OUTCOMES OF ULTRASOUND GUIDED PLASMA RICH PROTEIN INJECTION IN CHRONIC PLANTAR FASCIITIS

Abstract

Objective: To compare outcomes (plantar fascia thickness, Visual analogue scale scores, role and maudsley scores of satisfaction and complication) of ultrasound guided plasma rich protein injection and steroid injection in chronic plantar fasciitis.

Study Design: Quasi experimental study.

Place and Duration of Study: Department of orthopedics, Sheikh Khalifa Bin Zayed Al Nahyan/Combined Military Hospital (CMH), Muzaffarabad, from Jun 2018 to Jun 2019.

Methodology: Plantar fasciitis patients were selected through non probability consecutive sampling. Patients were randomly divided into two groups, group A received ultrasound guided PRP injection while group B received steroid injection. Both groups were followed for outcomes for 6 months.

Results: Total 42 patients were included in study. There were 20 (47.6%) male and 22 (52.4%) female. Mean age of patients was 42.6 years ± 9.5 SD. Plasma rich protein group showed significantly low visual analogue scores (p<0.01), American Orthopedic foot and ankle scores (p<0.01), reduced plantar fasciitis thickness (p<0.01), Roles and Maudsley satisfaction scores (p<0.01). Age and gender showed insignificant association with outcomes (p=0.538 & p=0.653 respectively).

Conclusion: Ultrasound guided Plasma rich protein injection is a safe, well tolerated and effective method of plantar fasciitis management with long lasting accuracy as compared to steroid injection. Early diagnosis and management of plantar fasciitis leads to better health outcomes