Treatment of Plantar Fasciitis With Injection af Platelet-rich Plasma Into the Origin of the Plantar Fascia

NCT ID: NCT01509274

Last Updated: 2012-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Brief Summary

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The purpose of our study is to determine whether one injection with plasma into the origin of the plantar fascia is an effective treatment of plantar fasciitis.

90 patients will be randomized into three groups. 30 patients will be treated with one plasma injection, 30 patients will be treated with one injection with saline and 30 patients will do physiotherapy and use heel cups. The two groups who receive injections will do the same physiotherapy and use heel cups, as the conservatively treated group.

Both groups randomized to receive an injection will have a 10 ml blood sample taken from their cubital vein. The sample is centrifuged for 5 minutes at 5000 rpm. No additives are added. 3 ml of plasma i obtained, and the syringe i blinded. Is the patient randomized to receive an injection with saline, a similar syringe is blinded with 3 ml of saline. The injection into to the origin of the plantar fascia i done 10 minutes after the sample of blood is obtained. The content of the syringe i blinded to both the investigator and the patient.

The injection i performed from the medial aspect of the heel under guidance of ultrasound. No local/systemic analgetic is used. The content of the syringe is spread using peppering technique into the origin of the plantar fascia.

Patients will do questionnaires at inclusion and after 1, 2, 3, 6 and 12 months. The questionaires will be Foot Function Index and SF-36 as well as questions about their use of analgetics, use of heel cups and intensity of their physiotherapy

Detailed Description

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Conditions

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Plantar Fasciitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Plasma

Group Type EXPERIMENTAL

Plasma

Intervention Type BIOLOGICAL

3 ml plasma injected once into the plantar fascia

Saline

Group Type SHAM_COMPARATOR

Saline

Intervention Type BIOLOGICAL

3 ml of saline injected once into the plantar fascia

Physiotherapy + heel cap

Group Type ACTIVE_COMPARATOR

Physiotherapy + heel cap

Intervention Type OTHER

Physiotherapy three times a day for 8 weeks. Heel caps until symptoms are gone

Interventions

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Plasma

3 ml plasma injected once into the plantar fascia

Intervention Type BIOLOGICAL

Saline

3 ml of saline injected once into the plantar fascia

Intervention Type BIOLOGICAL

Physiotherapy + heel cap

Physiotherapy three times a day for 8 weeks. Heel caps until symptoms are gone

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* between 18 and 70 of age
* Sore at the insertion of the plantar fascia on calcaneus
* A VAS score of at least 4 at the insertion of the plantar fascia on calcaneus taking the first step in the morning
* Symptoms for 6 to 12 months
* Ability to understand danish and give informed consent

Exclusion Criteria

* Previously operated in the same ankle or foot
* Pain anywhere else in the foot on palpation otherwise than at the insertion of the plantar fascia on calcaneus
* Inflammatory disease
* Diabetes
* Formerly rupture of the Achilles tendon
* Formerly treated with plasma injections
* Ongoing infection treated with antibiotics
* Treated with steroid during the trial
* Treatment of the plantar fasciitis exceeding conservative treatment
* Use of crutches, walker or similar
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kolding Sygehus

OTHER

Sponsor Role lead

Responsible Party

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Bjørn Nedergaard

Cand. Med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bjørn Nedergaard, Cand. Med.

Role: PRINCIPAL_INVESTIGATOR

Kolding Sygehus

Locations

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Sygehus Lillebælt - Kolding Sygehus

Kolding, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Bjørn Nedergaard, Cand. Med.

Role: CONTACT

0045 20204541

Facility Contacts

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Bjørn Nedergaard, Cand. Med.

Role: primary

Other Identifiers

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KS6000

Identifier Type: -

Identifier Source: org_study_id

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