PMID- 24683530
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140331
LR  - 20211021
IS  - 2193-1801 (Print)
IS  - 2193-1801 (Electronic)
IS  - 2193-1801 (Linking)
VI  - 3
DP  - 2014
TI  - Painful plantar heel spur treatment with Co-60 teletherapy: factors influencing 
      treatment outcome.
PG  - 21
LID - 10.1186/2193-1801-3-21 [doi]
LID - 21
AB  - BACKGROUND: Painful plantar heel spur (PPHS) is a benign disorder with painful 
      heels as a result of plantar calcaneal bone spur. Exact etiological factors are 
      still unclear. Treatment typically consists of osteoarthritis tretment schedules 
      and surgical techniques. External radiotherapy is another treatment option. This 
      study is aimed to determine effectiveness and treatment outcomes of external 
      radiotherapy in patients with PPHS. METHODS: Sixty-two patients with PPHS were 
      analysed for radiotherapy success and other possible prognostic factors. All 
      patients were treated with Co-60 units from parallel opposed lateral portals, to 
      a total dose of 8 Gy. Responses to radiotherapy was assessed by visual analogue 
      scale (VAS) of pain. Follow-up completed in December 2012 with 28 months median 
      duration (range 22 to 35 months). Age, sex, patient number, spur settlement site, 
      prior treatments, time interval between diagnosis and radiotherapy, pain scores 
      (before and after radiotherapy), plantar fat-pillow thickness (PFPT; thickness of 
      the plantar fat pad) and Bohler's angle estimations were analysed. RESULTS: Study 
      included 53 female and 9 male patients with median age 57 (range 43-70). Time 
      interval between PPHS diagnosis and radiotherapy were median 33 months 
      (range10-60). Radiotherapy response time interval were 6 months (range 
      3-10 months). Responses to radiotherapy were no response in 13 patients (21%), 
      partial response in 13 patients (21%)- pain relief below 50% and complete 
      response - no pain in 36 patients (58%) respectively. Median PFPT of patients 
      were 3.5 cm (range 1.20-4.50 cm). Complete response rate was statistically 
      significant in patients whom PFPT is greater than 3.5 cm. The Bohler's angle 
      range is about 20-40 deg. Complete response rates were higher in patients with 
      degree of Bohler's Angle 30 and below. CONCLUSIONS: Simplicity of treatment, lack 
      of acute adverse effects and low cost, seem to make radiotherapy one of the 
      safest, cheapest and also an effective treatment modality for PPHS.
FAU - Koca, Timur
AU  - Koca T
AD  - Regional Training and Research Hospital Radiation Oncology Department, Caykara 
      caddesi, Erzurum, 25200 Turkey.
FAU - Aydin, Aysen
AU  - Aydin A
AD  - Regional Training and Research Hospital Radiation Oncology Department, Caykara 
      caddesi, Erzurum, 25200 Turkey.
FAU - Sezen, Duygu
AU  - Sezen D
AD  - Regional Training and Research Hospital Radiation Oncology Department, Caykara 
      caddesi, Erzurum, 25200 Turkey.
FAU - Basaran, Hamit
AU  - Basaran H
AD  - Regional Training and Research Hospital Radiation Oncology Department, Caykara 
      caddesi, Erzurum, 25200 Turkey.
FAU - Karaca, Sibel
AU  - Karaca S
AD  - Regional Training and Research Hospital Radiation Oncology Department, Caykara 
      caddesi, Erzurum, 25200 Turkey.
LA  - eng
PT  - Journal Article
DEP - 20140110
PL  - Switzerland
TA  - Springerplus
JT  - SpringerPlus
JID - 101597967
PMC - PMC3967731
OTO - NOTNLM
OT  - Bohler's angle
OT  - Cobalt-60 therapy
OT  - Fat pillow thickness
OT  - Painful plantar heel spur
OT  - Visual analogue scale
EDAT- 2014/04/01 06:00
MHDA- 2014/04/01 06:01
PMCR- 2014/01/10
CRDT- 2014/04/01 06:00
PHST- 2013/11/16 00:00 [received]
PHST- 2014/01/07 00:00 [accepted]
PHST- 2014/04/01 06:00 [entrez]
PHST- 2014/04/01 06:00 [pubmed]
PHST- 2014/04/01 06:01 [medline]
PHST- 2014/01/10 00:00 [pmc-release]
AID - 779 [pii]
AID - 10.1186/2193-1801-3-21 [doi]
PST - epublish
SO  - Springerplus. 2014 Jan 10;3:21. doi: 10.1186/2193-1801-3-21. eCollection 2014.