Skip to main content
Erschienen in: International Orthopaedics 5/2013

01.05.2013 | Original Paper

Platelet-rich plasma injections for chronic plantar fasciitis

Erschienen in: International Orthopaedics | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study was to assess the safety and preliminary clinical results of platelet-rich plasma (PRP) injections for treating chronic plantar fasciitis.

Methods

Fourteen consecutive patients with chronic plantar fasciitis receiving three injections of PRP into the plantar fascia were assessed 12 months after the procedure. The modified Roles and Maudsley score and a visual analogue scale (VAS) for pain were used to evaluate the clinical results.

Results

According to criteria of the Roles and Maudsley score, at 12 months of follow-up, results were rated as excellent in nine (64.3 %), good in two (14.3 %), acceptable in two (14.3 %) and poor in one (7.1 %) patient. VAS for pain was significantly decreased from 7.1 ± 1.1 before treatment to 1.9 ± 1.5 at the last follow-up (p < 0.01).

Conclusions

In this single-centre, uncontrolled, prospective, preliminary study, results indicate that treating chronic plantar fasciitis with PRP injections is safe and has the potential to reduce pain.
Literatur
1.
Zurück zum Zitat Andia I, Sanchez M, Maffulli N (2010) Tendon healing and platelet-rich plasma therapies. Expert Opin Biol Ther 10:1415–1426PubMedCrossRef Andia I, Sanchez M, Maffulli N (2010) Tendon healing and platelet-rich plasma therapies. Expert Opin Biol Ther 10:1415–1426PubMedCrossRef
2.
Zurück zum Zitat Barrett S, Erredge S (2004) Growth factors for chronic plantar fasciitis. Podiatr Today 17:37 Barrett S, Erredge S (2004) Growth factors for chronic plantar fasciitis. Podiatr Today 17:37
3.
Zurück zum Zitat Bosch G, van Schie HT, de Groot MW et al (2010) Effects of platelet-rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: a placebo-controlled experimental study. J Orthop Res 28:211–217PubMed Bosch G, van Schie HT, de Groot MW et al (2010) Effects of platelet-rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: a placebo-controlled experimental study. J Orthop Res 28:211–217PubMed
4.
Zurück zum Zitat Crawford F, Thomson C (2003) Interventions for treating plantar heel pain. Cochrane Database Syst Rev 3 CD000416 Crawford F, Thomson C (2003) Interventions for treating plantar heel pain. Cochrane Database Syst Rev 3 CD000416
5.
Zurück zum Zitat Cyriax JH, Cyriax PJ (1983) Illustrated manual of orthopaedic medicine. Butterworth, London Cyriax JH, Cyriax PJ (1983) Illustrated manual of orthopaedic medicine. Butterworth, London
6.
Zurück zum Zitat Davis PF, Severud E, Baxter DE (1994) Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int 15:531–535PubMedCrossRef Davis PF, Severud E, Baxter DE (1994) Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int 15:531–535PubMedCrossRef
7.
Zurück zum Zitat de Vos RJ, Weir A, van Schie HT et al (2010) Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA 303:144–149PubMedCrossRef de Vos RJ, Weir A, van Schie HT et al (2010) Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA 303:144–149PubMedCrossRef
8.
Zurück zum Zitat DiGiovanni BF, Nawoczenski DA, Lintal ME et al (2006) Plantar Fascia-Specific Stretching Exercise Improves Outcomes in Patients with Chronic Plantar Fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg 88A:1775–1881CrossRef DiGiovanni BF, Nawoczenski DA, Lintal ME et al (2006) Plantar Fascia-Specific Stretching Exercise Improves Outcomes in Patients with Chronic Plantar Fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg 88A:1775–1881CrossRef
9.
Zurück zum Zitat Eppley BL, Woodell JE, Higgins J (2004) Platelet quantification and growth factor analysis from platelet-rich plasma: Implications for wound healing. Plast Reconstr Surg 114:1502–1508PubMed Eppley BL, Woodell JE, Higgins J (2004) Platelet quantification and growth factor analysis from platelet-rich plasma: Implications for wound healing. Plast Reconstr Surg 114:1502–1508PubMed
10.
Zurück zum Zitat Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M (2010) Use of platelet-rich plasma for the treatment of refractory jumper’s knee. Int Orthop 34:909–915PubMedCrossRef Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M (2010) Use of platelet-rich plasma for the treatment of refractory jumper’s knee. Int Orthop 34:909–915PubMedCrossRef
11.
Zurück zum Zitat Foster TE, Puskas BL, Mandelbaum BR et al (2009) Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med 37:2259–2272PubMedCrossRef Foster TE, Puskas BL, Mandelbaum BR et al (2009) Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med 37:2259–2272PubMedCrossRef
12.
