BOTOX INJECTIONS FOR PLANTAR FASCITIS
A new study published in the medical journal Foot and Ankle International has produced promising results in suffers of plantar fascitis with the use of a new form of treatment: Botox. Botox injection effects have been compared with the more traditional steroid injections by a group of researchers from the University of Nuevo Leon in Mexico.
Corticosteroid, which has been used to treat chronic conditions for years, is a potent anti-inflammatory medication. It is usually taken orally, or by injection, by the iontophoresis technique. Pain and inflammation are reduced by a steroid injection, which allows the commencement of a rehabilitation program. The effect, however, is short-term and the risk of tendon rupture is increased.
Botox on the other hand is a neurotoxic protein. It is used more commonly for the reduction of wrinkles and fine lines in cosmetic procedures. It can also reduce excess sweating, migraines, neuropathy, headaches, and chronic pain. Botox blocks nerve impulses thus causing muscle contraction to decrease. A fine needle is used to inject the protein into the tissue of the muscle. Local anesthetic in this case is not required.
Researchers Compare Botox with Steroids
The most recent research regarding plantar fascitis treatment involves the use of Botox versus steroids. This treatment has been tested with the use of 36 volunteers. These participants had been suffering for a minimum of three months from plantar fasciitis. They did not have any other injuries or other complications. They had not received any therapeutic injections preciously either.
The study involved the random placement of the participants into two groups. One was the control group and the other was the test group. A corticosteroid injection was placed in the surface of the foot, specifically into the medial plantar of the control group. The gastrocnemius and soleus calf muscles of the test group were given three Botox injections of the test group.
Evaluation was filled in at an interval of 15 days, then 1, 2, 4, and 6 months after the injections had been administered. The participants were to regularly stretch the plantar fascia of the foot per instructions. The scores used to evaluate these effects on both the groups were the VAS, AOFAS, and Foot and Ankle Disability Index (FADI).
The results showed that there was no perceived disability or pain difference initially in the plantar fascitis treatment group. This was precisely at the first follow up at 15 days. The Botox group showed improvements beginning at the 2 months evaluation mark. These improvements went on throughout the time of the study. The Botox group was still reporting improvements by the 6 month point. The steroid group was deteriorating to reach the final score of 3.8±1.15.
Botox injections are a form of treatment that is promising for plantar fasciitis. The traditional injection of steroids does not match the effect of the Botox injections. The Botox injections do not aim at treating the inflammation, degeneration, or the pain at the area. Rather, they target the tight calf muscles, which are one of the causes of plantar fasciitis.