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Comparison of Platelet Rich Plasma Injection and Intraregional Steroid Injection In the Management of Plantar Fasciitis: A Prospective Study of 40 Patients
Abstract

Introduction: Plantar fasciitis is most common cause of chronic heel pain and it’s typically aggravated on weight bearing after a period of rest .Its diagnosis is mainly clinical and there are various modalities of treatment of this condition. We compare platelet rich plasma injection and intraregional steroid injection in long term pain relief in plantar fasciitis.

Material and Methods: Patient of plantar fasciitis with symptoms lasting more than 6 weeks were included in study. Patients with other coexisting disease like diabetes mellitus, vascular insufficiency, hypothyroidism and previous surgery were excluded from disease. In this prospective double-blind study, 60 patients who fulfilled the criteria were divided randomly into two groups. Patients in Group A received PRP injection and those in Group B received steroid injection. Patients were assessed with visual analog scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) score. Assessment was done before injection, at six weeks, three months and six months follow-up after injection.

Results : Mean VAS score in group A decreased from 6.14 to 1.10 after receiving PRP injection while in group B , Mean VAS score decreased from 8.20 to 1.40 at 3 months follow up. There was also statistical significant improvement in AOFAS score in PRP injection group as compared to steroid group at 6 months follow up.

Conclusion : Both PRP and Steroid have benefit in relieving pain for short term however long term benefit is more seen in patient receiving PRP injection.

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