Comparison of Intralesional Autologous Blood Injection to Corticosteroid Injection for Treatment of Chronic Plantar Fascitis

Abstract

Background: Intralesional methylprednisolone and autologous blood injections are used in chronic plantar fasciitis but the results are different in different populations.

Objective: To compare early decrease in pain score after autologous blood injection and corticosteroid injection in patients with plantar fasciitis.

Material & Methods: After taking an informed consent, 60 patients of either sex with clinical diagnosis of plantar fasciitis were included in this randomized control trial. The effectiveness of intervention was defined in terms of mean reduction in VAS score before and after procedure. Results: Sixty patients with mean age of 35.3 ± 13.2 years were included, 31 patients were male. There was non-significant difference in mean VAS score before treatment in both groups. Both treatments were found effective in reducing mean VAS score after intervention. Reduction in mean VAS score immediately and 6th week after intervention was non-significant (P value = 0.487) between two groups.

Conclusion: It was concluded at the present sample size, although both treatments are effective, we accept the null hypothesis and conclude that there is no difference in efficacy in reducing the pain score on visual analogue scale score between intralesional autologous blood verses corticosteroid injection in patients with chronic plantar fasciitis

Keywords: Plantar fasciitis, Intralesional Methylprednisolone Injection, Intralesional autologous blood Injection, Visual Analogue Scale