Plantar fasciitis (PF) is characterized by plantar medial heel pain, usually present in the morning at the first few steps. Obese individuals, who stand for prolonged periods and who walk on hard surfaces, typically suffer from PF. The diagnosis can be achieved through patient clinical history and clinical findings. Stretching exercises, activity modification, and use of several analgesics resolve symptoms in over 75% of patients. Surgical management of PF consists of plantar fascia release. In recent years, biological treatments have been getting popularity in many orthopaedic conditions.

Keywords: Biological treatment, Bone marrow aspirate concentrate, plantar heel pain, PF, PRP.

1. Position statement: endoscopic and open heel surgery. American Orthopaedic Foot and Ankle Society. 2010.
2. Say F, Gürler D, İnkaya E, et al. Comparison of platelet-rich plasma and steroid injection in the treatment of plantar fasciitis. Acta Orthop Traumatol Turc 2014;48(6):667–672. DOI: 10.3944/AOTT.2014.13.0142.
3. Monto RR. Platelet-rich plasma efficacy versus corticosteroid injection treatment for chronic severe plantar fasciitis. Foot Ankle Int 2014;35(4):313–318. DOI: 10.1177/1071100713519778.
4. Levy JC, Mizel MS, Clifford PD, et al. Value of radiographs in the initial evaluation of nontraumatic adult heel pain. Foot Ankle Int 2006;27(6):427–430.
5. Sammarco GJ, Helfrey RB. Surgical treatment of recalcitrant plantar fasciitis. Foot Ankle Int 1996;17(9):520–526. DOI: 10.1177/107110079601700902.
6. Davies MS, Weiss GA, Saxby TS. Plantar fasciitis: how successful is surgical intervention? Foot Ankle Int 1999;20(12):803–807. DOI: 10.1177/107110079902001209.
7. Rabago D, Slattengren A, Zgierska A. Prolotherapy in primary care practice. Prim Care 2010;37(1):65–80. DOI: 10.1016/j.pop.2009. 09.013.
8. Dorman TA. Prolotherapy: a survey. J Orthop Med 1993;15(2):49–50. DOI: 10.1080/1355297X.1993.11719720.
9. Ersen Ö, Koca K, Akpancar S, et al. A randomized-controlled trial of prolotherapy injections in the treatment of plantar fasciitis. Turk J Phys Med Rehabil 2018;64(1):59–65. DOI: 10.5606/tftrd. 2018.944.
10. Seven M, Koca K, Akpancar S, et al. Prolotherapy injections in the treatment of overuse injuries. Balk Mil Med Rev 2016;19(3):1. DOI:10.5455/bmmr.227853.
11. Martinelli N, Marinozzi A, Carnì S, et al. Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop 2013;37(5):839–842. DOI: 10.1007/s00264-012-1741-0.
12. Sami M, Nassr MH, Hamdy M, et al. Preliminary study reveals the efficiency of platelet rich plasma injection over physiotherapy for chronic plantar fasciitis treatment. Int J Clin Rheumatol 2019;14(3):120–126. Available at: https//www.openaccessjournals.com/abstract/preliminary-study-reveals-the efficiency-of-plateletrich- plasma-injection-over-physiotherapy-for-chronic-plantarfascii- 13022.html.
13. Kumar V, Millar T, Murphy PN, et al. The treatment of intractable plantar fasciitis with platelet-rich plasma injection. Foot (Edinb) 2013;23(2–3):74–77. DOI: 10.1016/j.foot.2013.06.002. Epub 2013 Jul 30. PMID: 23906977.
14. Acosta-Olivo C, Elizondo-Rodriguez J, Lopez-Cavazos R, et al. Plantar Fasciitis-A comparison of treatment with intralesional steroids versus platelet-rich plasma. A randomized, blinded study. J Am Podiatr Med Assoc 2017;107(6):490–496. DOI: 10.7547/15-125.
15. Franceschi F, Papalia R, Franceschetti E, et al. Platelet-rich plasma injections for chronic plantar fasciopathy: a systematic review. Br Med Bull 2014;112(1):83–95. DOI: 10.1093/bmb/ldu025.

Dr Rajendra Chaudhry (MD Medicine)

Professor and H.O.D (Medicine Department),Maharishi Vashishtha Autonomous State Medical College, Basti, UP