| Extracorporeal shockwave therapy for interdigital neuroma: a randomized, placebo-controlled, double-blind trial. | |
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MedLine Citation:
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PMID: 19448168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We sought to evaluate the safety and effectiveness of extracorporeal shockwave therapy as a therapeutic treatment for destroying Morton's neuroma. METHODS: Twenty-five patients (25 feet) were included in the study. Indications for participation were more than 8 months of conservative care with a visual analog scale pain score of 4 or greater. The mean overall pain score on a modified visual analog scale was 6.9 preoperatively. RESULTS: Thirteen patients were randomized to the active group and 12 to the sham group. Two patients in the sham group were lost to follow-up. Post-treatment evaluations were performed at 1, 6, and 12 weeks by a blinded investigator (L.W.). The end point evaluation parameter was the reduction in visual analog scale score. The treatment group showed a significant difference before and after extracorporeal shockwave therapy (P < .0001). The sham group did not have a significant difference after 12 weeks (P = .1218). CONCLUSIONS: Extracorporeal shockwave therapy is a possible alternative to surgical excision for Morton's neuroma. |
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Authors:
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Robert Fridman; Jarrett D Cain; Lowell Weil |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of the American Podiatric Medical Association Volume: 99 ISSN: 8750-7315 ISO Abbreviation: J Am Podiatr Med Assoc Publication Date: 2009 May-Jun |
Date Detail:
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Created Date: 2009-05-18 Completed Date: 2009-09-01 Revised Date: 2009-09-29 |
Medline Journal Info:
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Nlm Unique ID: 8501423 Medline TA: J Am Podiatr Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 191-3 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Double-Blind Method Follow-Up Studies Forefoot, Human* High-Energy Shock Waves / therapeutic use* Humans Neuroma / diagnosis, radiotherapy* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):472; author reply 474
[PMID:
19767559
]
J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):472-3; author reply 474 [PMID: 19767558 ] J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):473; author reply 474 [PMID: 19767560 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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