Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis

Baz, Ahmed A.; Gad, Ahmed M.; Waly, Mohamed

doi:10.1016/j.ejrnm.2016.12.004

Cited by 7 publications

(6 citation statements)

References 30 publications

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“…In another study, Baz et al also recorded similar findings and recommended ultrasound guided PRP injection for chronic plantar fascitis. 30 Comparable clinical improvement was also observed in our study, although our injection procedure was not done under ultrasound guidance.…”

Section: Discussionsupporting

confidence: 65%

Efficacy of Autologous Platelet Rich Plasma in the Treatment of Plantar Fasciitis

Kothari¹,

Borah²,

Soni³

2018

jebmh

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Section: Discussionsupporting

confidence: 65%

Efficacy of Autologous Platelet Rich Plasma in the Treatment of Plantar Fasciitis

Kothari¹,

Borah²,

Soni³

2018

jebmh

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“…Another detail that must be taken into consideration is that in this multicentre trial, only one PRP infiltration was used to treat PFS Grade III, and the integrity of the fascia and of the bone was fully respected as opposed to other authors who treated PFS with three infiltrations at intervals of 7 days [ 38 , 39 , 40 , 41 ] or two infiltrations at intervals of 7 days [ 42 ] or 14 days [ 43 , 44 ]. Other authors claim to have treated chronic PFS with a single infiltration, but the reality is quite different as they have used different points of infiltration in the same session [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

New Infiltration Technique in the Treatment of the Plantar Fascia Syndrome Based on Platelet-Rich Plasma

Pardo-Camps,

Pardo-Bosch

2023

JCM

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Pain in the attachment of the plantar fascia in the calcaneus represents 10% of all sports injuries, affects 10% of foot runners, and will affect around 20% of the world population. There is no effective conservative treatment for it. This paper justifies a new definition and name for this pathology, Plantar Fascia Syndrome (PFS), presents a methodology for its diagnosis, and presents the clinical and functional effectiveness of a new conservative treatment based on platelet-rich plasma (PRP). In total, 25 patients (from an initial sample of 260) diagnosed with recalcitrant PFS lasting for more than 12 months were treated with a single infiltration of 2 mL of PRP, according to a new technic proposed. The study was approved by the ethical committee for clinical research of the reference hospital. The patients were controlled after 15, 30, 90, and 180 days, reviewing on each occasion pain, thickness of the plantar fascia, and active extension of the ankle joint. A total of 15 days after infiltration, 85% of patients had no clinical signs requiring treatment. After 90 days of infiltration, no patients showed clinical signs. This improvement in the patients’ condition lasted for 180 days. All patients after treatment can fully resume normal activity with no pain.

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“…There is agreement among authors that US is a valuable noninvasive imaging modality for diagnosis of plantar fasciitis and in the follow-up assessment as it is free of the hazardous ionizing radiation [16,17]. It doesn't affect the biomechanical function of the foot, it is inexpensive and portable, and it allows real-time imaging [16,17].…”

Section: Originalmentioning

confidence: 99%

“…The use of ultrasound as a procedure guiding technique provides real-time monitoring at the needle tip allowing for precise needle placement in the target, instantly saving the nearby important structures from unnecessary puncture or injury. Moreover, watching the needle tip ensures that the needle tip does not extend outside the lesion [16]. It is reasonable that the ultrasound-guided injection achieves better outcomes.…”

Section: Originalmentioning

confidence: 99%

“…PRP has high levels of platelets and a full complement of clotting and growth factors [15]. There is an increasing interest in PRP as a treatment for plantar fasciitis, and recently several papers on this topic have been published [16,17]. The aim of this study was to evaluate the value of PRP in the management of plantar fasciitis through randomized double-blinded placebo-controlled study, as there was a debate on the value of using PRP in such condition [18,19,20].…”

Section: Introductionmentioning

confidence: 99%

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Platelet-Rich Plasma in Treatment of Plantar Fasciitis: Randomized Double-Blinded Placebo Controlled Study

Deghady¹,

Hamid²,

Helal³

et al. 2019

JACP

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Objective: Plantar fasciitis is one of the most common causes of heel pain. Conservative noninvasive lines of treatment are numerous, among which platelet-rich plasma (PRP) has recently been demonstrated to be helpful in managing plantar fasciitis. The aim of this study is to evaluate the platelet-rich plasma-ultrasound-guided injection in the treatment of plantar fasciitis through randomized double-blinded placebo-controlled study. Methods: Sixty-two adult plantar fasciitis patients were involved in the current study. They were randomly selected from the outpatient clinics of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University. They were randomly divided to receive either saline (group 1) or PRP (group 2) injection under ultrasonography (US)-guidance. Assessment was done using visual analogue scale (VAS) for pain intensity at baseline and during 2 nd and 6 th weeks after injection. Functionally, foot function index (FFI) was used at baseline and during 6 th week after injection. Pain relief score (PRS) was measured during 2 nd and 6 th weeks after injection. Plantar fascia thickness was also measured sonographically by US at baseline and during 2 nd and 6 th weeks after injection. Results: There was no statistically significant difference between both groups as regards age, Body Mass Index and baseline US, VAS, and FFI scores. PRP (group 2) showed significant improvement in pain severity and physical limitations in patients with plantar fasciitis. It also showed significant improvement compared to saline group injection considering VAS, US, PRS, and FFI. Conclusion: The use of PRP injection for treatment of plantar fasciitis resulted in significant improvement in pain according to VAS, PRS, and FFI and a reduction in the thickness of the plantar fascia as measured by US, compared to the saline group.

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Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis

Cited by 7 publications

References 30 publications

Efficacy of Autologous Platelet Rich Plasma in the Treatment of Plantar Fasciitis

Efficacy of Autologous Platelet Rich Plasma in the Treatment of Plantar Fasciitis

New Infiltration Technique in the Treatment of the Plantar Fascia Syndrome Based on Platelet-Rich Plasma

Platelet-Rich Plasma in Treatment of Plantar Fasciitis: Randomized Double-Blinded Placebo Controlled Study

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