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PRP injection for plantar fasciitis
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Has anyone had a PRP injection for plantar fasciitis? If so, what were the results?

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Never had an athlete use it for plantar fasciitis but had a bunch of athletes use it for hamstring strains and other injuries. The results are mind blowing. I can not wait for the day insurance company’s will cover it.
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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I had a PRP injection just over a year ago to address a bad dose of PF.

The only thing I can say for sure is that the trauma of the procedure forces a commitment to recovery. I was on crutches for a week and in a boot for two. Then 12 weeks of rehab, followed by lots of time on a gravity assisted treadmill.

It’s no silver bullet, but may accelerate recovery over the long haul.

I can provide more specifics later, if you are interested.

Scott
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Re: PRP injection for plantar fasciitis [GreatScott] [ In reply to ]
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GreatScott wrote:
I had a PRP injection just over a year ago to address a bad dose of PF.

The only thing I can say for sure is that the trauma of the procedure forces a commitment to recovery. I was on crutches for a week and in a boot for two. Then 12 weeks of rehab, followed by lots of time on a gravity assisted treadmill.

It’s no silver bullet, but may accelerate recovery over the long haul.

I can provide more specifics later, if you are interested.

Yeah GreatScott my doc said it would stir up a hornets nest but they had had good results with the procedure. I would definitely be interested in your details.
Scott

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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I did a PRP on my left knee. Amazing results. No data for plantar fasciitis, sorry.
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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I have 2 friends that had it for PF. One had to have it done twice. Both are back to running. The one that had it done twice still has a few small pains, but nothing major-standard PT exercises and rolling keeps it at bay.

I had it done on my Achilles 6 weeks ago. Can’t say if it worked or not yet. Doc thinks I will need to have it done at least twice. Fortunately for me the VA covers it.
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Re: PRP injection for plantar fasciitis [GhiaGirl] [ In reply to ]
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Ghiagirl. How long were they down from running or biking.

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Both out of running for months before and then 2 months after prp before they started any running. But they were badly injured before
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Have you tried a night boot? $30 on Amazon and works miracles. And you can keep running.

----------------------------------------------------------
Zen and the Art of Triathlon. Strava Workout Log
Interviews with Chris McCormack, Helle Frederikson, Angela Naeth, and many more.
http://www.zentriathlon.com
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Re: PRP injection for plantar fasciitis [ZenTriBrett] [ In reply to ]
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ZenTriBrett wrote:
Have you tried a night boot? $30 on Amazon and works miracles. And you can keep running.

Yes, I’ve been wearing one.

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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waste - night splint, stretching and high intensity foot massager are better options.

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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Hi Jack, consider foot scraping with a wrench and some moisturizer and a homedics foot massager, also wear night sock every night.

Ps. If you need more advice pm me

JackStraw13 wrote:
ZenTriBrett wrote:
Have you tried a night boot? $30 on Amazon and works miracles. And you can keep running.


Yes, I’ve been wearing one.
Last edited by: EnderWiggan: May 6, 18 15:43
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Re: PRP injection for plantar fasciitis [EnderWiggan] [ In reply to ]
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EnderWiggan wrote:
Hi Jack, consider foot scraping with a wrench and some moisturizer and a homedics foot massager, also wear night sock every night.

Ps. If you need more advice pm me

JackStraw13 wrote:
ZenTriBrett wrote:
Have you tried a night boot? $30 on Amazon and works miracles. And you can keep running.


Yes, I’ve been wearing one.

Been doing the wrenching. Saw that on the order thread. What foot massager are y’all using.

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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We've got one that in-laws gave us for christmas years ago from the Sharper Image or something. Thing is a beast. If a romantic couple got any crazy ideas and wanted to get kinky with it, I think they would end up in the emergency room. But that's the kind that has enough weight and power to break apart adhesions and loosen things up.

----------------------------------------------------------
Zen and the Art of Triathlon. Strava Workout Log
Interviews with Chris McCormack, Helle Frederikson, Angela Naeth, and many more.
http://www.zentriathlon.com
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Just curious, what exactly is a PRP injection and what does it entail? I could obviously google it, but I'd love to hear from those with experience as it relates to our sport (triathlons). I occasionally suffer from Plantar Fasciitis and am interested in hearing more!

