Haddad Shadi, Yavari Pedram, Mozafari Safoura, Farzinnia Saeed, Mohammadsharifi Ghasem
Medical Student, Najafabad Branch, Islamic Azad University Najafabad, Isfahan, Iran.
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Int J Burns Trauma. 2021 Feb 15;11(1):1-8. eCollection 2021.
Plantar fasciitis is a common cause of plantar pain which is prevalent among adults. Conservative tractions, invasive injections, shock therapies and also surgical procedures are known as beneficial methods in non-responsive cases. Here we evaluated and compared the injection of platelet rich plasma (PRP) and usage of extracorporeal shockwave therapy (ESWT) in pain reduction in patients with chronic plantar fasciitis.
This is a randomized clinical trial that was performed in 2017-2020 on patients with chronic plantar fasciitis who did not respond to conservative therapies. A total number of 110 patients with plantar fasciitis were entered based on inclusion and exclusion criteria. Patients were then divided into two groups. The pain of patients was measured using visual analogue scale (VAS) before interventions. The first group underwent PRP injections while the second group underwent ESWT using Shock Master 500. Patients were visited 2, 4, 8, 12, 16, and 24 weeks after interventions and the pain scores were noted using VAS.
Data of 104 patients were analyzed. Initial VAS scores of patients were also analyzed. These data indicated no significant differences between the pains of patients before interventions (P = 0.413). Pain evaluations in 2, 4, 8, 12, 16, and 24 weeks after interventions with controlling age and sex showed significantly reduced VAS scores in both groups after interventions (P = 0.002). We should also note that pain in the PRP group reduced more than ESWT group and this difference was also significant (P = 0.001).
Here we showed that PRP injections and ESWT are both beneficial in pain amelioration in patients with chronic plantar fasciitis. We also indicated that PRP injections were associated with better pain reduction results compared to ESWT.
足底筋膜炎是成年人中常见的足底疼痛原因。保守牵引、侵入性注射、冲击波疗法以及外科手术在治疗无效的病例中被认为是有效的方法。在此，我们评估并比较了富血小板血浆（PRP）注射和体外冲击波疗法（ESWT）对慢性足底筋膜炎患者疼痛减轻的效果。
这是一项于2017年至2020年对保守治疗无效的慢性足底筋膜炎患者进行的随机临床试验。根据纳入和排除标准，共有110例足底筋膜炎患者入组。然后将患者分为两组。干预前使用视觉模拟量表（VAS）测量患者疼痛程度。第一组接受PRP注射，而第二组使用Shock Master 500进行ESWT。干预后2、4、8、12、16和24周对患者进行随访，使用VAS记录疼痛评分。
分析了104例患者的数据。还分析了患者的初始VAS评分。这些数据表明干预前患者疼痛程度无显著差异（P = 0.413）。在控制年龄和性别后，干预后2、4、8、12、16和24周的疼痛评估显示两组干预后VAS评分均显著降低（P = 0.002）。我们还应注意到，PRP组的疼痛减轻程度超过ESWT组，且这种差异也具有显著性（P = 0.001）。
在此我们表明，PRP注射和ESWT对慢性足底筋膜炎患者的疼痛改善均有益。我们还指出，与ESWT相比，PRP注射在减轻疼痛方面效果更好。
