The comparison of the effect of corticosteroids and platelet-rich plasma (PRP) for the treatment of plantar fasciitis

Akşahin, Ertuğrul; Doğruyol, Dağhan; Yüksel, Halil Yalçın; Hapa, Onur; Doğan, Özgür; Çelebi, Levent; Biçimoğlu, Ali

doi:10.1007/s00402-012-1488-5

Cited by 145 publications

(150 citation statements)

References 21 publications

(28 reference statements)

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“…[8] Two studies compared corticosteroid injection with platelet-rich plasma injections. [9,11] One study compared corticosteroid injection with NSAID (tenoxicam) injection. [10] one study compared corticosteroid injection with PRP and placebo injection.…”

Section: Discussionmentioning

confidence: 99%

“…Studies comparing the effectiveness of joint mobilization combined with stretching exercises v/s steroid injection in the treatment of plantar fasciitis [13] demonstrated that steroid injection gives better relieve but only for a short term whereas exercises give improvement in disability longer periods. To rule out confounding effect of exercises on the results as noted in some studies [11] , in our study both the groups patients were given common supportive measures such as soft heel and advised same stretching exercises and common precautions such as not walking bare foot and standing for long durations. NSAIDs mainly act by inhibition of prostaglandin synthesis, but they do not suppress the production of other inflammatory mediators like leukotrienes, cytokines, platelet activating factor etc.…”

Section: Discussionmentioning

confidence: 99%

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Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Mittal¹,

Js²,

Ashok³

et al. 2018

Int. J. Orthop. Sci.

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Plantar fasciitis is the one of the most common causes of painful heel in adults. It is assumed to be caused by inflammation and is typically precipitated by biomechanical stress. Conservative management is the mainstream treatment option for plantar fasciitis like non steroidal anti-inflammatory drugs (NSAIDs), steroid injections, PRP injection, stretching exercises. There is no consensus on the efficacy of any particular conservative treatment regimen. This study was taken with objective to compare the efficacy of NSAID and local steroid injection in treating plantar fasciitis. Method: Sixty patients were randomized into 2 groups, group I patients were treat with oral NSAIDs and group II patients were treated with local steroid injection. Patients of both groups are given common supportive measures such as soft heel and advised same stretching exercises. The patients were evaluated using VAS score for pain assessment at pre-treatment stage, 1 week, 2 weeks, 4 weeks, 2 months and 3 months. Results: 60 patients were randomized into 2 groups, both groups had similar demographics. The VAS scores at pre treatment level in group I was 6.60±1.14 and in group II was 6.46±1.05. The VAS score reduced to 3.10±1.18 in group II after injection and in group I reduced to 4.9±1.33 after a starting oral NSAIDs. The VAS scores consistently reduced in both the groups till 4 weeks of follow up but group II VAS scores were always lower than group I (p-value < 0.001). After 4 weeks, a trend towards increase in VAS scores was noted in both groups, patients had complaints of relapse of pain or increase in intensity of it. Conclusion : With this study we concluded that as compared to NSAIDs the use of local injection of steroid gives better and more sustained pain relief with fewer complications and lesser recurrences of heel pain in cases of plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Mittal¹,

Js²,

Ashok³

et al. 2018

Int. J. Orthop. Sci.

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show abstract

“…En un periodo de seis meses, la mejora fue estadística-mente significativa en los síntomas, sin encontrar diferencias entre ambos grupos. Los autores, considerando los riesgos y efectos adversos de los corticoides, prefieren el uso de las PRP 50 . No existen estudios comparativos entre las PRP y la microtenotomía por Radiofrecuencia.…”

Section: Faseunclassified

Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz® para el tratamiento de la tendinopatía aquílea no insercional

Gómez

Capapé²,

López‐López

et al. 2013

Rev. Int. Cienc. Podol.

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Los autores declaran no tener ningún tipo de interés económico o comercial. ReSuMenLas lesiones del tendón de Aquiles son un motivo frecuente de consulta en el ámbito de la podología y de la cirugía del pie y tobillo. El dolor del tercio medio del tendón es un problema habitual en corredores, pero también se ve en pacientes sedentarios. El término correcto para referirnos a esta lesión es el de tendinopatía aquílea no insercional. Existen numerosos tratamientos que intentan disminuir el dolor y mejorar la función del tejido lesionado. Los medios conservadores suelen tener buenos resultados, pero existe un porcentaje de pacientes que precisan cirugía. Presentamos una técnica poco invasiva para esta patología en la que utilizamos un dispositivo de radiofrecuencia para tratar la tendinosis. Palabras clave: tendón de aquiles; tendinosis; radiofrecuencia. AbStRACtAchilles tendon injuries are a common disease in podiatric and foot and ankle surgery consultation. Midportion pain is a frequent problem in runners but could be seen in sedentary people too. Correct term for this condition is non insertional Achilles tendinopathy. There are many treatment options that try to reduce the pain and improve the function of damaged tissue. Conservative treatments usually have good results but there are some cases that could need surgery. We present a minimally invasive technique using a radiofrequency microdebrider to treat the tendinosis. Key words: achilles tendon; tendinosis; radiofrequency.Sumario: 1. Introducción, 2. Concepto e indicaciones de la microtenotomía por radiofrecuencia (RF), 3. Aplicaciones, 4. Resultados, 5. Discusión, 6. Conclusiones, Bibliografía.Referencia normalizada: Sánchez Gómez, R., López Canapé, D., López López, D., Rodríguez Sanz, D., Soriano Medrano, A., Morales Ponce, A. Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz ® para el tratamiento de la tendinopatía aquílea no insercional. Rev. Int. Cienc. Podol. 2013; 7(1): 57-66.http://dx

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“…6,7 NICE has also approved Extracorporeal Shockwave Therapy (ESWT) for the treatment of intractable plantar fasciitis with encouraging results.…”

Section: Treatmentmentioning

confidence: 99%

Diagnosis and management of plantar fasciitis in primary care

Thing¹,

Maruthappu²,

Rogers³

2012

Br J Gen Pract

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The comparison of the effect of corticosteroids and platelet-rich plasma (PRP) for the treatment of plantar fasciitis

Cited by 145 publications

References 21 publications

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz® para el tratamiento de la tendinopatía aquílea no insercional

Diagnosis and management of plantar fasciitis in primary care

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