Early outcomes of transcatheter arterial embolization using imipenem/cilastatin for plantar fasciitis refractory to conservative therapy

Br J Radiol. 2024 Feb 28;97(1155):544-548. doi: 10.1093/bjr/tqae012.

Abstract

Objective: The conservative therapy for chronic plantar fasciitis works for a few patients, while surgical options have drawbacks. Before considering surgical options, transcatheter arterial embolization may help patients with plantar fasciitis who are experiencing discomfort resistant to conservative treatment.

Methods: We report evaluation data of 10 patients treated with transcatheter arterial embolization using imipenem/cilastatin as embolic agents to relieve chronic pain due to plantar fasciitis. All the patients were refractory to conservative therapy.

Results: The technical success of the procedure was found to be 100%. Further, effective pain relief was observed as there was no pain relapse in 6 months, and patients did not require any other form of therapy.

Conclusion: This report warrants further adequately designed randomized clinical studies for evaluating the efficacy of transcatheter arterial embolization in plantar fasciitis.

Advances in knowledge: Resorting to surgical option for chronic pain relief in plantar fasciitis might be reconsidered and replaced with arterial embolization. However, adequately designed long-term clinical studies are required to prove its long-term efficacy.

Keywords: TAE; VAS score; embolization; plantar fasciitis.

MeSH terms

  • Chronic Pain*
  • Cilastatin, Imipenem Drug Combination
  • Conservative Treatment
  • Embolization, Therapeutic* / methods
  • Fasciitis, Plantar* / surgery
  • Humans
  • Treatment Outcome

Substances

  • Cilastatin, Imipenem Drug Combination