Trek Bikes, Brooks Shoes, and Warm Water Please!!
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Ok, here are some of the details of my history and results with PRP.

July/August 2016. My PF flared up going into IMC (July 2016), but was manageable and did not seem like a big deal. I had a good race, then got greedy and raced some local stuff in August 2016. The foot was very angry afterward. I naively figured R&R would solve everything, began all conventional therapies including ART, orthotics, PT and stopped running completely.

March 2017. After six months of little progress through R&R (no running) and PT, a local specialist diagnosed me with "plantar fasciosis". An ultrasound of the foot showed moderate degeneration of my plantar fascia. The diameter increased from approximately 3mm to 6mm as the plantar fascia approached the tender spot where it connects to my heel. Doc described it as a "frayed rope", with layers of striations across that connection point, and a little bone spur forming as a result of the tension. Given my lack of progress through conventional means, we hit the foot with a PRP injection.

August 2017. I spent most of 2017 following the PRP recovery protocol, nursing the foot back to health through PT, limiting my running to a gravity-assisted treadmill and some light trail running. In August 2017 (12 months post-onset), I threw caution to the wind and buried myself at Norseman. Not the best “therapy” for my foot, but completing that race was the impetus for the procedure. The foot was extremely upset late in the race, to the point I doubted I'd be able to walk the next day. However, mission accomplished.

May 2018. I committed to giving the foot 12 months to recover from everything I threw at it in 2017, and haven't run a step since Norseman. My approach is to appreciate what I can do instead of dwelling on what I can not do. The swim and bike are treating me well. At some point between August 2017 and today, my foot stopped talking to me and I stopped thinking about it all the time. My sense is that I've finally recovered and will run again soon.

Specifics of the recovery protocol:
Week 1: On crutches and in the boot, no training. Foot felt like it had been hit with a hammer.
Week 2: Phase out the boot, no training.
Week 3: Phase in easy swims, no kicking and no pushing off the wall. Phase in easy spins on the stationary bike. S: 2hrs / B:1hr
Week 4: Begin PT. S: 3hrs / B: 2hrs / PT: 1hr
Week 5: S: 3hrs / B: 2hrs / PT: 1hr
Week 6: S: 3hrs / B: 3hrs / PT: 2hrs
Week 7: S: 3hrs / B: 4hrs / PT 2.5hrs
Week 8: Unrestricted Swim and Bike. Begin Elliptical (2 x 30')
Week 10: Phase out Elliptical, begin gravity assisted running (20' on Alter G @ 70% BW)
Week 11: 60' @ 65% (3 x 20')
Week 12: 60' @ 70%
Week 13: 2hrs @ 70%
Week 14: 2hrs @ 75%
Week 15: 2.5hrs @ 75%
Week 16: 1.25hrs @ 85%
Week 17: 1.5hrs easy running on a trail. Easy jog for 2' / walk for 1'. Felt effortless and free. No pain in the foot during or after, no soreness, nothing.

Week 18+: Continued to build duration of runs and decrease walking interval. Foot would complain in response to any rapid increases or consecutive days. Took what it gave me in training, put 26.2 on it about 9 weeks later and pressed the reset button afterward (see above).

There were lots of little setbacks along the way, the recovery is not as linear as it appears in this summary.

Looking back, the only thing I can say for sure is that the trauma of the procedure forces a commitment to recovery. It’s no silver bullet, but may accelerate recovery over the long haul.

Hope this helps give you an idea of what to expect.

Scott
Last edited by: GreatScott: May 7, 18 9:19
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Re: PRP injection for plantar fasciitis [GreatScott] [ In reply to ]
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Thanks for Sharing!

Trek Bikes, Brooks Shoes, and Warm Water Please!!
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Re: PRP injection for plantar fasciitis [pav5069] [ In reply to ]
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pav5069 wrote:
Never had an athlete use it for plantar fasciitis but had a bunch of athletes use it for hamstring strains and other injuries. The results are mind blowing. I can not wait for the day insurance company’s will cover it.

This is the type of results I was looking for on my thread from yesterday. PRP is part of the therapy for my stump Morton's Neuroma that is making for painful runs. $6,000+ Cash and maybe insurance will reimburse for part of the treatment...

