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Foot Ankle Surg. 2014 Mar;20(1):10-3. doi: 10.1016/j.fas.2013.08.002. Epub 2013 Aug 16.

A study to compare the efficacy of corticosteroid therapy with platelet-rich plasma therapy in recalcitrant plantar fasciitis: a preliminary report.

Author information

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.

KEYWORDS:

Corticosteroid injection; Plantar fasciitis; Platelet rich plasma injection

PMID:
24480492
DOI:
10.1016/j.fas.2013.08.002
[Indexed for MEDLINE]

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