• Adam Whatley

What’s the best treatment for chronic planter fasciitis? PRP or steroid? Dynamic Osteopaths Solihull

Many are familiar with the nagging persistent pain and irritation that comes with plantar fasciitis. Plantar fascia is a band of tissue that connects the heel bone to the toes. It provides arch support and aids foot biomechanics. Often, this tissue can become strained or injured, resulting in painful plantar fasciitis.

Researchers in Spain conducted a clinical study examining the effects of a steroid treatment (corticosteroids) versus PRP injections for the treatment of plantar fasciitis. The study involved 40 patients who had tried more conservative treatments for at least six months without success. Corticosteroid and PRP treatment success were determined by improvement in pain, inflammation, function and plantar fascia tissue structure by way of Magnetic Resonance Imaging (MRI) and ultrasound imaging. The study concluded that while both treatments reduced pain and inflammation, PRP is a better as it was longer-lasting treatment that improved symptoms, structure, and function more than the steroid treatment. The study also concluded that MRI and ultrasound are useful imaging tools for evaluating structural changes to plantar fascia injuries following non-surgical treatment.

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