435: EFFECTIVENESS OF PLATELET RICH PLASMA VERSUS CORTICOSTEROID IN THE TREATMENT OF PLANTAR FASCIITIS

Topic: Clinical Science
Subtopic: Pain category (ICD-11), Chronic primary musculoskeletal pain, Pharmacological treatments, Treatment/management

Background and Aims: Background: Plantar fasciitis is a common cause of heel pain. Corticosteroid is used for planter fasciitis but provides only short-term pain relief with disappointing long-term results. This procedure is also associated with complications, including localized infection, fat pad atrophy, and plantar fascia rupture. In recent years, platelet-rich plasma (PRP) has been investigated as a treatment option for plantar fasciitis.

Aims : To evaluate the effectiveness of platelet rich plasma versus corticosteroid in the treatment of plantar fasciitis.

Methods: Materials & method: This Quasi-experimental study was carried out on adult patients with chronic Plantar Fasciitis attended in Dhaka Medical College Hospital, during the period of October 2021 to May 2022. The patients were randomly assigned to one of the two groups; group A (patients treated with PRP); group B (patients treated by with corticosteroid). After providing the allocated treatment, all patients were undergone follow-up examination at 1st week, 1st month, 3rd month and at 6th month for clinical improvement. Visual Analog Scale (VAS), Roles and Maudsley (RM), and Foot Function Index (FFI) scoring systems were used as outcome measures.

Results: Result: Mean ± SD of age was calculated to be, 42.31 ± 7.6 for Group A (PRP) and 42.29 ± 8.0 for Group B (corticosteroid). Mean VAS score at different follow up time reveals, after 1 week of intervention, score was turn down or pain reduced in both groups, but comparatively better in group B. At 3rd month (Mean VAS 3.05 & 4.82 in group A & B respectively) and 6th month later (Mean VAS 1.67 & 4.12 in group A & B respectively) follow up period, significant improvement was found in group A

Conclusions: Conclusion: Platelet-rich plasma (PRP) injection is better than steroid injection in relieving the pain of planar fasciitis and improvement function of the patient foot.

References: References Cited:


1. Sahoo PK, Ujade NA, Das SP. Effectiveness of single injection of platelet-rich plasma over corticosteroid in the treatment of plantar fasciitis – A randomized, comparative study. J Musculoskelet Surg Res 2020;4:187-93
2. Sherpy N, Hammad M, Hagrass H, Samir H, Abu-ElMaaty S, Mortada M. Local injection of autologous platelet rich plasma compared to corticosteroid treatment of chronic plantar fasciitis patients: A clinical and ultrasonographic follow-up study. The Egyptian Rheumatologist (2016) 38, 247–252.
3. Hohmann E, Tetsworth K and Glatt V. Platelet-Rich Plasma Versus Corticosteroids for the Treatment of Plantar Fasciitis- A Systematic Review and Meta-analysis. The American Journal of Sports Medicine (AJSM) 2021; 49(5): 1381-93.

Presenting Author: SHUKHA RANJAN DAS
Submitting Author: Shukha Ranjan Das

Senior Author: SHUKHA RANJAN DAS

IASP 2026 Global Year theme of Neuropathic Pain: Yes