A study to compare the efficacy of corticosteroid therapy with platelet-rich plasma therapy in recalcitrant plantar fasciitis: a preliminary report.
BACKGROUND
Plantar fasciitis is one of the commonest, and most frustrating, foot ailments seen in a regular orthopaedic clinic. There are a number of modalities available to treat this condition, of which corticosteroid injection is, perhaps, the most popular. However, recent years have seen an increased interest in the use of platelet-rich plasma (PRP) injections in various clinical situations such as plantar fasciitis.


METHODS
We undertook a prospective non-randomized study to compare the efficacy of traditional corticosteroid injection (Steroid group) to PRP injection (PRP group), in a cohort of patients.


RESULTS
We studied both groups of patients before and after the injections using Visual Analogue Score (VAS), the Foot & Ankle Disability Index (FADI) and American Foot and Ankle Score (AFAS). Our study confirms that there is significant clinical improvement in PRP group at three months after the injection.


CONCLUSIONS
The use of PRP injection can be an attractive alternative in the treatment of disabling, recalcitrant plantar fasciitis.


METHODS
Cohort study.


METHODS
Level 3.
Hiranandani Orthopaedic Medical Education (HOME), Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India. Electronic address: vijaydshetty@gmail.com.
Vijay D
VD
Shetty
Department of Orthopaedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Mandeep
M
Dhillon
Hiranandani Orthopaedic Medical Education (HOME), Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India.
Chintan
C
Hegde
Hiranandani Orthopaedic Medical Education (HOME), Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India.
Prajyot
P
Jagtap
Department of Pathology, Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India.
Suvin
S
Shetty
D000328:Adult; D036981:Fasciitis, Plantar / Q000628:therapy*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D053657:Platelet-Rich Plasma; D011446:Prospective Studies; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage; D055815:Young Adult
D005938:Glucocorticoids; D014221:Triamcinolone
Corticosteroid injection; Plantar fasciitis; Platelet rich plasma injection