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Sports Medicine, Wellness

Plantar Fasciitis and PRP- Offering Pro Athlete Treatment for Your Feet

PRP For Chronic Plantar Fasciitis

Have you experienced burning, stabbing pain in the heel of your foot with the first few steps after awakening? Does the pain seem to be triggered by long periods of standing or getting up from a seated position?  Do you notice the pain worse after certain exercises such as running, dancing, or aerobics? 1 If you have experienced any of the above symptoms please call the Village Osteopath at 317-491-5272 to schedule an appointment because you may be suffering from a condition known as Plantar Fasciitis.

What is Plantar Fasciitis?

Plantar fasciitis/heal pain syndrome is the most common condition treated by podiatric foot and ankle specialists in the United States.  It has been postulated that mechanical plantar fasciitis results from repeated microtrauma due to overuse, which results in micro (small) tears of the tissue until a macro (large) injury occurs.  The physiological process is initiated via an inflammatory process- an integral part of the wound healing cascade.  However, recent studies have shown the area of tendon most often affected by tendonapathy is not the area of the tendon that is subjected to the highest mechanical force.2  These studies may disprove the original postulated belief of the mechanism of pathology for plantar fasciitis.

Is It Inflamation?

This overwhelming data that chronic, hard to treat plantar fasciitis is not an inflammatory disorder changes our paradigm for treating this condition.2 These findings cast doubt on two of the mainstays of conservative treatment: non-steroidal anti-inflammatory (NSAID) agents like ibuprofen and cortisone injections.2   In fact, a controlled study demonstrated that an NSAID was no better than a simple pain medication or placebo (sugar pill) in the treatment of Achilles tendonopathy. Researchers have also demonstrated that corticosteroid injections do not change the pathological process.  If that is the case, then how should it be treated?

 

Platelet Rich Plasma (PRP) to the Rescue

A new treatment method known as Platelet Rich Plasma (PRP) has been shown to have significant benefits in the treatment of plantar fasciitis.  Researchers have demonstrated that injecting PRP into the origin of the

extensor muscle is efficacious in treating chronic lateral epicondylitis (tennis elbow).2   In their patient series, Edwards et. Al., found 79 percent of their patients were completely relieved of pain- even after strenuous activity – after one injection of PRP.   Additionally, 89 percent of their patients who required another injection reported complete resolution of symptoms. 2 It has been postulated that injecting PRP into symptomatic plantar fascia may cause a reparative effect leading to a resolution of symptoms.2  In an office study in which plantar fascia PRP  was performed it was found that PRP injection resulted in an average decrease in thickness of the medial, lateral, and central bands which form the plantar fascia.2  Most interestingly, all patients in this study had improvement that was not only felt by pain relief, but also noted on ultrasound.2  The injection of  PRP is safe and none of the patients involved in the above study experienced any complications.2  The successful early findings with injecting PRP indicate this is the way of the future in treating this difficult and painful condition.

 

Dr. Nall has state of the art ultrasound diagnostic imaging that can be used to diagnosis plantar fasciitis and we are now offering PRP injections for plantar fasciitis and other common painful issues like joint pain, back pain, tennis elbow, and rotator cuff tears.  If you believe you or someone you know has the symptoms of plantar fasciitis, please call our office at 317-491-5272 to schedule your consultation.

 

REFERENCES

  1. Plantar Fasciitis. MayoClinic.com. http://www.bing.com/health/article/mayo-MADS00508/Plantar-fasciitis?q=plantar+fasciitis&qpvt=plantar+fasciitis.
  2. Barrett, Stephen L., Erredge, Susan E:  Growth Factors For Chronic Plantar Fasciitis? Podiatry Today. November 2004.
  3. Astrom M, Westin N: No effect of piroxicam on Achilles tendonopathy: a randomized study of 70 patients. Acta Orthop Scand 63:631-634, 1992.
  4. Price R, Sinclair M, Heinrick I, Gibson T:  Local injection treatment of tennis elbow.  Hydrocortisone, triamcinolone and lignocaine compared.  BR J. Rheumatol 30:39-44, 1991.

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Village Osteopath
15510 Herriman Blvd
Noblesville, IN 46060
(317) 491-5272
(317) 324-3183 (fax)
info@villageosteopath.com