Özet:

Purpose: Column rectum is a clinical picture that is frequently found in the clinic, causing chronic plantar column pain. In addition to options such as corticosteroid injection, non-steroidal anti-inflammatory drugs and various methods of physical treatment, 'Extracorporeal Shock Wave Therapy' (ESWT) has ranked among non-chirurgical methods. The objective of this prospective-controlled study is to investigate the effectiveness of ESWT treatment in patients diagnosed clinically and radiologically with scalp. Method: 49 patients were diagnosed clinically and radiologically with corneal dysfunction. Patients were randomly divided into two groups. The group 1 (n=25) received ESWT treatment in a four-day interval of 3 sessions with a 8 Hz frequency, so that each session will be 1000 shots. Group 2 (n=24) was considered as a control group and used only silicone base. The intensity of pain was assessed by the visual analog scale (GAS) and the functional level related to foot activities, including night pain, morning pain during the first press, pain with movement, rest pain, pain in the underground and pain in the end of the day, and the Foot Ankle Outcome Score (FAOS) index. The measurements were performed before and after 4 weeks of monitoring. Results: After treatment, statistically significant improvements were found in all parameters in both groups (p<0,05). In the inter-group assessment, there was a significant improvement in the night pain calculated with GAS after treatment and in the morning pain during the first press (p<0,05) in favour of the ESWT group. The other parameters did not find any significant difference between the two groups (p>0,05). Results: The results of our study support that ESWT is effective in the treatment of scalp and can be an effective choice among other conservative methods.

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