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 | Ultrasound guided injection of plantar fasciitis |
| Authors' reply |
Ultrasound guided injection of plantar fasciitis
| The first 150 words of the full text of this article appear below. |
Kane and colleagues rightly emphasise the increasing importance of diagnostic ultrasound in rheumatological practice.1 New equipment with small transducers and greatly magnified images, albeit more expensive, make the case for its routine use in clinics stronger all the time. As Kane points out, plantar fasciitis is an excellent example of this, both for diagnosis and ensuring correct placement of injection therapy. We entirely agree that it is altogether better than using bone scintigraphy in this condition.
As Kane et al suggest, plantar fasciitis can be
difficult to treat. They claim that clinical results are improved by
using an ultrasound guided injection. Even accounting for the sample size, their results are difficult to interpret. For the majority of
patients appropriate advice on footwear, weight reduction, stretching
exercises, non-steroidal anti-inflammatory drugs, and insoles are
successful. In addition night splints may offer 59 to 88% success
without injection.2 3 It is not clear whether
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