{"id":1185,"date":"2018-04-05T15:36:51","date_gmt":"2018-04-05T19:36:51","guid":{"rendered":"https:\/\/woundmd.local\/?p=1185"},"modified":"2021-11-22T15:46:15","modified_gmt":"2021-11-22T20:46:15","slug":"is-prp-or-steroid-injection-more-effective-against-plantar-fasciitis","status":"publish","type":"post","link":"https:\/\/woundmdhealth.com\/blog\/is-prp-or-steroid-injection-more-effective-against-plantar-fasciitis\/","title":{"rendered":"Is PRP or Steroid injection more effective against Plantar Fasciitis?"},"content":{"rendered":"
\n

What You\u2019re Really Getting with an Injection of Steroids<\/strong><\/em>
\nMost patients are familiar with steroid injections, but most have no idea that PRP injections are an alternative to treat many of the same issues.<\/p>\n

Let\u2019s review what you\u2019re really getting when you get a steroid injection.<\/p>\n

Cartilage Damage<\/strong>
\nHigh-dose steroid injections destroy cartilage. That steroid injection into your knee, for example, might provide you with some temporary pain relief, but behind the scenes it\u2019s wreaking havoc on your joint-cushioning cartilage. If you think you\u2019re off the hook because your steroid injections are being injected into your foot for plantar fasciitis, think again. Your foot contains many tiny joints, all cushioned with cartilage to help provide smooth movement.<\/p>\n

Diminishing Relief<\/strong>
\nRepeated steroid injections have been shown to provide diminishing relief with each subsequent injection. Why? Possibly because of the toxic effect steroids have on the local repairing stem cells\u2026<\/p>\n

Poisoned Stem Cells<\/strong>
\nYour body\u2019s own stem cells are powerful cells that respond to damage and immediately get to work repairing it when it occurs. One study found that when mesenchymal stem cells are exposed to steroids, this, in effect, poisons the cells, stifling their ability to become bone and to repair bone. With no strong stem cells to stop it, wear and tear sets in and bone damage occurs.<\/p>\n

Increased Risk for Bone Loss<\/strong>
\nBone loss and osteonecrosis are well-known potential risks of steroid treatments.<\/p>\n

Decreased Blood Supply<\/strong>
\nIn order to stay healthy and effectively heal, tissues need a good blood supply. One study, however, found that when comparing patients who were undergoing rotator cuff surgery and had steroid injections prior to the surgery to those who didn\u2019t have steroids, the steroid patients had one-third fewer blood-supply vessels.<\/p>\n

So if you have plantar fasciitis, is there an alternative for steroid injections? Yes! Platelet rich plasma, or PRP\u2026<\/strong><\/em><\/p>\n

What You\u2019re Getting with an Injection of PRP<\/strong>
\nPlatelet rich plasma (PRP) is concentrated from blood platelets, which are the body\u2019s natural growth factors and healing molecules. When you have an open wound, such as a finger laceration or a skinned knee for example, it\u2019s your platelets that rush in and start clotting your blood to stop the bleed. Your growth factors also kick in to encourage healing. It\u2019s how the body heals itself when minor injuries occur.<\/p>\n

To obtain PRP, blood is drawn from a vein and the whole blood is centrifuged, or rapidly spun. Centrifuging separates the plasma serum where the platelets are concentrated; hence, the result is a platelet rich plasma.<\/p>\n

Injections of a patient\u2019s own PRP stimulate the body\u2019s local stem cells to wake up and start repairing damaged tissues. So PRP is like a shot of espresso for our repairman cells. PRP is used to treat many orthopedic conditions, such as muscle, ligament, and tendon tears, sprains, arthritis, and much more.<\/p>\n

Study Favors PRP vs Steroids for Plantar Fasciitis
\nThe purpose of the new study (http:\/\/www.footanklesurgery-journal.com\/article\/S1268-7731(18)30023-7\/fulltext?rss=yes) was to compare the impact of PRP versus steroid injections on chronic plantar fasciitis. Both outcomes and imaging (ultrasound and MRI) were analyzed in 40 patients with plantar fasciitis\u201420 received PRP and 20 received steroids. Subjects were evaluated at three and six months following treatment.<\/p>\n

The results? While there were improvements in both groups, the PRP group showed significant improvement over the steroid group. Researchers concluded that PRP injections are a \u201cmore effective therapeutic method\u201d than steroid injections. In addition, the study goes on to say that not only is PRP safe, but that PRP treatment provides a longer-lasting solution than steroids.<\/p>\n

The upshot? This is one of many studies that now show that PRP is better than steroids and doesn\u2019t have the nasty side effects. If you\u2019re a patient who is getting or about to get a steroid injection, spend a little on yourself and upgrade to a PRP shot. You\u2019ll be glad you did!<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

What You\u2019re Really Getting with an Injection of Steroids Most patients are familiar with steroid injections, but most have no idea that PRP injections are an alternative to treat many of the same issues. Let\u2019s review what you\u2019re really getting when you get a steroid injection. Cartilage Damage High-dose steroid injections destroy cartilage. That steroid <\/p>\n","protected":false},"author":1,"featured_media":1186,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[10],"tags":[],"acf":[],"yoast_head":"\nIs PRP or Steroid injection more effective against Plantar Fasciitis? | Wound MD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/woundmdhealth.com\/blog\/is-prp-or-steroid-injection-more-effective-against-plantar-fasciitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is PRP or Steroid injection more effective against Plantar Fasciitis? | Wound MD\" \/>\n<meta property=\"og:description\" content=\"What You\u2019re Really Getting with an Injection of Steroids Most patients are familiar with steroid injections, but most have no idea that PRP injections are an alternative to treat many of the same issues. 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