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

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: * • 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 immunomodulator…