Treatment of Plantar Fasciitis Using Four Different Local Injection Modalities

Kalacı, Aydıner; Çakıcı, Hüsamettin; Hapa, Onur; Yanat, Ahmet Nedim; Doğramacı, Yunus; Sevinç, Teoman Toni

doi:10.7547/0980108

Cited by 95 publications

(74 citation statements)

References 38 publications

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“…At a 3-week and 6-month follow-up, patients with corticosteroid injection combined with peppering showed the most significant improvement. Interestingly, the group that received corticosteroid injection combined with peppering did better than the group that just received a corticosteroid injection [6]. Given that there was improvement of the corticosteroid injection combined with peppering compared with just injection, it is plausible to think the repeated introduction of the needle into the plantar fascia is in and of itself efficacious as a mechanical stimulation mechanism to aid the healing process of plantar aponeurosis.…”

Section: Discussionmentioning

confidence: 99%

Successful Use of Platelet-Rich Plasma for Chronic Plantar Fasciitis

O’Malley

Gu²

2013

HSS Jrnl

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Background: There are limited data on the use of platelet-rich plasma (PRP) for treating chronic plantar fasciitis. Questions/Purposes: The purpose of this study was to document the clinical outcomes of patients who were treated with PRP injections for plantar fasciitis to determine the degree to which injections were able to decrease the visual analogue scale (VAS) pain scores and improve patient reported functional scores. Methods: This was a retrospective review of 23 consecutive patients treated with PRP for chronic plantar fasciitis (symptoms lasting over 6 months). Patients returned after 4 weeks for a postinjection follow-up. A second injection was given if significant improvement was not obtained by that time. Postinjection foot and ankle outcome scores (FAOS), 12-item short form health survey (SF-12), and VAS scores were collected at a minimum of 6 months follow-up. Results: Thirty injections were given in 23 patients, with one patient lost to follow-up. The mean VAS score improved from 7 to 4. The pain, symptoms, and quality of life subscales of the FAOS and SF-12 significantly improved from preinjection scores. Five patients went on to have endoscopic release of the plantar fascia at an average of 94 days after the last injection (range, 22-314 days). Six patients obtained full resolution of symptoms while the majority of patients were able to forgo surgery due to improvement from the PRP injection. Conclusion: These results provide preliminary information on the safety and efficiency of PRP injection as treatment for chronic plantar fasciitis.

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Section: Discussionmentioning

confidence: 99%

Successful Use of Platelet-Rich Plasma for Chronic Plantar Fasciitis

O’Malley

Gu²

2013

HSS Jrnl

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“…The fact that their groups displayed greater pain reductions than patients in the present study, may be associated with an implementation of several manual therapy approaches as well as higher-intensity ultrasound therapy. Some groups have reported on the short-and medium term effectiveness of corticosteroid injections (without ultrasound guidance) at reducing pain in a population with chronic heel pain [23] . Both, Genc et al [24] and Kane et al [25] found a decrease in fascial thickness poststeroid (methylprednisone and triamcinolone hexacetonide, respectively) injection but do not report changes to any other sonographic feature.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of ultrasound therapy versus steroid injection in plantar fasciitis patients in western region of Nepal

Shrestha¹,

Sapkota²

2018

Int. J. Orthop. Sci.

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Background: Plantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. There are various methods of treatment like steroid injection, nonsteroid anti-inflammatory medication, iontophoresis, laser, ultrasound, ESWT, orthotic support therapy and exercise therapies. The aim of this study is to compare the effects of ultrasound therapy versus steroid injection in plantar fasciitis patients. Methods: This is a prospective study done on 60 patients. 30 patients were treated with single dose of local injection steroid (Group A) and 30 patients were treated with Ultrasound Therapy (Group B), 7 minutes in one session / day for 6 days /week for 2 weeks. All patients were taught plantar fascia active and passive stretching exercises to do for 10 minutes morning and 10 minutes evening at home. VAS Scores and FFI (Foot function Index) were measured. Results: Pain Intensity was decreased in both the groups in 2 weeks and 4 weeks follow up. VAS scores were rapidly decreased to 4.17 in Group A and 4.52 in Group B in 2 weeks follow up, which is statistically significant (p value). There was statistically significant (p value< 0.05) in FFI (Foot function Index) in both the groups at 2 weeks and 4 weeks follow up. In Group A, FFI decreased to 30.03 ± 1.44 in 4 weeks interval whereas it was decreased to 36.40 ± 2.83 in Group B in same interval. Conclusion: Both Ultrasound therapy with stretching exercise and steroid injection with stretching exercise were effective methods for moderating pain and improving function of the foot in plantar fasciitis. It was seen that steroid injection was more superior to the Ultrasound therapy combined with exercise. Keywords: Plantar fasciitis, VAS Scores, FFI (Foot function Index) IntroductionPlantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. It is a disorder of the insertion site of tendon on the bone and is characterized by scarring, inflammation, or structural breakdown of the foot's plantar fascia. It is mostly caused due to overuse of the plantar fascia, increases in exercise, weight or age. Although plantar fasciitis was originally thought to be an inflammatory process, newer studies have demonstrated structural changes more consistent with a degenerative process [1,2] . As a result of this new observation, many in the clinical community have stated the condition should be renamed plantar fasciitis. Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain [3] . Plantar fasciitis associated with calcaneal spur is considered to be the most common cause of foot pain in adults [4] . The etiology of plantar fasciitis is not known. It affects 10-15% of the population [5] . In 70-85% of the cases, enthesopathy of plantar fascia occurs on one side and its symptoms are always more intense on the same side. It is noteworthy that approximately 50% of individuals have had calcaneal spur and associated plantar fasciitis diagnosed [4] . Still, the correlation bet...

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“…The degree of pain was assessed by employing the Visual Analogue scale (VAS) and the degree of disability was evaluated byRoles and Maudsley score (RMS). [10 ] Patients were also followed up at regular intervals for any complications, recurrence of symptoms, requirement of analgesics and physiotherapy. Results were analysed statistically using chi-square test and student's t-test.…”

Section: Patients Selectionmentioning

confidence: 99%