Treatment of plantar fasciitis using four different local injection modalities: a randomized prospective clinical trial.
BACKGROUND
To determine the effectiveness of four different local injection modalities in the treatment of plantar fasciitis.


METHODS
In a prospective randomized multicenter study of plantar fasciitis, 100 patients were divided into four equal groups and were treated using four different methods of local injection: group A was treated with 2 mL of autologous blood alone; group B, an anesthetic (2 mL of lidocaine) combined with peppering; group C, a corticosteroid (2 mL of triamcinolone) alone; and group D, a corticosteroid (2 mL of triamcinolone) combined with peppering. The outcome was defined by using a 10-cm visual analog scale and modified criteria of the Roles and Maudsley score 3 weeks and 6 months after the injection and compared with the pretreatment condition.


RESULTS
The successful results in all of the groups after injections were higher than those in the pretreatment condition (P = .000). In groups C and D, in which local corticosteroid injections were used, excellent results were obtained, with superior effect in the group in which peppering was used (P < .05).


CONCLUSIONS
In the treatment of plantar fasciitis, combined corticosteroid injections and peppering is effective and produces better clinical results.
Kalaci
Aydiner
A
Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Antakya, Hatay, Turkey. orthopedi@gmail.com
Cakici
Hüsamettin
H
Hapa
Onur
O
Yanat
Ahmet Nedim
AN
Dogramaci
Yunus
Y
Sevinç
Teoman Toni
TT
D000328:Adult; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage*; D036981:Fasciitis, Plantar / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007279:Injections, Subcutaneous / Q000379:methods*; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage*
D000779:Anesthetics, Local; D005938:Glucocorticoids; D014221:Triamcinolone; D008012:Lidocaine