Sardar Sohail Afsar, Afsar Khan, Mohammad Idrees.
Comparison of autologous blood injection and corticosteroid injection in treatment of plantar fasciitis, randomized controlled trial.
Pak J Surg Jan ;31(4):238-41.

Objective: To compare autologous blood injection with corticosteroid injection in treatment of plantar fasciitis. Methodology: Our comparative study was conducted in out patient department of Pakistan Institute of Medical Sciences, Peshawar and private clinics in Dabgari Garden, Peshawar on 130 patients from January 2012 to December 2014. Patients between ages 18 to 50 years with >12 weeks of plantar fasciitis symptoms were included. Patients with symptoms of <12 weeks, history of surgery, steroid injection for plantar fasciitis, fracture dislocation, diabetes, and local infection/osteomylitis were excluded. Pain measured by using Visual Analogue Scale was used to measure the outcome. Patients divided into two groups i.e. one receiving autologous blood injection and other corticosteroid injection. Patients were re-assessed aft er injection at 6, 12 and 24 weeks and pain was scored using Visual Analogue Scale. P value was calculated where necessary. Results: Out of 130 patients males were 56 (43.07%) while females were 74 (56.93%). Th e mean age was 31.81±11.41 (18-50) with a range of 32 years. 99 (76.16%) were from 21-40 years. In 101 (77.69%) right while in 29 (22.31%) left foot was involved. 11(7.33%) were lost during follow up. Pain score improved from 7.88+2.11 to 1.12+0.71 in autologous blood injection group and from 7.66+2.03 to 1.25+0.69 in corticosteroid injection group at 24 week follow up. When compared to each other none was superior to other i.e. P value 0.305. No local or systemic complications noted. Conclusion: Both Autologous blood injection and corticosteroid shows compatible short term results although long term comparative study is recommended to confi rm our results.

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