Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial
Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial
复制标题
DOI：
10.1093/rheumatology/38.10.974
复制
发表时间：
1999-10-01
期刊：
影响因子：
5.5
通讯作者：
Edwards, J
中科院分区：
文献类型：
--
作者：
Crawford, F;Atkins, D;Edwards, J
目标.比较类固醇注射（25 mg/ml醋酸泼尼松龙）与局部麻醉控制治疗足跟痛的有效性，并确定在浸润前使用胫后神经阻滞麻醉足跟对患者舒适度的任何优势。一项在医院风湿病诊所进行的2 x 2设计的双盲随机对照试验。受试者包括106例足跟增重的全科医生和其他风湿病学家在卡姆登和伊斯灵顿卫生局工作。主要观察指标：1个月、3个月和6个月时足跟疼痛减轻情况，以及注射时患者的舒适度。所有结果均采用10 cm视觉模拟量表进行测量。在1个月时检测到疼痛的统计学显著性降低（P = 0.02），有利于类固醇注射，但此后未检测到差异。足跟麻醉对患者舒适度无显著影响（P = 0.5）。类固醇注射可以在短期内缓解脚跟疼痛。在渗透之前麻醉足跟似乎没有增加患者的舒适度。
Objectives. To compare the effectiveness of a steroid injection (25 mg/ml prednisolone acetate) with a local anaesthetic control in the treatment of heel pain and to determine any advantage for patients' comfort of using a posterior tibial nerve block to anaesthetize the heel prior to infiltration.Methods. A double-blind randomized controlled trial using a 2 x 2 design in a hospital-based rheumatology clinic. Subjects comprised 106 patients with heel gain referred by general practitioners and other rheumatologists working in Camden and Islington Health Authority. Main outcome measures: heel pain reduction at 1, 3 and 6 months, and patient comfort at the time of injection. All outcomes were measured using a 10 cm visual analogue scale.Results. A statistically significant reduction in pain was detected at 1 month (P = 0.02) in favour of steroid injection, but thereafter no differences could be detected. Patient comfort was not significantly affected by anaesthesia of the heel (P = 0.5).Conclusions. A steroid injection can provide relief from heel pain in the short term. There appears to be no increase in patient comfort from anaesthetizing the heel prior to infiltration.