A comparative study of platelet rich plasma versus dextrose prolotheraphy in the treatment of plantar fasciitis
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Introduction: Plantar fasciitis (PF) is the most common cause of heel pain. The diagnosis is usually clinical and rarely needs to be investigated further Aims and Objectives: To compare effectiveness of platelet rich plasma versus Dextrose prolotheraphy in the Treatment of Plantar Fasciitis. Methodology: After approval from the institutional ethical committee, a hospital based study carried out at Surgery Department of a tertiary health care center during one-year period from June 2014 to June 2015. During the one-year period 32 patients included into study. These patients were included into Platelet rich plasma (PRP) 16 patients and Dextrose prolotheraphy (DP) 16patient’s treatment by a computer generated random numbers respectively. The pain in patients was measured by Visual Analogue Scale (VAS). The statistical analysis done by unpaired t-test and chi-square test calculated by SPSS version 18 software. Result: The mean age was 38± 5 Yrs. and 39±6 Yrs. the difference is not statistically significant (t=1.21,df=30,P>0.05) , The Disease duration(month) was 22.58±10.22 and 34.94±11.53 and the difference is statistically significant (t = 3.2088, df = 30, P<0.001) , Baseline overall pain score (VAS) was 8.21±0.85 and 9.8±0.52 and difference is statistically significant (t=3.15, df=30, P<0.05), Fascia thickness (mm) was 2.10±1.09 and 4.2 ±1.28 and difference is statistically significant (t=5.1, df=30, P<0.01) respectively in the PRP and DP groups. As per echogenicity Normal echogenicity was in 70.00% of the PRP and 30.00% of DP patients similarly Hypo-echogenicity in 75.00% and 30.00%; Hyper-echogenicity in 22.22% and 77.78%; Biconvexity in 20.00% and 80.00% respectively in PRP and DP treatment group and the fascia thickness measured by echogenicity was significantly higher in DP treatment group this was statistically significant. ( X 2 = 8.1778, p<0.05). Conclusion: The platelet rich plasma treatment method for Plantar Fasciitiswas found to be superior to Dextroseprolotheraphy with respect to less Disease duration, less pain and less Fascia thickness respectively.
Authors and Affiliations
Ganesh Ganapatrao Degloorkar
Keywords
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