Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection
A 62-year-old active career woman came to the clinic with a chief complaint of left heel pain for 7 months without numbness. She had previously sought consultation at several clinics and was prescribed oral nonsteroidal anti-inflammatory and opioid analgesic drugs with no improvement in symptoms. S...
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| Language: | English |
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Interna Publishing
2024-10-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/2762 |
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| author | Guntur Darmawan Alif Noeriyanto Rahman Laniyati Hamijoyo |
| author_facet | Guntur Darmawan Alif Noeriyanto Rahman Laniyati Hamijoyo |
| author_sort | Guntur Darmawan |
| collection | DOAJ |
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A 62-year-old active career woman came to the clinic with a chief complaint of left heel pain for 7 months without numbness. She had previously sought consultation at several clinics and was prescribed oral nonsteroidal anti-inflammatory and opioid analgesic drugs with no improvement in symptoms. She was offered plantar corticosteroid injection therapy but refused due to fear of corticosteroid’s possible side effects. She had a medical history of dyslipidemia and no other comorbid diseases. She was obese with a body mass index of 27.3 kg/m2. There was tenderness at the plantar medial calcaneal tuberosity, rated as 7/10 on the pain scale. Tinel tests were negative on both feet. Musculoskeletal ultrasound examination demonstrated a 7.7 mm thickness of left plantar fascia. In comparison, her right plantar fascia thickness was 2.8 mm. Three milliliters of dextrose 5% were injected perineural to the tibial nerve, posteriorly to the left medial malleolus. The patient reported a significant reduction of pain to 3. The second session of perineural dextrose injection was performed after one week, resulting in a pain severity reduction to 1. The patient was also advised to consult a dietician for weight loss management and avoid barefoot walking. No study yet compares the efficacy between conventional corticosteroid injection and perineural dextrose injection in treating plantar fasciitis.
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| format | Article |
| id | doaj-art-2bc74dcb1da649ffae4a6ac3aee3532d |
| institution | Matheson Library |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-2bc74dcb1da649ffae4a6ac3aee3532d2025-07-14T07:00:10ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-10-01563Successfull Treatment of Plantar Fasciitis with Perineural Dextrose InjectionGuntur Darmawan0Alif Noeriyanto Rahman1Laniyati Hamijoyo21. Department of Internal Medicine, Faculty of Medicine, Krida Wacana Christian University, Jakarta, Indonesia. 2. Jakarta Pain School, Artikular Clinic Indonesia, Jakarta, Indonesia.1. Jakarta Pain School, Artikular Clinic Indonesia, Jakarta, Indonesia. 2. Pain Intervention and Regeneration, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. A 62-year-old active career woman came to the clinic with a chief complaint of left heel pain for 7 months without numbness. She had previously sought consultation at several clinics and was prescribed oral nonsteroidal anti-inflammatory and opioid analgesic drugs with no improvement in symptoms. She was offered plantar corticosteroid injection therapy but refused due to fear of corticosteroid’s possible side effects. She had a medical history of dyslipidemia and no other comorbid diseases. She was obese with a body mass index of 27.3 kg/m2. There was tenderness at the plantar medial calcaneal tuberosity, rated as 7/10 on the pain scale. Tinel tests were negative on both feet. Musculoskeletal ultrasound examination demonstrated a 7.7 mm thickness of left plantar fascia. In comparison, her right plantar fascia thickness was 2.8 mm. Three milliliters of dextrose 5% were injected perineural to the tibial nerve, posteriorly to the left medial malleolus. The patient reported a significant reduction of pain to 3. The second session of perineural dextrose injection was performed after one week, resulting in a pain severity reduction to 1. The patient was also advised to consult a dietician for weight loss management and avoid barefoot walking. No study yet compares the efficacy between conventional corticosteroid injection and perineural dextrose injection in treating plantar fasciitis. http://www.actamedindones.org/index.php/ijim/article/view/2762internal medicinerheumatologypaininterventional pain |
| spellingShingle | Guntur Darmawan Alif Noeriyanto Rahman Laniyati Hamijoyo Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection Acta Medica Indonesiana internal medicine rheumatology pain interventional pain |
| title | Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection |
| title_full | Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection |
| title_fullStr | Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection |
| title_full_unstemmed | Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection |
| title_short | Successfull Treatment of Plantar Fasciitis with Perineural Dextrose Injection |
| title_sort | successfull treatment of plantar fasciitis with perineural dextrose injection |
| topic | internal medicine rheumatology pain interventional pain |
| url | http://www.actamedindones.org/index.php/ijim/article/view/2762 |
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