Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2010

Open Access 01-12-2010 | Study protocol

Use of platelet rich plasma to treat plantar fasciitis: design of a multi centre randomized controlled trial

Authors: Joost C Peerbooms, Wilbert van Laar, Frank Faber, Hans M Schuller, Henk van der Hoeven, Taco Gosens

Published in: BMC Musculoskeletal Disorders | Issue 1/2010

Login to get access

Abstract

Background

If conservative treatment for chronic plantar fasciitis fails, often a corticosteroid injection is given. Corticosteroid injection gives temporarily pain reduction, but no healing. Blood platelets initiate the natural healing rate. GPS® gives an eightfold concentrate platelets of patients own blood. Injection of these platelets in the attachment of the fascia to the os calcis might induce a healing rate.

Methods and design

A randomized controlled multi centre trial will be performed. The study population consists of 120 patients of 18 years and older. Patients with chronic plantar fasciitis will be allocated randomly to have a steroid injection or an autologous platelet concentrate injections. Data will be collected before the procedure, 4,8,12,26 weeks and 1 year after the procedure.
The main outcome measures of this study are pain and function measured with questionnaires.

Conclusion

Recent literature show positive effects for the treatment of tendinosis with autologous platelet injections. The forthcoming trial will compare treatment for chronic plantar fasciitis with a steroid injection versus an autologous platelet injection. Our results will be published as soon as they become available.

