Plantar Fasiit Hastalarında Trombositten Zengin Plazma ve Ekstrakorporeal Şok Dalga Tedavisinin Ağrı ve Fonksiyonel Kapasite Üzerine Etkisinin Karşılaştırılması

Amaç: Plantar fasiit (PF), topuk ağrısının en sık görülen nedenlerinden biridir. PF tedavisi için çeşitli konservatif yöntemler vardır. Hastaların yaklaşık% 10'u konservatif yöntemlere dirençlidir ve bu nedenle cerrahi işlemlere tabi tutulur. Bu çalışmada PF hastalarında trombositten zengin plazma (PRP) enjeksiyonunun ekstrakorporeal şok dalgası tedavisinin (ESWT) etkinliği ile karşılaştırılması amaçlandı. Hastalar ve Yöntemler: Çalışmaya en az 3 aydır şikayeti olan ve steroid olmayan antienflamatuar ilaçlara ve germe egzersizlerine direnç gösteren 58 hasta (40 kadın) alındı. PRP enjeksiyonu (n = 29) veya ESWT (n = 29) uygulanan hastalar, tedavi öncesi ve tedaviden sonraki 3. ayda, Ağrı şiddeti, Görsel Analog Skala (VAS) ve İşlevsellik ise, Ayak Fonksiyon İndeksi (FFI) ile değerlendirildi. Bulgular: Her iki grupta da, tedavi sonrası 3. ayda VAS ve FFI skorlarında tedavi öncesi skorlara göre anlamlı bir iyileşme gözlendi. PRP grubunda VAS ve FFI skorlarındaki iyileşme ESWT grubuna göre anlamlı olarak daha yüksekti (P < 0.05). Sonuç: PRP, PF hastalarında ağrı ve fonksiyonel skorları iyileştirmede ESWT'den daha etkili bir yöntem olabilir. Ancak, bu konuda daha fazla çalışmaya ihtiyaç var.

Comparison of efficacy of platelet-rich plasma and extracorporeal shock-wave therapy on pain and functional capacity in patients with Plantar Fasciitis

Aim: Plantar Fasciitis (PF) is one of the most common causes of heel pain. There arevarious conservative methods for the treatment of PF. Nearly 10% of the patients arerefractory to the conservative methods and thus undergo surgical procedures. Thisstudy aimed to compare the efficacy of platelet-rich plasma (PRP) injection with thatof extracorporeal shock-wave therapy (ESWT) in PF patients.Patients and Methods: The study included 58 patients (40 females), who had complaints for at least 3 months and were refractory to the non-steroidal anti-inflammatory drugs and stretching exercises. The patients who underwent PRP injection (n=29)and ESWT (n=29) were evaluated regarding pain severity by Visual Analogue Scale(VAS) and functionality by Foot Function Index (FFI) both before and at the 3rd monthafter treatment.Results: In both groups, a significant improvement was observed in the VAS andFFI scores at the 3rd month after the treatment as compared with the pretreatmentscores. The improvement in the VAS and FFI scores was significantly greater in thePRP group than in the ESWT group (P < 0.05).Conclusions: PRP can be a more effective method than ESWT in improving painand functional scores in PF patients. However, further studies are needed on thisissue.

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