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Platelet-rich plasma versus dry needling of myofascial meridian trigger points in the treatment of plantar fasciitis
Joint Authors
al-Mallah, Rim
Zaydan, Huwada F.
al-Attar, Inas A.
Source
Egyptian Rheumatology and Rehabilitation
Issue
Vol. 44, Issue 2 (30 Jun. 2017), pp.58-68, 11 p.
Publisher
The Egyptian Society for Rheumatology and Rehabilitation
Publication Date
2017-06-30
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background Plantar fasciitis (PF) is the most common cause of heel pain, which results from repetitive trauma with degenerative changes in the plantar tissue.
Platelet-rich plasma (PRP) and dry needling showed promising results as regards pain resolution and healing effect, and hence our aim was to compare their efficacy in the treatment of chronic PF.
Patients and methods Thirty patients diagnosed with unilateral PF were subjected to full clinical assessment for foot function using the foot function index (FFI) and assessment of trigger points along the meridians.
Ultrasonographic examination of plantar fascia thickness, echogenicity, and power Doppler was carried out.
Patients were divided randomly into two groups of 15 each: group A received a single injection of PRP at the plantar fascia, and group B was treated with dry needling protocol in myofascial meridians trigger points along the superficial back line.
Follow-up after 6 and 12 weeks included clinical re-evaluation, FFI determination, and ultrasonography.
Our results showed a significant improvement in the clinical outcome of the FFI in group B (P<0.03) and a highly significant improvement in the clinical outcome within the PRP group by the 12th week (P<0.009).
A significant decrease in thickness, heterogeneity, and Doppler signals (P<0.04, P<0.003, and P<0.03, respectively) was observed within the PRP group at the 12th week.
Conclusion PRP injection is a promising line of treatment for chronic PF with documented ultrasonographic healing effect.
Dry needling is a simple and safe technique for treating pain associated with PF, yet it is more invasive and less effective compared with PRP injection.
American Psychological Association (APA)
al-Mallah, Rim& al-Attar, Inas A.& Zaydan, Huwada F.. 2017. Platelet-rich plasma versus dry needling of myofascial meridian trigger points in the treatment of plantar fasciitis. Egyptian Rheumatology and Rehabilitation،Vol. 44, no. 2, pp.58-68.
https://search.emarefa.net/detail/BIM-784031
Modern Language Association (MLA)
al-Mallah, Rim…[et al.]. Platelet-rich plasma versus dry needling of myofascial meridian trigger points in the treatment of plantar fasciitis. Egyptian Rheumatology and Rehabilitation Vol. 44, no. 2 (Apr. / Jun. 2017), pp.58-68.
https://search.emarefa.net/detail/BIM-784031
American Medical Association (AMA)
al-Mallah, Rim& al-Attar, Inas A.& Zaydan, Huwada F.. Platelet-rich plasma versus dry needling of myofascial meridian trigger points in the treatment of plantar fasciitis. Egyptian Rheumatology and Rehabilitation. 2017. Vol. 44, no. 2, pp.58-68.
https://search.emarefa.net/detail/BIM-784031
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 67-68
Record ID
BIM-784031