Trial Registration

Trial registration number: http://​www.​clinicaltrials.​gov NCT00758641.
Appendix
Available only for authorised users
Literature
1.
go back to reference Pfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, Alvarez R, Brodsky J, Cooper P, Frey C, Herrick R, Myerson M, Sammarco J, Janecki C, Ross S, Bowman M, Smith R: Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot Ankle Int. 1999, 20: 214-221.CrossRefPubMed Pfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, Alvarez R, Brodsky J, Cooper P, Frey C, Herrick R, Myerson M, Sammarco J, Janecki C, Ross S, Bowman M, Smith R: Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot Ankle Int. 1999, 20: 214-221.CrossRefPubMed
2.
go back to reference Cole C, Seto C, Gazewood J: Plantar fasciitis: evidence-based review of diagnosis and therapy. Am Fam Physician. 2005, 72: 2237-2242.PubMed Cole C, Seto C, Gazewood J: Plantar fasciitis: evidence-based review of diagnosis and therapy. Am Fam Physician. 2005, 72: 2237-2242.PubMed
3.
go back to reference Taunton J, Ryan M, Clement D, McKenzie D, Lloyd-Smith D, Zumbo B: A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002, 36: 95-101. 10.1136/bjsm.36.2.95.CrossRefPubMedPubMedCentral Taunton J, Ryan M, Clement D, McKenzie D, Lloyd-Smith D, Zumbo B: A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002, 36: 95-101. 10.1136/bjsm.36.2.95.CrossRefPubMedPubMedCentral
4.
go back to reference Buchbinder R: Clinical practice. Plantar fasciitis. N Engl J Med. 2004, 350: 2159-2166. 10.1056/NEJMcp032745.CrossRefPubMed Buchbinder R: Clinical practice. Plantar fasciitis. N Engl J Med. 2004, 350: 2159-2166. 10.1056/NEJMcp032745.CrossRefPubMed
5.
go back to reference Lemont H, Ammirati K, Usen N: Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003, 93: 234-237.CrossRefPubMed Lemont H, Ammirati K, Usen N: Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003, 93: 234-237.CrossRefPubMed
6.
go back to reference Crawford F, Thomson C: Interventions for treating plantar heel pain (Review). Cochrane. 2003 Crawford F, Thomson C: Interventions for treating plantar heel pain (Review). Cochrane. 2003
7.
go back to reference Wolgin M, Cook C, Graham C, Mauldin D: Conservative treatment of plantar heel pain: long-term follow-up. Foot Ankle Int. 1994, 15: 97-102.CrossRefPubMed Wolgin M, Cook C, Graham C, Mauldin D: Conservative treatment of plantar heel pain: long-term follow-up. Foot Ankle Int. 1994, 15: 97-102.CrossRefPubMed
8.
go back to reference Martin R, Irrgang J, Conti S: Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int. 1998, 19: 803-811.CrossRefPubMed Martin R, Irrgang J, Conti S: Outcome study of subjects with insertional plantar fasciitis. Foot Ankle Int. 1998, 19: 803-811.CrossRefPubMed
9.
go back to reference Davies M, Weiss G, Saxby T: Plantar fasciitis: how successful is surgical intervention?. Foot Ankle Int. 1999, 20: 803-807.CrossRefPubMed Davies M, Weiss G, Saxby T: Plantar fasciitis: how successful is surgical intervention?. Foot Ankle Int. 1999, 20: 803-807.CrossRefPubMed
10.
go back to reference Speed C, Nichols D, Wies J, Humphreys H, Richards C, Burnet S, Hazleman B: Extracorporeal shock wave therapy for plantar fasciitis. A double blind randomised controlled trial. J Orthop Res. 2003, 21: 937-940. 10.1016/S0736-0266(03)00048-2.CrossRefPubMed Speed C, Nichols D, Wies J, Humphreys H, Richards C, Burnet S, Hazleman B: Extracorporeal shock wave therapy for plantar fasciitis. A double blind randomised controlled trial. J Orthop Res. 2003, 21: 937-940. 10.1016/S0736-0266(03)00048-2.CrossRefPubMed
11.
go back to reference Acevedo J, Beskin J: Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1998, 19: 91-97.CrossRefPubMed Acevedo J, Beskin J: Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1998, 19: 91-97.CrossRefPubMed
12.
go back to reference Sellman J: Plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1994, 15: 376-381.CrossRefPubMed Sellman J: Plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1994, 15: 376-381.CrossRefPubMed
13.
go back to reference Leach R, Jones R, Silva T: Rupture of the plantar fascia in athletes. J Bone Joint Surg [Am]. 1978, 60: 537-539. Leach R, Jones R, Silva T: Rupture of the plantar fascia in athletes. J Bone Joint Surg [Am]. 1978, 60: 537-539.
14.
go back to reference Nirschl R: Elbow tendinosis/tennis elbow. Clin Sports Med. 1992, 11: 851-870.PubMed Nirschl R: Elbow tendinosis/tennis elbow. Clin Sports Med. 1992, 11: 851-870.PubMed
15.
go back to reference Sclafani A, Romo T, Ukrainsky G, McCormick S, Litner J, Kevy S, Jacobson M: Modulation of wound response and soft tissue ingrowth in synthetic and allogeneic implants with platelet concentrate. Arch Facial Plast Surg. 7: 170-171. Sclafani A, Romo T, Ukrainsky G, McCormick S, Litner J, Kevy S, Jacobson M: Modulation of wound response and soft tissue ingrowth in synthetic and allogeneic implants with platelet concentrate. Arch Facial Plast Surg. 7: 170-171.
16.
go back to reference Ranly D, Lohmann C, Andreacchio D, Boyan B, Schwartz Z: Platelet-rich plasma inhibits demineralized bone matrix-induced bone formation in nude mice. J Bone Joint Surg [Am]. 2007, 89: 139-147. 10.2106/JBJS.F.00388.CrossRef Ranly D, Lohmann C, Andreacchio D, Boyan B, Schwartz Z: Platelet-rich plasma inhibits demineralized bone matrix-induced bone formation in nude mice. J Bone Joint Surg [Am]. 2007, 89: 139-147. 10.2106/JBJS.F.00388.CrossRef
17.
go back to reference Edwards S, Calandruccio J: Autologous bloodinjections for refractory lateral epicondylitis. J Hand Surg Am. 2003, 28: 272-278. 10.1053/jhsu.2003.50041.CrossRefPubMed Edwards S, Calandruccio J: Autologous bloodinjections for refractory lateral epicondylitis. J Hand Surg Am. 2003, 28: 272-278. 10.1053/jhsu.2003.50041.CrossRefPubMed
18.
go back to reference Kitaoka H, Alexander I, Adelaar R, Nunley J, Myerson M, Sanders M: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994, 15: 349-353.CrossRefPubMed Kitaoka H, Alexander I, Adelaar R, Nunley J, Myerson M, Sanders M: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994, 15: 349-353.CrossRefPubMed
