Treatment Options for Plantar Fasciitis
Introduction

First Line Therapy
Physical Therapy
Foot Orthotic
Night Splints

Corticosteroid Injection
Other Treatments
Autologous Blood Injection. This procedure involves taking a small amount of the patients blood, making no modifications or manipulations to the specimen, and then injecting it back into the plantar fascia. Although not commonly used, one small study showed some benefit.[10]Wheeler, Patrick. “Autologous blood injections for chronic plantar fasciitis–a pilot case-series study shows promising results.” International Musculoskeletal Medicine 35.1 (2013): 3-7.
Botulinum Toxin A Injection. Botulinum toxin, commonly called botox, has been used to treat a lot of similar conditions throughout the body. For plantar fasciitis, one small randomized controlled trial showed statistically significant changes in the treatment group.[11]Babcock MS, Foster L, Pasquina P, Jabbari B. Treatment of pain attributed to plantar fasciitis with botulinum toxin A: a short-term, randomized, placebo-controlled, double-blind study. Am J Phys Med … Continue reading
Platelet Rich Plasma (PRP). PRP is also a blood based therapy, but after the aspiration of about 50 cc of blood, it is placed in a centrifuge and the platelets are concentrated for injection. This treatment is used for a wide variety of musculoskeletal conditions. In plantar fasciitis, a recent systematic review and meta-analysis showed benefit at 3 months making it more appealing than corticosteroids.[12]Singh, Prashant, et al. “A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.” International orthopaedics 41.6 (2017): … Continue reading
Extracorporeal Shock Wave Therapy (ECSWT). ECSWT involves using shock waves to the injured tissue to break up scar tissue and promote healing. A meta-analysis for plantar fasciitis found that it can improve pain but could draw no firm conclusions about its role in the treatment of plantar fasciitis.[13]Sun, Jiale, et al. “Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs.” Medicine 96.15 (2017).
Radiation Therapy. Targeted radiation therapy has been used on many soft tissues for a wide variety of diseases. It is thought to have an anti-inflammatory effects that reduce inflammatory mediators and pain. In a study comparing radiation therapy to corticosteroid injection, it was superior for pain relief at 3 and 6 months.[14]Canyilmaz E, Canyilmaz F, Aynaci O, et al. Prospective randomized comparison of the effectiveness of radiation therapy and local steroid injection for the treatment of plantar fasciitis. Int J Radiat … Continue reading
Summary
– Read More @ Wiki Sports Medicine: https://wikism.org/Plantar_Fasciopathy
References[+]
↑1 | Davies MS, Weiss GA, Saxby TS. Plantar fasciitis: how successful is surgical intervention? Foot Ankle Int 1999;20:803–807 |
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↑2 | DiGiovanni BF, Nawoczenski DA, Lintal ME, et al. Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain: a prospective, randomized study. J Bone Joint Surg Am 2003;85:1270–1277. |
↑3 | Cheung RT, Sze LK, Mok MW, Ng GY. Intrinsic foot muscle volume in experienced runners with and without chronic plantar fasciitis. J Sci Med Sport 2016;19:713–715. |
↑4 | Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med 2006;166:1305–1310. |
↑5 | Lee WC, Wong WY, Kung E, Leung AK. Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis. J Rehabil Res Dev. 2012;49(10):1557–1564. |
↑6 | Roos E, Engstrom M, Soderberg B. Foot orthoses for the treatment of plantar fasciitis. Foot Ankle Int 2006;27:606–611. |
↑7 | Batt ME, Tanji SL, Skattum N. Plantar fasciitis: a prospective randomized clinical trial of the tension night splint. Clin J Sport Med 1996;6:158–162. |
↑8 | Babaei-Ghazani, Arash, et al. “Comparison of ultrasound-guided local ozone (O2-O3) injection vs corticosteroid injection in the treatment of chronic plantar fasciitis: a randomized clinical trial.” Pain Medicine 20.2 (2019): 314-322. |
↑9 | David JA, Sankarapandian V, Christopher PR, Chatterjee A, Macaden AS. Injected corticosteroids for treating plantar heel pain in adults. Cochrane Database Syst Rev 2017;11:CD009348 |
↑10 | Wheeler, Patrick. “Autologous blood injections for chronic plantar fasciitis–a pilot case-series study shows promising results.” International Musculoskeletal Medicine 35.1 (2013): 3-7. |
↑11 | Babcock MS, Foster L, Pasquina P, Jabbari B. Treatment of pain attributed to plantar fasciitis with botulinum toxin A: a short-term, randomized, placebo-controlled, double-blind study. Am J Phys Med Rehabil 2005;84:649–654 |
↑12 | Singh, Prashant, et al. “A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.” International orthopaedics 41.6 (2017): 1169-1181. |
↑13 | Sun, Jiale, et al. “Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs.” Medicine 96.15 (2017). |
↑14 | Canyilmaz E, Canyilmaz F, Aynaci O, et al. Prospective randomized comparison of the effectiveness of radiation therapy and local steroid injection for the treatment of plantar fasciitis. Int J Radiat Oncol Biol Phys. 2015;92(3):659–666. |