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RecruitingNCT07919600Updated Nov 5, 2026

Effectiveness of Pulsed Electromagnetic Field Therapy in Patients With Symptomatic Plantar Calcaneal Spurs

An interventional study of Active Pulsed Electromagnetic Field Therapy (PEMF) and Sham Pulsed Electromagnetic Field Therapy (Sham PEMF) in Calcaneal Spur, sponsored by Hatice Zehra FERHATLAR. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Hatice Zehra FERHATLAR · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This prospective, randomized, sham-controlled clinical trial aims to evaluate the effectiveness of pulsed electromagnetic field (PEMF) therapy in patients with symptomatic plantar calcaneal spurs. A total of 100 participants will be randomly assigned to either an active PEMF group or a sham PEMF group in a 1:1 ratio. Both groups will receive a standardized stretching exercise program.

The primary outcome will be the change in morning first-step pain intensity. Secondary outcomes will include foot function assessed using the Foot Function Index (FFI), plantar fascia thickness measured by ultrasonography, and pressure pain threshold measured using an algometer. Assessments will be performed at baseline and at weeks 4, 8, and 12 to evaluate the short- and medium-term effects of PEMF therapy.

02

Conditions studied

  • Calcaneal Spur

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Keywords

  • Plantar Calcaneal Spur
  • Pulsed Electromagnetic Field Therapy
  • Sham-Controlled Trial
  • Plantar Fascia Thickness
03

In context

Heel Spur

32 studies on the registry are indexed under Heel Spur; 10 are open to participants now.

This study's planned enrollment of 100 is above the median of 60 across 25 interventional studies indexed under Heel Spur.

Browse Heel Spur studies →

Lead sponsor

Hatice Zehra FERHATLAR is the lead sponsor of 4 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

**Inclusion Criteria:**

  • Adults aged 18-65 years.
  • Heel pain persisting for at least 3 months.
  • Radiographically confirmed plantar calcaneal spur on lateral foot radiography.

**Exclusion Criteria:**

  • Symptomatic Achilles tendinopathy or retrocalcaneal bursitis.
  • Partial or complete plantar fascia rupture.
  • Calcaneal stress or insufficiency fracture.
  • Heel fat pad syndrome or fat pad atrophy.
  • Tarsal tunnel syndrome or other peripheral neuropathies.
  • Foot pain associated with S1 radiculopathy.
  • Inflammatory rheumatic diseases or gout.
  • Active infection.
  • .
  • Severe lower extremity deformity or previous calcaneal/foot surgery.
  • or -rich plasma (PRP) injection into the plantar region within the previous 6 months.
  • Extracorporeal shock wave therapy (ESWT) within the previous 6 months.
  • Requirement for regular nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesic medication.
  • Diabetes mellitus.
  • Significant peripheral vascular disease.
  • Pregnancy or breastfeeding.
  • Presence of a cardiac pacemaker or other implanted electronic devices.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Active PEMF Group

    Participants in this group will receive active pulsed electromagnetic field (PEMF) therapy using a BTL-4000 magnetotherapy device with a solenoid applicator. Treatment will be administered at a magnetic field intensity of 2 mT and a frequency of 50 Hz for 20 minutes per session, three times per week for four weeks (12 sessions in total). All participants will also receive a standardized plantar fascia and gastrocnemius-soleus stretching exercise program.

    Device: Active Pulsed Electromagnetic Field Therapy (PEMF)

  • Sham comparator
    Sham PEMF Group

    Participants in this group will undergo sham PEMF treatment using the same BTL-4000 magnetotherapy device, solenoid applicator, patient positioning, and session duration as the active treatment group. However, the electromagnetic field output will remain deactivated throughout each session. Sham treatment will be administered for 20 minutes per session, three times per week for four weeks (12 sessions in total). All participants will also receive the same standardized plantar fascia and gastrocnemius-soleus stretching exercise program.

    Device: Sham Pulsed Electromagnetic Field Therapy (Sham PEMF)

Interventions

  • DeviceActive Pulsed Electromagnetic Field Therapy (PEMF)

    Active pulsed electromagnetic field (PEMF) therapy will be administered using a BTL-4000 magnetotherapy device with a solenoid applicator. The treatment parameters will be a magnetic field intensity of 2 mT, a frequency of 50 Hz, and a session duration of 20 minutes. Treatment will be provided three times per week for four consecutive weeks, totaling 12 sessions. Participants will also receive a standardized plantar fascia and gastrocnemius-soleus stretching exercise program.

