743 Non-invasive rehabilitation in Morbus Ledderhose disease, methods, techniques, efficiency

Abstract

: Background: The abnormal proliferation of the fibrous tissue in the plantar fascia, Morbus Ledderhose is a non-malignant thickening of the deep connective tissue of the foot, a relatively rare pathology that intensely affects patients through marked pain and functional impotence. Rehabilitation treatments are poorly presented in the litera-ture. Objective: To apply a non-invasive physiotherapeutic treatment which leads to consistent results in reducing pain, reducing the size of nodules or even their disap-pearance, the functional resumption of the foot, an increase in the life quality of affect-ed patients. Material and method: In the study, patients were divided into 2 groups: G1 received treatment consisting of shockwave therapy complemented with SIS therapy, G2 received treatment consisting of ultrasound, laser therapy, kinesiotherapy, massage, excluding the application of shockwave therapy and SIS. Some of the patients associate comorbidities such as type II diabetes, Dupuytren’s disease or, more rarely, with Pey-ronie’s disease (penile fibromatosis). Results: Important positive results have been ob-tained: a considerable decrease in the pain level of patients, the dissipation of con-sistency and decrease in the size of plantar nodules, an increase in the life quality of the patients with the resumption of productive activities. Conclusions: The treatment with shock waves and super inductive system has an increased efficiency both following the first cure and after various consecutive cures applied consistently at 6 months or may-be even faster, at 4-5 months, if necessary, if the pathology advances faster by intensify-ing fibrosis.