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Category: Volume 08 Issue 08 August 2020
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Title: Autologous whole blood versus corticosteroid local injection in treatment of plantar fasciitis

Authors: Imran Qayoom, Tahir Shafi, Mohd Rafeeq Wani

 DOI: https://dx.doi.org/10.18535/jmscr/v8i8.33

Abstract

Plantar fasciitis is the most common cause of heel pain. Local injection modalities are among treatment options in patients with resistant pain.

Purpose: The aim of the present study was to evaluate the effect of local autologous whole blood compared with corticosteroid local injection in treatment of plantar fasciitis. In this randomized controlled study,

Method: 75 patients with chronic plantar fasciitis were recruited. Patients were allocated randomly into three treatment groups:  local autologous blood, local corticosteroid injection, and control groups receiving no injection. Patients were assessed with visual analog scale (VAS) and plantar fasciitis pain/disability scale (PFPS) before treatment, as well as 4 and 12 weeks post therapy.

Result: Variables of pain and function improved significantly in both corticosteroid and autologous blood groups compared to control group. At 4 weeks following treatment, patients in corticosteroid group had significantly lower levels of pain than patients in autologous blood and control groups.

Keywords: Autologous whole blood. Corticosteriod. Plantar fasciitis.

References

  1. Buchbinder R (2004) Clinical practice. Plantar fasciitis. N Engl J Med 350:2159–2166.
  2. Grieve R, Palmer S (2016) Physiotherapy for plantar fasciitis: a UK-wide survey of current practice. Physiotherapy. doi:10.1016/j. physio.2016.02.002
  3. Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV et al (2010) The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg 49(3 Suppl):S1–19.
  4. Ribeiro AP, João SM, Dinato RC, Tessutti VD (2015) Sacco IC.Dynamic patterns of forces and loading rate in runners with unilateral PlantarFasciitis: a cross-sectional study. PLoS One 10(9): e0136971.
  5. Lim AT, How CH, Tan B (2016) Management of plantar fasciitis in the outpatient setting. J Orthop Sports Phys Ther 6:1–101.
  6. Yu H1, Randhawa K, Côté P, Optima Collaboration (2016) The effectiveness of physical agents for lower-limb soft tissue injuries: a systematic review. J Orthop Sports Phys Ther 6:1–101
  7. Eslamian F, Shakouri SK, Jahanjoo F, Hajialiloo M, Notghi F (2016) Extra corporeal shock wave therapy versus local corticosteroid injection in the treatment of chronic plantar fasciitis, a single blinded randomized clinical trial. Pain Med 17(9):1722–1731.
  8. Macias DM, Coughlin MJ, Zang K, Stevens FR, Jastifer JR, Doty JF (2015) Low-level laser therapy at 635 nm for treatment of chronic plantar fasciitis: a placebo-controlled, randomized study. J Foot Ankle Surg 54(5):768–772.
  9. Piper S, Shearer HM, Côté P et al (2016) The effectiveness of softtissue therapy for themanagement of musculoskeletal disorders and injuries of the upper and lower extremities: a systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration. Man Ther 21:18–34.
  10. Cox J, Varatharajan S, Côté P (2016) J. Effectiveness of acupuncture therapies to manage musculoskeletal disorders of the extremities: a systematic review. Orthop Sports Phys Ther 46(6):409–429.
  11. Akşahin E1, Doğruyol D, HY Y, Hapa O, Doğan O, Celebi L, Biçimoğlu A et al (2012) Arch Orthop Trauma Surg 132(6):781– 785. doi:10.1007/s00402-012 1488-5.
  12. Tong KB, Furia J (2010) Economic burden of plantar fasciitis treatment I the United States. Am J Orthop (Belle Mead NJ) 39(5): 227–231.
  13. Gardner B (2015) Plantar Fasciitis. Conn Med 79(3):159–160.
  14. La Porta GA, La Fata PC et al (2005) Clin Podiatr Med Surg 22(1): 1–9
  15. Bolgla LA, Malone TR (2004) Plantar fasciitis and the windlass mechanism: a biomechanical link to clinicalpractice. J Athl Train 39(1):77–82
  16. RayeganiSM, Raeissadat SA, TaheriMS, BabaeeM, BahramiMH, Eliaspour D, Ghorbani E (2014) Does intra articular platelet rich plasma injection improve function, pain and quality of life in patients with osteoarthritis of the knee? A randomized clinical trial. Orthop Rev (Pavia) 6:5405
