Vijay D Shetty1, Mandeep Dhillon2, Chintan Hegde3, Prajyot Jagtap3, Suvin Shetty4. 1. Hiranandani Orthopaedic Medical Education (HOME), Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India. Electronic address: vijaydshetty@gmail.com. 2. Department of Orthopaedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India. 3. Hiranandani Orthopaedic Medical Education (HOME), Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India. 4. Department of Pathology, Dr L. H. Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai 400076, India.
Abstract
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. CONCLUSION: The use of PRP injection can be an attractive alternative in the treatment of disabling, recalcitrant plantar fasciitis. STUDY DESIGN: Cohort study. LEVEL OF CLINICAL EVIDENCE: Level 3.
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. CONCLUSION: The use of PRP injection can be an attractive alternative in the treatment of disabling, recalcitrant plantar fasciitis. STUDY DESIGN: Cohort study. LEVEL OF CLINICAL EVIDENCE: Level 3.