Access the full text.
Sign up today, get DeepDyve free for 14 days.
M. Niewald, H. Holtmann, Benjamin Prokein, M. Hautmann, H. Rösler, S. Graeber, Y. Dzierma, C. Ruebe, J. Fleckenstein (2015)Randomized multicenter follow-up trial on the effect of radiotherapy on painful heel spur (plantar fasciitis) comparing two fractionation schedules with uniform total dose: first results after three months’ follow-up
Radiation Oncology (London, England), 10
F. Rödel, L. Keilholz, M. Herrmann, C. Weiss, B. Frey, R. Voll, U. Gaipl, C. Rödel (2009)Activator protein 1 shows a biphasic induction and transcriptional activity after low dose X-irradiation in EA.hy.926 endothelial cells
(1982)Langzeitergebnisse der bestrahlung von degenerativen skeletterkrankungen (long-term results of irradiation for degenerative skeletal disorders)
(1967)Erfahrungen mit der strahlenbehandlung von nichttumorartigen erkrankungen
S. Keller, K. Müller, R. Kortmann, U. Wolf, G. Hildebrandt, A. Liebmann, O. Micke, Gert Flemming, D. Baaske (2013)Efficacy of low-dose radiotherapy in painful gonarthritis: experiences from a retrospective East German bicenter study
Radiation Oncology (London, England), 8
B. Álvarez, Á. Montero, F. Aramburu, E. Calvo, Miguel Casa, J. Valero, O. Hernando, Mercedes López, R. Ciérvide, M. García-Aranda, S. Rodríguez, E. Sánchez, Xin Chen, R. Alonso, P. Peña, C. Rubio (2019)Radiotherapy for ostheoarticular degenerative disorders: When nothing else works
Osteoarthritis and Cartilage Open, 1
S. Javadinia, Nooshin Nazeminezhad, Ruhollah Ghahramani-Asl, Davood Soroosh, D. Fazilat-Panah, B. PeyroShabany, Seyedeh Saberhosseini, Arezoo Mehrabian, F. Taghizadeh-Hesary, M. Nematshahi, G. Dhawan, J. Welsh, E. Calabrese, R. Kapoor (2021)Low-dose radiation therapy for osteoarthritis and enthesopathies: a review of current data
International Journal of Radiation Biology, 97
M. Niewald, M. Seegenschmiedt, O. Micke, S. Gräber, Roland Mucke, V. Schafer, Christof Scheid, C. Rübe (2011)Randomized Multicenter Trial on the Effect of Radiotherapy on Plantar Fasciitis (Painful Heel Spur) using Very Low Doses: Mature Results after 12 Months' Follow-up
International Journal of Radiation Oncology Biology Physics, 81
Oliver Ott, C. Jeremias, Udo Gaipl, Benjamin Frey, Michael Schmidt, R. Fietkau (2013)Radiotherapy for calcaneodynia
Strahlentherapie und Onkologie, 189
(1972)Ergebnisse der röntgenschwachbestrahlung
(2018)Leitlinen in der Strahlentherapie: Strahlentherapie gutartiger Erkrankungen – Fachgruppenspezifische evidenzbasierte S2e-Leitlinie der Deutschen Gesellschaft für Radioonkologie (DEGRO), 2018
R. Mücke, K. Schönekaes, O. Micke, M. Seegenschmiedt, D. Berning, R. Heyder (2003)Low-dose radiotherapy for painful heel spur. Retrospective study of 117 patients.
Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 179 11
M. Niewald, M. Seegenschmiedt, O. Micke, S. Graeber, R. Muecke, Vera Schaefer, C. Scheid, J. Fleckenstein, N. Licht, C. Ruebe (2012)Randomized, multicenter trial on the effect of radiation therapy on plantar fasciitis (painful heel spur) comparing a standard dose with a very low dose: mature results after 12 months' follow-up.
International journal of radiation oncology, biology, physics, 84 4
M. Seegenschmiedt, L. Keilholz, A. Stecken, A. Katalinic, R. Sauer (1996)[Radiotherapy of plantar heel spurs: indications, technique, clinical results at different dose concepts].
Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 172 7
O. Micke, Eyup Ugrak, Stefan Bartmann, I. Adamietz, U. Schaefer, Rebecca Bueker, K. Kisters, M. Seegenschmiedt, K. Fakhrian, R. Muecke (2018)Radiotherapy for calcaneodynia, achillodynia, painful gonarthrosis, bursitis trochanterica, and painful shoulder syndrome - Early and late results of a prospective clinical quality assessment
Radiation Oncology (London, England), 13
R. Mücke, K. Schönekaes, O. Micke, M. Seegenschmiedt, D. Berning, R. Heyder (2003)Low-Dose Radiotherapy for Painful Heel Spur
Strahlentherapie und Onkologie, 179
F. Rödel, B. Frey, U. Gaipl, L. Keilholz, C. Fournier, K. Manda, H. Schöllnberger, G. Hildebrandt, C. Rödel (2012)Modulation of inflammatory immune reactions by low-dose ionizing radiation: molecular mechanisms and clinical application.
