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WithdrawnNCT02668510Updated Sep 25, 2025

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

An interventional study of platelet rich plasma and Normal saline in Fasciitis, Plantar, sponsored by Edna Rath. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-25.

Sponsored by Edna Rath · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Withdrawn as researcher left before data collection could be completed
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

A Randomized Controlled Pilot Trial Comparing Extracorporeal Shock Wave Therapy with Platelet Rich Plasma versus Extracorporeal Shock Wave Therapy in a High Demand Cohort with Resistant Plantar Fasciitis

Read the detailed description

The purpose of this proposal is to perform a high-quality pilot study testing the efficacy of ESWT in combination with PRP for the management of resistant plantar fasciitis. We endeavor to determine if the pilot evidence supports a large, randomized study; and to conduct a power analysis for the follow-on study. The proposed pilot study will be a prospective double-blinded randomized controlled trial comparing pain and functionality at the 3 week, 6 week, 12 week and 6 month marks between extracorporeal shock wave therapy (ESWT) with platelet rich plasma (PRP) injection versus extracorporeal shock wave therapy with placebo injection of normal saline.

02

Conditions studied

  • Fasciitis, Plantar

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Keywords

  • Heel Pain
  • extracorporeal shock wave therapy
  • ESWT
  • shock wave
  • Soldiers
  • Platelet rich plasma
  • PRP
  • Autologous conditioned plasma
  • Military
03

In context

Fasciitis, Plantar

267 studies on the registry are indexed under Fasciitis, Plantar; 70 are open to participants now.

Browse Fasciitis, Plantar studies →

Lead sponsor

Edna Rath is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 18 years or older
  • Patients that are already selected for ESWT for the treatment of resistant plantar fasciitis as part of clinical care under the doctor-patient relationship
  • X-ray imaging studies (Plain radiographs) documenting no additional sources for heel pain within 12 months(all x-rays were conducted as part of standard of care and no radiation will be specific to the research study)
  • Active Duty Soldier as they are a high demand cohort with increased frequency of plantar fasciitis compared to the general population as outlined by Scher et al.
  • Previously tried conservative management meeting referral to Orthopaedics: Pain medications, taping, orthoses, night splinting or physical therapy
  • Body Mass Index (BMI) \<40kg/m2

Exclusion criteria

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.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Platelet Rich Plasma Injection Group

    shockwave therapy within standard of care using Ossatron system with intervention injection of platelet rich plasma (PRP) using Arthex system, into the plantar fascia at the calcaneal origin

    Biological: platelet rich plasma

  • Placebo comparator
    Placebo injection group

    shockwave therapy with placebo normal saline injection

    Drug: Normal saline

Interventions

  • Biologicalplatelet rich plasma

    immediately following shockwave therapy the injection of PRP derived from subjects own blood using Arthex double syringe system will be injected at the origin of the plantar fascia at the calcaneous

    Also known as: PRP

  • DrugNormal saline

    placebo injection of normal saline immediately following shockwave therapy

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Visual analog scale (VAS)

    Decreased first step pain over time with single treatment of ESWT \& PRP as measured by the VAS

    Time frame: 3, 6, 12, 24 weeks

Secondary outcomes

  1. Functional Ankle Ability Measure (FAAM)

    functionality scale

    Time frame: 3, 6, 12, 24 weeks

  2. Functional Ankle Ability Measure extended sports scale

    sports subscale for sport related activity

    Time frame: 3, 6, 12, 24 weeks

  3. return to activity

    achieving minimal clinical important difference (MCID) on FAAM sport scale

    Time frame: 3, 6, 12, 24 weeks

  4. repeat treatment threshold

    Decreased need for repeat ESWT as proven by achieving MCID on FAAM

    Time frame: 3, 6, 12, 24 weeks

07

Study locations

1 site
  • William Beaumont Army Medical Center
    El Paso, Texas 79920, United States
08

References and documents

Publications

  • Ogden JA, Cross GL, Williams SS. Bilateral chronic proximal plantar fasciopathy: treatment with electrohydraulic orthotripsy. Foot Ankle Int. 2004 May;25(5):298-302. doi: 10.1177/107110070402500504. PubMed 15134609 ↗
  • Chew KT, Leong D, Lin CY, Lim KK, Tan B. Comparison of autologous conditioned plasma injection, extracorporeal shockwave therapy, and conventional treatment for plantar fasciitis: a randomized trial. PM R. 2013 Dec;5(12):1035-43. doi: 10.1016/j.pmrj.2013.08.590. Epub 2013 Aug 22. PubMed 23973504 ↗
  • Aqil A, Siddiqui MR, Solan M, Redfern DJ, Gulati V, Cobb JP. Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs. Clin Orthop Relat Res. 2013 Nov;471(11):3645-52. doi: 10.1007/s11999-013-3132-2. Epub 2013 Jun 28. PubMed 23813184 ↗
  • Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005 Nov;26(11):968-83. doi: 10.1177/107110070502601113. PubMed 16309613 ↗
  • Metzner G, Dohnalek C, Aigner E. High-energy Extracorporeal Shock-Wave Therapy (ESWT) for the treatment of chronic plantar fasciitis. Foot Ankle Int. 2010 Sep;31(9):790-6. doi: 10.3113/FAI.2010.0790. PubMed 20880482 ↗
  • Yin MC, Ye J, Yao M, Cui XJ, Xia Y, Shen QX, Tong ZY, Wu XQ, Ma JM, Mo W. Is extracorporeal shock wave therapy clinical efficacy for relief of chronic, recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. Arch Phys Med Rehabil. 2014 Aug;95(8):1585-93. doi: 10.1016/j.apmr.2014.01.033. Epub 2014 Mar 21. PubMed 24662810 ↗
  • de Mos M, van der Windt AE, Jahr H, van Schie HT, Weinans H, Verhaar JA, van Osch GJ. Can platelet-rich plasma enhance tendon repair? A cell culture study. Am J Sports Med. 2008 Jun;36(6):1171-8. doi: 10.1177/0363546508314430. Epub 2008 Mar 7. PubMed 18326832 ↗
  • O'Malley MJ, Vosseller JT, Gu Y. Successful use of platelet-rich plasma for chronic plantar fasciitis. HSS J. 2013 Jul;9(2):129-33. doi: 10.1007/s11420-012-9321-9. Epub 2013 May 18. PubMed 24426857 ↗
  • Ang TW. The effectiveness of corticosteroid injection in the treatment of plantar fasciitis. Singapore Med J. 2015 Aug;56(8):423-32. doi: 10.11622/smedj.2015118. PubMed 26311907 ↗
  • Scher DL, Belmont PJ Jr, Bear R, Mountcastle SB, Orr JD, Owens BD. The incidence of plantar fasciitis in the United States military. J Bone Joint Surg Am. 2009 Dec;91(12):2867-72. doi: 10.2106/JBJS.I.00257. PubMed 19952249 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02668510
Lead sponsor
Edna Rath
Responsible party
Edna Rath (Human Protection Director, William Beaumont Army Medical Center) — Sponsor-investigator
First posted
Jan 29, 2016
Start date
Jan 2016
Primary completion
Dec 11, 2023
Completion
Dec 11, 2023
Last update
Sep 25, 2025

Study contacts

Timothy B Pekari, DSc
principal investigator · WBAMC
Amanda L Allen, MD
principal investigator · WBAMC
Lola Norton
study director · WBAMC
Desiree d diebold, md
principal investigator · wbamc

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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