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SAT0604 Autologous blood and corticosteroid local injection in treatment of plantar fasciitis (randomized, controlled multicenter clinical trial)
  1. A Karimzadeh,
  2. SA Raeissadat,
  3. S Erfani fam,
  4. L Sedighipour
  1. Physical Medicine & Rehabilitation Research Center, Tehran, Iran, Islamic Republic Of

Abstract

Background Plantar fasciitis is the most common cause of heel pain. Local injection modalities are among treatment options in patients with resistant pain.

Objectives The aim of the present study was to evaluate the effect of local autologous blood compared with corticosteroid local injection in treatment of plantar fasciitis.

Methods In this randomized controlled multicenter study, 36 patients with chronic plantar fasciitis were recruited. Patients were allocated randomly into 3 treatment groups: local autologous blood, local corticosteroid injection and control groups receiving no injection. Patients were assessed with Visual Analogue Scale (VAS), Pressure Pain Threshold (PPT) and Plantar Fasciitis Pain/Disability Scale (PFPS) before treatment, 4 and 12 weeks post therapy.

Results Variables of pain and function improved significantly in both corticosteroid and autologous blood groups compared to control group. At 4 weeks following treatment, patients in corticosteroid group had significantly lower levels of pain than patients in autologous blood and control groups (higher PPT level, lower PFPS and VAS). After 12 weeks of treatment both corticosteroid and autologous blood groups had lower average levels of pain than control group. The corticosteroid group showed an early sharp and then more gradual improvement in pain scores but autologous blood group had steady gradual drop in pain.

Conclusions Autologous blood and corticosteroid local injection both can be considered as effective methods in the treatment of chronic plantar fasciitis. These treatments decrease pain and improve function significantly compared to control group.

Disclosure of Interest None declared

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