Archives of Orthopaedic and Trauma Surgery

, Volume 132, Issue 6, pp 781–785 | Cite as

The comparison of the effect of corticosteroids and platelet-rich plasma (PRP) for the treatment of plantar fasciitis

  • Ertuğrul Akşahin
  • Dağhan Doğruyol
  • Halil Yalçın Yüksel
  • Onur Hapa
  • Özgür Doğan
  • Levent Çelebi
  • Ali Biçimoğlu
Orthopaedic Surgery

Abstract

Introduction

In this study, the results of local injection of platelet-rich plasma (PRP) and corticosteroids in the treatment of plantar fasciitis were compared.

Patients and methods

Sixty patients who were diagnosed as plantar fasciitis and treated conservatively for at least 3 months and had no response to conservative treatment modalities were involved in this study. The first 30 consecutive patients were treated by local injection of 2 mL of 40 mg Methylprednisolone with 2 mL of 2% prilocaine (metilprednizalone) and the second 30 patients were treated by injecting 3 mL PRP after 2 mL of 2% prilocaine injection. Patients were evaluated according to the modified criteria of the Roles and Maudsley scores and visual analog scale before injection and 3 weeks and 6 months following injection.

Results

The mean VAS heel pain scores measured 6 months after treatment were 3.4 in steroid group and 3.93 in PRP group, and the scores in both groups were significantly lower when compared with pretreatment levels (6.2 in steroid group and 7.33 in PRP group). There was no significant difference between steroid and PRP groups in visual analog scale scores and modified criteria of the Roles and Maudsley scores measured at 3 weeks and 6 months (P > 0.05).

Conclusion

Our results revealed that both methods were effective and successful in treating plantar fasciitis. When the potential complication of corticosteroid treatment was taken into consideration, PRP injection seems to be safer and at least having same effectivity in the treatment of plantar fasciitis.

Keywords

Plantar fasciitis Platelet-rich plasma Corticosteroid 

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Ertuğrul Akşahin
    • 1
  • Dağhan Doğruyol
    • 2
  • Halil Yalçın Yüksel
    • 4
  • Onur Hapa
    • 3
  • Özgür Doğan
    • 4
  • Levent Çelebi
    • 2
  • Ali Biçimoğlu
    • 4
  1. 1.Ankara Numune Education and Research HospitalThird Orthopaedics and Traumatology ClinicAnkaraTurkey
  2. 2.Orthopaedics and Traumatology ClinicNear East UniversityCyprusTurkey
  3. 3.Department of Orthopaedic SurgeryMustafa Kemal UniversityHatayTurkey
  4. 4.Ankara Numune Education and Research HospitalThird Orthopaedics and Traumatology ClinicAnkaraTurkey

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