Platelet-rich plasma, or PRP, for plantar fasciitis is a treatment for this common condition that has been proven effective in improving symptoms. It has an advantage over other treatment options like steroid injections and nonsteroidal anti-inflammatory drugs. However, it is important to note that PRP is not a cure for plantar fasciitis. As with any other treatment, the success rate is variable.
There are a number of treatment options available for plantar fasciitis, including stretching, ice, and steroid injections. In some cases, conservative treatment alone can alleviate symptoms, and surgery is usually reserved for patients who have not responded to more conservative approaches. If stretching and anti-inflammatory drugs do not help, your doctor may prescribe a corticosteroid injection. However, these drugs do have some risks, including heel pad atrophy and rupture of the plantar fascia.
Symptoms of plantar fasciitis include stabbing pain in the heel and midfoot. The pain often comes on gradually, but it may also occur suddenly if you take a large step or jump. It is often worst in the morning and may worsen when standing for long periods of time after sitting. Walking after prolonged periods of sitting can also make the pain worse. The condition is often aggravated by prolonged activity and wearing low-support shoes.
Medications are the most common treatment options for plantar fasciitis. Anti-inflammatory medications, stretching, and custom-made footwear can help reduce pain. In severe cases, patients may require corticosteroids, a corticosteroid injection, or a walking cast. Physical therapy is also a viable treatment option. The best way to find the right treatment for plantar fasciitis is to consult a physician.
Treatment with platelet-rich plasma
Patients suffering from plantar fasciitis often experience heel pain, but platelet-rich plasma has been shown to be a successful treatment for plantar fasciitis. The injection, which was proven effective in a randomized, double-blind placebo-controlled study, has several advantages. The granules of platelet-rich plasma contain a variety of growth factors, anti-inflammatory cytokines, and collagen. These factors have been shown to initiate healing stages, enhance fibroblast migration, increase collagen deposition, remove tissue debris, lay extracellular matrix, and promote healing.
The treatment begins with a blood sample, typically 30 milliliters, which is spun to separate the components. The resulting platelet-rich plasma is then injected back into the patient. The concentration of platelets in PRP is three to five times higher than in platelet-poor plasma. A trained orthopedic surgeon will inject the PRP directly into the affected area to promote healing. In some patients, activating agents are also added to increase the growth factor concentration.
Another new treatment for plantar fasciitis involves injecting platelet-rich plasma into the affected area. This treatment was approved by the Food and Drug Administration in May 2011. Despite its success, adverse side effects are still an issue. In the meantime, many patients have successfully used platelet-rich plasma as a treatment for their plantar fasciitis. The research team believes that this treatment will improve patient outcomes.
Treatment with steroid injections
The effectiveness of corticosteroid injections for plantar fasciiti is uncertain. While corticosteroids may decrease the inflammatory pain, they have the potential to damage the fatty pads covering the bottom of the foot. One study reported no side effects while another lacked data. However, this is not a reason to discount corticosteroid injections. In fact, they are a valuable treatment for certain conditions, and can be an important component of a comprehensive plantar fasciitis treatment.
A study published in 2012 compared two methods for treating painful heels. Although US-guided injections have fewer risks, they did not produce better results than palpation-guided procedures. Additionally, the US-guided injection required regional anaesthesia and caused more pain. A peppering technique has also been reported to be effective in some studies. It has not been shown to be superior to corticosteroid injections, but it may be preferable for certain patients.
Corticosteroid injections are usually given through a thin needle. These injections may be painful, so your doctor will often add a numbing agent before injecting. Afterward, you must stay off your feet for at least two days and avoid strenuous activity for a few weeks. During this time, the steroid will relieve the pain for a few days. This treatment may be continued for up to three months or longer.