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Ultrasound-guided platelet-rich plasma vs. radiofrequency nerve ablation for refractory plantar fasciitis

Year 2024, Volume: 10 Issue: 3, 319 - 325, 04.05.2024
https://doi.org/10.18621/eurj.1388703

Abstract

Objectives: Plantar fasciitis (PF), which accounts for approximately 80% of heel pain, is a common condition affecting adults' quality of life. There are many different treatment modalities used in the treatment of PF. In this study, we compared the clinical and functional outcomes of patients diagnosed with chronic PF in our clinic who underwent USG-guided PRP (platelet-rich plasma) injection and patients who underwent RFNA (radiofrequency nerve ablation) treatment.

Methods: Ultrasound-guided PRP injection or RFNA was performed on 95 patients who were diagnosed with chronic PF and met the inclusion criteria. This group of patients was followed for at least one year (October 2021-October 2023), and the clinical and functional results of the patients were compared.

Results: The mean pre-treatment Visual Analog Scale (VAS), Foot Function Index (FFI), and American Orthopaedic Foot and Ankle Society (AOFAS) posterior-ankle scores were similar, and no significant difference was found (P>0.05). A significant improvement was observed in the groups' FFI, VAS, and AFOAS scores after treatment (P<0.05). However, no significant difference was found in treatment modalities (P>0.05).

Conclusions: As a result of the study, it was concluded that PRP injection and RFNA are effective treatment methods in patients diagnosed with chronic plantar fasciitis without response to other conservative treatment methods, but these two methods are not superior to each other.

References

  • 1. Gollwitzer H, Saxena A, DiDomenico LA, et al. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015;97(9):701-708. doi: 10.2106/JBJS.M.01331.
  • 2. Hill CL, Gill TK, Menz HB, Taylor AW. Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008;1(1):2. doi: 10.1186/1757-1146-1-2.
  • 3. McMillan AM, Landorf KB, Barrett JT, Menz HB, Bird AR. Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res. 2009;2:32. doi: 10.1186/1757-1146-2-32.
  • 4. Rhim HC, Kwon J, Park J, Borg-Stein J, Tenforde AS. A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021;11(12):1287. doi: 10.3390/life11121287.
  • 5. Alshami AM, Souvlis T, Coppieters MW. A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther. 2008;13(2):103-111. doi: 10.1016/j.math.2007.01.014.
  • 6. LeMelle DP, Kisilewicz P, Janis LR. Chronic plantar fascial inflammation and fibrosis. Clin Podiatr Med Surg. 1990 Apr;7(2):385-9.
  • 7. Erken HY, Ayanoglu S, Akmaz I, Erler K, Kiral A. Prospective study of percutaneous radiofrequency nerve ablation for chronic plantar fasciitis. Foot Ankle Int. 2014;35(2):95-103. doi: 10.1177/1071100713509803.
  • 8. Franceschi F, Papalia R, Franceschetti E, Paciotti M, Maffulli N, Denaro V. Platelet-rich plasma injections for chronic plantar fasciopathy: a systematic review. Br Med Bull. 2014;112(1):83-95. doi: 10.1093/bmb/ldu025.
  • 9. Uğurlar M, Sönmez MM, Uğurlar ÖY, Adıyeke L, Yıldırım H, Eren OT. Effectiveness of Four Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis During a 36-Month Follow-Up Period: A Randomized Controlled Trial. J Foot Ankle Surg. 2018;57(5):913-918. doi: 10.1053/j.jfas.2018.03.017.
