To Compare the Effectiveness of Platelet Rich Plasma vs Steroid Injection in the Management of Planter Fasciitis

Autor: Raja Adnan Ashraf, Muhammad Munir Haider, Faizan Rauf, Syed Abrar Hussain Sherazi, Muhammad Nadeem Kashmiri, Ayesha Amin
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Islamic International Medical College, Vol 18, Iss 2, Pp 128-132 (2023)
Druh dokumentu: article
ISSN: 1815-4018
2410-5422
DOI: 10.57234/jiimc.june23.1686
Popis: Objective: The study was done to compare the effectiveness of Platelet Rich Plasma (PRP) vs steroid injections in the management of planter fasciitis. Study Design: It was a comparative study. Place and Duration of Study: This study was conducted for the duration of one year from October 2021 to September 2022 in Pakistan Railway General Hospital, Rawalpindi. Materials and Methods: The study was conducted on 500 patients that visited tertiary care unit for a period of one year. Two groups were made based on random sampling technique and type of treatment given for plantar fasciitis (Platelet Rich Plasma and steroid). After the preparation of platelet rich plasma by centrifugation method that separates the red blood cells from plasma and obtain the final volume of plasma with high concentration of platelets. A total of 3ml of platelet rich plasma was injected after all aseptic measures around the area of maximal tenderness in group A patients. 40 mg injection of triamcinolone acetonide was given to the all the participants in group B patients after doing all aseptic measures around the area of maximal tenderness after clinical examination Results: There were 250 patients in each group including both male and females. The average age of patients in our study was 45.9 ± 5.6 years and 45.9±4.5 years in both groups respectively. Patient in group A had more effective pain relief in long term follow up than patients in group B. The Visual Analog Scale (VAS) score values gradually decreased as the duration of treatment increased with the lowest value obtained as 0.68 ± 0.65* and 0.60 ± 0.69* for steroid and PRP group respectively. There was no post injection problem in either group. Conclusion: Our study concludes that PRP administration for the treatment of plantar fasciitis can be more effective as compared to steroid as it gives positive results even after 12 months of follow-up.
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