Plantar Fasiit Tedavisinde Trombosit Zengin Plazma ve Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Karşılaştırılması

Year 2020, Volume: 4 Issue: 1, 3 - 9, 02.03.2020

Ümit Yalçın

https://doi.org/10.30565/medalanya.566188

Cited By: 4

Abstract

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.

Keywords

Trombosit bakımından zengin plazma, plantar fasiit, ekstrakorporeal şok dalgası tedavisi, ağrı, enjeksiyon, tedavi, ayak eklemleri, tamamlayıcı tıp

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

Abstract

Aim: Plantar Fasciitis (PF) is one of the most common causes of heel pain. There are various conservative methods for the treatment of PF. Nearly 10% of the patients are refractory to the conservative methods and thus undergo surgical procedures. This study aimed to compare the efficacy of platelet-rich plasma (PRP) injection with that of 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 month after treatment.

Results: In both groups, a significant improvement was observed in the VAS and FFI scores at the 3rd month after the treatment as compared with the pretreatment scores. The improvement in the VAS and FFI scores was significantly greater in the PRP group than in the ESWT group (P < 0.05).

Conclusions: PRP can be a more effective method than ESWT in improving pain and functional scores in PF patients. However, further studies are needed on this issue.

Keywords

: Platelet-rich plasma, plantar fasciitis, extracorporeal shock-wave therapy, pain, injection, therapy, foot joints, complementary medicine

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