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By: flex1682 Date: 13.06.2017

I wanted to see how effective a new technique—platelet-rich plasma PRP —would be with patients who have chronic plantar fasciitis. Monto, chronic plantar fasciitis is a common, yet occasionally difficult, condition to treat successfully.

Improved outcomes using PRP as a treatment in a study of patients with severe, chronic, Achilles tendinitis led him to consider using PRP with his plantar fasciitis patients. Control group participants 8 men, 12 women were an average of 59 years old range: Patients in the experimental group 9 men, 11 women were an average of 51 years old range: The control group received a single ultrasound-guided injection of 40 mg methylprednisolone at the injury site.

Patients in the experimental group received a single ultrasound-guided injection 3 cc of unbuffered autologous PRP at the injury site. All patients were fitted with an inflatable walking Aircast fracture boot, worn for 2 weeks.

They were started on eccentric home exercises and allowed to return to normal activities as tolerated and without support. Patients were given a home eccentric exercise and stretching program and were not permitted to use nonsteroidal medications during the first 2 weeks after treatment. Encouraging results At 3-month follow-up, AOFAS scores had improved for all patients.

The mean score for patients in the control group was 81 range: However, the average score for patients in the control group fell to 74 range: In contrast, the average score for patients in the experimental PRP group remained high, at 94 range: Despite the long-term success of PRP in this study, Dr. Monto notes that the fundamental treatment paradigm of rest, ice, eccentric exercise, activity modification, and selective immobilization is still successful in the majority of patients with mild to moderate disease and should not be abandoned.

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In the early results, the cortisone patients did very well, but after initial follow-up, their scores began to recede, and at 6 months the difference was significant. At 12 months, many of the patients who received cortisone had returned to their baseline, whereas the PRP-treated patients had retained most of their improvement.

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Early clinical study shows improved outcomes compared to cortisone Peter Pollack I wanted to see how effective a new technique—platelet-rich plasma PRP —would be with patients who have chronic plantar fasciitis. PRIVACY POLICY Careers at AAOS Patient Education AAOS Policies. Create Account Forgot Password.

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