Feet Don’t Fail Me Anymore! Single-Centre Results Using Low-Dose Radiation Therapy for Feet Inflammatory Disorders and Review of Current Evidence
Journal Title: Journal of Orthopaedic Science and Research - Year 2022, Vol 3, Issue 3
Abstract
Background: Plantar fasciitis- and tendinopathy-related foot pain are common cause of functional disability. Low-Dose Radiation Therapy (LDRT) has proven to be effective in the symptomatic relief of these disorders. Material and methods: Between February 2016 and December 2021, 31 patients were included in this prospective register. Seventeen patients suffered from calcaneodynia, 11 from tendonitis and 3 from osteoarthritis. 6 Gy (1 Gy/fraction) or 3 Gy (0,5 Gy/fraction) were delivered and repeated after 12 weeks if no adequate relief. Response was evaluated at the end of the planned courses, after 3 months and subsequently every 6 months using Visual Analogic Score (VAS), the Von Pannewitz Score (VPS) and daily analgesic drug needs. Results: Overall, 87% of the patients experienced pain relief. Patients with a VAS score above 5 dropped from 35.5% at the end of LDRT to 32%, 13% and 6% after 3, 6 and 12 months, respectively. According to the VPS, 74% showed improvement and 26% remained stable. Lastly, 39% of patients stopped or reduced analgesic intake. Nine patients have been followed up for more than 12 months. The median pre-treatment VAS score in this group was 9 (range 7-10), whereas median VAS scores after 3, 6 and 12 months stood at 5 (range 1-7), 3 (range 0-6) and 1 (range 0-6), respectively (Fig. 2). An improvement in functionality was reported by 7 out of 9 individuals (77.7%). No acute or late complications were observed. Conclusion: LDRT appears to be useful for symptomatic treatment of inflammatory and degenerative disorders of the foot.
Authors and Affiliations
Beatriz Álvarez, Angel Montero, Ovidio Hernando, Mercedes López, Raquel Ciérvide1, Rosa Alonso, Emilio Sánchez, Mariola García-Aranda, Jaime Martí, Alejandro Prado, Jeannette Valero, Xin Chen-Zhao, Carmen Rubio
Keywords
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- EP ID EP709873
- DOI https://doi.org/10.46889/JOSR.2022.3304
- Views 43
- Downloads 0
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