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Platelet-rich plasma injections for chronic plantar fasciitis

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Abstract

Purpose

The purpose of this study was to assess the safety and preliminary clinical results of platelet-rich plasma (PRP) injections for treating chronic plantar fasciitis.

Methods

Fourteen consecutive patients with chronic plantar fasciitis receiving three injections of PRP into the plantar fascia were assessed 12 months after the procedure. The modified Roles and Maudsley score and a visual analogue scale (VAS) for pain were used to evaluate the clinical results.

Results

According to criteria of the Roles and Maudsley score, at 12 months of follow-up, results were rated as excellent in nine (64.3 %), good in two (14.3 %), acceptable in two (14.3 %) and poor in one (7.1 %) patient. VAS for pain was significantly decreased from 7.1 ± 1.1 before treatment to 1.9 ± 1.5 at the last follow-up (p < 0.01).

Conclusions

In this single-centre, uncontrolled, prospective, preliminary study, results indicate that treating chronic plantar fasciitis with PRP injections is safe and has the potential to reduce pain.

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References

  1. Andia I, Sanchez M, Maffulli N (2010) Tendon healing and platelet-rich plasma therapies. Expert Opin Biol Ther 10:1415–1426

    Article  PubMed  Google Scholar 

  2. Barrett S, Erredge S (2004) Growth factors for chronic plantar fasciitis. Podiatr Today 17:37

    Google Scholar 

  3. Bosch G, van Schie HT, de Groot MW et al (2010) Effects of platelet-rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: a placebo-controlled experimental study. J Orthop Res 28:211–217

    PubMed  CAS  Google Scholar 

  4. Crawford F, Thomson C (2003) Interventions for treating plantar heel pain. Cochrane Database Syst Rev 3 CD000416

  5. Cyriax JH, Cyriax PJ (1983) Illustrated manual of orthopaedic medicine. Butterworth, London

    Google Scholar 

  6. Davis PF, Severud E, Baxter DE (1994) Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int 15:531–535

    Article  PubMed  CAS  Google Scholar 

  7. de Vos RJ, Weir A, van Schie HT et al (2010) Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA 303:144–149

    Article  PubMed  Google Scholar 

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

    Article  Google Scholar 

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

    PubMed  Google Scholar 

  10. Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M (2010) Use of platelet-rich plasma for the treatment of refractory jumper’s knee. Int Orthop 34:909–915

    Article  PubMed  Google Scholar 

  11. Foster TE, Puskas BL, Mandelbaum BR et al (2009) Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med 37:2259–2272

    Article  PubMed  Google Scholar 

  12. Gollwitzer H, Diehl P, von Korff A et al (2007) Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the e& cacy of a new electromagnetic shock wave device. J Foot Ankle Surg 46:348–357

    Article  PubMed  Google Scholar 

  13. Gosens T, Den Oudsten BL, Fievez E, van’t Spijker P, Fievez A (2012) Pain and activity levels before and after platelet-rich plasma injection treatment of patellar tendinopathy: a prospective cohort study and the influence of previous treatments. Int Orthop 36:1941–1946

    Article  PubMed  Google Scholar 

  14. Haake M, Buch M, Schoellner C et al (2003) Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 327:75

    Article  PubMed  Google Scholar 

  15. Hall MP, Band PA, Meislin RJ et al (2009) Platelet-rich plasma: current concepts and application in sports medicine. J Am Acad Orthop Surg 17:602–608

    PubMed  Google Scholar 

  16. Healey K, Chen K (2010) Plantar fasciitis: current diagnostic modalities and treatments. Clin Podiatr Med Surg 27:369–380

    Article  PubMed  Google Scholar 

  17. Lee TG, Ahmad TS (2007) Intralesional autologous blood injection compared to corticosteroid injection for treatment of chronic plantar fasciitis. A prospective, randomized, controlled trial. Foot Ankle Int 28:984–990

    Article  PubMed  Google Scholar 

  18. Malay DS, Pressman MM, Assili A et al (2006) Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg 45:196–210

    Article  PubMed  Google Scholar 

  19. Martin RL, Irrgang JJ, Conti SF (1998) Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int 19:803–811

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  21. Mishra A, Pavelko T (2006) Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 34:1774–1778

    Article  PubMed  Google Scholar 

  22. Mishra A, Woodall J Jr, Vieira A (2009) Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 28:113–125

    Article  PubMed  Google Scholar 

  23. Ogden JA, Alvarez RG, Marlow M (2002) Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. Foot Ankle Int 23:301–308

    PubMed  Google Scholar 

  24. Roles NC, Maudsley RH (1972) Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg 54B:499–508

    Google Scholar 

  25. Sánchez M, Anitua E, Azofra J, Andía I, Padilla S, Mujika I (2007) Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med 35:245–251

    Article  PubMed  Google Scholar 

  26. Speed CA (2004) Extracorporeal shock-wave therapy in the management of chronic soft-tissue conditions. J Bone Joint Surg 86B:165–171

    Article  Google Scholar 

Download references

Acknowledgments

Authors thank Mrs. Valentina Albi for her help in preparing this manuscript.

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Correspondence to Nicolo Martinelli.

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Martinelli, N., Marinozzi, A., Carnì, S. et al. Platelet-rich plasma injections for chronic plantar fasciitis. International Orthopaedics (SICOT) 37, 839–842 (2013). https://doi.org/10.1007/s00264-012-1741-0

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  • DOI: https://doi.org/10.1007/s00264-012-1741-0

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