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  • Title: Comparative study of local injections of autologous platelet rich plasma versus corticosteroid in management of chronic plantar fasciitis.
    Author: Sathyendra KG, Dnyandeo Solankey R, Singh M, Venkatesh Kumar S, Singh G, Gupta MM.
    Journal: J Clin Orthop Trauma; 2023 Aug; 43():102225. PubMed ID: 37520269.
    Abstract:
    BACKGROUND: Plantar fasciitis is a known degenerative pathology and is a common cause of heel pain. We intend to evaluate the efficacy between locally injected Corticosteroids and autologous PRP in the management of chronic plantar fasciitis patients. MATERIALS AND METHODS: In this prospective randomized controlled study, 70 chronic plantar fasciitis with failed conservative management for 3 months were randomly selected into 2 groups of 35 patients each. Group A received a local autologous platelet rich plasma injection of 3 ml and group B received a local corticosteroid injection of 2 ml. The Visual Analogue Scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared between the groups at 15 days, 1 month, 3 months and 6 months. RESULTS: No improvement in pain between autologous PRP and corticosteroids study subjects was noted in the initial period up to 15 days whereas after 1 month, 3 months and 6 months duration, it is seen that autologous PRP injected study subjects showed significant relief in pain compared to corticosteroids. CONCLUSION: PRP was more effective in chronic plantar fasciitis patients compared to corticosteroids with pain relief coming after first 1st, 3rd and 6th month of the injection. LEVEL OF EVIDENCE: Level 2.
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