TY - JOUR
T1 - Minimally invasive surgical treatments versus non-surgical treatments or placebo for plantar fasciopathy
T2 - A systematic review
AU - Møller, Stefan
AU - Ipsen, Jonas Ammundsen
AU - Aunass, Henriette Jahn
AU - Aagaard, Per
AU - Viberg, Bjarke
AU - Simony, Ane
AU - Riel, Henrik
N1 - Publisher Copyright:
© 2025 The Authors
PY - 2025/5/1
Y1 - 2025/5/1
N2 - Background: Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF). Methods: We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo. Results: Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release. Conclusions: This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.
AB - Background: Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF). Methods: We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo. Results: Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release. Conclusions: This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.
KW - Minimally invasive treatment
KW - Non-surgical treatment
KW - Plantar fasciopathy
KW - Plantar heel pain
UR - http://www.scopus.com/inward/record.url?scp=105004806671&partnerID=8YFLogxK
U2 - 10.1016/j.fas.2025.04.009
DO - 10.1016/j.fas.2025.04.009
M3 - Review article
AN - SCOPUS:105004806671
SN - 1268-7731
JO - Foot and Ankle Surgery
JF - Foot and Ankle Surgery
ER -