Plantar fasciitis: Outcome evaluation of plantar fasciitis treated with PRP against steroid injection

Plantar fasciitis: Outcome evaluation of plantar fasciitis treated with PRP against steroid injection

Abstract

Plantar fasciitis is the most com mmon cause of heel pain which seems difficult t to treat in its most chronic and severe forms. Earlier treatments, including orthoses, non steroidacial anti-inflammatory drugs, and steroid injections aree paucity of supportive clinical evidence but ca arry the potential for serious complication and perm manent disability. Platelet-rich plasma (PRP) has recently been demonstrated to be helpful in m managing chronic severe plantar fasciitis when ot ther techniques have failed. The purpose of this study y was to assess the safety and preliminary clinicaal results of platelet-rich plasma injections for treat ting chronic plantar fasciitis. 163 consecutive p patients with chronic plantar fasciitis receiving injectiions of PRP and 158 patients for steroid injecti ions into the plantar fascia were assessed 12 monthss after the procedure. The visual analogue scalee (VAS) for pain was used to evaluate the clinical re esults. According to criteria VAS score, at 12 m months of follow-up, results were rated as excellen nt in all PRP injected patients, good and poor r in steroid injected patients. In PRP injection, VAS (m mean) for pain was significantly decreased from 88.6 before treatment to 0.3 at the last follow-up. PRP P injection has safety and efficiency as treatmen nt for plantar fasciitis with no side effects and complications.

Abstract

Plantar fasciitis is the most com mmon cause of heel pain which seems difficult t to treat in its most chronic and severe forms. Earlier treatments, including orthoses, non steroidacial anti-inflammatory drugs, and steroid injections aree paucity of supportive clinical evidence but ca arry the potential for serious complication and perm manent disability. Platelet-rich plasma (PRP) has recently been demonstrated to be helpful in m managing chronic severe plantar fasciitis when ot ther techniques have failed. The purpose of this study y was to assess the safety and preliminary clinicaal results of platelet-rich plasma injections for treat ting chronic plantar fasciitis. 163 consecutive p patients with chronic plantar fasciitis receiving injectiions of PRP and 158 patients for steroid injecti ions into the plantar fascia were assessed 12 monthss after the procedure. The visual analogue scalee (VAS) for pain was used to evaluate the clinical re esults. According to criteria VAS score, at 12 m months of follow-up, results were rated as excellen nt in all PRP injected patients, good and poor r in steroid injected patients. In PRP injection, VAS (m mean) for pain was significantly decreased from 88.6 before treatment to 0.3 at the last follow-up. PRP P injection has safety and efficiency as treatmen nt for plantar fasciitis with no side effects and complications.

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