Journal of Isfahan Medical School

Journal of Isfahan Medical School

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
Shirvan Rastegar 1
Khatereh Orak 2
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
10.22122/jims.v36i508.10680
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
Plantar fasciitis
Extracorporeal shockwave therapy
Platelet-rich plasma
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Journal of Isfahan Medical School
Volume 36, Issue 508 - Serial Number 508
November and December 2019
Pages 1526-1532

  • Receive Date 16 August 2018
  • Accept Date 06 April 2022