Treatment for Plantar Fasciitis using Platelet Rich Plasma (PRP)

Abstract

Objective: Case series aimed to evaluate clinical outcome of patients  who underwent treatment for plantar fasciitis using Platelet rich plasma (PRP).

Method: Patients were diagnosed clinically who presented with plantar inferio-medial heel pain longer than 6 weeks. All patients were injected with freshly prepared 2ml of PRP injection at heel medial entry point with direction towards the tendor point. The patients were followed up clinically and functionally at 2 weeks, 4 weeks, 3 months and 6 months. VAS score and American orthopaedic foot ankle score was used to assess the patients.

Result: Total 60 patients were included in the study (39 female and 21 male).The average age in the series was 43.07 years ± 6.73.Mean VAS scoring at 6 months of follow up was 1.9(SD1.5).The mean AOFAS scoring at the end of 6 month of follow up was 90(SD7.54).

Conclusion: Platelet Rich Plasma Injection technique for plantar fasciitis offers a better treatment with (1) its application is minimally traumatic,(2) it has a reduced risk for immune mediated rejection, devoid of potential complications such as hypoglycemia, skin atrophy, tendon tears associated with corticosteroid injection, (3) it is simple to acquire and prep are,easy to carry out as out patient procedure and(4) it is inexpensive,(5) better relief of pain,(6) lower currencerate

Keywords: VAS, AOFAS, orthopaedic