PLATELET RICH PLASMA (PRP) FOR CHRONIC HEEL PAIN
Platelet rich plasma (PRP) therapy is an emerging, minimally invasive, low risk, nonsurgical treatment for patients with refractory chronic heel pain from plantar fasciitis.
Plantar fasciitis is one of the commonest causes of heel pain. Plantar fascia is a dense band of connective tissue that extends from the heel of the foot to the ball of the toes. It maintains supports the arch of the foot and absorbs the impact of standing, walking, and running on the foot. Plantar fasciitis is a degenerative condition resulting from repetitive and excessive strain on foot causing micro tears in the plantar fascia.
It is likely that you have plantar fasciitis if you have:
- Sharp intense pain at the bottom of the heel
- Pain in the arch of your foot
- Pain that is usually worse when you step out of the bed first thing in the morning or after prolonged period of rest
- Tenderness to pressure over the heel
- Heel pain that improves with activity and exercise but returns after a period of rest
In most cases it is self-limiting and up to 90% of patients can be managed with conservative methods such as rest, ice, physiotherapy, exercise, and pain medication. Patients who do not respond to conservative treatment have severe, disabling heel pain which can affect work and may contribute to anxiety and depression. Interventional pain management offers hope to these patients.
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