الفهرس 
Plantar FasciitisOnly 14 pages are availabe for public view
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Abstract
Background: Plantar fasciopathy is a frequent disorder involving the plantar fascia. It has a bimodal distribution and occurs in both athletes and sedentary subjects. Usually, syndromes that involve manifestation of the typical heel pain are called plantar fasciitis, but that term is not correct, because no histological evidence of inflammation is present in this condition; the terms ‘fasciosis’ or ‘fasciopathy’ are most appropriate terms to define heel pain associated with degeneration of the plantar fascia and atrophy of the Abductor digiti minimi muscle.
Objectives: The aim of this study is to evaluate the role of platelet rich plasma (PRP) injection in the treatment of planter fasciopathy.
Patients and Methods: We conducted a follow-up observation study to evaluate the role of platelet rich plasma (PRP) injection in the treatment of planter fasciopathy. The study was conducted in Orthopedic Department of Ain Shams University and Police Authority Hospitals in Cairo on 15 patients complaining of heel pain in one or both feet not responding to medical treatment for more than 2 months, with age ranging from 24 – 58 years and with mean ± SD of 40.73 ± 10.35. They were 7 females (46.7%) and 8 males (53.3%).
Results: There was highly statistically significant decrease in degree of pain and U/S of plantar fascia thickness after 6 months from PRP injection than before PRP injection. There was statistically significant increase in the age of progressive cases than regressive cases, while no statistically significant difference was found between them regarding sex of the studied cases. There was statistically significant increase in degree of pain and U/S of plantar fascia thickness in progressive group than regressive group before PRP injection. Also, There was statistically significant increase in degree of pain in progressive group than regressive group after 6 months from PRP injection and highly statistically significant increase in U/S of plantar fascia thickness in progressive group than regressive group.
Conclusion: A significant difference in pain relief was observed and PRP had good long-term efficacy in relieving pain and improved function in the foot in patients suffering from plantar fasciitis when conservative management has failed (at 24 weeks). The synergism between various autologous growth factors may play a role in tendon healing.