Platelet rich plasma in treatment of plantar fascitis

Authors

  • N. Venkatseh Kumar Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India
  • Arvind Kumar S. M. Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India
  • Udayamoorthy S. Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India
  • Krishna Kumar Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20171494

Keywords:

Platelet rich plasma, Plantar fascitis, Visual analogue score

Abstract

Background: Platelet rich plasma (PRP) has been a breakthrough in the field of medicine especially in the field of orthopaedics for enhancing bone and soft tissue healing. Plantar Fasciitis is a very common problem in the field of orthopaedics and are very difficult to treat and a challenge to orthopaedicians. The aim of our study was to find out the efficacy of autologous PRP in relieving pain in patients with plantar fasciitis.

Methods: In this study, 25 patients with plantar fasciitis (age above 18 years) were selected. The pain intensity was assessed with visual analogue score initially and during follow up. All subjects were given single autologous intra-lesional PRP injection and the results were assessed using difference in VAS.

Results: The mean pain score at presentation was 8.08. The mean pain scores at subsequent intervals of 1,2,4,6 months after injection were 4.32, 2.60, 1.88 & 2.00 respectively. (P<0.05 which is statistically significant). The maximum pain relief was seen at 4th month post PRP injection and the pain relief was sustained till the last follow up.

Conclusions: From our study we have found that Intra-lesional autologous PRP is effective in relieving pain in patients with plantar fasciitis. PRP is biological and can be a safe adjuvant in the treatment of Plantar Fasciitis.

Author Biographies

N. Venkatseh Kumar, Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India

assosciate professor department of orthopaedics

Arvind Kumar S. M., Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India

PROFESSOR

DEPARTMENT OF ORTHOPAEDICS

Udayamoorthy S., Department of Orthopaedics, PSGIMSR, Coimbatore, Tamil Nadu, India

JUNIOR RESIDENT

DEPARTMENT OF ORTHOPAEDICS

References

Ragab EMS, Othman AMA. Platelet rich plasma for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg. 2012;132:1065-70.

Aksahin E, Dogruyol D, Yuksel HY, Hapa O, Dogan O, Celebi L, et al. The comparison of the effects of corticosteroids and platelet rich plasma for treatment of plantar fasciitis. Arch Orthop Trauma Surg. 2012;132:781-5.

Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:638-46.

Mehtra S, Watson JT. Platelet rich concentrate: basic science and current clinical applications. J Orthop Trauma. 2008;22(6)433-43.

Robert E Marx: platelet rich plasma what is prp and what is not PRP. Implant Dentistry. 2001;10;(4)225-8.

Ferrari M, Zia S, Valbonesi M, Henriquet F, Venere G, Spagnolo S, et al. A new technique for hemodilution, preparation of autologous platelet-rich plasma and intraoperative blood salvage in cardiac surgery. Int J Artif Organs. 1987;10(1):47-50.

Maynard DM, Heijnen HF, Horne MK, White JG, Gahl WA. Proteomic analysis of platelet alpha-granules using mass spectrometry. J Thromb Haemost. 2007;5(9):1945-55.

Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA. Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med. 2009;37(11):2259-72.

Sanchez AR, Sheridan PJ, Kupp LI. Is platelet-rich plasma the perfect enhancement factor? : a current review. Int J Oral Maxillofac Implants. 2003;18:93-103.

Einhorn TA. The science of fracture healing. J Orthop Trauma. 2005;19(10):4-6.

Alsousou J, Thompson M, Hulley P,Noble A, Willet K. The biology of platelet rich plasma and its application in trauma and orthopaedic surgery. J Bone Joint Surg Br. 2009;91(8):987-96.

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Published

2017-04-25

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Original Research Articles