Current medicinal chemistry, 19 12
B. Mantell (1978)Radiotherapy for painful heel syndrome.
British Medical Journal, 2
M. Seegenschmiedt, L. Keilholz, A. Katalinic, A. Stecken, R. Sauer (1996)Heel spur: radiation therapy for refractory pain--results with three treatment concepts.
Radiology, 200 1
O. Ott, S. Hertel, U. Gaipl, B. Frey, M. Schmidt, R. Fietkau (2012)Benign painful elbow syndrome. First results of a single center prospective randomized radiotherapy dose optimization trial.
Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 188 10
(2000)Niedrigdosierte analgetische radiotherapie von arthrosen (low dose analgetic radiotherapy in arthroses)
M. Niewald, J. Fleckenstein, S. Naumann, C. Ruebe (2007)Long-term results of radiotherapy for periarthritis of the shoulder: a retrospective evaluation
Radiation Oncology (London, England), 2
O. Ott, S. Hertel, U. Gaipl, B. Frey, M. Schmidt, R. Fietkau (2012)Benign painful elbow syndrome
Strahlentherapie und Onkologie, 188
O. Ott, C. Jeremias, U. Gaipl, B. Frey, M. Schmidt, R. Fietkau (2014)Radiotherapy for benign calcaneodynia
Strahlentherapie und Onkologie, 190
(2001)Radiotherapy in the management of inflammatory calcaneal heel spurs: results of a prospective study
R. Heyd, N. Tselis, H. Ackermann, S. Röddiger, N. Zamboglou (2007)Radiation Therapy for Painful Heel Spurs
Strahlentherapie und Onkologie, 183
O. Micke, M. Seegenschmiedt (2004)Radiotherapy in painful heel spurs (plantar fasciitis)--results of a national patterns of care study.
International journal of radiation oncology, biology, physics, 58 3
Abstract Introduction: This retrospective cohort study tries to determine if there is a correlation between the effectiveness of low-dose radiotherapy (LDRT) in treating painful inflammatory or degenerative musculoskeletal disorders (MSDs) and the applied radiotherapy energy. Patients and Methods: Between September 2019 and January 2020, a total of 91 patients with either painful inflammatory or degenerative MSDs were treated with LDRT. The inclusion criteria were patients older than 40 years with either painful inflammatory disorders such as epicondylitis humeri, plantar fasciitis or degenerative osteoarticular disorders of the wrist or ankle joints. All patients were treated with a single dose of 0·5 Gy and a total dose of 6·0 Gy (2 to 3 fractions weekly). Patients were divided into two groups. Orthovolt group was treated with 200 Kv, 15 mA and 1 mm copper filtration with different tubes according to the site to treatment using direct fields. The second group included patients treated with Linac machines with opposing fields using energies between 6 and 18 MV. The pain was evaluated before and on the last day of treatment and 4–6 months later using the Numerical Rating Scale. Results: 91 patients compatible with the inclusion criteria were identified with a median of 60 years. The median duration of symptoms was 6 months. 46% of patients were males, and 54% were females. The Orthovolt group included 49% of the patients and the Megavoltage group 51%. Most of the patients (98%) were previously treated with other methods such as local corticosteroid injection, painkillers or physiotherapy. At the end of the treatment, 60% of the patient’s showed subjective pain relief and only 6% had a complete response. The follow-up conducted 4 to 6 months after the treatment showed that 65% of patients had a complete response and 8% had an improvement. The comparison between both studied groups shows that the used energy does not affect the response either at the end of the treatment or at the second control. The relationship between the aetiology and the early and late responses shows no difference in the early response but a better late response in patients suffering from inflammatory diseases with a p-value of 0·015. The response according to the treated location shows that patients with osteoarthritis of the ankle joint have a worse response in comparison to other examined joints and plantar fasciitis. Conclusion: LDRT is an effective analgesic treatment option for both inflammatory and degenerative MSDs. There is no difference in response according to the used energy, and most of the patients show late responses 4 to 6 months after the treatment.
Journal of Radiotherapy in Practice – Cambridge University Press
Published: Feb 15, 2023
Keywords: benign musculoskeletal diseases; low-dose radiotherapy; radiotherapy energy
Access the full text.
Sign up today, get DeepDyve free for 14 days.