Effect of Additional Sural Nerve PRF in Chronic Heel Pain
Does Targeting the Sural Nerve in Addition to the Posterior Tibial Nerve Increase the Effectiveness of Pulsed Radiofrequency Treatment in Chronic Plantar Heel Pain?
1 other identifier
observational
48
1 country
1
Brief Summary
This observational study aims to compare the effectiveness of pulsed radiofrequency (PRF) treatment applied to the posterior tibial nerve alone versus PRF applied to both the posterior tibial and sural nerves in patients with chronic plantar heel pain. Outcomes will be assessed using the Visual Analog Scale (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score at baseline, 1 month, and 3 months after treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2025
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2025
CompletedFirst Submitted
Initial submission to the registry
January 26, 2026
CompletedFirst Posted
Study publicly available on registry
February 3, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedFebruary 25, 2026
February 1, 2026
11 months
January 26, 2026
February 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
VAS
Visual Analog Scale (VAS) is a simple tool used in clinical trials to measure pain intensity. Patients rate their pain on a scale, typically from 0 (no pain) to 10 (worst imaginable pain). It provides a quick, quantitative assessment of subjective pain and is commonly used to evaluate treatment effectiveness before and after intervention.Change in pain intensity assessed by Visual Analog Scale (VAS)
Baseline, 1 month, and 3 months post-procedure
Secondary Outcomes (1)
AOFAS
Baseline, 1 month, and 3 months post-procedure
Study Arms (2)
Posterior tibial nerve PRF
Patients with chronic plantar heel pain who received ultrasound-guided pulsed radiofrequency treatment applied only to the posterior tibial nerve as part of routine clinical care.
Posterior tibial + sural nerve PRF
Patients with chronic plantar heel pain who received ultrasound-guided pulsed radiofrequency treatment applied to both the posterior tibial nerve and the sural nerve as part of routine clinical care.
Interventions
Ultrasound-guided pulsed radiofrequency applied to the posterior tibial nerve, with or without additional application to the sural nerve.
Eligibility Criteria
Patients aged 18 to 65 years with chronic plantar heel pain who underwent ultrasound-guided pulsed radiofrequency (PRF) treatment of the posterior tibial nerve, with or without additional PRF of the sural nerve, as part of routine clinical care in the Algology Clinic. Patients were included if they had a baseline Visual Analog Scale (VAS) pain score greater than 5. All treatments were completed prior to study enrollment, and no changes were made to clinical management for research purposes.
You may qualify if:
- Age between 18 and 65 years
- Presence of chronic plantar heel pain
- Baseline VAS score \>5
You may not qualify if:
- History of foot fracture or tumor
- Pregnancy
- Coagulopathy or use of antiplatelet therapy
- Cognitive impairment preventing informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ayse Betul Acar
Ankara, 06500, Turkey (Türkiye)
Related Publications (3)
Agyekum EK, Ma K. Heel pain: A systematic review. Chin J Traumatol. 2015;18(3):164-9. doi: 10.1016/j.cjtee.2015.03.002.
PMID: 26643244BACKGROUNDWu YT, Chang CY, Chou YC, Yeh CC, Li TY, Chu HY, Chen LC. Ultrasound-Guided Pulsed Radiofrequency Stimulation of Posterior Tibial Nerve: A Potential Novel Intervention for Recalcitrant Plantar Fasciitis. Arch Phys Med Rehabil. 2017 May;98(5):964-970. doi: 10.1016/j.apmr.2017.01.016. Epub 2017 Feb 14.
PMID: 28209507BACKGROUNDYildiz G, Perdecioglu GRG, Yuruk D, Can E, Akkaya OT. Comparison of tibial nerve pulsed radiofrequency and intralesional radiofrequency thermocoagulation in the treatment of painful calcaneal spur and plantar fasciitis: a randomized clinical trial. Pain Med. 2024 Aug 1;25(8):493-499. doi: 10.1093/pm/pnae029.
PMID: 38652568BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Supervisor Investigator
Study Record Dates
First Submitted
January 26, 2026
First Posted
February 3, 2026
Study Start
June 1, 2025
Primary Completion
May 1, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
February 25, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share