  17. Raeissadat SA, Rayegani SM, Hassanabadi H, Fathi M, Ghorbani E, BabaeeM, Azma K (2015) Knee osteoarthritis injection choices: platelet- rich plasma (PRP) versus hyaluronic acid (a one-year randomized clinical trial). Clin Med Insights Arthritis Musculoskelet Disord 8:1–8
  18. Ragab EM, Othman AM (2012) Platelets rich plasma for treatment of chronic plantar fasciitis. Arch Orthop Trauma Surg 132(8):1065– 1070.
  19. O'Malley MJ, Vosseller JT, Gu Y (2013) Successful use of platelet rich plasma for chronic plantar fasciitis. HSS J 9(2):129–133.
  20. Martinelli N, Marinozzi A, Carnì S, Trovato U, Bianchi A, Denaro V (2013) Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop 37(5):839–842
  21. Raeissadat SA, Rayegani SM, Hassanabadi H, Rahimi R, Sedighipour L, Rostami K (2014) Is Platelet-rich plasma superior to whole blood in the management of chronic tennis elbow: one year randomized clinical trial. BMC Sports Sci Med Rehabil 18:6- 12.
  22. Liddle AD, Rodríguez-Merchán EC (2015) Platelet-rich plasma in the treatment of patellar tendinopathy: a systematic review. Am J Sports Med 43(10):2583–2590.
  23. Balasubaramin U, Dissanayake R, Annabell L (2015) Efficacy of platelet-rich plasma injections in pain associated with chronic tendinopathy: a systematic review. Phys Sportsmed 43(3):253–261
  24. Sandrey MA (2014) Autologous growth factor a injections in chronic tendinopathy. J Athl Train 49:428–430.
  25. Chew KT, Leong D, Lin CY, LimKK, Tan B (2013) Comparison of autologous conditioned plasma injection, extracorporeal shockwave therapy, and conventional treatment for plantar fasciitis: a randomized trial. PM R 5(12):1035–1043.
  26. Tsikopoulos K, Tsikopoulos A, Natsis K (2016) Autologous whole blood or corticosteroid injections for the treatment of epicondylopathy and plantar fasciopathy? A systematic review and meta-analysis of randomized controlled trials. Phys Ther Sport. doi: 10.1016/j.ptsp.2016.02.002
  27. Babak Vahdatpour B, Kianimehr L, Ahrar MH (2016) Autologous platelet-rich plasma compared with whole blood for the treatment of chronic plantar fasciitis; a comparative clinical trial. Adv Biomed Res 5:84.
  28. Lento P, Ihm J, Kennedy DJ, Visco CJ (2011) PERIPHERAL JOINT AND SOFT TISSUE INJECTION TECHNIQUES. In: Braddom RL (ed) Physical Medicine & Rehabilitation, 4th edn. Elseviers, Philadelphia, pp 517–540.
  29. Budiman-Mak E, Conrad KJ, Mazza J, Stuck RM (2013) A review of the foot function index and the foot function index-revised. J Foot Ankle Res 6(1):5.
  30. Park G et al (2011) Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann Rehabil Med 35(3):412–417.
  31. Chen CM, Chen JS, Tsai WC, Hsu HC, Chen KH, Lin CH (2013) Effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis. Am J Phys Med Rehabil 92(7):597– 605.
  32. Saban B, Masharawi Y (2016) Pain threshold tests in patients with heel pain syndrome. Foot Ankle Int 37(7):730–736.
  33. Foster ZJ, Voss TT, Hatch J, Frimodig A (2015) Corticosteroid injections for common musculoskeletal conditions. Am Fam Physician 92(8):694–699.
  34. Karls SL, Snyder KR, Neibert P (2016) Effectiveness of corticosteroid injections in the treatment of plantar fasciitis. J Sport Rehabil 25(2):202–207.
  35. Mahindra P, Yamin M, Selhi HS, Singla S, Soni A (2016) Chronic plantar fasciitis: effect of platelet-rich plasma, corticosteroid, and placebo. Orthopedics 39(2):e285–e289.
  36. Say F, Gürler D, İnkaya E, Bülbül M (2014) Comparison of platelet-rich plasma and steroid injection in the treatment of plantar fasciitis. Acta Orthop Traumatol Turc 48(6):667–672.
  37. Hsiao MY, Hung CY, Chang KV, Chien KL, Tu YK, Wang TG (2015) Comparative effectiveness of autologous blood-derived products, shock-wave therapy and corticosteroids for treatment of plantar fasciitis: a network meta-analysis. Rheumatology (Oxford) 54:1735–1743.
  38. Ang TW (2015) The effectiveness of corticosteroid injection in the treatment of plantar fasciitis. Singap Med J 56:423–432.

Corresponding Author

Imran Qayoom

Postgraduate Scholar, Department of Orthopaedics, GMC Srinagar