Plantar fasciitis: A randomized comparative study of platelet rich plasma and low dose radiation in sportspersons
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Published on: March 19, 2018
Paritosh Gogna1, Sahil Gaba2, Reetadyuti Mukhopadhyay1
1Department of Orthopaedics, Paraplegia and Rehabilitation, Pt B D Sharma PGIMS, Rohtak, Haryana, 124001, India.
Background:
Plantar Fasciitis makes up about 15% of patients requiring professional care due to foot symptoms. The treatment methods are numerous with none proving to be clearly superior to others. We aimed to compare two common treatment methods in search of the best treatment.
Method:
All consecutive sportspersons presenting to our OPD with clinical diagnosis of plantar fasciitis underwent treatment consisting of stretching exercises, activity modification, and NSAID's for 6 months. First 40 patients who did not respond to the treatment were divided randomly into two groups of 20 patients each, Group A (Platelet rich plasma - PRP) and Group B (low dose radiation - LDR). At the time of final follow-up (6 months) the mean improvement in the pain score (Visual-Analogue-Scale), American Orthopaedic Foot and Ankle Score (AOFAS) and Plantar fascia thickness on ultrasound were compared.
Result:
Significant improvement in all 3 parameters was noted at the time of final follow up within both groups. When compared to each other, the difference in outcome of both these Groups on the given 3 parameters came out to be insignificant (p>0.05).
Conclusion:
PRP is as good as LDR in patients with chronic recalcitrant plantar fasciitis not responding to physical therapy.
