Infiltraciones con plasma rico en plaquetas en la fascitis plantar, una revisión de la literatura

Abstract

Background

The plantar fascia is a dense connective tissue structure located on the plantar aspect of the foot, covering muscular structures. Sometimes this structure is inflamed, by multifactorial etiology, and plantar fasciitis appears. When this condition becomes chronic, degenerative factor appears and renamed fasciosis. One of the invasive treatments are injections of platelet-rich plasma, which consists of being draw blood and centrifuge, thus obtaining a platelet concentrate, which is injected in the damaged zone. It contains many properties among which include the high content of growth factors present in platelets, which is what gives it character regenerative tissue.

Methods

A bibliographical search was made in the medical databases: Pubmed, and Science Direct. The terms used to realize this search were “plantar fascia anatomy”, “plantar fasciitis”, “platelet rich plasma” and “plasma rich in growth factor”. For the discussion section a new search was realized with the boolean terms were “platelet rich plasma” AND “plantar fasciitis”. For this section 10 papers were found.

Results

Comparing the recent studies have been able to observe the effectiveness of this technique applied to plantar fasciitis, since literature showed an important decrease of pain 6 or 12 months after application of platelet rich plasma injections.

Conclusion

Platelet-rich plasma injections reduce effectively pain caused by the plantar fascitis, due to the mechanism of repair of damaged tissues. An ideal quantity to reduce the pain of an effective way it would be from 2 to 3 ml.