Comparing the Role of Different Treatment Modalities for Plantar Fasciitis: A Double Blind Randomized Controlled Trial

Gupta, Ravi; Malhotra, Anubhav; Masih, Gladson David; Khanna, Tanu; Kaur, Harsimranjit; Gupta, Prabha Nini; Kashyap, Shweta

doi:10.1007/s43465-019-00038-w

Cited by 23 publications

(20 citation statements)

References 24 publications

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“…Plantar fasciitis is mainly treated by conservative therapies including activity modification, NSAID's, ice application, arch support, splinting/strapping, deep tissue massage, plantar fascia stretching exercises and physical therapy to alleviate the symptoms [23,24]. RCT by Gupta et al reported that plantar fascia stretching exercises provide significant symptomatic relief than heat, silicone heel pad or calf stretching exercises [9]. Despite the conservative treatment, in around 10% patients, the symptoms persist and leads to chronic plantar fasciitis.…”

Section: Discussionmentioning

confidence: 99%

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Role of Platelet Rich Plasma in Chronic Plantar Fasciitis: A Prospective Study

Kalia

Singh

Chowdhury

et al. 2020

IJOO

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Introduction Autologous platelet rich plasma (PRP) local injection has been recently proposed as a treatment of plantar fasciitis. The autologous PRP does not have much side effects compared to steroid injections. So far PRP injections have shown promising results in various studies. This study assessed the efficacy of a single local injection of PRP in chronic unilateral plantar fasciitis through a prospective case series. Methodology A hospital-based prospective case series of 30 unilateral plantar fasciitis patients with symptom duration of 6 months or more were included in the study. All patients included in the study were assessed clinically and by visual analogue score for heel pain, AHS component of AOFAS and FADI scores before injection and at 6 and 12 week followup. USG measurement of plantar fascia thickness was done at pre-injection and at 12 weeks follow-up. All patients were observed for 12 weeks. ResultsThe mean age was 39 years (range 20-55 years). The pre-injection VAS score for heel pain was 6.5 ± 1.1 which improved to 2.7 ± 0.5 and 1.8 ± 0.8 at 6 and 12 week respectively and difference was significant (p < 0.001). The baseline FADI and AHS component of AOFAS scores were 53.1 ± 9.0 and 72.2 ± 5.7 which improved to 65.5 ± 5.3 and 76.1 ± 4.5 at 6 weeks and, 77.9 ± 4.4 and 85.7 ± 4.6 at 12 weeks respectively which was significant (p < 0.001). The baseline mean plantar fascia thickness was 4.9 ± 0.3 mm which was significantly (p < 0.001) reduced to 3.9 ± 0.3 mm at 12 weeks post PRP injection. All pairwise comparisons by the post-hoc Wilcoxon signed rank test with p-value adjustment were also significant. ConclusionThe short-term results of single dose PRP injections shows clinical and statistically significant improvements in VAS for heel pain, functional outcome scores and plantar fascia thickness measured by USG. This study concludes that local PRP injection is a viable management option for chronic plantar fasciitis. KeywordsPlantar fasciitis • Platelet rich plasma • Ultrasound • USG • Plantar fascia thickness * Lakshmana Das

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Section: Discussionmentioning

confidence: 99%

“…The known risk factors are obesity, poor foot and ankle biomechanics, flat feet, prolonged standing, jumping, running and ill-fitting footwear. Plantar fasciitis can be isolated or associated with other systemic diseases like seronegative spondyloarthropathies [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Role of Platelet Rich Plasma in Chronic Plantar Fasciitis: A Prospective Study

Kalia

Singh

Chowdhury

et al. 2020

IJOO

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“…Several studies indicate the advantages/disadvantages of one treatment option over the other. 17,18 Autologous platelet-rich plasma for the treatment of chronic plantar fasciitis exists in the medical literature only for the past decade. 19 Autologous PRP is rich in growth factors (TGF-β , VEGF, PDGF, FGF, EGF), which is released once degranulation of alpha granules of platelets occurs in the pathological site after its activation.…”

Section: Discussionmentioning

confidence: 99%

Is platelet rich plasma superior to corticosteroid injection for recalcitrant plantar fasciitis? Results of a prospective comparative study

