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Extracorporeal shockwave therapy for refractory plantar fasciitis

Guidance issued Guidance issued
 
Number: IPG139
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal shock wave therapy for refractory tendinopathies (plantar fasciitis and tennis elbow) in November 2005.

NICE has reviewed the guidance on extracorporeal shockwave therapy for refractory tendinopathies (plantar fasciitis and tennis elbow) (IPG139, November 2005) and is reassessing the procedure separately for plantar fasciitis (see below), tennis elbow and Achilles tendinopathy. New guidance will be published as a result. Until the new guidance is published the NHS should continue to follow the current recommendations.

The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

The consultation period for this procedure closed on the 26 May 2009.

If you wish to be alerted to developments regarding this procedure, including the release of NICE guidance, please express your interest at the top of the page.

Description:

Plantar fasciitis is a painful condition affecting the connective tissue that stretches between the heel and the middle of the foot. It is usually caused by overuse, injury or muscular abnormalities. In extracorporeal shockwave therapy, a machine is used to deliver sound waves to the painful area. It is not known exactly how it works, but it is thought that it might stimulate healing of the fascia.

Arrangement:

Special

Topic Area:

Injuries, accidents and wounds
Musculoskeletal

Specialty:

Trauma and orthopaedic surgery

Specialist advice has been sought from:

British Orthopaedic Foot Surgery Society

British Orthopaedic Association

British Society of Skeletal Radiologists

Royal College of Radiologists

Date notified to NICE: 05 December 2003
Provisional consultation date: Spring 2009
IP Pub Date: 23 November 2005
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Helen Gallo
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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