Objective: To evaluate the efficacy of dextrose prolotherapy in the treatment of chronic resistant plantar fasciitis (PF) through comparison with a control group.
Design: In this double-blind, randomized, controlled study, the patients were divided into two groups. The prolotherapy group (n=30) was administered 5 cc 30% dextrose, 4 cc saline, 1cc 2% lidocaine mixture (15% dextrose solution) and the control group was given 9 cc saline and 1 cc 2% lidocaine mixture twice at a three-week interval. During the fifteen-week follow-up period, pain intensity was measured using the visual analog scale during activity (VAS-A) and at rest (VAS-R). The foot function index (FFI) was used to measure pain and disability. The plantar fascia thickness was measured by ultrasonography. The measurements were undertaken before treatment and at post-treatment weeks 7 and 15.
Results: Improvements in VAS-A, VAS-R, FFI (all subgroups), and plantar fascia thickness measured at the 7th and 15th weeks were significantly higher in the prolotherapy group compared to the control group (p>0.001).
Conclusion: Dextrose prolotherapy has efficacy up to 15 weeks and can be used as an alternative method in the treatment of chronic resistant PF.
A Randomized-Controlled Trial of Prolotherapy Injections in the Treatment of Plantar FasciitisÖ Ersen et al. Turk J Phys Med Rehabil 64 (1), 59-65. PMID 31453490.Our study results suggest that prolotherapy is an effective auxiliary method for treating chronic plantar fasciitis.
Autologous Platelet-Rich Plasma Versus Dextrose Prolotherapy for the Treatment of Chronic Recalcitrant Plantar FasciitisE Kim et al. PM R 6 (2), 152-8. PMID 23876935. - Randomized Controlled TrialEach treatment seems to be effective for chronic recalcitrant PF, expanding the treatment options for patients in whom conservative care has failed. PRP treatment also ma …
Short-term Benefits of Ultrasound-Guided Corticosteroid Injection in Plantar FasciitisSD Schulhofer. Clin J Sport Med 23 (1), 83-4. PMID 23269326.A single US-guided injection of dexamethasone reduced pain in plantar fasciitis at 4 weeks, without complications. Dexamethasone was effective in reducing plantar fascia …
Effectiveness of Four Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis During a 36-Month Follow-Up Period: A Randomized Controlled TrialM Uğurlar et al. J Foot Ankle Surg 57 (5), 913-918. PMID 30149850. - Randomized Controlled TrialNo consensus has been reached about the best treatment method of plantar fasciitis and the results of the treatment methods have been inconsistent. The objective of the p …
Application of Ultrasound in the Assessment of Plantar Fascia in Patients With Plantar Fasciitis: A Systematic ReviewMA Mohseni-Bandpei et al. Ultrasound Med Biol 40 (8), 1737-54. PMID 24798393. - ReviewPlantar fasciitis (PFS) is one of the most common causes of heel pain, estimated to affect 10% of the general population during their lifetime. Ultrasound (US) imaging te …