Somasundaram¹,

Pst²,

Muthu³

2021

IJOR

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is one of the commonest causes of heel pain and can be very challenging for clinicians to treat it successfully in the long run. The results of using autologous platelet-rich plasma(PRP) to treat chronic plantar fasciitis have been very encouraging but there is a dearth of literature comparing its effectiveness with steroid injection in long term for the treatment of chronic plantar fasciitis. This prospective comparative study is conducted to compare the efficacy of PRP over corticosteroids. Materials and Methods: We conducted this prospective comparative study between PRP and steroid injection by enrolling patients who failed the conservative line of management for 6 weeks period. We sequentially followed up the patient at discharge from the hospital, 6 weeks, 3 months, 6 months, and one year. The preoperative and postoperative function was assessed with The American Orthopaedic Foot and Ankle SocietyAOFAS) Score including pain, function, alignment components along with the Visual Analog Scale(VAS) score for pain. Inter and Intragroup comparisons were made with student t-test and paired t-test respectively. Results: 50 patients with a mean age of 37.2 years were enrolled in the study. In comparison, the PRP group showed a significant improvement in the AOFAS score at 6 months (p=0.021) and 1 year(p=0.001) compared to the corticosteroid injection. However, the reduction in pain by the VAS score was comparable between the two groups at 6 months (p=0.542) and one year (p=0.224) respectively. Conclusion: While both PRP and corticosteroid injection significantly reduces the pain at 1-year followup, functional improvement is significantly better in the PRP group compared to the steroids. PRP injection therapy remains more effective compared to steroid injection in the management of recalcitrant plantar fasciitis considering the degenerative component of the disease entity.

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“…Some conservativesoptions for treatment like rest, avoiding aggressive or heavy activity, strengthening and stretching excercises, night splinting and orthotics [15]. To our knowledge, there will be no literature of study that has compared and assess independent effi ciency of two common used treatment modalities like heel pad with hot fomentation and stretching exercises of planter fascia [6]. So, the objective of recent study is to evaluate the response of planter fascitis patient to different treatment options when given separately that may support to establish a conclusive treatment strategy for managing patient with planter fascitis.…”

Section: Discussionmentioning

confidence: 99%

“…Some conservatives options for treatment like rest, avoiding aggressive or heavy activity, strengthening and stretching excercises,night splinting and orthotics.Other options to treat planter fascitis are anti infl ammatory agents, electrotherapy (Ultrasonic shock wave therapy), steroidal injection and surgery.Time to resolve this issue varies from almost 6 to 18 months. Sometimes may be longer which may become challenge for both patient and clinician.Many experts think identifi cation, diagnosis and treatment in early stage of disease brings better recovery in comperatively short period of time [5,6].…”

Section: Introductionmentioning

confidence: 99%

A comparative study to analyze the effect of planter fascia stretch and heel pad with moist heat in the patients of planterfascitis

Razzaq¹,

Arif²,

Tahir³

et al. 2021

Glob J Medical Clin Case Rep

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Background: This study investigated the effect of planter fascia stretch and heel pad with moist heat in the patients of planterfascitis among subjects aged 20-40. Planter fascia is a thickened fi brous sheet of connective tissue which begins from medial tubercle on undersurface of calcaneus and fans out joining to the metatarsophalangeal joints plates to form longitudinal foot arch. Manual active stretching or passive stretching of planter fascia and Achilles tendon are effective treatment option for patient with planter fasciitis. Aims and objectives: objectives of this study were to see the effect of planter fascia stretch and heel pad with moist heat in the patients of planterfascitis. Material and methodology:This study was quasi experimental study. It took samples by convenient method from 80 subjects among Faisalabad private hospitals community. The study was completed in the duration of 3 months. Data was conducted through convenient sampling from Faisalabad private hospitals. This study explored the effect of planter fascia stretch and heel pad with moist heat on subjects aging 20-40 years old. Subjects were allocated to group A (n=40) and group B (n=40). Group A received treatment as planter fascia stretch and group B received treatment as heel pad with moist heat. Follow up were taken after 4 weeks in 3 month duration study.Results: Statistical Analysis Data were analyzed using SPSS version 23.0. Intragroup comparison of differences between pre and post intervention scores of FFI and FADI was analyzed using independent T Test. The results were considered statistically signifi cant if p values were less than 0.05). No statistically signifi cant difference was observed in pre intervention score between the groups on FADI (p = 0.211) and FFI (p = 0.365), but, statistically signifi cant difference was observed between all the groups on post intervention score with respect to FADI (p=0.000) and FFI (p=.001) as analyzed by independent t test. Conclusion:After applying the entire treatments and measuring pre and post value it conducted that planter fascia stretch has more signifi cant effect on planterfascitis than heel pad with moist heat.

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Comparing the Role of Different Treatment Modalities for Plantar Fasciitis: A Double Blind Randomized Controlled Trial

Cited by 23 publications

References 24 publications

Role of Platelet Rich Plasma in Chronic Plantar Fasciitis: A Prospective Study

Role of Platelet Rich Plasma in Chronic Plantar Fasciitis: A Prospective Study

Is platelet rich plasma superior to corticosteroid injection for recalcitrant plantar fasciitis? Results of a prospective comparative study

A comparative study to analyze the effect of planter fascia stretch and heel pad with moist heat in the patients of planterfascitis

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