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BackgroundPlatelet-rich plasma (PRP) has been gaining popularity as a treatment for plantar fasciitis (PF).Aim of the workTo compare local autologous PRP and steroid injections both clinically and sonographically within 3-months and also regarding its safety.Patients and methodsThis study was carried out on 50 patients with chronic PF divided into two groups: steroid and PRP groups (n=25 each). Patients were assessed by visual analog scale (VAS), Foot Health Status Questionnaire (FHSQ) and ultrasonography at 1.5 and 3months post-injection.ResultsThe 50 patients had comparable disease duration (p>0.5). At 1.5months post-injection, there was more improvement in the PRP than in the steroid group both clinically (as assessed by the VAS) and ultrasonographically (as regards the echogenicity) (p=0.008 and p<0.01, respectively). There was no significant difference between both groups at 3months. The echogenicity significantly improved at 3months post-injection within each group (p<0.0001). Regarding thickness, the difference did not reach significance (p=0.11, p>0.05). No significant difference was present between the 2 groups regarding the reduction plantar fascia thickness at 1.5 (p=0.89) and 3months (p=0.64) post-injection. Regarding the safety of both injections, none of our patients in either group developed any significant complications.ConclusionsWe suggest that the PRP injection is a new, readily available, well tolerated and safe choice of therapy for chronic PF and is not inferior to steroid injection in a short term 3month follow up. Comparing the long-term efficacy both clinically and sonographically is necessary to confirm their sustained effect

the egyptian rheumatologist

Local injection of autologous platelet rich plasma compared to corticosteroid treatment of chronic plantar fasciitis patients: A clinical and ultrasonographic follow-up study