PLANTAR FASCIITIS;

INTRA-LESIONAL STEROID INJECTIONS VERSUS INTRA-LESIONAL AUTOLOGOUS BLOOD INJECTIONS

  • Raja Umar Liaqat Benazir Bhutto Hospital, Rawalpindi, Pakistan.
  • Junaid Khan Benazir Bhutto Hospital, Rawalpindi, Pakistan.
  • Fareeha Chaudhry Rawalpindi Medical University, Rawalpindi, Pakistan.
  • Muhammad Imran Aftab Independent Medical College, Faisalabad, Pakistan.
  • Riaz Ahmed Rawalpindi Medical University, Rawalpindi, Pakistan.
Keywords: Autologous Blood, Corticosteroid, Plantar Fasciitis, Visual Analog Score (VAS)

Abstract

Objectives: To compare Intra-lesional corticosteroid injection with autologous blood injection therapy in plantar fasciitis in terms of mean pain score. Study Design: Randomized Controlled Trial (RCT). Place and Duration: At the Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi, for a duration of 01 year i.e. from 7th May 2016 to 6th May 2017. Patients and Methods: Patients with unilateral plantar heel pain fulfilling the inclusion criteria were included in the study. Patients were randomly allocated into two groups; A and B. Group A were injected 2mL corticosteroid injection in heel. Those in Group B were injected with 2mL of autologous blood mixed with 1 mL of 2% lidocaine. Outcome was assessed using Visual Analog Score (VAS) at 3 months. Results: A total of 180 patients with unilateral plantar heel pain were included. Mean age of patients was 49.98±11.26 years. 91 (50.6%) were male and 89 (49.4%) females. At 12-weeks post-treatment, mean pain score was significantly high in group A than group B (3.24±1.05 vs. 2.54±1.01; p=0.0005). Conclusion: Autologous blood was more effective than corticosteroid injection in patients with plantar fasciitis as was seen at 3 months follow-up.

Author Biographies

Raja Umar Liaqat, Benazir Bhutto Hospital, Rawalpindi, Pakistan.

MBBS, FCPS (Orthopaedics)

Senior Registrar

Department of Orthopaedics

 

Junaid Khan, Benazir Bhutto Hospital, Rawalpindi, Pakistan.

MBBS

Post-graduate Resident

Department of Orthopaedics

 

Fareeha Chaudhry, Rawalpindi Medical University, Rawalpindi, Pakistan.

MBBS

House Officer

 

Muhammad Imran Aftab, Independent Medical College, Faisalabad, Pakistan.

MBBS, M.Phil

Assistant Professor

Department of Physiology

 

Riaz Ahmed, Rawalpindi Medical University, Rawalpindi, Pakistan.

MBBS, MS (Orthopaedics)

Dean Orthopaedics

Neurosurgery & Trauma,

Head of Orthopaedics Department

 

Published
2019-01-10