Clinical Evaluation Of Plantar Fascitis Treated With Prp Vs Corticosteroid Injection
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Plantar fasciitis is one of the most common cause of heel pain. It is thought to result from chronic overload and is characterized by pain at the calcaneal origin of the plantar fascia, exacerbated by weight bearing after prolonged periods of rest.. Earlier treatments, including orthoses, non steroidal antiinflammatory drugs, and steroid injections are paucity of supportive clinical evidence but carry the potential for serious complication and permanent disability. Platelet-rich plasma (PRP) demonstrated to be helpful in managing chronic severe plantar fasciitis when other techniques have failed. The purpose of this study was to assess and compare the clinical results for treating chronic plantar fasciitis with PRP and steroidinjection.A total of 120 patients were diagnosed as plantar fasciitis by clinical and radiological evaluation and were divided into group-A(PRP injection) and groupB(Corticosteroid injection. Group-A(60 patients) were given PRP injection and Group-B(60 patients) were given Corticosteroid injection. 6 cases lost in follow up were excluded from the study. Patients were assessed functionally using VAS score.The results were obtained on mean VAS in both groups. The cortisone group had a pretreatment mean VAS score of 7.5, which initially improved to 1.2 at 12 weeks post treatment b to 3.9 at 26 weeks, and then continuous increased to near baseline levels of 7.4 at 52 weeks. In contrast, the PRP group started with an average pretreatment 7.6 score decreased to 3.6 at 12 weeks, remained declining to 1.1 at 26 weeks and 0.4 at 52 weeks. Our study has shown that local Corticosteroid injection is effective for immediate pain relief only which may last upto 3 months and PRP injection therapy is effective in long term treatment for chronic heel pain with no side effects and complications.
Authors and Affiliations
Gagan Khanna, Rajan Sharma, Abhishek Rathore, Aditya Bhardwaj
Keywords
Related Articles
- EP ID EP394675
- DOI -
- Views 120
- Downloads 0
OSTEOSYNTHESIS OF SUBTROCHANTERIC FRACTURES USING PROXIMAL FEMORAL NAIL: A PROSPECTIVE STUDY
Background Subtrochanteric fractures remain one of the most...
Evaluation Of Patients With Congenital Idiopathic Clubfoot Treated By Ponseti Method: A Prospective Study
BACKGROUND Clubfoot occurs in approximately one in 1000 live births and is one of the most congenital birth defects. It is usually defined as a fixation of the foot in adduction, equines, cavus and varus. The Ponseti met...
Study Of Effect Of Zoledronic Acid In Patients With Low Back Pain Associated With Vertebral Osteoporosis
Low back pain is the third most common orthopaedic problem. Most of the times it is overlooked and underdiagnosed and consequently undertreated. Vertebral osteoporosis is a common cause of low back pain and its early det...
Role of kuntscher’s nail in management of subtrochanteric fractures of femur
Intramedullary implant is now the standard in the treatment of Subtrochanteric fractureof femur however, it is too expensive for the poor patient in developing country like India.The standard K-nail was used toprovide a...
Functional Outcome Following Elastic Stable Intramedullary Nailing For Clavicle Fractures
Background: Mid-shaft fractures of the clavicle are one of the most common injuries of the human musculoskeletal system. It represents 4% of all fractures with an incidence of 64 per 100000 per year. It was historically...