Comparison between platelet rich plasma injection versus corticosteroid injection in the management of pain and improving functional outcome in patients suffering from plantar

Dr. DEBASISH DEB; Dr. AKOIJAM JOY SINGH; Dr. N BIMOL; Dr. RAKESH DAS; Dr. SHANAVAS ANOTH MEETHAL

Volume : IX, Issue : I, January - 2020

Comparison between platelet rich plasma injection versus corticosteroid injection in the management of pain and improving functional outcome in patients suffering from plantar

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 condition to treat1. The conservative treatment modalities available includes- orthotics, night splints, ultrasound therapy, eswt , casting etc2. 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 fascitis3. PRP acts by attracting inflammatory and cytokines which helps in deposition of collagen, collagen maturation and remodelling4. 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.