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Extracorporeal shock wave therapy in the treatment of inferior calcaneal enthesophytosis: outcome by fan-beam dual x ray absorptiometry (DXA)
  1. R Cosentino,
  2. B Frediani,
  3. R De Stefano,
  4. C Acciai,
  5. S Manca,
  6. E Selvi,
  7. E Frati,
  8. R Marcolongo
  1. Section of Rheumatology, University of Siena, Italy
  1. Correspondence to:
    Dr R Cosentino
    Institute of Rheumatology, Policlinico Le Scotte, 53100 Siena, Italy;

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Plantar fasciitis with heel spurs is a common cause of heel pain, and is often not sensitive to conservative treatment, including insole supports, non-steroidal anti-inflammatory drugs, local steroid injection, and physical therapy.1,2 In patients in whom conservative treatment fails, surgical intervention is recommended.3

Recently, extracorporeal shock wave therapy has been introduced for the alleviation of painful heel and other conditions such as tennis elbow, calcifying tendinopathy of the shoulder, and non-union of fractures of the long bones.4–7

The presence and size of the heel spurs do not correlate with the clinical symptoms.4,8

Twenty patients aged between 40 …

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