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
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