Would you recommend prp or surgery for chronic plantar fasciitis/fasciosis & a spur that hasn't responded to orthotics, pt, steroid injection, taping, stretching?

$$$: Although prp has been recommended, there are mixed clinical papers regarding it's effectiveness. It's popular in europe because it's covered by their healthcare system, but in the us it's hard to shell out $$$ for something that isn't clinically agreed upon as an effective treatment. Surgery, although isn't 100%, has been a mainstay as a last resort. If you have the $$$, go for prp. Good luck.

PRP?: At the hospital where i work prp has not been successful for plantar fasciitis. ( i haven't used it for pf). If all conservative treatment has been unsuccessful a plantr fasciotomy amy be right for you. Usually only the medial band ( the big toe side)needs to be released.

I have used: Prp and traditional surgery for fascitis that doesn't respond. Prp is expensive and not covered. May try endoscopic plantar fasciotomy.

Plantar fasciitis: When all else fails , surgery is the right answer. However as with the other clinicians , prp is not covered here . Conventional surgery is very effective with the release of the medial band. Your podiatrist will guide you through this. Good luck.

Try prp : Prp has amazing results for pain.

PRP: If you have a doctor with experience and a good success rate with the PRP injections , then I would suggest you have the injections. Another conservative treatment would be a series of MLS Laser treatments. I am a surgeon and have performed well over 500 heel surgeries, but I still would try all available non-surgical options first. But, you may still need the surgery anyway.

Try PRP first: Hopefully will allow you to avoid surgery.