Comparison of the Effectiveness of Dextrose Prolotherapy and Extracorporeal Shock Wave Therapy (ESWT) in Plantar Fasciitis

Inclusion Criteria: * Diagnosis of plantar fasciitis Ages 18 to 75 years Both male and female participants Heel pain localized to the medial calcaneal tubercle for more than 3 months Morning first-step pain and pain increasing with daily loading Willingness to participate and provide written informed consent Patients presenting to Kanuni Sultan Süleyman Training and Research Hospital Exclusion Criteria: Cardiac pacemaker Type 1 or Type 2 diabetes mellitus History of inflammatory rheumatic disease Bleeding disorders Use of anticoagulant medications other than aspirin Allergy to dextrose Previous foot or ankle surgery Peripheral neuropathy S1 radiculopathy in the same extremity Local corticosteroid injection to the plantar fascia within the last 3 months ESWT applied to the plantar fascia within the last 3 months Physical therapy applied to the foot/ankle in the last 3 months Cognitive dysfunction Active infection at the planned injection site \-