A Comparison of the Effectiveness of Extracorporeal Shockwave Therapy and Platelet-Rich Plasma Therapy in Treatment of Plantar Fasciitis Inflammation

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: This study aimed to compare the effectiveness of extracorporeal shockwave therapy (ESWT) and platelet-rich plasma (PRP) therapy on the treatment of plantar fasciitis inflammation.Methods: In this randomized clinical trial study, the patients diagnosed with plantar fasciitis were included. According to their agreement, all patients underwent radiography and foot magnetic resonance imaging (MRI) to rule out stress fractures and other bone injuries. Two PRP and ESWT treatment methods were used separately in two groups, and each group was given specific exercises after the treatment. All patients were evaluated at the beginning of the study, and 3, 6, and 12 weeks, and 6 and 12 months after it using visual analog scale (VAS), and their average score was recorded.Findings: A comparison of the mean pain scores in plantar fasciitis inflammation at different time points determined by PRP and ESWT methods with control of two variables of age and gender, showed a significant difference between the two methods (P = 0.007). According to the mean values of the two methods, the pain in PRP method was reduced more than the ESWT method, and the auxiliary variables of age and gender had no effect. Meanwhile, it showed a significant difference between the results of repeated measurements in at least one of these methods (P = 0.006); and based on the mean values of the repeated measurements, the PRP method was that.Conclusion: The study results showed the successful effectiveness of PRP therapy in the treatment of plantar fasciitis inflammation compared to ESWT method.

Keywords

References

  1. Lemont H, Ammirati KM, Usen N. Plantar fasciitis: A degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc 2003; 93(3): 234-7.
  2. Malliaropoulos N, Crate G, Meke M, Korakakis V, Nauck T, Lohrer H, et al. Success and recurrence rate after radial extracorporeal shock wave therapy for plantar fasciopathy: A retrospective study. Biomed Res Int 2016; 2016: 9415827.
  3. Mahmood S, Huffman LK, Harris JG. Limb-length discrepancy as a cause of plantar fasciitis. J Am Podiatr Med Assoc 2010; 100(6): 452-5.
  4. Lim AT, How CH, Tan B. Management of plantar fasciitis in the outpatient setting. Singapore Med J 2016; 57(4): 168-70.
  5. Rompe JD, Hopf C, Nafe B, Burger R. Low-energy extracorporeal shock wave therapy for painful heel: A prospective controlled single-blind study. Arch
  6. Orthop Trauma Surg 1996; 115(2): 75-9.
  7. Metzner G, Dohnalek C, Aigner E. High-energy extracorporeal shock-wave therapy (ESWT) for the treatment of chronic plantar fasciitis. Foot Ankle Int 2010; 31(9): 790-6.
  8. O'Malley MJ, Vosseller JT, Gu Y. Successful use of platelet-rich plasma for chronic plantar fasciitis. HSS J 2013; 9(2): 129-33.
  9. Chang KV, Chen SY, Chen WS, Tu YK, Chien KL. Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis: a systematic review and network meta-analysis. Arch Phys Med Rehabil 2012; 93(7): 1259-68.
  10. Gerdesmeyer L, Frey C, Vester J, Maier M, Weil L, Jr., Weil L, Sr., et al. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: Results of a confirmatory randomized placebo-controlled multicenter study. Am J Sports Med 2008; 36(11): 2100-9.
  11. Lohrer H, Nauck T, Dorn-Lange NV, Scholl J, Vester JC. Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Foot Ankle Int 2010; 31(1): 1-9.
  12. van der Worp H, Zwerver J, Hamstra M, van den Akker-Scheek I, Diercks RL. No difference in effectiveness between focused and radial shockwave therapy for treating patellar tendinopathy: A randomized controlled trial. Knee Surg Sports Traumatol Arthrosc 2014; 22(9): 2026-32.
  13. Hsiao MY, Hung CY, Chang KV, Chien KL, Tu YK, Wang TG. Comparative effectiveness of autologous blood-derived products, shock-wave therapy and corticosteroids for treatment of plantar fasciitis: A network meta-analysis. Rheumatology (Oxford) 2015; 54(9): 1735-43.
  14. Tiwari M, Bhargava R. Platelet rich plasma therapy: A comparative effective therapy with promising results in plantar fasciitis. J Clin Orthop Trauma 2013; 4(1): 31-5.
  15. Lee SJ, Kang JH, Kim JY, Kim JH, Yoon SR, Jung KI. Dose-related effect of extracorporeal shock wave therapy for plantar fasciitis. Ann Rehabil Med 2013; 37(3): 379-88.
  16. Martinelli N, Marinozzi A, Carni S, Trovato U, Bianchi A, Denaro V. Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop 2013; 37(5): 839-42.
  17. Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 2008; 31(2): 165-9.
  18. Kim TG, Bae SH, Kim GY, Kim KY. The effects of extracorporeal shock wave therapy on stroke patients with plantar fasciitis. J Phys Ther Sci 2015; 27(2): 523-6.
  19. Dastgir N. Extracorporeal shock wave therapy for treatment of plantar fasciitis. J Pak Med Assoc 2014; 64(6): 675-8.
  20. Zhiyun L, Tao J, Zengwu S. Meta-analysis of high-energy extracorporeal shock wave therapy in recalcitrant plantar fasciitis. Swiss Med Wkly 2013; 143: w13825.
  21. Acosta-Olivo C, Elizondo-Rodriguez J, Lopez-Cavazos R, Vilchez-Cavazos F, Simental-Mendia M, Mendoza-Lemus O. Plantar fasciitis-a comparison of treatment with intralesional steroids versus platelet-rich plasma a randomized, blinded study. J Am Podiatr Med Assoc 2017; 107(6): 490-6.
  22. Huskisson EC. Measurement of pain. Lancet 1974; 2(7889): 1127-31.
  23. Hale SA, Hertel J. Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. J Athl Train 2005; 40(1): 35-40.
  24. Leigheb M, Janicka P, Andorno S, Marcuzzi A, Magnani C, Grassi F. Italian translation, cultural adaptation and validation of the "American Orthopaedic Foot and Ankle Society's (AOFAS) ankle-hindfoot scale". Acta Biomed 2016; 87(1): 38-45.
Journal of Isfahan Medical School
Volume 36, Issue 508 - Serial Number 508
November and December 2019
Pages 1526-1532

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History

  • Receive Date: 16 August 2018
  • Revise Date: 08 May 2024
  • Accept Date: 06 April 2022

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