ABI v Dry Needling for Plantar Fasciitis

NHS Trust

Status: Completed

Conditions: Plantar Fasciitis

Treatments: Other: dry needling injection; Other: Structured rehabilitation programme; Other: Autologous Blood Injection

Study type: Interventional

Funder types: Other

Identifiers

NCT02546089

UHL - 11334

Details and patient eligibility

About

To investigate whether a procedure of ultrasound-guided autologous blood injections (ABI), which includes a dry-needling component within the overall procedure, has any measureable clinical benefit over ultrasound-guided dry needling alone in patients with chronic plantar fasciitis.

Enrollment: 90 patients

Sex: All

Ages: 18 to 120 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients aged 18 or over who are being seen in the Department of Sports Medicine (all of whom are age 16 or over) with chronic plantar fasciitis of at least 6 months duration
2. Failure of previous conservative therapy - including physiotherapy, and podiatry input
3. Objective evidence of plantar fasciitis - either ultrasound or MRI investigations
4. No contraindications of injection therapy - anticoagulation, blood borne illness, strong needle phobia ...

Exclusion criteria

1. Patients with either partial or full-thickness tears of plantar fascia found on investigations
2. Subjects who are unable to give valid consent for study entry based on normal competency assessment
3. Subjects unable or unwilling to undergo the rehabilitation plan post-procedure
4. Subjects unable or unwilling to attend the follow-up appointments post-procedure

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 2 patient groups, including a placebo group

intervention group

Active Comparator group

Description:

local anaesthetic - lidocaine 1%, dry needling, autologous blood injection, + structured rehab programme

Treatment:

Other: dry needling injection

Other: Structured rehabilitation programme

Other: Autologous Blood Injection

control group

Placebo Comparator group

Description:

local anaesthetic - lidocaine 1%, dry needling, + structured rehab programme

Treatment:

Other: dry needling injection

Other: Structured rehabilitation programme