Research Article
Volume 3 Issue 10 - 2020
Outcome of Corticosteroid Injection Versus Physical Therapy for the Treatment of Plantar Fasciitis. A Comparative Study
Zeehan Naeem1*, Imamuddin1, Anisuddin Bhatti2 and Nida Zeehan3
1Senior Registrar, Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
2Professor/HOD, Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
3Lecturer pathology dow university of health sciences karachi, Pakistan
*Corresponding Author: Zeehan Naeem, Senior Registrar, Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
Received: August 22, 2020; Published: September 29, 2020




Abstract

Objectives: To assess the effect of physical therapy and corticosteroid injections injection on the intensity of pain in patients with plantar fasciitis and compare them to find the better option for first-line management and thereafter, to clarify and improve the management protocol of plantar fasciitis with the acceptable and simplest way.

Materials and Methodology: This is a randomized controlled trial conducted at the Department of Orthopaedics, Jinnah Post Graduate Medical Centre (JPMC), Karachi, Pakistan, from 1st January to 31st December 2017. Group A 50 participants underwent physical therapy and Group B 50 participants were given a single dose 80 mg Depomedrol (corticosteroid) injection deep under the planter fascia at planter fascia attachment on calcaneus. All patients were followed up two weeks, four weeks and at three months interval. Outcomes were assessed in terms of the mean visual analog scale (VAS) score, compared between the two treatment groups, first prior to treatment (baseline) and then after three months (final).

Results: Out of a total of 100 patients, the mean age of patients was 41.83 ± 14.07 years. There were 62 males (53%) and 38 (47%) females. The mean duration of symptoms was 4.37 ± 4.81 weeks. Group A reported a mean VAS score of 3.62 ± 2.63 as compared to Group B reporting a mean score of 1.13 ± 1.24. A relatively greater improvement in final VAS (2.16 ± 1.97 from 7.51 ± 4.8) was observed in group A as compared to group B (2.97 ± 1.73 from 5.30 ± 4.7).

Conclusion: Long acting Corticosteroid injection has been sorted out as a better mode of treatment in comparison to physical therapy for short term symptomatic relief.

Although more comparative studies on larger scales are needed for labeling the best option and producing a centralized guideline for the treatment of plantar fasciitis.

Keywords: Corticosteroid Injection; Physical Therapy; Plantar Fasciitis

References

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Citation: Zeehan Naeem., et al. “Outcome of Corticosteroid Injection Versus Physical Therapy for the Treatment of Plantar Fasciitis. A Comparative Study”.EC Orthopaedics 11.10 (2020): 49-54.

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