Comparison of platelet-rich plasma injections and extracorporeal shock wave therapy in reduction of pain in plantar fasciitis sufferers: a literature review of randomised controlled trials
Item
- Title
- Comparison of platelet-rich plasma injections and extracorporeal shock wave therapy in reduction of pain in plantar fasciitis sufferers: a literature review of randomised controlled trials
- Author(s)
- Breuille, R
- Abstract
- Background Plantar fasciitis (PF) will affect approximately ten percent of the population at least once in their life. Despite its high occurrence and the disability generated by it, the available literature on treatment of PF is still controversial. Although extracorporeal shockwave therapy (ESWT) and platelet-rich plasma (PRP) injections have been both suggested to be effective in pain relief for PF sufferers, no extensive research has yet compared their effectiveness. Objective To conduct a literature review on the current available evidence comparing the effectiveness of ESWT and PRP injections in pain reduction in PF sufferers. Design Structured literature review Methods Three databases were screened, the research extended from 2013 to 2019. Boolean logic was applied as well as the PICO format to ensure optimal research findings. Data extraction was carried out including VAS as outcome measure with regards to statistical significance. Clinical effectiveness was also calculated and discussed. Methodological quality assessment was performed using the modified JADAD score and the level of evidence for therapeutic studies developed by the Centre for Evidence Based Medicine. Results Ten studies were included in this literature review. Two studies comparing directly PRP to ESWT demonstrated that PRP was clinically significantly more effective than ESWT by 36.1 percent after one month and 8.3 percent after six months. Other included studies suggested that ESWT was clinically significant more effective by 31 percent after three months and 42.7 percent after six months. Methodological quality assessment revealed three RCTs of high quality, four RCTs of moderate to high quality and three RCTs of low to moderate quality. Discussion Two studies, comparing both interventions directly, suggested that PRP is more effective in pain relief than ESWT. However, ESWT was seen more effective in pain reduction than PRP in studies independently investigating the effect of PRP and ESWT. Conclusion The heterogeneity of results found across studies do not permit to identify a superiority of effectiveness between PRP and ESWT in pain reduction in PF sufferers. Although a comparison of effectiveness between these two interventions remains inconclusive, their respective effectiveness is clearly demonstrated.
- presented at
- European School of Osteopathy
- Date Accepted
- 2020
- Date Submitted
- 28.10.2020 18:08:18
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16649
- Inst-Identifier
- 1229
- Keywords
- Extracorporeal shockwave therapy, ESWT, plantar fasciitis, platelet-plasma rich, PRP, VAS.
- Recommended
- 0
- Item sets
- Thesis
Breuille, R, “Comparison of platelet-rich plasma injections and extracorporeal shock wave therapy in reduction of pain in plantar fasciitis sufferers: a literature review of randomised controlled trials”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.org/s/orw/item/206