Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis

Chronic plantar fasciitis (PF) is, by far, considered one of the commonest causes of foot complaints; constituting up to 15% of the foot symptoms that needs medical care in adult and active subjects. Purpose: Is to confirm the clinical diagnosis of plantar fasciitis by ultrasound and to depict the e...

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Main Authors: Ahmed A. Baz, Ahmed M. Gad, Mohamed R. Waly
Format: Article
Language:English
Published: SpringerOpen 2017-03-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0378603X16302339
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author Ahmed A. Baz
Ahmed M. Gad
Mohamed R. Waly
author_facet Ahmed A. Baz
Ahmed M. Gad
Mohamed R. Waly
author_sort Ahmed A. Baz
collection DOAJ
description Chronic plantar fasciitis (PF) is, by far, considered one of the commonest causes of foot complaints; constituting up to 15% of the foot symptoms that needs medical care in adult and active subjects. Purpose: Is to confirm the clinical diagnosis of plantar fasciitis by ultrasound and to depict the effect of ultrasound guided injection of PRP in such cases. Methods: The study was conducted on 44 patients with chronic plantar fasciitis not responding to conservative treatment, they were diagnosed and were treated by ultrasound guided PRP injection then followed-up after 4 months by both clinical and ultrasound examinations. Results: By ultrasound mild improvement in plantar fascia thickness from 6.04 mm (mean of pre injection) to 4.93 mm (mean of 4 months post last injection). By VAS, significant improvement from 8.14 (mean of pre injection) to 2.59 (mean of 4 months post injection). By Roles and Maudsley score, significant improvement from 81.8% of patients who were acceptable and 18.2% were poor (pre injection) to 59.1% became excellent, 31.8% good, 4.5% acceptable and 4.5%poor (4 months post injection). Conclusion: Ultrasound is a confirmatory diagnostic tool of PF and PRP ultrasound guided injection is recommended after failure of conservative treatment.
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spelling doaj.art-851ffc0fb62245bc9e7b94641081be1f2022-12-22T03:44:43ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2017-03-0148112513210.1016/j.ejrnm.2016.12.004Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitisAhmed A. Baz0Ahmed M. Gad1Mohamed R. Waly2Radiology Department, Faculty of Medicine, Cairo University, EgyptOrthopedic Department, Faculty of Medicine, Cairo University, EgyptOrthopedic Department, Faculty of Medicine, Cairo University, EgyptChronic plantar fasciitis (PF) is, by far, considered one of the commonest causes of foot complaints; constituting up to 15% of the foot symptoms that needs medical care in adult and active subjects. Purpose: Is to confirm the clinical diagnosis of plantar fasciitis by ultrasound and to depict the effect of ultrasound guided injection of PRP in such cases. Methods: The study was conducted on 44 patients with chronic plantar fasciitis not responding to conservative treatment, they were diagnosed and were treated by ultrasound guided PRP injection then followed-up after 4 months by both clinical and ultrasound examinations. Results: By ultrasound mild improvement in plantar fascia thickness from 6.04 mm (mean of pre injection) to 4.93 mm (mean of 4 months post last injection). By VAS, significant improvement from 8.14 (mean of pre injection) to 2.59 (mean of 4 months post injection). By Roles and Maudsley score, significant improvement from 81.8% of patients who were acceptable and 18.2% were poor (pre injection) to 59.1% became excellent, 31.8% good, 4.5% acceptable and 4.5%poor (4 months post injection). Conclusion: Ultrasound is a confirmatory diagnostic tool of PF and PRP ultrasound guided injection is recommended after failure of conservative treatment.http://www.sciencedirect.com/science/article/pii/S0378603X16302339Platelet rich plasma PRPPlantar fasciitisUltrasound guided injection
spellingShingle Ahmed A. Baz
Ahmed M. Gad
Mohamed R. Waly
Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
The Egyptian Journal of Radiology and Nuclear Medicine
Platelet rich plasma PRP
Plantar fasciitis
Ultrasound guided injection
title Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
title_full Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
title_fullStr Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
title_full_unstemmed Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
title_short Ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
title_sort ultrasound guided injection of platelet rich plasma in cases of chronic plantar fasciitis
topic Platelet rich plasma PRP
Plantar fasciitis
Ultrasound guided injection
url http://www.sciencedirect.com/science/article/pii/S0378603X16302339
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AT ahmedmgad ultrasoundguidedinjectionofplateletrichplasmaincasesofchronicplantarfasciitis
AT mohamedrwaly ultrasoundguidedinjectionofplateletrichplasmaincasesofchronicplantarfasciitis