Corticosteroid vs Platelet Rich Plasma Injections in the Treatment of Chronic Plantar Fasciitis
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Date of Graduation
Objective: To assess the effectiveness of platelet rich plasma (PRP) injections in the treatment of chronic plantar fasciitis compared to traditional corticosteroid injections. Design: Systematic literature review. Methods: A literature search was performed in Pubmed using the search terms “plantar fasciitis” and “platelet rich plasma”. Inclusion criteria included publication within 10 years, randomized control trial, human study, and containing the American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scoring system. Results: Our literature search resulted in the review of three randomized- control trials. Mahindra et al. showed that PRP was superior to corticosteroid injections in the treatment of chronic plantar fasciitis at 3 months. Acosto-Olivo et al. found both treatments were equally effective at reducing symptoms of plantar fasciitis over a 16- week period. Similar to Mahindra et al., Monto found that PRP was a more effective treatment for maintaining remission of chronic plantar fasciitis over a 24- month period. Conclusion: PRP injections are shown to be as effective or more effective than corticosteroid injections in the treatment of chronic plantar fasciitis that has failed conservative treatment.
Meaney, E.J., Adelman, E.W. Corticosteroid vs Platelet Rich Plasma Injections in the Treatment of Chronic Plantar Fasciitis. James Madison University Physician Assistant Capstone Project Poster Presentations (Harrisonburg, VA). Jan 10.