COMPARISION OF EFFECTIVENESS OF PLATELET RICH PLASMA INJECTION WITH EXERCISES IN TREATMENT OF PLANTAR FASCIITIS

Dr. Sushmita Kushwaha, Dr. Himanshu Kataria, Dr. Bhim Singh

Abstract


Introduction: Plantar fasciitis is most common cause of heel pain.
Aim: To compare the effectiveness of platelet rich plasma (PRP) injection over exercises in treatment of plantar fasciitis.
Material and methods: Sixty patients of plantar fasciitis were randomised into 2 groups of 30 each. One group received PRP injection and other
group performed plantar fascia stretching exercises only. Follow up was done at 2, 4, 8 and 12 weeks. Visual Analogue Scale (VAS) and Roles-
Maudsley Subjective Pain Score (RMS) was used to assess outcome at each follow up.
Results: Decrease in pain levels and functional improvement was seen in both the groups. Mean VAS scores were signicantly better in PRP group
at 2weeks (p=0.001), 4, 8 and 12 weeks(p<0.05). Mean RMS was statistically signicant at 8weeks (p=0.001) follow up in PRP group compared to
exercise group but found to be non signicant at other follow ups (p>0.05).
Conclusion: PRP injection was effective over exercises in management of plantar fasciitis.


Keywords


platelet rich plasma; exercise; plantar fasciitis

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References


Peerbooms JC, van Laar W, Faber F, Schuller HM, van der Hoeven H. Use of platelet rich plasma to treat plantar fasciitis: design of a multi centre randomized controlled trial. BMC Musculoskelet Disord. 2010 11:69. doi: 10.1186/1471-2474-11-69.

Lemont H, Ammirati KM, Usen N. Plantar Fasciitis. A degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003; 93(3):234-237.

Astrom M, Rausing A, Chronic Achilles tendonopathy: a survey of surgical and histopathological findings, Clin Orthop Relat Res. 316 (1995)151-164.

Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar

heel pain: a systematic review. J Sci Med Sport 2006;9:11–22; discussion

–4.

Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med

;350:2159–66.

Pfeffer GB. Plantar heel pain the foot and ankle sport, St. Louis (MO) Mosby 1995;4:195-206.

Johnson RE, Haas K, LindowK, et al. Plantar fasciitis:what is the diagnosis and treatment? Orthop Nurs 2014;33:198–204; quiz 205–196.

DiGiovanni BF, Nawoczenski DA, Lintal ME, et al. Plantar Fascia-Specific Stretching Exercise Improves Outcomes in Patients with Chronic Plantar Fasciitis. A prospective clinical trial with twoyearfollow-up. J Bone Joint Surg. 2006;88A:1775–1881.

Eppley BL, Woodell JE, Higgins J. Platelet quantification and growth factor analysis from platelet rich plasma: Implications for wound healing. Plast Reconstr Surg. 2004;114:1502–1508.

Marx RE. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004;62:489–496.

. O’Malley MJ, Vosseller JT, Gu Y. Successful use of platelet-rich plasma for chronic plantar fasciitis. HSS J 2013;9:129–33.

Kumar V, Millar T, Murphy PN, et al. The treatment of ntractable plantar fasciitis with platelet-rich plasma injection. Foot (Edinb) 2013;23:74–7.

Martinelli N, Marinozzi A, Carni S, et al. Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop 2013;37:839–42.

Ragab EM, Othman AM. Platelets rich plasma for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg 2012;132:1065–70.

Yarn W.Y, Han Y.H, Cao X.W et al.Platelet-rich plasma as a treatment for plantar fasciitis:A meta-analysis of randomized controlled trials. Medicine. 2017;96(44):e8475.


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