Paritosh Gogna1, Sahil Gaba2, Reetadyuti Mukhopadhyay3, Rakesh Gupta4, Rajesh Rohilla5, Lakhpat Yadav6. 1. Department of Orthopaedics, Paraplegia and Rehabilitation, Pt B D Sharma PGIMS, Rohtak, Haryana, 124001, India. Electronic address: paritosh.gogna@gmail.com. 2. Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India. Electronic address: drsahilgaba@gmail.com. 3. Department of Orthopaedics, Paraplegia and Rehabilitation, Pt B D Sharma PGIMS, Rohtak, Haryana, 124001, India. Electronic address: reetya_m@hotmail.com. 4. Department of Orthopaedics, Paraplegia and Rehabilitation, Pt B D Sharma PGIMS, Rohtak, Haryana, 124001, India. Electronic address: drrk60@rediffmail.com. 5. Department of Orthopaedics, Paraplegia and Rehabilitation, Pt B D Sharma PGIMS, Rohtak, Haryana, 124001, India. Electronic address: drrajeshrohilla@rediffmail.com. 6. Senior Resident SMS Medical College, Jaipur, India. Electronic address: lakhpatortho@gmail.com.
Abstract
BACKGROUND:Plantar Fasciitis makes up about 15% of patients requiring professional care due to foot symptoms. The treatment methods are numerous with none proving to be clearly superior to others. We aimed to compare two common treatment methods in search of the best treatment. METHOD:All consecutive sportspersons presenting to our OPD with clinical diagnosis of plantar fasciitis underwent treatment consisting of stretching exercises, activity modification, and NSAID's for 6 months. First 40 patients who did not respond to the treatment were divided randomly into two groups of 20 patients each, Group A (Platelet rich plasma - PRP) and Group B (low dose radiation - LDR). At the time of final follow-up (6 months) the mean improvement in the pain score (Visual-Analogue-Scale), American Orthopaedic Foot and Ankle Score (AOFAS) and Plantar fascia thickness on ultrasound were compared. RESULT: Significant improvement in all 3 parameters was noted at the time of final follow up within both groups. When compared to each other, the difference in outcome of both these Groups on the given 3 parameters came out to be insignificant (p>0.05). CONCLUSION:PRP is as good as LDR in patients with chronic recalcitrant plantar fasciitis not responding to physical therapy.
RCT Entities:
BACKGROUND:Plantar Fasciitis makes up about 15% of patients requiring professional care due to foot symptoms. The treatment methods are numerous with none proving to be clearly superior to others. We aimed to compare two common treatment methods in search of the best treatment. METHOD: All consecutive sportspersons presenting to our OPD with clinical diagnosis of plantar fasciitis underwent treatment consisting of stretching exercises, activity modification, and NSAID's for 6 months. First 40 patients who did not respond to the treatment were divided randomly into two groups of 20 patients each, Group A (Platelet rich plasma - PRP) and Group B (low dose radiation - LDR). At the time of final follow-up (6 months) the mean improvement in the pain score (Visual-Analogue-Scale), American Orthopaedic Foot and Ankle Score (AOFAS) and Plantar fascia thickness on ultrasound were compared. RESULT: Significant improvement in all 3 parameters was noted at the time of final follow up within both groups. When compared to each other, the difference in outcome of both these Groups on the given 3 parameters came out to be insignificant (p>0.05). CONCLUSION:PRP is as good as LDR in patients with chronic recalcitrant plantar fasciitis not responding to physical therapy.