Comparison of Regenerative Injection Therapy and Conventional Therapy for Proximal Plantar Fasciitis.

Treatment of subacute and chronic heel pain often presents a unique challenge to the physician. Regenerative therapies, such as injectable amnion and connective tissue matrix, may represent a promising new approach in these patients, and have become increasingly popular in the United States. However, little literature exists evaluating these injections compared to conventional nonoperative means. As such, we designed a retrospective comparative study evaluating patients in our practice who received a standardized plantar fascial treatment protocol only (standard therapy), and those who received regenerative plantar fascial injections in addition to standard therapy. A total of 54 patients were followed over a 3-month observation period (91.7 ± 73.9 days), with numeric pain rating (NPR) serving as the primary outcome. Both groups saw an improvement in NPR at the end of the observation period, but patients in the regenerative therapy group demonstrated lower pain scores than those receiving standard therapy alone (mean NPR 2.1 ± 2.3 vs 4.4 ± 2.8, p = .004). Additionally, those in the standard therapy group were significantly more likely to proceed onto surgical intervention compared to the regenerative therapy group (unadjusted odds ratio 15.6, 95% CI 3.0-27.9). The use of regenerative injections for subacute and chronic plantar fasciitis showed promise in our study, and may help mitigate against the need for invasive surgical intervention.

Cross-taxonomic potential and spatial transferability of an umbrella species index.

Validation that conservation of certain species effectively protects a high proportion of co-occurring species is rare. Our previous work has suggested that an umbrella index based on geographic distribution and life history characteristics would maximize the proportion of conspecifics protected per unit area conserved. Using bird and butterfly data from three mountain ranges in the Great Basin, we examined whether umbrella species also would confer protection to species in different taxonomic groups. Further, we addressed the spatial transferability of umbrella species by considering whether species identified as umbrellas in one mountain range would be effective umbrellas in other mountain ranges. Overall, equal proportions of species would be protected using either cross-taxonomic umbrella species or same-taxon umbrella species. Our data suggested that in a given mountain range, umbrella species identified using data from the same mountain range versus a different mountain range would be equally effective. The ability of one set of umbrella species to confer protection to co-occurring species, however, may vary among taxonomic groups and geographic regions.

Nestedness analysis and conservation planning: the importance of place, environment, and life history across taxonomic groups.

We used nested subsets analysis to examine distribution patterns of birds and butterflies in the same set of 83 locations in canyons of three mountain ranges in the Great Basin of western North America. We tested whether the same environmental variables influenced nestedness among taxonomic groups and among mountain ranges within taxonomic groups. We also examined whether nestedness of birds and butterflies appeared to be sensitive to human use of riparian areas in the ecoregion. Site area and topography did not appear to differ in their influence on nestedness of birds. By contrast, area and topography differed in how strongly they affected nestedness of butterflies, but their respective influence varied among mountain ranges. Riparian dependence had little discernible effect on nested distribution patterns of either taxonomic group. Because processes influencing distribution patterns can differ among taxonomic groups, and the relative importance of those processes may vary spatially even within a taxonomic group, we urge restraint in using birds and butterflies as surrogates of other taxa for conservation planning.