  • DeviceSham Pulsed Electromagnetic Field Therapy (Sham PEMF)

    Sham PEMF treatment will be administered using the same BTL-4000 magnetotherapy device, solenoid applicator, patient positioning, and session duration as the active PEMF group, but without activation of the electromagnetic field output. Each session will last 20 minutes, three times per week for four consecutive weeks, totaling 12 sessions. Participants will also receive the same standardized plantar fascia and gastrocnemius-soleus stretching exercise program.

06

What researchers measure

Primary outcomes

  1. Change in Morning First-Step Pain Intensity Assessed by Visual Analog Scale (VAS)

    Morning first-step heel pain intensity will be assessed using a Visual Analog Scale (VAS), with higher scores indicating greater pain intensity. The change from baseline will be compared between the active PEMF and sham PEMF groups at weeks 4, 8, and 12.

    Time frame: Baseline (Week 0), Week 4, Week 8, and Week 12

Secondary outcomes

  1. Change in Foot Function Index (FFI) Score

    Foot-related pain, disability, and functional limitations will be assessed using the Foot Function Index (FFI). Higher scores indicate greater foot-related pain and disability. Changes from baseline will be compared between the active PEMF and sham PEMF groups.

    Time frame: Baseline (Week 0), Week 4, Week 8, and Week 12

  2. Change in Plantar Fascia Thickness Measured by Ultrasonography

    Plantar fascia thickness will be measured using ultrasonography and recorded in millimeters (mm). Changes in plantar fascia thickness from baseline will be evaluated and compared between the active PEMF and sham PEMF groups at each follow-up visit.

    Time frame: Baseline (Week 0), Week 4, Week 8, and Week 12

  3. Change in Pressure Pain Threshold (PPT) at the Medial Calcaneal Region

    Pressure pain threshold (PPT) will be measured using a pressure algometer at the medial calcaneal region. Higher PPT values indicate lower mechanical pain sensitivity. Changes from baseline will be compared between the active PEMF and sham PEMF groups at weeks 4, 8, and 12.

    Time frame: Baseline (Week 0), Week 4, Week 8, and Week 12

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Silva LD, Batista JD, Batista JD, Pereira GS, da Silva ML. Efficacy and safety of low- and high-intensity magnetic field therapies for orthopedic pain: a systematic review. Front Pain Res (Lausanne). 2026 Apr 30;7:1760721. doi: 10.3389/fpain.2026.1760721. eCollection 2026. PubMed 42146884 ↗
  • Akkoyun Sert O, Yilmaz K. Comparative retrospective analysis of magnetic field therapy and extracorporeal shock wave therapy in pain management for heel spur. J Back Musculoskelet Rehabil. 2025 Jan;38(1):184-191. doi: 10.1177/10538127241296347. Epub 2025 Jan 9. PubMed 39970457 ↗
  • Chia CSM, Fu SC, Ko VM, Lai JWH, Zhou M, Yung PS, Ling SK. The effects of pulsed electromagnetic field therapy on pain and physical functions in patients with soft tissue injuries: a systematic review of randomised controlled trials. Front Sports Act Living. 2026 Feb 5;8:1694944. doi: 10.3389/fspor.2026.1694944. eCollection 2026. PubMed 41716305 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Jan 2027, 5 months after the start.

Of 19 interventional studies with no phase under Heel Spur, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 15. This study's planned 5 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 30, 2026
First posted
Nov 5, 2026
StartActual
Aug 28, 2026
Primary completionEst.
Jan 29, 2027
CompletionEst.
Jan 29, 2027
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07919600
Lead sponsor
Hatice Zehra FERHATLAR
Responsible party
Hatice Zehra FERHATLAR (Physical Medicine and Rehabilitation Specialist, Kanuni Sultan Suleyman Training and Research Hospital) — Sponsor-investigator
First posted
Nov 5, 2026
Start date
Aug 28, 2026
Primary completion
Jan 29, 2027 (estimated)
Completion
Jan 29, 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Hatice Zehra FERHATLAR, MD
Contact
haticezehraferhatlar@gmail.com
05367387869

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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