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Plantar Fasciitis

This study found that ninety-four percent of patients had complete or substantial relief of heel pain when treated with acetic acid iontophoresis -“Management of heel pain syndrome with acetic acid iontophoresis” (J Am Podiatr Med Assoc. 1999 May;89(5):251-7).

This study was undertaken to determine the effectiveness of acetic acid iontophoresis in the treatment of heel pain. Thirty-five patients with chronic heel pain were treated with acetic acid iontophoresis over a 4-year period. Ninety-four percent of patients had complete or substantial relief of heel pain after an average of 5.7 sessions of acetic acid iontophoresis over an average period of 2.8 weeks. Heel pain levels were rated from 0 to 10, with 10 representing the most severe pain. Heel pain prior to iontophoresis treatment received an average rating of 7.5; by the end of therapy, the average rating had decreased to 1.8. At an average follow-up time of 27 months, heel pain levels averaged 0.64, indicating continued reduction in heel pain. Ninety-four percent of participants said that they would recommend acetic acid iontophoresis to someone with similar heel pain.”

This case study concluded that combination of acetic acid iontophoresis with conservative treatments may promote recovery within a shorter duration compared to the use of one-method treatment approaches “The integration of acetic acid iontophoresis, orthotic therapy and physical rehabilitation for chronic plantar fasciitis: a case study” (J Can Chiropr Assoc. 2007;51(3):166-74).

Abstract

A 15-year-old female soccer player presented with chronic plantar fasciitis. She was treated with acetic acid iontophoresis and a combination of rehabilitation protocols, ultrasound, athletic taping, custom orthotics and soft tissue therapies with symptom resolution and return to full activities within a period of 6 weeks. She reported no significant return of symptoms post follow-up at 2 months. Acetic acid iontophoresis has shown promising results and further studies should be considered to determine clinical effectiveness. The combination of acetic acid iontophoresis with conservative treatments may promote recovery within a shorter duration compared to the use of one-method treatment approaches.” PMID: 17885679

Acetic acid, with a negative polarity, is the iontophoresis drug of choice in treating calcium deposits in the fascia or muscle tissues. The negative charged acetate ion has been thought to combine with the relatively insoluble calcium carbonate to form the soluble compound, calcium acetate. It is more easily dispersed from the affected tissue by local blood flow. We can compound acetic acid as an iontophoresis solution.

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