Comparative Study On Functional Outcome Of Steroid Injection Vs Conservative Management In Plantar Fascitiis
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Aim: Plantar fasciitis is the most common cause of inferior heel pain. Steroid injections have been described to treat plantar heel pain since many years. The need for this study is to evaluate the functional outcome following steroid injection versus conservative management of plantar fasciitis. Material and methods: 45 patients were included in the study, 3 lost to follow up. 20 patients were given local steroid injection in the heal (group 1) and 22 were managed conservatively (group 2). The patient was reassessed in 2 weeks, 4 weeks and 8 weeks using VAS Numeric Pain Distress Scale. Results: At week zero the mean of group 1 was 7.70±0.35 and that of the group 2 was 7.58±0.33 which was not statistically significant. By the follow up week 2, the mean dropped significantly from 7.70 to 4.87 in group 1 while the mean VAS scores dropped in group 2 only from 7.58 to 6.60. This difference was statistically significant (p<0.001). At 4th week the mean VAS scores were 2.92 in group 1 while in group 2, the mean was 3.6 (p<0.001). By week 8 the group 1 reached VAS scores of 1.65 ±0.41 and VAS score of group 2 was 1.8±0.49 (statistically not significant). Conclusion: Corticosteroids when used for short term give better results in treating plantar fasciitis although the long term complications of steroids must be kept in mind before initiating treatment.
Authors and Affiliations
Sanjay upadhyay, Jeetesh Gawande, Manish Dwivedi
Keywords
Related Articles
- EP ID EP544400
- DOI -
- Views 117
- Downloads 0
Functional Results Of Arthroscopic Bankart Repair: A Prospective Study
Background: Comparing with the others the shoulder joint has the widest range of motion, but also increased predisposition to dislocation (aproximately 50 percent of all dislocations) due to its biomechanics and less bon...
Management of diaphyseal long bone fractures in paediatric age group by flexible titanium elastic nails
Background: Elastic intra-medullary nailing is a new techniquefor treatment of various paediatric fractures. The use of thesetitanium nails is preferred over conventional stainless steel nailsused in the past. Method: Th...
Incidence Of Deep Vein Thrombosis In Patients With Fracture Around Hip: A Prospective Study Using Serial Colour Doppler Ultrasound
Background: The incidence of DVT in Asian countries has been presumed to be low and is not comparable to the western literature. Method: The current article is based on a prospective study carried out on 95 Indian patien...
Unstable Intertrochanteric Fractures Treated With Proximal Femoral Nail Antirotation-II: An Evaluation Of Functional Outcome In The Elderly
Background: The incidence of unstable intertrochanteric fractures is increasing due to increased life span. These fractures require stable fixation and early mobilisation to reduce the morbidity and mortality. Extra-me...
A Case Series On Galeazzi-Variant Type Fracture-Dislocation In Adults
Background: Galeazzi variant type fracture dislocation i.e. Fracture of radius and ulna with dislocation at distal radioulnar joint (DRUJ) is uncommon injury and injury pattern is inherently unstable needs surgical manag...