Platelet Rich Plasma beats Cortisone for Plantar Fasciitis

In a newspaper presented today at the American Academy of Orthopedic Surgery Meeting inwards San Francisco, platelet rich plasma was industrial plant life to last a significantly amend handling for plantar fasciitis when compared to the criterion handling of cortisone.  See the details outlined below inwards the abstract presented yesteryear Dr. Monto. 

Raymond R. Monto, MD, Nantucket, Massachusetts, United States

INTRODUCTION Chronic plantar fasciitis is a mutual merely sometimes hard status to successfully treat. Platelet rich plasma (PRP), a concentrated bioactive cistron of autologous blood that is rich inwards cytokines together with other increase factors, was compared amongst cortisone injection inwards the handling of severe cases of plantar fasciitis resistant to traditional non-operative paradigms. METHODS Thirty-six patients (16 males, xx females) amongst severe chronic plantar fasciitis who had failed traditional non-operative handling (rest, heel lifts, PT, NSAIDS, cam walker immobilization, nighttime splinting, local modalities) were randomized into ii written report groups together with evaluated prospectively. All patients had pre-treatment MRI together with ultrasound studies consistent amongst plantar fasciitis. Group 1 was treated amongst a unmarried ultrasound-guided injection of xl mg methylprednisolone at the injury site together with Group 2 was treated amongst a unmarried ultrasound-guided injection of un-buffered autologous PRP at the injury site. All patients were together with hence immobilized fully weight bearing inwards a cam walker for ii weeks, started on eccentric domicile exercises together with and hence allowed to provide to normal activities every bit tolerated together with without support. RESULTS Group 1 had an average historic menstruation of 59 (24-74) together with had failed 5.4 months (4-24) of criterion non-operative administration together with had pre-treatment AOFAS scores of 52 (24-60). The PRP grouping had an average historic menstruation of 51 (21-67) together with had failed 5.7 months (4-26) of criterion non-operative administration together with had pre-treatment AOFAS scores of 37 (30-56). Post-treatment AOFAS scores inwards Group 1 initially improved to 81 (60-90) at 3 months merely decreased to 74 (56-85) at vi months together with dropped farther to 58 (45-77) at 12 months follow up. Post-treatment AOFAS scores inwards Group 2 improved to 95 (84-90) at 3 months together with remained first-class at 94 (87-100) at vi months together with stayed at 94 (86-100) at 12 months follow upwards (CI 95% P=0.001). No patients were lost to follow up. DISCUSSION AND CONCLUSION This written report suggests that platelet rich plasma injection is significantly to a greater extent than effective together with durable than cortisone injection for the handling of severe chronic plantar fasciitis refractory to traditional non-operative management. AM Total Tendon

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