A comparative analysis of functional outcome of local steroid and PRP in plantar fasciitis

Abstract

Abstract Background: Plantar fasciitis is a common orthopedic issue that affects the quality of life. Various modalities of treatment have been tried for this condition, extending from conservative treatment to surgical treatment. Various studies have been conducted in different parts of the world to compare the results of local platelet-rich plasma (PRP) and steroids with varying results. Materials and Methods: We collected data at Mahatma Gandhi Medical College and Hospital, Jaipur, India with the approval of the IEC (Ethical Committee). From April 2016 to March 2017, 67 patients were included in the study through random sampling after obtaining written consent. Results: Plantar fasciitis was more common in the age group between 31 and 40 years. Plantar fasciitis was seen more commonly in females than males. Plantar fasciitis was seen more commonly in housewives and service providers. Both local steroid injection and autologous PRP injection are effective modes of treatment for chronic plantar fasciitis, but local steroid injection is effective for short-term pain relief, afterwards its effect gradually deteriorates, while autologous PRP injection provides better long-term pain relief. Patients were evaluated using the AOFAS score and the Visual Analogue Score, ranging from 0 to 10, at the onset of treatment, the 12-week follow-up, and the 24-week follow-up. An assessment was conducted in both categories. Conclusions: Both local steroid injection and autologous PRP injection are effective modes of treatment for chronic plantar fasciitis, but local steroid injection is effective for short-term pain relief (up to 12weeks as per our study), afterwards its effect gradually deteriorates, while the autologous PRP injection has better long-term pain relief.