PRP for Plantar Fasciitis
The evidence is mounting for platelet-rich plasma (PRP) injections as a viable treatment option for plantar fasciitis. If you are experiencing heel pain that hasn’t been relieved by more common methods, but you’re not ready for surgery, PRP may be able to help.
What Is Plantar Fasciitis?
Plantar fasciitis is a condition that causes pain to the sole of the foot, most often felt in the heel. It occurs when connective tissue known as the plantar fascia becomes irritated and inflamed. The plantar fascia is a tough, fibrous ligament that connects the heel bone to the front of the foot.
Plantar fasciitis pain is usually close to the heel. It is often the worst first thing in the morning, after a long period of rest or after exercise. Women, runners, people who stand for long periods throughout the day and people with certain foot and leg anatomy features like high arches or tight calves are at greater risk for plantar fasciitis than others.
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"Dr. Lehman is Awesome!, Several months ago I started having pain in my hips, to find out later, I have acute bursitis and a tare on my tendon. After trying cortisone and other shots to relieve the pain, I spoke with Dr. Lehman about my problem and we decided to try platelet gel. It has been 3 weeks since my platelet gel injection in my left hip and it has really helped! I recommend platelet gel to treat joint pain, bursitis, and many other sore spots you may have. Thank you so much Dr. Lehman for your time and help."- Anonymous / Vitals / Dec 04, 2020
"Reovered use of shoulder without surgery and extensive recovery time, how thrilled I am with how the stem cell/platelets treatment you provided has restored my shoulder rotator cuff tear to 85% or better of former use! I recently chain sawed and stacked about 20 logs for firewood, happily dig in the garden, lift heavy objects, and can even sleep on that shoulder."- Anonymous / Vitals / Sep 28, 2020
"Wonderful person, doctor and treatment!, After three cortisone injections into my shoulder over a 12 month period, it was time to go the next step and have the stem cell/PRP procedure. Now, three months later my shoulder is dramatically improved. Not sure how long it will be relatively painless, but for now ,I’m very, very happy!"- Anonymous / Vitals / Sep 27, 2020
"First I must mention that I've never had to wait for my scheduled appointment. The staff members are very professional and efficient, Dr. Lehman is personable and I am never rushed. She listens carefully to what I feel I need to explain... and she explains everything to me so that I totally understand. The injections are delicately done.. I would recommend her highly to anyone in need of her type of services..."- B.I. / Healthgrades / Sep 18, 2020
Plantar Fasciitis Treatments
About 9 out of 10 cases of plantar fasciitis clear up on their own. That doesn’t mean people have to suffer for months while waiting for it to do so, however. Typically, plantar fasciitis is treated without surgery.
Nonsurgical treatment methods can include:
- Steroid injections
PRP Treatment for Heel Pain
There has been clinical research in recent years to suggest that PRP is a viable treatment for plantar fasciitis, on par or even better than steroid injections, especially long-term. One of the most convincing comes from 2014, published in Foot and Ankle International.
Two groups of patients were treated; one group with corticosteroid injection and the other with platelet-rich plasma injection to the plantar fascia. Both groups showed improvement at three months, but only the PRP group demonstrated sustained relief at six months, 12 months, and beyond.
“I have been most impressed by the durability of the treatment,” said study author Raymond Rocco Monto, MD. “I had expected the results to degrade over time. In the early results, the cortisone patients did very well, but after an initial follow-up, their scores began to recede, and at six months the difference was significant. At 12 months, many of the patients who received cortisone had returned to their baseline, whereas the PRP-treated patients had retained most of their improvement.”
A more extensive 2017 meta-analysis published in Medicine comes to a similar conclusion. This analysis looked at nine studies with data from a total of 430 people. The data, when taken together, suggest that PRP and steroid injections are equally as effective for plantar fasciitis pain after four weeks and after 12 weeks. However, PRP was more effective than steroid shots after 24 weeks.
If you are experiencing heel pain that won’t go away, request an appointment with ARO. Dr. Lehman uses the latest advanced diagnostic techniques to determine the course of your heel pain and will come up with a treatment plan that’s right for you.