A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection
BACKGROUND: Chronic refractory plantar fasciitis is one of the common causes for long-standing pain in the heel region, which has to be intervened with minimally invasive intralesional injections. The aim of this randomized controlled study was done to compare the functional outcome of patients who...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Orthopaedics and Spine |
| Subjects: | |
| Online Access: | http://www.joas.org.in/article.asp?issn=2666-7150;year=2023;volume=11;issue=1;spage=19;epage=23;aulast=Balashanmugam |
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| author | Ashwanth Narayan Balashanmugam Prem Kumar Kothimbakkam V Bharath R K Guhan A Ganesh M Vijayashankar |
| author_facet | Ashwanth Narayan Balashanmugam Prem Kumar Kothimbakkam V Bharath R K Guhan A Ganesh M Vijayashankar |
| author_sort | Ashwanth Narayan Balashanmugam |
| collection | DOAJ |
| description | BACKGROUND: Chronic refractory plantar fasciitis is one of the common causes for long-standing pain in the heel region, which has to be intervened with minimally invasive intralesional injections. The aim of this randomized controlled study was done to compare the functional outcome of patients who have not responded to 6 weeks of conservative treatment for chronic plantar fasciitis (6 months), treated with platelet-rich plasma (PRP) injection and corticosteroid injection. PATIENTS AND METHODS: All patients diagnosed with chronic plantar fasciitis, who did not respond to 6 weeks of conservative trial who came to the orthopedic department of this institute from September 2019 to March 2021, were added in this research. Thirty patients in each group were randomly assigned as per inclusion and exclusion criteria. RESULTS: The mean age receiving PRP (group 1) was 42 and corticosteroid (group 2) was 39.87, respectively. This study comprising of 60 patients had 13 males and 47 females, respectively. Among them, 7 males and 23 females received PRP injection and 6 males and 24 females received corticosteroid injection. At the conclusion of 6 months, the PRP group had a sustained surge in foot and ankle outcome score (FAOS) score (87.23), on the other hand, the corticosteroid group (77.5) had a fall in the FAOS score after three months. At the completion of 6 months, the PRP group had a decrease in visual anolog score (VAS) score (1.93), and the corticosteroid group (3.33) had a raise in the VAS score after 3 months. CONCLUSION: Our research has concluded that PRP injection is efficacious in a long run. At the same time, corticosteroid injection efficacy started to decline after three months. |
| first_indexed | 2024-03-12T22:12:02Z |
| format | Article |
| id | doaj.art-c679b01be5e6492d93eb559c728f14d4 |
| institution | Directory Open Access Journal |
| issn | 2666-7150 |
| language | English |
| last_indexed | 2024-03-12T22:12:02Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedics and Spine |
| spelling | doaj.art-c679b01be5e6492d93eb559c728f14d42023-07-23T11:41:59ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedics and Spine2666-71502023-01-01111192310.4103/JOASP.JOASP_25_22A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injectionAshwanth Narayan BalashanmugamPrem Kumar KothimbakkamV BharathR K GuhanA GaneshM VijayashankarBACKGROUND: Chronic refractory plantar fasciitis is one of the common causes for long-standing pain in the heel region, which has to be intervened with minimally invasive intralesional injections. The aim of this randomized controlled study was done to compare the functional outcome of patients who have not responded to 6 weeks of conservative treatment for chronic plantar fasciitis (6 months), treated with platelet-rich plasma (PRP) injection and corticosteroid injection. PATIENTS AND METHODS: All patients diagnosed with chronic plantar fasciitis, who did not respond to 6 weeks of conservative trial who came to the orthopedic department of this institute from September 2019 to March 2021, were added in this research. Thirty patients in each group were randomly assigned as per inclusion and exclusion criteria. RESULTS: The mean age receiving PRP (group 1) was 42 and corticosteroid (group 2) was 39.87, respectively. This study comprising of 60 patients had 13 males and 47 females, respectively. Among them, 7 males and 23 females received PRP injection and 6 males and 24 females received corticosteroid injection. At the conclusion of 6 months, the PRP group had a sustained surge in foot and ankle outcome score (FAOS) score (87.23), on the other hand, the corticosteroid group (77.5) had a fall in the FAOS score after three months. At the completion of 6 months, the PRP group had a decrease in visual anolog score (VAS) score (1.93), and the corticosteroid group (3.33) had a raise in the VAS score after 3 months. CONCLUSION: Our research has concluded that PRP injection is efficacious in a long run. At the same time, corticosteroid injection efficacy started to decline after three months.http://www.joas.org.in/article.asp?issn=2666-7150;year=2023;volume=11;issue=1;spage=19;epage=23;aulast=Balashanmugama randomized controlled studychronic plantar fasciitiscorticosteroidfaos scoreplatelet-rich plasmavas score |
| spellingShingle | Ashwanth Narayan Balashanmugam Prem Kumar Kothimbakkam V Bharath R K Guhan A Ganesh M Vijayashankar A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection Journal of Orthopaedics and Spine a randomized controlled study chronic plantar fasciitis corticosteroid faos score platelet-rich plasma vas score |
| title | A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection |
| title_full | A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection |
| title_fullStr | A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection |
| title_full_unstemmed | A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection |
| title_short | A randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet-rich plasma injection and corticosteroid injection |
| title_sort | randomized controlled comparative study of functional outcome of chronic refractory plantar fasciitis treated with platelet rich plasma injection and corticosteroid injection |
| topic | a randomized controlled study chronic plantar fasciitis corticosteroid faos score platelet-rich plasma vas score |
| url | http://www.joas.org.in/article.asp?issn=2666-7150;year=2023;volume=11;issue=1;spage=19;epage=23;aulast=Balashanmugam |
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