Author/Authors :
Homayouni، Kaynoosh نويسنده Department of Rehabilitation, School of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran; , , Karimian، Hajar نويسنده Department of Physical Medicine and Rehabilitation, Medical School, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel/Fax: +98-7112319040 , , Golkar، Hamid Reza نويسنده Department of Internal Medicine, Shahid Beheshti Hospital,
Kashan University of Medical Sciences, Kashan, IR
Iran , , Jalalati، Nayyereh نويسنده Department of Physical Medicine and Rehabilitation, Shahid
Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR
Iran ,
Abstract :
Plantar fasciitis (PF) is one of the common reasons of heel pain
that making up 11% - 15% professional managements for the foot symptoms
among adults. The current study aimed to compare the effect of
ultrasound-guided (US-guided) injection of platelets rich plasma (PRP)
with that of corticosteroid injection to treat patients with chronic PF.
Patients with PF (n = 30) were assigned to receive either PRP or
corticosteroid US-guided injection. The pain level was evaluated by the
visual analogue scale (VAS) the baseline, three and eight weeks after
injection. Disabilities were assessed by foot and ankle ability measure
(FAAM) at the baseline, three and eight weeks after injection. In both
corticosteroid and PRP injected groups, the average VAS heel pain scores
and the mean FAAM subscales scores were statistically lower compared
with the pre-treatment scores (P < 0.001). The improving symptoms
in the corticosteroid group at the beginning (after three weeks) were
better and then decreased after eight weeks, but the differences were
not significant; while in the PRP group symptoms progressively improved.
The current study results revealed that both methods were effective and
successful to treat PF, but due to potential complication of
corticosteroid and its short-term relief of pain, PRP injection looked
safer.
