Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Plantar fasciitis is one of the most prevalent causes of painful heels in adults, with 10% of the population developing it over their lifetime. It is usually brought on by biomechanical stress and is thought to be induced by inflammation. Since the 1950s, corticosteroids have been used to treat plantar fasciitis. It is well known that steroids prevent fibroblasts from proliferating and the creation of ground substances. Plantar fasciitis can potentially be treated with a corticosteroid injection, which suppresses the growth of fibroblasts and the creation of ground‐substance proteins. To evaluate the effectiveness and early outcome of steroid injections in the treatment of plantar fasciitis. The present study was a prospective study conducted for a period of 2 years. The study was conducted at department of Orthopedics, Sree Mookambika Institute of Medical sciences. A total of 35 cases were included in the study. This study included patients with unilateral persistent plantar fasciitis who had not improved after six weeks under conservative treatment. Patients who met the inclusion criteria for plantar fasciitis had a single intra‐heel injection of triamcinolone and were followed up in the outpatient department at three, sixnine weeks apart. At 0, 4, 8, 1224 weeks, the functional result was assessed using the visual analogue score (VAS). Using ultrasonography, the thickness of the plantar fascia was determined both before and six months after the injection. Results were analysed using SPSS 22 version and the association was tested using Paired sample t‐test. The age ranged from 38 to 63 years, with a mean of 44.34±11.57 years. There were 35 patients in the study; of them, 21 (60%) were male and 14 (40%) were female. The majority of the patients, 23 (65.71%), had plantar fasciitis in their right foot, whereas 12 (34.29%) had it in their left. The symptoms persisted on average for 68±18 days. The mean visual analog scale (VAS) for pain was 1.13 right after the corticosteroid injection, compared to a much higher mean VAS of 8.74 prior to the treatment. With an increase in duration, the VAS score decreased. The thickness of the plantar fascia was 5.60±0.556 mm prior to treatment, a 6‐month follow‐up investigation revealed a thickness of 3.75±0.404 mm. Injections of corticosteroids are useful for treating persistent plantar fasciitis because they improve functional result and provide quick pain relief.
How to cite this article:
S.L. Binesh, A.J. Sukaash, T. Uvarajan and K.C. Mathew. Functional Outcome of Steroid Injection in Plantar Fascitis‐A Prospectiev Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.459.463
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.459.463