التهاب اللفافة الأخمصية عندما لا يؤتي العلاج بموجات الصدمة خارج الجسم ثماره

References

DOI: 10.47102/annals-acadmedsg.2023211

• Injection of platelet-rich plasma is not a first-line treatment, and it may only be considered if the following conditions are met: I. No improvement or worsening of symptoms for at least 3 months after one or more courses of shockwave therapy II. Evidence of partial plantar fascia tear contributing to plantar heel pain III. Counselled for off-label use, based on current Ministry of Health guidelines
• Perifascial corticosteroid injection under ultrasonography guidance may be considered if the patient has persistent severe plantar heel pain and has failed other conservative therapies.
• If performed, corticosteroid injection is recommended to be limited to a single course and to individuals not engaged in any explosive, weight-bearing lower limb activities.
• The response to treatment can be monitored via ultrasonography between 2 to 4 weeks and 3 to 4 months post-procedure.