  • 10. McPoil TG, Martin RL, Cornwall MW, Wukich DK, Irrgang JJ, Godges JJ. Heel pain--plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(4):A1-A18. doi: 10.2519/jospt.2008.0302.
  • 11. Anitua E. Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants. Int J Oral Maxillofac Implants. 1999;14(4):529-535.
  • 12. Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost. 2004;91(1):4-15. doi: 10.1160/TH03-07-0440.
  • 13. Kirkpatrick J, Yassaie O, Mirjalili SA. The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations. J Anat. 2017;230(6):743-751. doi: 10.1111/joa.12607.
  • 14. Kuyucu E, Koçyiğit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis. Int J Surg. 2015;21:28-31. doi: 10.1016/j.ijsu.2015.06.078.
  • 15. Saylik M, Fidan F, Lapçin O. Comparison of Isolated Calcaneal Spur Excision and Plantar Fasciotomy in Addition to Spur Excision in Patients With Plantar Heel Pain Accompanied by Calcaneal Spur. Cureus. 2022;14(11):e31768. doi: 10.7759/cureus.31768.
  • 16. Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. Endoscopic fasciotomy for plantar fasciitis provides superior results when compared to a controlled non-operative treatment protocol: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2020;28(10):3301-3308. doi: 10.1007/s00167-020-05855-3.
  • 17. Ling Y, Wang S. Effects of platelet-rich plasma in the treatment of plantar fasciitis: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018;97(37):e12110. doi: 10.1097/MD.0000000000012110.
  • 18. Say F, Gürler D, İnkaya E, Bülbül M. Comparison of platelet-rich plasma and steroid injection in the treatment of plantar fasciitis. Acta Orthop Traumatol Turc. 2014;48(6):667-72. doi: 10.3944/AOTT.2014.13.0142.
  • 19. Jain K, Murphy PN, Clough TM. Platelet rich plasma versus corticosteroid injection for plantar fasciitis: A comparative study. Foot (Edinb). 2015;25(4):235-7. doi: 10.1016/j.foot.2015.08.006.
  • 20. Tsai WC, Wang CL, Tang FT, Hsu TC, Hsu KH, Wong MK. Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil. 2000;81(10):1416-21. doi: 10.1053/apmr.2000.9175.
  • 21. Kane D, Greaney T, Shanahan M, et al. The role of ultrasonography in the diagnosis and management of idiopathic plantar fasciitis. Rheumatology (Oxford). 2001;40(9):1002-1008. doi: 10.1093/rheumatology/40.9.1002.
  • 22. Campillo-Recio D, Ibañez M, Martin-Dominguez LA, Comas-Aguilar M, Fernandez-Morales M, Alberti-Fito G. Local Percutaneous Radiofrequency for Chronic Plantar Fasciitis. Arthrosc Tech. 2021;10(5):e1315-e1320. doi: 10.1016/j.eats.2021.01.031.
  • 23. Liden B, Simmons M, Landsman AS. A retrospective analysis of 22 patients treated with percutaneous radiofrequency nerve ablation for prolonged moderate to severe heel pain associated with plantar fasciitis. J Foot Ankle Surg. 2009;48(6):642-647. doi: 10.1053/j.jfas.2009.05.013.
  • 24. Yuan Y, Qian Y, Lu H, Kou Y, Xu Y, Xu H. Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis. J Orthop Surg Res. 2020;15(1):55. doi: 10.1186/s13018-020-1582-2.
  • 25. Yucel I, Ozturan KE, Demiraran Y, Degirmenci E, Kaynak G. Comparison of high-dose extracorporeal shockwave therapy and intralesional corticosteroid injection in the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2010;100(2):105-110. doi: 10.7547/1000105.
Year 2024, Volume: 10 Issue: 3, 319 - 325, 04.05.2024
https://doi.org/10.18621/eurj.1388703

