الفهرس 
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Abstract
This study was performed to determine the efficacy of platelet rich plasma
(PRP) injection versus extracorporeal shock-wave therapy in treatment of
plantar fasciitis.
This study involved 60 patients with planter fasciitis divided into 2
groups. group I received single PRP injection. group II received 3
sessions of shock wave therapy (24 females and 6males in each
group)with mean age of 41.8±9.83 months in group I and 37.3±8.1 in
group II, the disease duration was 8.73±3.09 months in group I and
9.73±3.55in group II.
Patients were diagnosed as planter fasciitis according to the point of
maximal tenderness on clinical examination over the medial tubercle of
the calcaneus plus sonographic features, increased thickness of the plantar
fascia more than 4 mm at baseline and hypoechoic fascia.
All patients were subjected to the following:
*Full history taking,
*Full detailed clinical examination.
* Laboratory assessment.
*Assessment of pain levelby visual analogue scale (VAS).
*Assessment of pain and function by American orthopedic foot and ankle
society (AOFAS)ankle-hindfoot scale.
*Measurement of planter fascia thicknessand echogenicity by
ultrasonography.
The results showed the following:
• There was no significant difference among studied groups
regarding age, gender, affected foot side, disease duration, body
mass index, baseline VAS & AOFAS ankle-hindfoot scale and
ultrasound findings of planter fascia.
• The percentage of patients with calcaneal spur in lateral foot
radiograph was 40% in group I and 53,3% in group II.
• There was a highly significant difference regarding VAS in both
groups as it was lower at one month after injection and three
months than before injection & P value<0.001.
• There was a highly significant difference in regarding AOFAS
ankle-hindfoot scale in both groups as it was higher (improved) at
one month after injection and three months than before injection &
P value <0.001.
• There was a highly significant difference regarding planter fascia
thickness in both groups as it decreased at one month after injection
and three months than before injection P value <0.001.
• There was non significant difference among studied groups
regarding VAS before and after treatment.
• There was non significant difference among studied groups
regarding AOFAS ankle-hindfoot scale before treatment and three
months after treatment but there was a significant difference one
month after treatment as it was higher in group II than group I .
• There was a highly significant difference among studied groups
regarding planter fascia thickness three months after treatment as it
was lower in group I than group II P value <0.001.
• There was a highly significant difference among studied groups
regarding planter fascia echogenicity at 1-months after treatment as became better in group I (73,3%) with normal echogenicity than
group II that 40% became with normal echogenicity.
• There was a significant difference among studied groups in patients
with calcaneal spur regarding VAS at 1-months after treatment as
became better in group II (5.62±1.36) than group I that was
(6.83±1.11).
• There was a highly significant difference among studied groups in
patients with calcaneal spur regarding AOFAS ankle-hindfoot scale
at 1-months after treatment as became higher in group II
(77.8±4.66) than group I that was (68.6±9.13).