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
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