Zurück zum Zitat Gollwitzer H, Diehl P, von Korff A et al (2007) Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the e& cacy of a new electromagnetic shock wave device. J Foot Ankle Surg 46:348–357PubMedCrossRef Gollwitzer H, Diehl P, von Korff A et al (2007) Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the e& cacy of a new electromagnetic shock wave device. J Foot Ankle Surg 46:348–357PubMedCrossRef
13.
Zurück zum Zitat Gosens T, Den Oudsten BL, Fievez E, van’t Spijker P, Fievez A (2012) Pain and activity levels before and after platelet-rich plasma injection treatment of patellar tendinopathy: a prospective cohort study and the influence of previous treatments. Int Orthop 36:1941–1946PubMedCrossRef Gosens T, Den Oudsten BL, Fievez E, van’t Spijker P, Fievez A (2012) Pain and activity levels before and after platelet-rich plasma injection treatment of patellar tendinopathy: a prospective cohort study and the influence of previous treatments. Int Orthop 36:1941–1946PubMedCrossRef
14.
Zurück zum Zitat Haake M, Buch M, Schoellner C et al (2003) Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 327:75PubMedCrossRef Haake M, Buch M, Schoellner C et al (2003) Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 327:75PubMedCrossRef
15.
Zurück zum Zitat Hall MP, Band PA, Meislin RJ et al (2009) Platelet-rich plasma: current concepts and application in sports medicine. J Am Acad Orthop Surg 17:602–608PubMed Hall MP, Band PA, Meislin RJ et al (2009) Platelet-rich plasma: current concepts and application in sports medicine. J Am Acad Orthop Surg 17:602–608PubMed
16.
Zurück zum Zitat Healey K, Chen K (2010) Plantar fasciitis: current diagnostic modalities and treatments. Clin Podiatr Med Surg 27:369–380PubMedCrossRef Healey K, Chen K (2010) Plantar fasciitis: current diagnostic modalities and treatments. Clin Podiatr Med Surg 27:369–380PubMedCrossRef
17.
Zurück zum Zitat Lee TG, Ahmad TS (2007) Intralesional autologous blood injection compared to corticosteroid injection for treatment of chronic plantar fasciitis. A prospective, randomized, controlled trial. Foot Ankle Int 28:984–990PubMedCrossRef Lee TG, Ahmad TS (2007) Intralesional autologous blood injection compared to corticosteroid injection for treatment of chronic plantar fasciitis. A prospective, randomized, controlled trial. Foot Ankle Int 28:984–990PubMedCrossRef
18.
Zurück zum Zitat Malay DS, Pressman MM, Assili A et al (2006) Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg 45:196–210PubMedCrossRef Malay DS, Pressman MM, Assili A et al (2006) Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg 45:196–210PubMedCrossRef
19.
Zurück zum Zitat Martin RL, Irrgang JJ, Conti SF (1998) Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int 19:803–811PubMedCrossRef Martin RL, Irrgang JJ, Conti SF (1998) Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int 19:803–811PubMedCrossRef
20.
Zurück zum Zitat Marx RE (2004) Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 62:489–496PubMedCrossRef Marx RE (2004) Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 62:489–496PubMedCrossRef
21.
Zurück zum Zitat Mishra A, Pavelko T (2006) Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 34:1774–1778PubMedCrossRef Mishra A, Pavelko T (2006) Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 34:1774–1778PubMedCrossRef
22.
Zurück zum Zitat Mishra A, Woodall J Jr, Vieira A (2009) Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 28:113–125PubMedCrossRef Mishra A, Woodall J Jr, Vieira A (2009) Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 28:113–125PubMedCrossRef
23.
Zurück zum Zitat Ogden JA, Alvarez RG, Marlow M (2002) Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. Foot Ankle Int 23:301–308PubMed Ogden JA, Alvarez RG, Marlow M (2002) Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. Foot Ankle Int 23:301–308PubMed
24.
Zurück zum Zitat Roles NC, Maudsley RH (1972) Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg 54B:499–508 Roles NC, Maudsley RH (1972) Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg 54B:499–508
25.
Zurück zum Zitat Sánchez M, Anitua E, Azofra J, Andía I, Padilla S, Mujika I (2007) Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med 35:245–251PubMedCrossRef Sánchez M, Anitua E, Azofra J, Andía I, Padilla S, Mujika I (2007) Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med 35:245–251PubMedCrossRef
26.
Zurück zum Zitat Speed CA (2004) Extracorporeal shock-wave therapy in the management of chronic soft-tissue conditions. J Bone Joint Surg 86B:165–171CrossRef Speed CA (2004) Extracorporeal shock-wave therapy in the management of chronic soft-tissue conditions. J Bone Joint Surg 86B:165–171CrossRef
Metadaten
Titel
Platelet-rich plasma injections for chronic plantar fasciitis
Publikationsdatum
01.05.2013
Erschienen in
International Orthopaedics / Ausgabe 5/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1741-0

Weitere Artikel der Ausgabe 5/2013

International Orthopaedics 5/2013 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.