Outcome of Corticosteroid Injection in patients with plantar fasciitis.

Authors

  • Zeehan Naeem Resident, Department of Orthopedic Surgery, Jinnah postgraduate Medical Centre Karachi
  • Imamuddin Resident, Department of Orthopedic Surgery, Jinnah postgraduate Medical Centre Karachi
  • Anisuddin Bhatti Professor Orthopedic Surgery, NCCI_NMI Hospital Sadder, Karachi

Keywords:

Corticosteroid, Plantar fasciitis, Visual analog scale.

Abstract

 

Objective: To determine the outcome corticosteroid injection in reducing the intensity of pain in patients with plantar fasciitis.

Methods: This was a descriptive study conducted in Department of Orthopaedics, Jinnah Post Graduate Medical Centre (JPMC), Karachi, Pakistan from 1st January 2018 to 1st January 2020.All patients with plantar fasciitis meeting the inclusion criteria were injected single injection of Triamcinolone in the heel and followed in the OPD at two weeks, four weeks and twelve weeks interval. Outcome was assessed in terms of pain reduction as measured with Visual analog scale (VAS).

Results: The total number of patients were 50. The mean age   was 41.83 ± 14.07 years. Male patients were 27(54%) while female patients were 23(46%). The mean pre injection VAS improved from 5.41±3.1 to 1.3±7 post injection (P=0.03).

Conclusion: Plantar fasciitis treated with single injection of corticosteroid injection resulted in significant pain reduction.

References

Mahindra P, Yamin M, Selhi HS, Singla S, Soni A. Chronic Plantar Fasciitis: Effect of Platelet-Rich Plasma, Corticosteroid, and Placebo. Orthopedics 2016;39(2):285–289.

Buchanan B, Kushner D. Plantar Fasciitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431073/

Akhtar N, Rasheed P, Ahmad Z. Role of physical medicine and rehabilitation intervention for plantar fasciitis. Pak Armed Forces Med J. 2008;58(3):239-243.

Trojian T, Tucker AK. Plantar Fasciitis. Am Fam Physician. 2019;99(12):744-750.

Jan WM. Management of planter fasciitis. Rawal Med J. 2016;41(1):111-114.

Ang TWA. The effectiveness of corticosteroid injection in the treatment of plantar fasciitis. Singapore Med J. 2015;56(8):423-432.

Sarfraz K, Tanveer F, Shabbir M, Imran S, Munir S, Hashmi R. Effects of calcaneal taping, sham taping and stretching exercises in short term management of pain in plantar fasciitis. Isra Med J. 2017;9(5):309-313.

Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg. 2008;16(6):338-346.

Atkins D, Crawford F, Edwards J, Lambert M. A systematic review of treatments for the painful heel. Rheumatology (Oxford). 1999;38(10):968-973.

Eslamian F, Shakouri SK, Jahanjoo F, Hajialiloo M, Notghi F. Extra Corporeal Shock Wave Therapy Versus Local Corticosteroid Injection in the Treatment of Chronic Plantar Fasciitis, a Single Blinded Randomized Clinical Trial. Pain Med. 2016;17(9):1722-1731.

Pribut SM. Current approaches to the management of plantar heel pain syndrome, including the role of injectable corticosteroids. J Am Podiatr Med Assoc. 2007;97(1):68-74.

Hil J, Trapp R, Colliver J. Survey on the use of corticosteroid injections by orthopaedists. Contemp Orthop. 1989;18(1):39-45.

Crawford F, Atkins D, Young P, Edwards J. Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial. Rheumatology (Oxford). 1999;38(10):974-977.

Whittaker GA, Munteanu SE, Menz HB, Bonanno DR, Gerrard JM, Landorf KB. Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2019;20(1):378-381.

Verma D, Kumar S, Dhammi IK, Kumar R, Kapoor R, Mittal A. Role of platelet-rich plasma versus corticosteroid injection in the treatment of plantar fasciitis: A comparative study. J Orthop Dis Traumatol. 2019;2(2):26-30.

Majeed F, Saddique M, Nasir AS, Ahmad A. Comparison of vas pain score after infiltration of autologous blood injection versus corticosteroid injection for the treatment of plantar fasciitis. Isra Med J. 2019;11(4):234-236.

Tatli YZ, Kapasi S. The real risks of steroid injection for plantar fasciitis, with a review of conservative therapies. Curr Rev Musculoskelet Med. 2009;2(1):3-9.

Liden B, Simmons M, Landsman AS. A retrospective analysis of 22 patients treated with percutaneous radiofrequency nerve ablation for prolonged moderate to severe heel pain associated with plantar fasciitis. J Foot Ankle Surg.2009;48(6):642-647.

Johannsen FE, Herzog RB, Malmgaard-Clausen NM, Hoegberget-Kalisz M, Magnusson SP, Kjaer M. Corticosteroid injection is the best treatment in plantar fasciitis if combined with controlled training. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):5-12.

Tatli YZ, Kapasi S. The real risks of steroid injection for plantar fasciitis, with a review of conservative therapies.Curr Rev Musculoskelet Med. 2009; 2(1): 3–9.

Chen CM, Lee M, Lin CH,Chang CH,Lin CH.Comparative efficacy of corticosteroid injection and non-invasive treatments for plantar fasciitis: a systematic review and meta-analysis. Sci Rep.2018. Doi: https://doi.org/10.1038/s41598-018-22402-w

Thomas JL, Christensen JC, Kravitz SR, Kravitz SR, Mendicino RW, Schuberth JM,et al..The diagnosis and treatment of heel pain: A clinical practice guideline–revision 2010. J Foot Ankle Surg. 2010;49(3 suppl):S1–S19.

Ahmed M, Kumar M, Hamid R, Nida, Hussain G. Corticosteroid injection as a treatment modality in management of plantar fasciitis Rawal Med J.2020;45(1):120-122.

Shakir IA, Riaz S, Kashmiri MN, Anjum S, Rehman OU, Qayyum N.Mean Reduction in Pain Score in patients of Plantar Fasciitis after Triamcinolone Injection in Comparison to Autologous Blood Injection.J Rawal Med Uni. 2018;22(2):133-136.

Baloch NA, Baloch SR, Rafi MS, Shah MI, Siddiq F.Complication of corticosteroid injection: rupture of plantar fascia.Pak J Med Dentistry. 2018;7(4):30-36.

Downloads

Published

2021-11-15

How to Cite

Outcome of Corticosteroid Injection in patients with plantar fasciitis. (2021). Journal of Pakistan Orthopaedic Association, 33(04), 141-144. http://jpoa.org.pk/index.php/upload/article/view/577

Similar Articles

1-10 of 46

You may also start an advanced similarity search for this article.