Targeting the Plantar Fascia for Corticosteroid Injection

Salvi, Andrea Emilio

doi:10.1053/j.jfas.2014.10.011

Cited by 11 publications

(10 citation statements)

References 16 publications

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“…In general, most patients with PF are diagnosed and treated in primary and community health settings including both public and private settings by health care practitioners such as physiatry, primary care physicians, podiatrists and physiotherapists. There are a range of conservative treatments including nonsteroidal antiinflammatory drugs (NSAIDs), and non-drug approaches, such as ice packs, shoe inserts, plantar fascia stretching exercises, dry needling, acupuncture and extracorporeal shock wave therapy [1,[8][9][10][11]. Usually, when these conservative treatments fail, cortisone injection is considered as an alternative, however, its benefit is usually temporary and may require repeated injections of steroid, which may be associated with potential complications, including plantar fascia rupture and fat pad atrophy [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Platelet Rich Plasma Injection in the Treatment of a Recalcitrant Plantar Fasciitis: A Case Study

Alkarni¹

2022

J Clin Stud Rev Rep

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Plantar fasciitis (PF) is a common musculoskeletal problem that causes so much disability in the foot. Recently, platelet-rich plasma (PRP) injection has been recommended for the treatment of patients with chronic plantar fasciitis (PF), particularly where physiotherapy or other conservative treatments have failed or pain is limiting exercise, in order to reduce heel pain and improve functional restoration. In this case study, a patient who PF for 16 years and had failed all conservative treatments including cortisone injection was treated with platelet-rich plasma injections twice and made significant improvements with 100% reduction in pain intensity measured using numeric pain scale (NPS) from 10 to 0 and improvement in her lower limb functional by 56% from 68 to 24/80, which was assessed using lower extremity functional scale (LEFS) score. There were no safety issues recorded. Conclusion: Injection of autologous PRP for chronic plantar fasciitis was found to be beneficial in terms of pain relief (reduced NPS score) and functional outcome (improvement in LEFS score). However, a large scale and a properly randomised controlled study is needed to prove further efficacy of PRP injection.

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Section: Introductionmentioning

confidence: 99%

Platelet Rich Plasma Injection in the Treatment of a Recalcitrant Plantar Fasciitis: A Case Study

Alkarni¹

2022

J Clin Stud Rev Rep

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“…The diagnosis of plantar fascitis is mainly based on the patient's history and clinical examination, and further investigation is rarely needed. In terms of treatment, various methods have also been used in the treatment of PF, including non-steroidal antiinflammatory drugs (NSAIDs), corticosteroid injections, and nondrug approaches, such as ice packs, shoe inserts, plantar fascia stretching exercises, extracorporeal shock wave therapy, and even surgical treatment [6][7][8] . It is reported that the symptoms will disappear after nonsurgical treatment in more than 80% of patients [9] .…”

Section: Introductionmentioning

confidence: 99%

“…Corticosteroids injections have been used to treat plantar fasciitis and are an effective modality for pain relief. Literature has shown evidence of complications associated with corticosteroids injections such as fascial rupture [7,8] . A local injection of platelet-rich plasma (PRP) is an emerging therapy for ligament pathologies and recalcitrant tendons, including plantar fascitis.…”

Section: Introductionmentioning

confidence: 99%

Dilemas in management of plantar fascitis

Sathiya¹,

Ram²,

Ahmed³

et al. 2018

Int. J. Orthop. Sci.

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Background: Plantar fascitis is a common condition that occurs in the heel, and approximately 11% to 15% of adult foot symptoms are plantar fascitis. In terms of treatment, various methods have been used in the treatment of plantar fascitis, both conservative and surgical methods. When these conservative treatments fail, injecting steroids and Platelet rich plasma injection is considered an option. Both methods have proven good results in different studies. The purpose of this study was to assess the role and efficacy of isolated corticosteroids injection versus platelet rich plasma injection versus combination of both in the treatment of plantar fascitis. Materials and Methods: A total of 95 patients were studied. Patients were divided into three groups. Group A had 35 patients of which 25 were females and 10 were males and they received only platelet rich plasma injection. The Group B had 30 patients 16females and 14maleswho received corticosteroid injection only and Group C had 40 patients of which 20 were males and 20 were females who received both corticosteroid injection and platelet rich plasma. The evaluation of pain was done using VAS score. Results: Visual Analog Scores on 0 day, the day of injection for group A, B, C were 6.75, 4 and 5.85 respectively. The study showed a lower VAS scores with the combined and corticosteroid group till 3 months and no significant change at the end of 6 months. Conclusion:Our study has shown that corticosteroid injection group is effective for immediate pain relief, group but in long term there is no significant change in all the three groups.

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“…[7] Along with diagnostic approaches, various treatment modalities have been also examined to treat plantar fasciitis including medications using anti-inflammatory drugs and corticosteroids, and no-drug approaches such as taping, shoe inserts, posterior-tension night splints, stretching protocols, extracorporeal shock wave therapy, and even surgery. [8910] However, applying these options have been associated with a wide spectrum of treatment responses or provide short-term benefits. [11] Some treatment approaches even lead to plantar fascia rupture.…”

Section: Introductionmentioning

confidence: 99%

Beneficial effects of platelet-rich plasma on improvement of pain severity and physical disability in patients with plantar fasciitis: A randomized trial

et al. 2016

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Background:The present study aimed to clinically examine the effects of platelet-rich plasma (PRP) on improvement of plantar fasciitis and its related manifestations.Patients and Methods:This single-blind randomized controlled trial was performed on 32 consecutive patients with the final diagnosis of plantar fasciitis that were randomly assigned to the case group (that received PRP, n = 16) and the control group (that received corticosteroid as methylprednisolone 1 ml plus lidocaine 1 ml, n = 16). The endpoints in the present study were changes in the visual analog scale score and the modified Roles and Maudsley score (RMS) from baseline, 1-month, 3 months, and 6 months follow-up. Plantar fascia was also assessed by B-mode sonography before and also 3 months after primary assessment.Results:Regarding the pain severity, the PRP group had significantly higher mean pain score at 3 time points of before injection, as well as 1 and 3 months after PRP use when compared to the corticosteroid group (P < 0.05); however, the control group experienced significantly higher pain severity than the PRP group at 6 months after interventions. Also, RMS was lower in PRP group than in corticosteroid group at baseline as well as at 1 and 3 months after injections (P < 0.05). In sonography assessment, no difference was revealed.Conclusion:Administration of PRP leads to significant improvement in pain severity and physical limitation in patients with plantar fasciitis. This healing effect may be begun at least 3 months after injection.

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Targeting the Plantar Fascia for Corticosteroid Injection

Cited by 11 publications

References 16 publications

Platelet Rich Plasma Injection in the Treatment of a Recalcitrant Plantar Fasciitis: A Case Study

Platelet Rich Plasma Injection in the Treatment of a Recalcitrant Plantar Fasciitis: A Case Study

Dilemas in management of plantar fascitis

Beneficial effects of platelet-rich plasma on improvement of pain severity and physical disability in patients with plantar fasciitis: A randomized trial

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