RCT Comparing ESWT With PRP for Plantar Fasciitis in High Demand Cohort

Exclusion Criteria

• •• History of trauma\* or previous injury to heel requiring operative intervention
• •* All Soldiers pending medical board evaluation or punitive action
• •* History of connective tissue disorder (e.g., Marfan's Syndrome, Ehlers-Danlos disease, Rheumatoid Arthritis, etc.)
• •* Leaving the geographical area permanently or for extended periods of time forcing loss to follow up
• •* Treatment for plantar fasciitis with injection within the last 6 months
• •* Surgical indication or internal derangement of the foot
• •* Chronic pain conditions
• •* Pregnancy
• •* Tarsal tunnel syndrome
• •* Baxter's neuritis
• •* Rigid flat foot
• •* Active infection of the Foot overlying the injection area
• •* Use of immunomodulators, immunosuppressives, or chemotherapeutic agents
• •* Allergy or hypersensitivity to any of the proposed treatment medications
• •* Any other clinically significant acute or chronic medical conditions (e.g., bleeding disorder) that, in the judgment of the Investigator, would preclude the use of a PRP or that could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study.
• •* Trauma for this research study is defined as a specific event or mechanism of injury, such as a direct blow or twisting injury of the foot that initiated the onset of heel pain. The insidious onset of heel pain with prolonged running or other physical activity is not defined as a traumatic event.