Comparison of Plantar Fasciitis Injected With Platelet-Rich Plasma vs Corticosteroids

Jain, Siddharth; Suprashant, Kumar; Kumar, Sanjeev; Yadav, Arun Kumar; Kearns, Stephen

doi:10.1177/1071100718762406

Cited by 64 publications

(85 citation statements)

References 38 publications

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“…Comparison of these conflicting results indicates that there is still significant ambiguity regarding the extent and duration of effects of each therapy. ICS, PRP, and SWT have all been reported as safe with side effects limited to brief erythema or throbbing pain at the therapy site [38,39,46,47,49]. Studies have shown that PRP is associated with decreased requirement for reinjection or surgery in the long term and positive effects on soft tissue regeneration and inflammation reduction, but its higher cost must also be considered when choosing a treatment [38,45].…”

Section: Plantar Fasciitismentioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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Purpose of Review: This is a comprehensive literature review of the available evidence and techniques of foot injections for chronic pain conditions. It briefly describes common foot chronic pain syndromes and then reviews available injection techniques for each of these syndromes, weighing the available evidence and comparing the available approaches. Recent Findings: Foot and ankle pain affects 20% of the population over 50 and significantly impairs mobility and ability to participate in activities of daily living (ADLs), as well as increases fall risk. It is commonly treated with costly surgery, at times with questionable efficacy. Injection therapy is challenging when the etiology is anatomical or compressive. Morton's neuroma is a budging of the interdigital nerve. Steroid, alcohol, and capsaicin injections Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11836971.

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Section: Plantar Fasciitismentioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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“…However, Jain et al observed plantar fascia thickness to be reduced more quickly in patients who received corticosteroid injection compared to those who received a PRP injection at 3 months. 23 The decrease was however comparable at 6 months follow-up. We have assessed the plantar fascia thickness at baseline and at 6 months.…”

Section: Discussionmentioning

confidence: 78%

“…23,24 The AOFAS, VAS scores recorded before treatment and on follow-up visit at 6 weeks, 3rd month, and 6th month. Ultrasound of heel for plantar fascia thickness measured before treatment and follow up visit at 6th month.…”

Section: Post Injection Carementioning

confidence: 99%

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Efficacy of intralesional corticosteroid versus autologous platelet rich plasma injection in the management of chronic plantar fasciitis

Kumar¹,

Koramutla

2018

Int J Res Orthop

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Background: Plantar fasciitis is a common pathological condition affecting the hind foot, and a common cause of heel pain. The present study was taken up to assess the efficacy of intralesional corticosteroid compared to autologous platelet rich plasma injection in the management of chronic plantar fasciitis.Methods: Patients were randomized into two groups (Group A and Group B) of 30 each. Group-A received Corticosteroid injection while Group-B received PRP injection. Patients were assessed functionally using American Orthopaedic Foot and ankle score (AOFAS), Visual analogue scale (VAS) scores before treatment and on follow-up visit at 6 weeks, 3rd month, and 6th month. Ultrasound of heel for plantar fascia thickness was measured before treatment and follow up visit at 6th month.Results: A significant decrease in VAS score was observed in the corticosteroid group compared to PRP group at 6 weeks while the VAS score continued to decrease in the PRP group at 3 months and 6 months with an increase in the corticosteroid group at 3 months and 6 months. A significant increase in AOFAS was observed in the Corticosteroid group compared to PRP group at 6 weeks which increased in the PRP group at 3 months and 6 months. However it decreased in the corticosteroid group at 3 months and 6 months. Ultrasonographic evaluation showed improvement in fascial thickness in both the groups, but was better in the PRP group.Conclusions: To conclude our study shows that corticosteroid is more effective for short term relief and PRP is more effective for long term relief.

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“…Heel pain is one of the most common problems in which patients are seeking help in the foot and ankle surgery clinic. Plantar fasciitis is one of the main pathologies in heel pain in adults and accounts for 11 to 15% of all foot diseases that require medical attention [1,2]. Plantar fasciitis is more prevalent in sedentary individuals but also in athletes involving running sports [3].…”

mentioning

confidence: 99%

Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

Yuan

Lü

et al. 2020

J Orthop Surg Res

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Background: Heel pain is one of the most common complaints in foot and ankle clinic, and one of the leading causes of heel pain is plantar fasciitis. Methods: A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analog scale (VAS) and American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AH) before and after surgery in all patients.Results: All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient's demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer than that in the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no differences of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion:The symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time. Trial registration: Retrospectively registered.

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Comparison of Plantar Fasciitis Injected With Platelet-Rich Plasma vs Corticosteroids

Abstract: Level II, prospective randomized comparative series.

Cited by 64 publications

References 38 publications

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Efficacy of intralesional corticosteroid versus autologous platelet rich plasma injection in the management of chronic plantar fasciitis

Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

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