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



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.


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).


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.


Plantar fasciitis Platelet-rich plasma Corticosteroid 


  1. 1.
    Lynch DM, Goforth WP, Martin JE, Odom RD, Preece CK, Kotter MW (1998) Conservative treatment of plantar fasciitis: a prospective study. J Am Podiatr Med Assoc 88:375–380PubMedGoogle Scholar
  2. 2.
    Young CC, Rutherford DS, Niedfeldt MW (2001) Treatment of plantar fasciitis. Am Fam Physician 63:467–474PubMedGoogle Scholar
  3. 3.
    Kıter E, Çelikbaş E, Akkaya S, Demirkan F, Kiliç BA (2006) Comparison of injection modalities in the treatment of plantar heel pain: a randomized controlled trial. J Am Podiatr Med Assoc 96:293–296PubMedGoogle Scholar
  4. 4.
    Fadale PD, Wiggins ME (1994) Corticosteroid injections: their use and abuse. J Am Acad Orthop Surg 2:133–140PubMedGoogle Scholar
  5. 5.
    Blockey NJ (1956) The painful heel: a controlled trial of the value of hydrocortisone. Br Med J 1:1277–1278PubMedCrossRefGoogle Scholar
  6. 6.
    Barrett S, Erredge S (2004) Growth factors for chronic plantar fasciitis? Podiatry Today 17:37–42Google Scholar
  7. 7.
    Peerbooms JC, Sluimer J, Bruijn D, Gosens T (2010) Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am J Sports Med 38:255–262PubMedCrossRefGoogle Scholar
  8. 8.
    Jarde O, Diebold P, Havet E, Boulu G, Vernois J (2003) Degenerative lesions of the plantar fascia: surgical treatment by fasciectomy and excision of the heel spur—a report on 38 cases. Acta Orthop Belg 69:267–274PubMedGoogle Scholar
  9. 9.
    Leach RE, Seavey MS, Salter DK (1986) Results of surgery in athletes with plantar fasciitis. Foot Ankle 7:156–161PubMedGoogle Scholar
  10. 10.
    Lemont H, Ammirati KM, Usen N (2003) Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc 93:234–237PubMedGoogle Scholar
  11. 11.
    Roles NC, Maudsley RH (1972) Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Jt Surg Br 54:499–508Google Scholar
  12. 12.
    Genc H, Saracoglu M, Nacir B, Erdem HR, Kacar M (2005) Long-term ultrasonographic follow-up of plantar fasciitis patients treated with steroid injection. Jt Bone Spine 72:61–65CrossRefGoogle Scholar
  13. 13.
    Tsai WC, Wang CL, Tang FT, Hsu TC, Hsu KH, Wong MK (2000) Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil 81:1416–1421PubMedCrossRefGoogle Scholar
  14. 14.
    Porter MD, Shadbolt B (2005) Intralesional corticosteroid injection versus extracorporeal shock wave therapy for plantar fasciopathy. Clin J Sport Med 15:119–124PubMedCrossRefGoogle Scholar
  15. 15.
    Crawford F, Atkins D, Young P, Edwards J (1999) Steroid injection for heel pain: evidence of short term effectiveness. A randomised controlled trial. Rheumatology 38:974–977PubMedCrossRefGoogle Scholar
  16. 16.
    Kalaci A, Cakici H, Hapa O, Yanat AN, Dogramaci Y, Sevinç TT (2009) Treatment of plantar fasciitis using four different local injection modalities: a randomized prospective clinical trial. J Am Podiatr Med Assoc 99:108–113PubMedGoogle Scholar
  17. 17.
    Cunnane G, Brophy DP, Gibney RG, FitzGerald O (1996) Diagnosis and treatment of heel pain in chronic inflammatory arthritis using ultrasound. Semin Arthritis Rheum 25:383–389PubMedCrossRefGoogle Scholar
  18. 18.
    Kane D, Greaney T, Shanahan M, Duffy G, Bresnihan B, Gibney R, FitzGerald O (2001) The role of ultrasonography in the diagnosis and management of idiopathic plantar fasciitis. Rheumatology (Oxford) 40:1002–1008CrossRefGoogle Scholar
  19. 19.
    Gill LH, Kiebzak GM (1996) Outcome of nonsurgical treatment for plantar fasciitis. Foot Ankle Int 17:527–532PubMedGoogle Scholar
  20. 20.
    Frater C, Vu D, Van der Wall H, Perera C, Halasz P, Emmett L, Fogelman I (2006) Bone scintigraphy predicts outcome of steroid injection for plantar fasciitis. J Nucl Med 47:1577–1580PubMedGoogle Scholar
  21. 21.
    Jozsa L, Reffy A, Kannus P, Demel S, Elek E (1990) Pathological alterations in human tendons. Arch Orthop Trauma Surg 110:15–21PubMedCrossRefGoogle Scholar
  22. 22.
    Snider MP, Clancy WG, McBeath AA (1983) Plantar fascia release for chronic plantar fasciitis in runners. Am J Sports Med 11:215–219PubMedCrossRefGoogle Scholar
  23. 23.
    Eppley BL, Woodell JE, Higgins J (2004) Platelet quantification and growth factor analysis from platelet-rich plasma: implications for wound healing. Plast Reconstr Surg 114:1502–1508PubMedCrossRefGoogle Scholar
  24. 24.
    Soomekh DJ (2011) Current concepts for the use of platelet-rich plasma in the foot and ankle. Clin Podiatr Med Surg 28:155–170PubMedCrossRefGoogle Scholar
  25. 25.
    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 28:984–990PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Ertuğrul Akşahin
    • 1
    Email author
  • 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

Personalised recommendations