scholarly journals Is platelet rich plasma superior to corticosteroid injection for recalcitrant plantar fasciitis? Results of a prospective comparative study

2021 ◽  
Vol 6 (2) ◽  
pp. 58-61
Author(s):  
Jambukeswaran PST ◽  
Arun Kumar Somasundaram ◽  
Sathish Muthu
Author(s):  
Harpreet Singh ◽  
Malay P. Gandhi ◽  
Aliasgar J. Rampurwala ◽  
Tej S. Rudani

<p class="abstract"><strong>Background:</strong> Plantar fasciitis (PF) is considered as degenerative tendinopathies. Repeated micro trauma is the major etiology of these diseases. Autologous platelet rich plasma (PRP) injections are becoming more popular in the treatment of enthesopathies like PF. The growth factors in PRP cause tissue healing. We compared the result of injecting intra-lesional autologous PRP injections versus steroid infiltration in chronic PF.</p><p class="abstract"><strong>Methods:</strong> A prospective, interventional and analytic comparative study was done and 81 patients (120 heels) were included in this study and were followed up for 6 months. We assessed the outcome of each patient using visual analog score (VAS) and foot and ankle disability index (FADI) on follow-up at 1, 3, and 6 months. <strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, female preponderance was seen. Left side was more common as compared to right side. Unilateral PF is more common than bilateral. The difference with in the individual group at baseline and at 1,3 and 6 months was statistically highly significant in terms of VAS and FADI (p=0.0001) But the difference in the between the two groups was insignificant for VAS and FADI at 1, 3 and 6 months.</p><p class="abstract"><strong>Conclusions:</strong> In our study, as there is no significant difference in VAS and FADI score between corticosteroid injection group and PRP injection group at 1, 3 and 6 months follow up. So, it’s reasonable to conclude that both are equally effective in PF. But as PRP injection comes out to be more time consuming and more costly, corticosteroid seems to be more efficient, cost and time wise. Hence, the latter should be a better choice.      </p>


The Foot ◽  
2015 ◽  
Vol 25 (4) ◽  
pp. 235-237 ◽  
Author(s):  
Kowshik Jain ◽  
Philip N. Murphy ◽  
Timothy M. Clough

2017 ◽  
Vol 4 (2) ◽  
pp. 84-89
Author(s):  
Gyaneshwar Tank ◽  
Ravikant Rohila ◽  
Rohit Gupta, ◽  
Amit Gupta,

ABSTRACT Introduction Platelet-rich plasma (PRP) is promoted now­adays as an ideal autologous biological blood-derived product. It enhances wound healing, bone healing, tendon healing and is currently being widely used. Aims and objectives A prospective cohort study was done to assess the efficacy of autologous PRP injection and to compare it with corticosteroid injection in treatment of plantar fasciitis (PF). Materials and methods Eighty patients were included in the study and divided into two groups. Group I (30 patients) received PRP injection and group II (50 patients) were given steroid injection. Patients were clinically assessed at different intervals. Functional outcome was evaluated on the basis of visual analog scale (VAS) and foot and ankle ability measure (FAAM) scores. Planter fascia thickness was assessed pre- and postinjection by ultrasound. Results Platelet-rich plasma and corticosteroid injection groups at the initial visit had VAS score of 8.44 and 8.38 respectively which was reduced to 1.46 and 3.02 at the end of 6 months. The PRP and corticosteroid injection groups at the initial visit had FAAM score of 29.9 and 31.6 respectively which increased to 83.4 and 69.1 at the end of 6 months. After injection, the PRP group had significant reduction (35.90%) in the thickness of plantar fascia as compared to corticosteroid group (28.67%). Conclusion Treatment of PF with PRP extract reduces pain and significantly increases function, exceeding the effect of steroid on long-term follow-up. How to cite this article Tank G, Gupta R, Gupta A, Rohila R. Comparative Study of Platelet-rich Plasma and Corticosteroid Injection in the Treatment of Plantar Fasciitis. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):84-89.


2019 ◽  
Vol 2 (2) ◽  
pp. 26
Author(s):  
Saurabh Kumar ◽  
Deepankar Verma ◽  
IshKumar Dhammi ◽  
Rajnand Kumar ◽  
Rajat Kapoor ◽  
...  

2019 ◽  
Vol 6 (1) ◽  
pp. 2-6
Author(s):  
Manjeet Singh ◽  
Ashwani Ummat ◽  
Chetan Sharma ◽  
Praveen S Thivari ◽  
Sonia Kochhar

2019 ◽  
Vol 35 (1) ◽  
pp. 201-210 ◽  
Author(s):  
Sandeep Mannava ◽  
Kaitlyn E. Whitney ◽  
Mitchell I. Kennedy ◽  
Jill King ◽  
Grant J. Dornan ◽  
...  

2019 ◽  
Vol 1 (Number 2) ◽  
pp. 11-14
Author(s):  
Md. Johurul Hoque ◽  
Muhammad Emam Zaman ◽  
Ripon Kumar Das ◽  
Mohammad Sayeed AL Mahmud ◽  
Mahbuba Khatun

This is a prospective comparative study to compare the efficacy of PRP injection versus corticosteroid injection for planter fasciitis. 35 male and 25 female (Mean Age 35.5 yrs.) presenting with planter fasciitis were randomized to receive there Platelet-rich plasma (PRP) injection (2ml PRP with 2ml of 2% xylocaine) given by a single surgeon. Patients were assessed before (Days0) and after (Days 30, 60, 90) treatment for chronic heel pain more than 6 months. Patients where followed up 1 year to assess heel pain over the calcaneal tuberocity. In the present study of 60 patients there were 35 male and 25 female. In the present study of 60 patients the mean age was 35.5 years (Range between 35 to 65 years). Infection, rupture of plantar fascia, heel pad atrophy and neurovascular damage where not found. Five patient reported pain for unto 9 days after PRP injection. In both groups heel pain improved dramatically after treatment, but the mode of improvement different. Compared with PRP injection. Corticosteroid injection improve at a faster rate over the first 30 days and then started to decline slightly until 90 days. After PRP injection heel pain, function improve steadily and where eventually better. PRP injection and Corticosteroid injection 30 days and faster rate 60 days of both group P-Value 0.0001. Almost high grater rate 60 days, group comparison with heel pain and function of the patients. PRP was more effective over the long term follow up period then corticosteroid injection in improving heel pain and function. That’s way we recommend PRP in a first line injection treatment because it is very simple, cheap and more effective.


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