A comparative study between single dose intralesional autologous blood and corticosteroid injection in chronic plantar fasciitis: A Short term follow-up study

Arun, S (2012) A comparative study between single dose intralesional autologous blood and corticosteroid injection in chronic plantar fasciitis: A Short term follow-up study. Masters thesis, Coimbatore Medical College, Coimbatore.

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Abstract

AIM OF THE STUDY: 1. To compare the effectiveness of single dose intra-lesional injection of autologous blood and corticosteroid in chronic plantar fasciitis. 2. To note the incidence of heel spur in chronic plantar fasciitis and to analyze the outcome of intra-lesional injections in patients with heel spur. MATERIALS AND METHODS: This study was done in Coimbatore medical college hospital during the period of June-October 2011 in the dept. of orthopaedics. 50 patients entered the study with 25 patients in each group. The patients were selected according to our inclusion and exclusion criteria and diagnosis made on clinical examination alone. The pain status was noted on the visual analog scale and the activity level noted based on the Nirschl stage. The patients were followed at 2, 4 and 12 weeks post-injection and the pain and activity level noted. The final outcome was based on our scoring system based on the pain status and the activity level at the end of 12 weeks duration and graded into 4 categories as excellent, good, and acceptable and poor. X-ray ankles of the patients were also taken to calculate the incidence of heel spur in chronic plantar fasciitis. The final outcome in the group with heel spur was also analyzed separately. RESULTS/CONCLUSION: We concluded that in chronic plantar fasciitis: 1. Local intra-lesional steroid injection gives better pain relief and faster return to activities of daily living compared to autologous blood injections. 2. Autologous blood injections also provide pain relief, although not comparable to steroids in the speed of recovery, but produces sustained effects and are easily available with no potential risk. 3. Heel spurs are present in 54 % of patients with chronic plantar fasciitis, compared to its 10% presence in general population. 4. The final outcome in patients with heel spurs was nearly comparable to those without heel spurs.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Chronic plantar fasciitis ; Intra-lesional injection ; Autologous blood ; Corticosteroid ; Heel spur ; Visual analog scale ; Nirschl stage.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 18 Sep 2017 01:13
Last Modified: 18 Sep 2017 01:19
URI: http://repository-tnmgrmu.ac.in/id/eprint/3009

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