19.
go back to reference Schepers T, van Lieshout E, van Ginhoven T, Heetveld M, Patka P: Current concepts in the treatment of intra-articular calcaneal fractures: results of a nationwide survey. Int Orthop. 2008, 32: 711-715. 10.1007/s00264-007-0385-y.CrossRefPubMed Schepers T, van Lieshout E, van Ginhoven T, Heetveld M, Patka P: Current concepts in the treatment of intra-articular calcaneal fractures: results of a nationwide survey. Int Orthop. 2008, 32: 711-715. 10.1007/s00264-007-0385-y.CrossRefPubMed
20.
go back to reference Agel J, Beskin J, Brage M, Guyton G, Kadel N, Saltzman C, Sands A, Sangeorzan B, SooHoo N, Stroud C, Thordarson D: Reliability of the Foot Function Index:: A report of the AOFAS Outcomes Committee. Foot Ankle Int. 2005, 26: 962-967.PubMed Agel J, Beskin J, Brage M, Guyton G, Kadel N, Saltzman C, Sands A, Sangeorzan B, SooHoo N, Stroud C, Thordarson D: Reliability of the Foot Function Index:: A report of the AOFAS Outcomes Committee. Foot Ankle Int. 2005, 26: 962-967.PubMed
21.
go back to reference Budiman-Mak E, Conrad K, Roach K: The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991, 44: 561-570. 10.1016/0895-4356(91)90220-4.CrossRefPubMed Budiman-Mak E, Conrad K, Roach K: The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991, 44: 561-570. 10.1016/0895-4356(91)90220-4.CrossRefPubMed
22.
go back to reference Kuyvenhoven M, Gorter K, Zuithoff P, Budiman-Mak E, Conrad K, Post M: The foot function index with verbal rating scales (FFI-5pt): A clinimetric evaluation and comparison with the original FFI. J Rheumatol. 2002, 29: 1023-1028.PubMed Kuyvenhoven M, Gorter K, Zuithoff P, Budiman-Mak E, Conrad K, Post M: The foot function index with verbal rating scales (FFI-5pt): A clinimetric evaluation and comparison with the original FFI. J Rheumatol. 2002, 29: 1023-1028.PubMed
23.
go back to reference Masthoff E, Trompenaars F, Van Heck G, Hodiamont P, De V: Validation of the WHO Quality of Life assessment instrument (WHOQOL-100) in a population of Dutch adult psychiatric outpatients. Eur Psychiatry. 2005, 20: 465-473. 10.1016/j.eurpsy.2004.09.012.CrossRefPubMed Masthoff E, Trompenaars F, Van Heck G, Hodiamont P, De V: Validation of the WHO Quality of Life assessment instrument (WHOQOL-100) in a population of Dutch adult psychiatric outpatients. Eur Psychiatry. 2005, 20: 465-473. 10.1016/j.eurpsy.2004.09.012.CrossRefPubMed
24.
go back to reference Toet J, Raat H, van Ameijden E: Validation of the Dutch version of the CDC core healthy days measures in a community sample. Qual Life Res. 2006, 15: 179-184. 10.1007/s11136-005-8484-y.CrossRefPubMed Toet J, Raat H, van Ameijden E: Validation of the Dutch version of the CDC core healthy days measures in a community sample. Qual Life Res. 2006, 15: 179-184. 10.1007/s11136-005-8484-y.CrossRefPubMed
25.
go back to reference Tsai W, Hsu CC, Chen CP, Chen MJ, Yu TY, Chen YJ: Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound. 2006, 34: 12-16. 10.1002/jcu.20177.CrossRefPubMed Tsai W, Hsu CC, Chen CP, Chen MJ, Yu TY, Chen YJ: Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound. 2006, 34: 12-16. 10.1002/jcu.20177.CrossRefPubMed
26.
go back to reference Radford J, Landorf K, Buchbinder R, Cook C: Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. BMC Musculoskelet Disord. 2006, 7: 64-10.1186/1471-2474-7-64.CrossRefPubMedPubMedCentral Radford J, Landorf K, Buchbinder R, Cook C: Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. BMC Musculoskelet Disord. 2006, 7: 64-10.1186/1471-2474-7-64.CrossRefPubMedPubMedCentral
27.
go back to reference DiGiovanni B, Nawoczenski D, Malay D, Graci P, Williams T, Wilding G, Baumhauer J: Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg [Am]. 2006, 88: 1775-1781. 10.2106/JBJS.E.01281.CrossRef DiGiovanni B, Nawoczenski D, Malay D, Graci P, Williams T, Wilding G, Baumhauer J: Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg [Am]. 2006, 88: 1775-1781. 10.2106/JBJS.E.01281.CrossRef
28.
go back to reference Tatli Y, Kapasi S: The real risks of steroid injections for plantar fasciitis, with a review of conservative therapies. Curr Rev Musculoskelet Med. 2009, 2: 3-9. 10.1007/s12178-008-9036-1.CrossRefPubMed Tatli Y, Kapasi S: The real risks of steroid injections for plantar fasciitis, with a review of conservative therapies. Curr Rev Musculoskelet Med. 2009, 2: 3-9. 10.1007/s12178-008-9036-1.CrossRefPubMed
29.
go back to reference Peerbooms J, Sluimer J, Bruijn D, Gosens T: Positive effect of an autologous platelet concentrate in lateral epicondylitis. Am J Sport Med. 2009, Peerbooms J, Sluimer J, Bruijn D, Gosens T: Positive effect of an autologous platelet concentrate in lateral epicondylitis. Am J Sport Med. 2009,
30.
go back to reference Molloy T, Wang Y, Murrell G: The roles of growth factors in tendon and ligament healing. Sports Med. 2003, 33: 381-394. 10.2165/00007256-200333050-00004.CrossRefPubMed Molloy T, Wang Y, Murrell G: The roles of growth factors in tendon and ligament healing. Sports Med. 2003, 33: 381-394. 10.2165/00007256-200333050-00004.CrossRefPubMed
31.
go back to reference Wrotniak M, Bielecki T, Gazdzik T: Current opinion about using the platelet-rich gel in orthopaedics and trauma surgery. Orthop Traumatol Rehabil. 2007, 9: 227-238. Wrotniak M, Bielecki T, Gazdzik T: Current opinion about using the platelet-rich gel in orthopaedics and trauma surgery. Orthop Traumatol Rehabil. 2007, 9: 227-238.
Metadata
Title
Use of platelet rich plasma to treat plantar fasciitis: design of a multi centre randomized controlled trial
Authors
Joost C Peerbooms
Wilbert van Laar
Frank Faber
Hans M Schuller
Henk van der Hoeven
Taco Gosens
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2010
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-11-69

Other articles of this Issue 1/2010

BMC Musculoskeletal Disorders 1/2010 Go to the issue