Transient treatment response of platelet-rich plasma injection for temporal triangular alopecia: A case report with dermoscopic examination follow-up

Background: Plantar fasciitis (PF) is considered as degenerative tendinopathies. Repeated micro trauma is the major etiology of these diseases. Autologous platelet rich plasma (PRP) injections are becoming more popular in the treatment of enthesopathies like PF. The growth factors in PRP cause tissue healing. We compared the result of injecting intra-lesional autologous PRP injections versus steroid infiltration in chronic PF.Methods: A prospective, interventional and analytic comparative study was done and 81 patients (120 heels) were included in this study and were followed up for 6 months. We assessed the outcome of each patient using visual analog score (VAS) and foot and ankle disability index (FADI) on follow-up at 1, 3, and 6 months. Results: In our study, female preponderance was seen. Left side was more common as compared to right side. Unilateral PF is more common than bilateral. The difference with in the individual group at baseline and at 1,3 and 6 months was statistically highly significant in terms of VAS and FADI (p=0.0001) But the difference in the between the two groups was insignificant for VAS and FADI at 1, 3 and 6 months.Conclusions: In our study, as there is no significant difference in VAS and FADI score between corticosteroid injection group and PRP injection group at 1, 3 and 6 months follow up. So, it’s reasonable to conclude that both are equally effective in PF. But as PRP injection comes out to be more time consuming and more costly, corticosteroid seems to be more efficient, cost and time wise. Hence, the latter should be a better choice.

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A Feasibility Study Comparing Platelet-Rich Plasma Injection With Saline for the Treatment of Plantar Fasciitis Using a Prospective, Randomized Trial Design

Foot & Ankle Specialist ◽

10.1177/1938640018776065 ◽

2018 ◽

Vol 12 (2) ◽

pp. 153-158 ◽

Cited By ~ 4

Author(s):

Sarah Johnson-Lynn ◽

Alan Cooney ◽

Diarmaid Ferguson ◽

Deborah Bunn ◽

William Gray ◽

...

Keyword(s):

Feasibility Study ◽

Plantar Fasciitis ◽

Platelet Rich Plasma ◽

Resonance Imaging ◽

Loss To Follow Up ◽

Plasma Injection ◽

Level Ii ◽

Lost To Follow Up ◽

And Control

Platelet-rich plasma (PRP) has been advocated for treatment of plantar fasciitis but there are few good-quality clinical trials to support its use. We conducted a feasibility study of PRP versus saline for treatment of plantar fasciitis. Patients with 6 months or more of magnetic resonance imaging–proven plantar fasciitis, who had failed conservative treatment were invited to participate in the study. Patients were block randomized to either PRP or an equivalent volume of saline. The techniques used for injection and rehabilitation were standardized for both groups. The patient and assessor were blinded. Visual analogue scale (VAS) for pain and painDETECT score were recorded preoperatively and at 6 months follow-up. From 35 patients approached, 28 (19 female, mean age 50 years) were recruited, with 14 randomized to each arm. At 6 months, 8 patients (28.6%) were lost to follow-up. There was a significant change in VAS score from baseline to follow-up in both intervention (mean change 37.2, P = .008) and control (mean change 42.2, P = .003) groups. There was no correlation between preoperative painDETECT score and change in VAS. Recruitment and loss to follow-up rates were relatively high. Both treatments resulted in a similar, significant, improvement in symptoms. Levels of Evidence: Level II

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Poster 218: Leukocyte Poor-Platelet Rich Plasma Injection in Acute Hamstring Injury: A Case Report

PM&R ◽

10.1016/j.pmrj.2018.08.230 ◽

2018 ◽

Vol 10 ◽

pp. S73-S73

Author(s):

Peter C. Yeh ◽

Mihir M. Joshi ◽

Sherry N. Igbinigie ◽

Uzoh E. Ikpeama ◽

Prathap Jayaram

Keyword(s):

Case Report ◽

Platelet Rich Plasma ◽

Hamstring Injury ◽

Plasma Injection

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Efficacy of second intra-tendinous platelet-rich-plasma injection in case of incomplete response of the first injection: Three-year follow up experience

Diagnostic and Interventional Imaging ◽

10.1016/j.diii.2013.05.010 ◽

2013 ◽

Vol 94 (9) ◽

pp. 871-877 ◽

Cited By ~ 9

Author(s):

B. Dallaudière ◽

P. Meyer ◽

V. Hummel ◽

A. Perozziello ◽

A. Peuchant ◽

...

Keyword(s):

Platelet Rich Plasma ◽

Incomplete Response ◽

Plasma Injection

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Successful Treatment of Athletic Pubalgia in a Lacrosse Player with Ultrasound-Guided Needle Tenotomy and Platelet-Rich Plasma Injection: A Case Report

PM&R ◽

10.1016/j.pmrj.2014.08.943 ◽

2014 ◽

Vol 7 (1) ◽

pp. 79-83 ◽

Cited By ~ 7

Author(s):

Paul M. Scholten ◽

Stephen Massimi ◽

Nick Dahmen ◽

Joanne Diamond ◽

James Wyss

Keyword(s):

Case Report ◽

Successful Treatment ◽

Platelet Rich Plasma ◽

Ultrasound Guided ◽

Athletic Pubalgia ◽

Plasma Injection

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Functional outcome of platelet rich plasma on lateral epicondylitis of elbow

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171577 ◽

2017 ◽

Vol 3 (3) ◽

pp. 408

Author(s):

Narayanan V. L. ◽

Preetha P. ◽

Maria Joshna J. ◽

Mishal Dhivya P. J. ◽

Anbu Selvan

Keyword(s):

Plasma Treatment ◽

Conservative Management ◽

Platelet Rich Plasma ◽

Lateral Epicondylitis ◽

Mayo Score ◽

Plasma Injection ◽

Before And After ◽

Elbow Function ◽

The Mean

Background: The study was conducted with the aim to explore the efficacy of platelet rich plasma in sixty patients who presented to us with lateral epicondylitis of elbow where conservative management has failed.Methods: Between 2013 and 2015, 60 patients (M: F- 20: 40) with lateral epicondylitis of elbow were included. All patients presented to us with lateral epicondylitis of elbow where conservative management has failed. All patients are treated with platelet rich plasma injection. Serial follow-up were done at 1, 6 and 12 month.Results: All sixty patients had significant improvement before and after platelet rich plasma injection. The mean VAS score and the Mayo score suggests significant improvement in pain and elbow function following platelet rich plasma treatment. Conclusions: Platelet rich plasma improves pain and elbow function in patients suffering from lateral epicondylitis where conservative management has failed. Platelet rich plasma treatment may decrease the overall time for healing, and thereby decreasing the overall need for surgical intervention.

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