A prospective study on use of platelet rich plasma for treatment of plantar fasciitis
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Plantar fasciitis which is a common problem but conservative treatment often is not satisfactory, use of platelet rich plasma induces healing in plantar fasciitis. Aim: Efficacy of injection of intralesional injection of autologous platelet rich plasma for treatment of plantar fasciitis. Materials and methods: This is a prospective study done at government chengalpattu medical college from august 2015 to january 2017. Two hundred patient with chronic plantar fasciitis with ultrasonogram thickness >4mm were included in our study, Injection of activated autologous platelet rich plasma followed by stretching protocol, and followed up with foot function index, AOFAS SCORE and USG thickness. Results: 96% of cases shown good clinical outcome with FFI and AOFAS score and 90% 0f patients shown reduction in thickness of plantar fascia measured by ultra-sonogram. Discussion: This study found a significant relationship between the change in plantar fascia thickness and the pain level using FFI and AOFAS score after treatment. In 190 patients reduction of symptoms strongly correlated with a reduction in plantar fascia thickness. 2 patient has no decrease in thickness and no decrease in pain. 3 patient had no decrease in thickness but pain decreased. Conclusion: Autologous platelet rich plasma is an cost effective, simple out patient treatment modalities which gives excellent results in chronic plantar fasciitis.
Authors and Affiliations
Dr. Maharajothi Paramasivam, Dr. Kalaiyarasan Thamizharasan, Dr. Murugasarathy Sambandam
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