Clinical Evaluation of Injection of Corticosteroid and Prolotherapy in the Treatment of Plantar Fasciitis

Authors : Emre ÇALIŞAL, Selami KARADENİZ, Murad PEPE

Pages : 249-257

Doi:10.19127/mbsjohs.1051424

View : 80 | Download : 12

Publication Date : 2022-05-31

Article Type : Research Paper

Abstract :Objective: Plantar fasciitis is one of the primary causes of heel pain. Several treatment methods are substantial. This study was aimed to evaluate the clinical results of corticosteroids and prolotherapy injection therapies. Methods: The gender, age, time of symptoms, BMI insert ignore into journalissuearticles values(body mass index); were specified in 60 patients with symptomatic chronic plantar fasciitis disorder between 2019 and 2020. The patients were randomly divided into two groups as prolotherapy and corticosteroid groups. Foot pain and disability were evaluated via a visual analog scale insert ignore into journalissuearticles values(VAS); and foot function index insert ignore into journalissuearticles values(FFI); that interpreted the clinical scores measured at baseline and three months after the injections. Results: The distribution of age, gender, BMI, and duration were similar between groups. The mean VAS scores and FFI scores of all the groups were not significantly different in the baseline time insert ignore into journalissuearticles values(p > 0.05);. A significant improvement was observed in the FFI and VAS scores of the patients in both injection groups insert ignore into journalissuearticles values(p < 0.05);. The post-treatment VAS scores decreased from 8.03 to 4.93 insert ignore into journalissuearticles values(p=.003); and 7.76 to 4.23 insert ignore into journalissuearticles values(p=.002);, respectively, in the prolotherapy and corticosteroid groups. The post-treatment FFI scores decreased from 176.1 to 126.9 insert ignore into journalissuearticles values(p=.004); and 181.5 to 121.1 insert ignore into journalissuearticles values(p=.002);, respectively, in the prolotherapy and corticosteroid groups. The percentile decreases in VAS and FFI scores between groups were higher in favor of the corticosteroid group. Conclusion: Prolotherapy and corticosteroid injection treatments provide significant functional outcomes in short-term follow-up of the treatment of plantar fasciitis. Corticosteroid injection results in superior clinical healing than prolotherapy.
Keywords : plantar fasciitis, corticosteroid, prolotherapy

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