For patients with chronic plantar fasciitis is the ultrasound guided injection of intralesional autologous platelet rich plasma more effective than perifascial cortisone in improving pain and function?

Dr. William Craddock0 个研究点目标入组 75 人开始时间: 2010年10月22日最近更新: 2020年1月13日

适应症

试验速览

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•1. presenting complaint of plantar heel pain worse on rising in the morning and/or after periods of sitting or lying, which have been present for longer than 6 weeks
•2. on examination, site of maximal tenderness at the attachment of the plantar fascia on the medial tubercle of the calcaneus
•3. plantar fascial thickness > 4 mm at the area of maximal tenderness
•4. failed conservative management of at least 4 weeks duration consisting of calf stretching, tibialis posterior and flexor hallucis longus strengthening, and the use of an off-the-shelf orthotic with heel cut-out and plantar fascial groove

•1. previous injections or surgery for heel pain
•2. nerve-related symptoms
•3. regional pain syndrome
•4. achilles tendon pathology
•5. rheumatoid arthritis
•6. spondyloarthropathy (incl. ankylosing spondylitis, reactive arthritis, enteropathic arthritis, and psoriatic arthritis)
•7. diabetes mellitus
•8. local infection
•9. peripheral vascular disease
•11. coagulopathy or anti-coagulant therapy
•12. pregnancy
•13. dysfunction of the knee, ankle, or foot
•14. work-related or compensable injury

发起方

Dr. William Craddock