Chronic Plantar Fasciitis: Effect of Platelet-Rich Plasma, Corticosteroid, and Placebo

Orthopedics - Tập 39 Số 2 - 2016
Pankaj Mahindra, Bohari M. Yamin, Harpal Singh Selhi, Sonia Singla, Ashwani Soni

Tóm tắt

Plantar fasciitis is a common cause of heel pain. It is a disabling disease in its chronic form. It is a degenerative tissue condition of the plantar fascia rather than an inflammation. Various treatment options are available, including nonsteroidal anti-inflammatory drugs, corticosteroid injections, orthosis, and physiotherapy. This study compared the effects of local platelet-rich plasma, corticosteroid, and placebo injections in the treatment of chronic plantar fasciitis. In this double-blind study, patients were divided randomly into 3 groups. Local injections of platelet-rich plasma, corticosteroid, or normal saline were given. Patients were assessed with the visual analog scale for pain and with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot score before injection, at 3 weeks, and at 3-month follow-up. Mean visual analog scale score in the platelet-rich plasma and corticosteroid groups decreased from 7.44 and 7.72 preinjection to 2.52 and 3.64 at final follow-up, respectively. Mean AOFAS score in the platelet-rich plasma and corticosteroid groups improved from 51.56 and 55.72 preinjection to 88.24 and 81.32 at final follow-up, respectively. There was a significant improvement in visual analog scale score and AOFAS score in the platelet-rich plasma and corticosteroid groups at 3 weeks and at 3-month follow-up. There was no significant improvement in visual analog scale score or AOFAS score in the placebo group at any stage of the study. The authors concluded that local injection of platelet-rich plasma or corticosteroid is an effective treatment option for chronic plantar fasciitis. Platelet-rich plasma injection is as effective as or more effective than corticosteroid injection in treating chronic plantar fasciitis. [ Orthopedics. 2016; 39(2):e285–e289.]

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Tài liệu tham khảo

10.1016/j.jsams.2006.02.004

10.1097/01.jsm.0000164039.91787.dc

Goff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Physician. 2011; 84:676–682.

10.1177/107110079401500303

10.1302/0301-620X.54B3.499

10.1056/NEJMcp032745

10.7547/87507315-93-3-234

Barrett SL, Robert OM. Plantar fasciitis and other causes of heel pain. Am Fam Physician. 1999; 59:2200–2206.

10.1186/ar416

10.2165/00007256-200333050-00004

10.1177/1071100713519778

10.1016/j.fas.2013.08.002

10.1186/1471-2474-11-69

10.1007/s00402-012-1488-5

10.3113/FAI.2007.0984

10.1007/s00264-012-1741-0

10.1016/j.foot.2013.06.002

10.1177/1938640013509671

10.1007/s00402-012-1505-8

Barrett S, Erredge S. Growth factors for chronic plantar fasciitis? Podiatry Today. 2004; 17:37–42.

10.1053/apmr.2000.9175

10.1016/S0049-0172(96)80003-5

10.1093/rheumatology/40.9.1002

10.1097/JSA.0000000000000007

10.1097/JSA.0b013e3182999712

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Orthopedics

Tập 39 Số 2

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