Abstract
Introduction: Plantar fascitis is a painful heel condition associated with Obesity, Poor foot alignment, Prolonged Standing, Fat pad atrophy causing significant distress in day to day activities. The objective of the current study was to evaluate and compare the treatment outcomes and complications of local injection of steroid derivatives and autologus blood in the management of plantar fasciitis.
Material and Methods: This randomized, interventional study was conducted on OPD basis on 60 patients suffering from plantar fasciitis. Patients were divided into two groups, Total 30 patients in each group (group-I steroid group, group-II autologous blood group). Point of maximum tenderness at anteromedial tuberosity of calcaneum was identified and injected under asceptic precautions using peppering technique.
Results: Patients were followed up at regular intervals (2 weeks,6 weeks,3 months and 6 months) for pain severity (VAS score),Functional outcome(RM score), any complications, recurrence of symptoms, requirement of analgesics and physiotherapy. Results were analysed statistically using chi-square test and student’s t-test .
Conclusion: Autologous Blood Injection significantly reduces the pain without any complications. Autologous blood is easyto acquire and prepare, provides intermediate and long term results in term of pain relief in comparison to corticosteroid injection which gives short term relief with comparatively high recurrence rate. Autologous blood is easy to procure and administer than PRP also (Platelet Rich Plasma procurement requires much more cost and patient compliance). Thus, highly useful for economically under developed and developing countries.
Keywords: Plantar fasciitis, Autologous blood injection, Corticosteroid injection.
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Corresponding Author
Satbir Singh
Department of Orthopaedics,
Government Medical College, Patiala, Punjab, India 147001
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.96
