Recent Review Article Suggests Platelet Rich Plasma PRP as Potential Treatment for Severe Chronic Plantar Fasciitis
Most cases of Plantar Fasciitis are resolved through conservative treatments, however, about 10% of cases are resistant to such conservative modalities and are classified as “chronic severe.” Treatment of chronic severe cases of Plantar Fasciitis has ranged from Botox injections, to shockwave therapy, radiofrequency ablation and ultimately surgery. Recently, Platelet Rich Plasma has emerged as a potential additional therapy for such nagging cases.
A recent review article published in Sports Medicine and Arthroscopy addresses the potential effects of PRP in the management of chronic severe Plantar Fasciitis. The article theorizes that potential anti-inflammatory mechanisms, augmentation of collagen synthesis, and tissue healing properties of PRP, support its application in Plantar Fasciitis management. The review article examined copious research that suggested the combination of eccentric exercises, plantar fascia stretching, and PRP injections may exhibit “enhanced and accelerated healing with excellent long term results.” The accumulated research in the article regarded Platelet Rich Plasma as a potential alternative to surgery in chronic severe cases of Plantar Fasciitis lasting longer than 6 months. The study also recommended that Fascia-specific stretching and eccentric strengthening exercises be continued throughout PRP therapy to optimize recovery. This recent review article adds further validity to the regenerative potential of PRP. Clinical trials and standardized research methods are needed to fully evaluate the efficacy of PRP for chronic severe Plantar Fasciitis.
Learn more about the latest research bridging surgical and non-surgical orthopedics using biologics at the upcoming TOBI: The Orthobiologic Institute 5th Annual PRP & Regenerative Medicine Symposium with Cadaver Lab, June 6-7, 2014 in Las Vegas. www.prpseminar.com.