COMPARISON BETWEEN PLATELET RICH PLASMA INJECTION VERSUS CORTICOSTEROID INJECTION IN THE MANAGEMENT OF PAIN AND IMPROVING FUNCTIONAL OUTCOME IN PATIENTS SUFFERING FROM PLANTAR FASCIITIS AND NOT RESPONDING TO 6 WEEKS OF CONSERVATIVE TREATMENT : COMPARATIVE PROSPECTIVE STUDY

Dr. Debasish Deb, Dr. Akoijam Joy Singh, Dr. N Bimol, Dr. Rakesh Das, Dr. Shanavas Anoth Meethal

Abstract


Introduction: One of the most common cause of heel pain is plantar fasciitis and is a challenging clinical
1 condition to treat . The conservative treatment modalities available includes- orthotics, night splints,
2 ultrasound therapy, eswt , casting etc . In case of failure of conservative treatment one of the effective treatment modality is
corticosteroid injection over the medial tuberosity. In recent times use of PRP(platelet rich plasma) a component of blood
containing platelet in concentration 2-5 times the baseline count of the patient has been effective in treatment of plantar
3 fascitis . PRP acts by attracting inammatory and cytokines which helps in deposition of collagen, collagen maturation and
4 remodelling .
In our study we have compared two treatment modalities-PRP injections and corticosteroid injections in patients suffering
from plantar fasciitis and not responding to conservative treatment for 6 weeks.
Aims And Objects: To study and compare the results of PRP injection versus corticosteroid injection in the management of
pain and improving functional outcome in patients suffering from plantar fasciitis and not responding to 6 weeks
conservative treatment.
Materials And Methods:
Study Type: Comparative prospective study
Source: All patients attending PMR OPD RIMS imphal suffering from plantar fasciitis not responding to 6 weeks
conservative treatment from August 2018 to October 2019 were included in the study after explaining the procedure and
informed consent was taken.
Outcome measures: All the patients were assessed according to the VAS and the AOFAS score. The scores were taken
before injection and during follow up at 3 weeks, 6 weeks, 6 months.
Sample size: With 25 patients in each group a total of 50 patients were selected
Sample selection: Method of treatment is decided by the patient after they were explained both the procedures.
Statistical analysis: Intragroup comparison by Paired T test and student T test for Inter-group comparison.
Results: Both PRP and corticosteroid injections provided symptomatic relief both functionally and subjectively, but results
at 6 months showed that PRP yielded better functional results


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