Plantar Fascitis
Conditions
Keywords
degenerative plantar fasciitis, platelet rich plasma, ultrasound guided injection, heel pain, interventional rheumatology
Brief summary
a number of patient diagnosed as degenerative plantar fasciitis will be collected and divided into two groups, group I will be injected by platelet rich plasma and group II will be injected methylprednisolone
Detailed description
the study will include 100 patients diagnosed as degenerative plantar fasciitis and will be evaluated by musculoskeletal ultrasound by two observes and the will divided randomly into two groups who will be injected under ultrasound imaging by either Platelet rich plasma or methylprednisolone. selection of patient will be randomly and the study will be double blinded.
Interventions
derived from patient own blood
active comparative intervention
Sponsors
Study design
Intervention model description
the study will include two groups. Group I (study group) will be injected PRP. Group II (control group) will be injected methylprednisolone
Eligibility
Inclusion criteria
\* Clinical diagnosis of plantar fasciitis
Exclusion criteria
(history or current): * Rheumatic diseases * Foot Trauma * Neurological diseases * Thyroid disease * Diabetes mellitus * Chronic Renal Failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue scale | 3 months | visual analogue scale from 0-10, where 0 denoting maximum pain relief and 10 denoting no pain relief |
| Manchester-Oxford Foot Questionnaire | 3 months | the Manchester-Oxford Foot Questionnaire is a 16-item instrument answered on a five-point Likert scale (each item is scored from 0 to 4, with 4 denoting 'most severe'). Scores for each item are summed to form three separate sub scales representing underlying domains: walking/standing problems (seven items), foot pain (five items), and issues related to social interaction (four items) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| echogenicity in longitudinal scan gray scale ultrasound | 3 months | Hypoechogenicity was defined as a lack of the homogeneous fibrillar pattern with loss of the tightly packed echogenic lines after correcting for anisotropy. increased echogenicity is consistent with plantar fasciitis |
| plantar fascia thickness at the insertion in longitudinal scan of the heel | 3 months | measurement of plantar fascia thickness at the insertion in longitudinal view of the heel. Normal thickness is ≤ 4mm. increased thickness is consistent with plantar fasciitis |
Countries
Egypt