Journal of Archives in Military Medicine Journal of Archives in Military Medicine J Arch Mil Med http://www.jammonline.com 2345-5071 2345-5063 10.5812/jamm en jalali 2017 6 23 gregorian 2017 6 23 4 4
en 10.5812/jamm.42332 Treatment of Chronic Plantar Fasciitis with Ultrasound-Guided Injection of Platelets Rich Plasma Treatment of Chronic Plantar Fasciitis with Ultrasound-Guided Injection of Platelets Rich Plasma research-article research-article Conclusions

The current study results revealed that both methods were effective and successful to treat PF, but due to potential complication of corticosteroid and its short-term relief of pain, PRP injection looked safer.

Results

In both corticosteroid and PRP injected groups, the average VAS heel pain scores and the mean FAAM subscales scores were statistically lower compared with the pre-treatment scores (P < 0.001). The improving symptoms in the corticosteroid group at the beginning (after three weeks) were better and then decreased after eight weeks, but the differences were not significant; while in the PRP group symptoms progressively improved.

Background

Plantar fasciitis (PF) is one of the common reasons of heel pain that making up 11% - 15% professional managements for the foot symptoms among adults.

Objectives

The current study aimed to compare the effect of ultrasound-guided (US-guided) injection of platelets rich plasma (PRP) with that of corticosteroid injection to treat patients with chronic PF.

Methods

Patients with PF (n = 30) were assigned to receive either PRP or corticosteroid US-guided injection. The pain level was evaluated by the visual analogue scale (VAS) the baseline, three and eight weeks after injection. Disabilities were assessed by foot and ankle ability measure (FAAM) at the baseline, three and eight weeks after injection.

Conclusions

The current study results revealed that both methods were effective and successful to treat PF, but due to potential complication of corticosteroid and its short-term relief of pain, PRP injection looked safer.

Results

In both corticosteroid and PRP injected groups, the average VAS heel pain scores and the mean FAAM subscales scores were statistically lower compared with the pre-treatment scores (P < 0.001). The improving symptoms in the corticosteroid group at the beginning (after three weeks) were better and then decreased after eight weeks, but the differences were not significant; while in the PRP group symptoms progressively improved.

Background

Plantar fasciitis (PF) is one of the common reasons of heel pain that making up 11% - 15% professional managements for the foot symptoms among adults.

Objectives

The current study aimed to compare the effect of ultrasound-guided (US-guided) injection of platelets rich plasma (PRP) with that of corticosteroid injection to treat patients with chronic PF.

Methods

Patients with PF (n = 30) were assigned to receive either PRP or corticosteroid US-guided injection. The pain level was evaluated by the visual analogue scale (VAS) the baseline, three and eight weeks after injection. Disabilities were assessed by foot and ankle ability measure (FAAM) at the baseline, three and eight weeks after injection.

Plantar Fasciitis;Platelets Rich Plasma;Corticosteroid Plantar Fasciitis;Platelets Rich Plasma;Corticosteroid http://www.jammonline.com/index.php?page=article&article_id=42332 Kaynoosh Homayouni Kaynoosh Homayouni Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Hajar Karimian Hajar Karimian Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Hamid Reza Golkar Hamid Reza Golkar Department of Internal Medicine, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, IR Iran Department of Internal Medicine, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, IR Iran Nayyereh Jalalati Nayyereh Jalalati Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran; Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel: +98-9131613537 Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran; Department of Physical Medicine and Rehabilitation, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel: +98-9131613537