Plantar Fasciitis—A Comparison of Treatment with Intralesional Steroids versus Platelet-Rich Plasma

Acosta Olivo, Carlos Alberto y Elizondo Rodríguez, Jorge y Lopez Cavazos, Ricardo y Vílchez Cavazos, Félix y Simental Mendía, Mario Alberto y Mendoza Lemus, Oscar Fernando (2017) Plantar Fasciitis—A Comparison of Treatment with Intralesional Steroids versus Platelet-Rich Plasma. Journal of the American Podiatric Medical Association, 107 (6). pp. 490-496. ISSN 8750-7315

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URL o página oficial: http://doi.org/10.7547/15-125

Resumen

Background: Many treatment options for plantar fasciitis currently exist, some with great success in pain relief. The objective of our study was to compare the use of intralesional steroids with platelet-rich plasma (PRP), using pain scales and functional evaluation, in patients with plantar fasciitis who did not respond to conservative treatment. Methods: A controlled, randomized, blinded clinical assay was performed. Patients were assigned to one of the two groups by selecting a sealed envelope. The steroid treatment group received 8 mg of dexamethasone plus 2 mL of lidocaine as a local anesthetic. The PRP treatment group received 3 mL of PRP activated with 0.45 mL of 10% calcium gluconate. All of the patients were evaluated at the beginning of the study, and at 2, 4, 8, 12, and 16 weeks post-treatment with the Visual Analog Scale (VAS), Foot and Ankle Disability Index (FADI), and American Orthopedic Foot and Ankle Society (AOFAS) scale. Results: The right foot was the most frequently affected foot (63%). The average age of the patients was 44.8 years (range, 24–61 years). All scales used (VAS, FADI and AOFAS) showed that the difference was not statistically significant between the two groups. Conclusions: We can conclude that the use of PRP is an effective treatment method for patients with plantar fasciitis who do not respond to conservative treatment because PRP demonstrates an efficacy equal to that of steroids. However, the cost and the time for preparation the PRP are two of the disadvantages of this treatment. (J Am Podiatr Med Assoc 107(6): 490-496, 2017)

Tipo de elemento: Article
Materias: R Medicina > RD Cirugía
Usuario depositante: Lic. Josimar Pulido
Creadores:
CreadorEmailORCID
Acosta Olivo, Carlos AlbertoNO ESPECIFICADONO ESPECIFICADO
Elizondo Rodríguez, JorgeNO ESPECIFICADONO ESPECIFICADO
Lopez Cavazos, RicardoNO ESPECIFICADONO ESPECIFICADO
Vílchez Cavazos, FélixNO ESPECIFICADONO ESPECIFICADO
Simental Mendía, Mario AlbertoNO ESPECIFICADONO ESPECIFICADO
Mendoza Lemus, Oscar FernandoNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 30 Abr 2020 12:59
Última modificación: 28 Oct 2020 15:27
URI: http://eprints.uanl.mx/id/eprint/17484

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