Efficacy and Safety of Dry Needling with Periosteal Pecking for Calcaneal Spur guided by Ultrasonography Associated to Heel Pain.

Abstract

Introduction: Plantar calcaneal spurs (PCS) are fibro-cartilaginous outgrowths from the calcaneus, commonly associated with chronic heel pain (talalgia). These spurs often result from mechanical stress and repetitive microtrauma at the plantar fascia insertion. While conventional treatments offer temporary relief, recent evidence suggests that dry needling periosteal pecking can provide targeted pain modulation and stimulate local healing through controlled microtrauma.

Objectives: This study aims to establish the safety of the periosteal pecking approach through mechanical stimulation of the periosteum and to assess its effectiveness in alleviating pain and promoting recovery in patients with calcaneal spurs, while ultrasonography is used to confirm the absence of adverse effects.

Methods: This study was conducted to evaluate the efficacy of dry needling with periosteal pecking in promoting healing pain and active lifestyle in patients with calcaneal spur. Controlled microtrauma was induced by targeting the periosteum overlying the calcaneal spur using sterile filiform needles of sizes 0.25 X 13 mm and 0.25 X 25 mm.

Results: Preliminary results indicate a significant reduction in Numeric Pain Rating Scale and improved functional outcomes within 3 to 7 sessions of PDN. Participants reported reduced pain and increased tolerance for weight-bearing activities. And also, no adverse effects were detected during Ultrasonography.

Conclusions: Periosteal pecking Dry Needling appears to be safe and effective intervention for managing heel pain associated with calcaneal spurs. This technique not only reduces pain but improves functional outcomes and demonstrates no ultrasonography detected adverse effects supporting its role as a viable therapeutic option for patients with chronic talalgia.