second-line local infiltration, after eliminating other causes of heel pain and a corrected hyperuricemia; third for the ODCE, one or two sessions with a specialized therapist. Many devices on the market delivering different types of shock waves: infrared, acoustic, radial, electro hydraulic. Only the latter, used in lithotripsy, delivers ODCE of "high energy".
 

Doctor Yves GUGLIELMETTI. - 17 septembre 2011.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

News

Knee arthroscopy: treatment of meniscus injury

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Yoann BOHU

Meniscus - Arthroscopic knee surgery is the gold standard of meniscal lesions of the knee. The goal is to treat meniscal tear (tear, crack, tongue, bucket handle ...) being the least traumatic possible for the knee and the most conservative to the meniscus.

 

Read also ...

The most read articles

La fiche_de_la_ligamentoplastie_type_KJ_kenneth_jones_chirurgiedusport.jpg

Surgical technique of KJ type of ligament or Kenneth Jones (the image file)

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Yoann BOHU.

Specifications of the ligament anterior cruciate ligament (ACL) in the kenneth-jones technical or KJ schematic description of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control

plug ligament didt system TLS or TLS DT4

Ligamentoplasty anterior cruciate ligament (ACL) using the technique hamstring DT4 TLS or TLS: detail

By Dr. Nicolas LEFEVRE .

The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control. The principle of TLS is to use a single hamstring tendon graft in short. Parameters of ACL reconstruction with hamstring TLS.

Anterior ligament repair crosses: the patellar tendon ligament, technical KJ (Kenneth - Jones)

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Yoan BOHU .

Surgery: The principle of operation is to repair the anterior cruciate ligament (ACL) with a broken bone autograft bone tendon taken from the patellar tendon. Intervention performed under local or general anesthesia with a tourniquet.

Technical cruciate ligament

By Dr. Nicolas Lefevre

More videos

Last publications

Feature: knee prosthesis

total knee replacement

Feature: knee ligaments

Dossier: Ambulatory Surgery ACL

Dossier: meniscus

MENISCUS 3D CRACK MENISCUS TEAR SURGERY SPORTS

Feature: Shoulder sportsman

Folder: hip prosthesis

Dossier: break hamstring

Dr. Lefevre proximal anatomie_ischio_jambier_rupture chirurgiedusport

Dossier: prosthetic and sports

hip replacement and knee and sports

Dossier: PRP

Chirurgiedusport - Who are we - Contact us - Legal Notice - Web design Digitaline - EMC2 Studio development - Clinique du Sport