Evidence map›Paper›PMID 34360245›Full record

ArticleInternational journal of environmental research and public health2021

Fascial Manipulation Technique in the Conservative Management of Morton's Syndrome: A Pilot Study.

Carlo Biz, Carla Stecco, Ilaria Fantoni, Gianluca Aprile, Stefano Giacomini, Carmelo Pirri, Pietro Ruggieri

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Single metatarsal percutaneous distal metatarsal osteotomy (DMMO) for 3Archives of orthopaedic and trauma surgery · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Carlo BizDepartment of Surgery, Oncology and Gastroenterology DiSCOG, Orthopaedic Clinic, University of Padova, 35128 Padova, Italy.ORCID 0000-0001-8517-0057
Carla SteccoDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.ORCID 0000-0002-8767-4555
Ilaria FantoniDepartment of Surgery, Oncology and Gastroenterology DiSCOG, Orthopaedic Clinic, University of Padova, 35128 Padova, Italy.
Gianluca AprileDepartment of Surgery, Oncology and Gastroenterology DiSCOG, Orthopaedic Clinic, University of Padova, 35128 Padova, Italy.
Stefano GiacominiDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.
Carmelo PirriDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.ORCID 0000-0002-0119-6549
Pietro RuggieriDepartment of Surgery, Oncology and Gastroenterology DiSCOG, Orthopaedic Clinic, University of Padova, 35128 Padova, Italy.ORCID 0000-0001-9617-9882
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMorton's syndrome (MS) is a common cause of neuropathic chronic forefoot pain, characterised by the development of a swelling of the common digital plantar nerve, whose aetiology is not fully known. There is currently no gold standard of treatment; nonoperative management commonly involves manual therapies, orthoses therapy and infiltrative techniques, while surgery is indicated after failure of conservative measures. The present preliminary study prospectively evaluates patients affected by MS treated by Fascial Manipulation technique (FM), a noninvasive manual therapy, focused on the release of the deep fascia, reducing its stiffness. MATERIALS AND

methodsPatients with clinical and sonographic diagnosis of MS with at least a 4-month history of neuropathic symptoms underwent a cycle of three weekly FM sessions. Clinical follow-up, including VAS and AOFAS scores, was performed 21 days (T1) and 3 months (T2) after treatment.

resultsNine patients, among 28 recruited initially, completed the manual therapy sessions and relative follow-up points. This noninvasive pain treatment led to significant improvement of VAS (

conclusionsDespite the small size of the case series, this pilot study is unique in supporting Fascial Manipulation in the nonoperative treatment of MS. Further studies are needed with a large cohort of gender balanced patients to confirm the encouraging results obtained.

Indexed as

Conservative TreatmentFasciaFootHumansPilot ProjectsUltrasonographyconnective tissuedeep fasciafascial manipulationmanual therapymetatarsalgiaMorton’s syndromemuscle stiffnessnon-invasive therapy

Identifiers

PMID34360245
PMCPMC8345745
OpenAlexW3185106000

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.