DFL > DNF > DNS
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Re: PRP injection for plantar fasciitis [SallyShortyPnts] [ In reply to ]
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I would shop around. That is very very very steep. You can find PRP for 500-1500 dollars. Depending on th doctor. 850 seems to be the norm though. If I didn’t see the results I would say skip it but it’s magic lol.
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Re: PRP injection for plantar fasciitis [pav5069] [ In reply to ]
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pav5069 wrote:
I would shop around. That is very very very steep. You can find PRP for 500-1500 dollars. Depending on th doctor. 850 seems to be the norm though. If I didn’t see the results I would say skip it but it’s magic lol.

Thank you for this information: I thought the same thing when the price was quoted. It seemed like a "Harvard premium" (the clinic is in Framingham, MA). I will continue looking for PRP based in southern California instead, as I live in Las Vegas.

DFL > DNF > DNS
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Look into EPAT. Cured my chronic PF and an acute Achilles injury. Google it and see if anywhere close to you offers it. Magic.

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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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Just checked my training log. Tore left PF on 2/23/14. PF pain totally gone 8/29/17. 3 1/2 years of shit running but I never stopped. Still continued to train and competed in triathlons with 5 Ironmans and a trip to Kona that were all pretty FUBAR'd due to lack of run fitness. Did not go for PRP but spent lots of $$$ with scrapings and ART and other hocus pocus things. I believe it was forced rest from cancer surgery which ultimately cured it; something I wasn't willing to do just for PF. I hope you do better with it than I did. Good luck!
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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JackStraw13 wrote:
Has anyone had a PRP injection for plantar fasciitis? If so, what were the results?

How did you have the plantar fasciitis diagnosed?

When does it hurt? Is it activity related or during running? If during running, do you have pain at contact, when all of your weight is on it, or when your heel lifts off?

Do you have any cramping in the bottom of the foot?

I have had quite a few people with mixed results from PRP. Plantar fascia degeneration is normal so ultrasound is not really diagnostic as the pain generator. It would be important for you to know if it nerve, muscle (flexor digitorum brevis, abductor hallucis, or abductor digit minimi) or fat pad atrophy prior to making the decision.
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Re: PRP injection for plantar fasciitis [CraigAllenSmith] [ In reply to ]
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CraigAllenSmith wrote:
JackStraw13 wrote:
Has anyone had a PRP injection for plantar fasciitis? If so, what were the results?

How did you have the plantar fasciitis diagnosed?

When does it hurt? Is it activity related or during running? If during running, do you have pain at contact, when all of your weight is on it, or when your heel lifts off?

Do you have any cramping in the bottom of the foot?

I have had quite a few people with mixed results from PRP. Plantar fascia degeneration is normal so ultrasound is not really diagnostic as the pain generator. It would be important for you to know if it nerve, muscle (flexor digitorum brevis, abductor hallucis, or abductor digit minimi) or fat pad atrophy prior to making the decision.

I have a friend that is a PT that diagnosed it. Went to an orthopedic 3 weeks ago that confirmed diagnosis. They took X-rays to rule out bone spurs. Pain when walking, running, biking. No pain when no weight on foot. It started last August. I was able to manage pain and run 45-50 miles a week until 5 weeks ago. Did a hard threshold run on treadmill (progression to 5:30 pace) and it flared up bad later that day. Couldn’t run for two weeks. That’s what prompted visit to orthopod.

As far as determining nerve, muscle, or fat pad. Is that only done by MRI?

Let food be thy medicine...
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Re: PRP injection for plantar fasciitis [JackStraw13] [ In reply to ]
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JackStraw13 wrote:
I have a friend that is a PT that diagnosed it. Went to an orthopedic 3 weeks ago that confirmed diagnosis. They took X-rays to rule out bone spurs. Pain when walking, running, biking. No pain when no weight on foot. It started last August. I was able to manage pain and run 45-50 miles a week until 5 weeks ago. Did a hard threshold run on treadmill (progression to 5:30 pace) and it flared up bad later that day. Couldn’t run for two weeks. That’s what prompted visit to orthopod.

So what about when you rest, ie sleeping, sitting etc. Does it stiffen up and then loosens up with activity or is the pain there and it never goes away with activity?


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