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Platelet Rich Plasma - Heel Pain
Ross A. Hauser, M.D.
SZ came to Caring Medical in November of 2006 complaining of right
heel pain,
which she had suffered with since July of that year. It came on suddenly, after
wearing moccasins for a time. She was 5’4”, 132 lbs. The pain would range from 3
to 7 on a scale of 10. She would have the worst pain in the morning after
getting out of bed. Her pain during the day was completely random, occurring
more often when walking or standing on hard surfaces.
SZ had seen a podiatrist
who had tried a variety of treatments, including ultrasound, aquatherapy and
wrapping the area with Ace bandages for 3-4 days at a time.
Upon exam, SZ did not have much tenderness with palpation on the heel or at the
spring ligament, but she localized occasional pain at those areas. She was
treated at her first office visit with
Prolotherapy. Manganese was added to the
dextrose Prolotherapy solution to initiate a strong
inflammatory response. She
had a total of three
Prolotherapy treatments by the end of 2006.
SZ came to Caring medical for her 4th office visit at the end of January, 2007.
She stated that she seemed to get some level of pain relief from the treatments
around the end of December, feeling 25 to 50% better at times. But this
improvement regressed. At her 4th visit she stated any improvement was minimal.
An alternative
Prolotherapy treatment option was proposed to SZ,
Platelet Rich Plasma. (PRP) It involved using a sample of the patient’s own blood, processing
it to separate and concentrate the platelets, and injecting the platelets into
the injured area as the
Prolotherapy solution. Platelets contain high
concentrations of
growth factors, which are important in the healing process. SZ
decided it was worth a try.
SZ told us that after one month she was “much improved.” She stated that she was
85% better, with only occasional pain of short duration and low intensity. SZ
came back to the office 11 months later in December 2007 and was very happy that
her heel had continued to feel good, with minimal discomfort. She desired one
more PRP treatment to see if she could get rid of the residual pain. She was
treated and told to return if the pain persisted.
A follow-up call was made at the end of February and SZ told us that after a
period of increased pain from the inflammation the treatment itself caused, she
has been completely pain-free for the last three weeks, even after arising from
bed. She had had that morning pain in her heel every day for the last 18 months.
PRP was the missing piece to solve SZ’s pain puzzle.
See
Why Not Just Give Platelet Rich Plasma
To Every Patient
With Joint Instability?
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