Comparative study of local injections of autologous platelet rich plasma versus corticosteroid in management of chronic plantar fasciitis.

Abstract

Background:

Plantar fasciitis is a known degenerative pathology and is a common cause of heel pain. We intend to evaluate the efficacy between locally injected Corticosteroids and autologous PRP in the management of chronic plantar fasciitis patients.

Materials and methods:

In this prospective randomized controlled study, 70 chronic plantar fasciitis with failed conservative management for 3 months were randomly selected into 2 groups of 35 patients each. Group A received a local autologous platelet rich plasma injection of 3 ml and group B received a local corticosteroid injection of 2 ml. The Visual Analogue Scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared between the groups at 15 days, 1 month, 3 months and 6 months.

Results:

No improvement in pain between autologous PRP and corticosteroids study subjects was noted in the initial period up to 15 days whereas after 1 month, 3 months and 6 months duration, it is seen that autologous PRP injected study subjects showed significant relief in pain compared to corticosteroids.

Conclusion:

PRP was more effective in chronic plantar fasciitis patients compared to corticosteroids with pain relief coming after first 1st, 3rd and 6th month of the injection.

Level of evidence:

Level 2.

• Authors: K G Sathyendra, Rupali Dnyandeo Solankey, Mohit Singh, S Venkatesh Kumar, Gowtham Singh, Mayank Mohan Gupta
• Journal: Journal of clinical orthopaedics and trauma (J Clin Orthop Trauma) Vol. 43 Pg. 102225 (Aug 2023) ISSN: 0976-5662 [Print] India
• PMID: 37520269 (Publication Type: Journal Article)
• Copyright: © 2023.