Severe chronic heel pain in a diabetic patient with plantar fasciitis successfully treated through transcranial direct current stimulation

J Am Podiatr Med Assoc. 2015 Mar;105(2):173-6. doi: 10.7547/0003-0538-105.2.173.

Abstract

Background: Recently, transcranial direct current stimulation (tDCS), a noninvasive brain stimulation technique, was proposed as a suitable method for the treatment of several chronic pain syndromes. We describe a case of severe heel pain in a diabetic patient with plantar fasciitis successfully treated with tDCS.

Methods: The present study investigated whether tDCS treatment could reduce pain and pain-related anxiety in a 65-year-old diabetic man affected by treatment-resistant right heel pain due to plantar fasciitis. The patient underwent five tDCS treatment sessions on 5 consecutive days. Each session consisted of 20-min anodal tDCS over the left primary motor cortex leg area.

Results: The neurostimulation protocol induced a decrease in pain intensity and pain-related anxiety that outlasted the stimulation (1 week). Furthermore, the patient stopped the intake of opioid medication.

Conclusions: Therapeutic neuromodulation with tDCS may represent an alternative option for treating severe lower-extremity pain.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chronic Pain / diagnosis
  • Chronic Pain / etiology
  • Chronic Pain / therapy*
  • Diabetes Mellitus, Type 2 / complications*
  • Fasciitis, Plantar / complications*
  • Fasciitis, Plantar / therapy
  • Heel
  • Humans
  • Male
  • Pain Management / methods*
  • Pain Measurement*
  • Severity of Illness Index
  • Transcranial Direct Current Stimulation / methods*