| Plantar fasciitis is the inflammation of planter fascia, deep fascia over the foot bones and tendons. Plantar fasciitis is common cause of heel pain and often difficult to treat in its most chronic and severe forms. It is usually subsides itself. Most commonly used conservative treatments include rest, analgesics, anti-inflammatory medications, use of orthotic devices, stretching and physiotherapy. Local injection of steroids, platelet rich plasma and autologous blood can be injected if conservatively symptoms not subside. In this study we have studied the Role of Autologous whole blood injections for patient with planter fasciitis in outdoor basis and then comparing the results with other studies using treatment modalities like local corticosteroid injections and autologous platelets concentrates (APCs)/Platelets rich plasma (PRP) injections on the basis of efficacy, safety and economy. This study was carried out between January 2014 and October 2014. In study, 100 adult patients were selected with planter fasciitis on outpatient basis and given local autologous whole blood. They were followed at 3 weeks, 6 weeks, 3 months and 6 months for assessment. VAS score and Rearfoot scores measured before treatment, at 3 wks, 6 wks, 3 months and 6 months. In our study mean VAS score in patients treated with autologous whole blood injections decreased significantly from 7.8 to 2.9 and Rearfoot score increased from 46 to 83. Autologous whole blood injections are not only as efficacious as local steroid injections and platelet rich plasma but also they are safer than steroid injections and much more cost effective as compared to platelet rich plasma. They become an excellent out-patient tool for the management of plantar fasciitis. It can be easily given in OPD basis.ddd |