Abstract

References

  • 1. Gollwitzer H, Saxena A, DiDomenico LA, et al. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015;97(9):701-708. doi: 10.2106/JBJS.M.01331.
  • 2. Hill CL, Gill TK, Menz HB, Taylor AW. Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008;1(1):2. doi: 10.1186/1757-1146-1-2.
  • 3. McMillan AM, Landorf KB, Barrett JT, Menz HB, Bird AR. Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res. 2009;2:32. doi: 10.1186/1757-1146-2-32.
  • 4. Rhim HC, Kwon J, Park J, Borg-Stein J, Tenforde AS. A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021;11(12):1287. doi: 10.3390/life11121287.
  • 5. Alshami AM, Souvlis T, Coppieters MW. A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther. 2008;13(2):103-111. doi: 10.1016/j.math.2007.01.014.
  • 6. LeMelle DP, Kisilewicz P, Janis LR. Chronic plantar fascial inflammation and fibrosis. Clin Podiatr Med Surg. 1990 Apr;7(2):385-9.
  • 7. Erken HY, Ayanoglu S, Akmaz I, Erler K, Kiral A. Prospective study of percutaneous radiofrequency nerve ablation for chronic plantar fasciitis. Foot Ankle Int. 2014;35(2):95-103. doi: 10.1177/1071100713509803.
  • 8. Franceschi F, Papalia R, Franceschetti E, Paciotti M, Maffulli N, Denaro V. Platelet-rich plasma injections for chronic plantar fasciopathy: a systematic review. Br Med Bull. 2014;112(1):83-95. doi: 10.1093/bmb/ldu025.
  • 9. Uğurlar M, Sönmez MM, Uğurlar ÖY, Adıyeke L, Yıldırım H, Eren OT. Effectiveness of Four Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis During a 36-Month Follow-Up Period: A Randomized Controlled Trial. J Foot Ankle Surg. 2018;57(5):913-918. doi: 10.1053/j.jfas.2018.03.017.
  • 10. McPoil TG, Martin RL, Cornwall MW, Wukich DK, Irrgang JJ, Godges JJ. Heel pain--plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(4):A1-A18. doi: 10.2519/jospt.2008.0302.
  • 11. Anitua E. Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants. Int J Oral Maxillofac Implants. 1999;14(4):529-535.
  • 12. Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost. 2004;91(1):4-15. doi: 10.1160/TH03-07-0440.
  • 13. Kirkpatrick J, Yassaie O, Mirjalili SA. The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations. J Anat. 2017;230(6):743-751. doi: 10.1111/joa.12607.
  • 14. Kuyucu E, Koçyiğit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis. Int J Surg. 2015;21:28-31. doi: 10.1016/j.ijsu.2015.06.078.
  • 15. Saylik M, Fidan F, Lapçin O. Comparison of Isolated Calcaneal Spur Excision and Plantar Fasciotomy in Addition to Spur Excision in Patients With Plantar Heel Pain Accompanied by Calcaneal Spur. Cureus. 2022;14(11):e31768. doi: 10.7759/cureus.31768.
  • 16. Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. Endoscopic fasciotomy for plantar fasciitis provides superior results when compared to a controlled non-operative treatment protocol: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2020;28(10):3301-3308. doi: 10.1007/s00167-020-05855-3.
  • 17. Ling Y, Wang S. Effects of platelet-rich plasma in the treatment of plantar fasciitis: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018;97(37):e12110. doi: 10.1097/MD.0000000000012110.
  • 18. Say F, Gürler D, İnkaya E, Bülbül M. Comparison of platelet-rich plasma and steroid injection in the treatment of plantar fasciitis. Acta Orthop Traumatol Turc. 2014;48(6):667-72. doi: 10.3944/AOTT.2014.13.0142.
  • 19. Jain K, Murphy PN, Clough TM. Platelet rich plasma versus corticosteroid injection for plantar fasciitis: A comparative study. Foot (Edinb). 2015;25(4):235-7. doi: 10.1016/j.foot.2015.08.006.
  • 20. Tsai WC, Wang CL, Tang FT, Hsu TC, Hsu KH, Wong MK. Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil. 2000;81(10):1416-21. doi: 10.1053/apmr.2000.9175.
  • 21. Kane D, Greaney T, Shanahan M, et al. The role of ultrasonography in the diagnosis and management of idiopathic plantar fasciitis. Rheumatology (Oxford). 2001;40(9):1002-1008. doi: 10.1093/rheumatology/40.9.1002.
  • 22. Campillo-Recio D, Ibañez M, Martin-Dominguez LA, Comas-Aguilar M, Fernandez-Morales M, Alberti-Fito G. Local Percutaneous Radiofrequency for Chronic Plantar Fasciitis. Arthrosc Tech. 2021;10(5):e1315-e1320. doi: 10.1016/j.eats.2021.01.031.
  • 23. Liden B, Simmons M, Landsman AS. A retrospective analysis of 22 patients treated with percutaneous radiofrequency nerve ablation for prolonged moderate to severe heel pain associated with plantar fasciitis. J Foot Ankle Surg. 2009;48(6):642-647. doi: 10.1053/j.jfas.2009.05.013.
  • 24. Yuan Y, Qian Y, Lu H, Kou Y, Xu Y, Xu H. Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis. J Orthop Surg Res. 2020;15(1):55. doi: 10.1186/s13018-020-1582-2.
  • 25. Yucel I, Ozturan KE, Demiraran Y, Degirmenci E, Kaynak G. Comparison of high-dose extracorporeal shockwave therapy and intralesional corticosteroid injection in the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2010;100(2):105-110. doi: 10.7547/1000105.
There are 25 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Furkan Erdoğan 0000-0001-7949-1348

Tolgahan Cengiz 0000-0003-2363-0198

Alparslan Yurtbay 0000-0002-8156-3504

İsmail Büyükceran 0000-0002-9771-8654

Early Pub Date March 17, 2024
Publication Date May 4, 2024
Submission Date November 9, 2023
Acceptance Date January 6, 2024
Published in Issue Year 2024 Volume: 10 Issue: 3

Cite

AMA Erdoğan F, Cengiz T, Yurtbay A, Büyükceran İ. Ultrasound-guided platelet-rich plasma vs. radiofrequency nerve ablation for refractory plantar fasciitis. Eur Res J. May 2024;10(3):319-325. doi:10.18621/eurj.1388703

e-ISSN: 2149-3189 


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