Anesthesia: Essays and Researches

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 5  |  Issue : 2  |  Page : 158--161

A comparative study of efficacy of oral nonsteroidal antiinflammatory agents and locally injectable steroid for the treatment of plantar fasciitis


Chaitali Biswas1, Anirban Pal1, Amita Acharya2 
1 Department of Anaesthesiology, Calcutta National Medical College, Kolkata, India
2 Department of Anaesthesiology, Bangur Institute of Neurosciences, Kolkata, India

Correspondence Address:
Chaitali Biswas
135, P K Guha Lane, Jora-Pukur, Dum Dum Cantt, Kolkata - 700 028
India

Objectives: To compare the effectiveness of oral nonsteroidal antiinflammatory drugs (NSAIDs) and locally injectable steroid (methylprednisolone) in the treatment of plantar fasciitis. Materials and Methods: One hundred and twenty subjects with unilateral plantar fasciitis were recruited and randomly allocated to two study groups. Group I (NSAIDs group) (n=60) received oral tablet diclofenac (50 mg) and paracetamol (500 mg) twice a day (BD) along with tab. ranitidine 150 mg BD. Group II (injectable steroid group) (n=60) received injection of 1 ml of methylprednisolone (Depomedrol) (40 mg) and 2 ml of 0.5% bupivacaine into the inflammed plantar fascia. Pain intensity was measured using 10 cm visual analog scale (VAS). Subjects were evaluated clinically before, and 1 week, 2 weeks, 4 weeks, and 8 weeks (2 months) after the initiation of treatment in both the groups. The outcome was assessed in terms of VAS score and recurrence of the heel pain. Statistical Analysis Used: DQZDQ test and Chi-square test were used wherever applicable. Results: Pain relief was significant after steroid injection (P<0.001) and the improvement was sustained. The recurrence of heel pain was significantly higher in the oral NSAIDS group (P<0.001). Conclusion: Local injection of steroid is more effective in the treatment of plantar fasciitis than oral NSAIDs.


How to cite this article:
Biswas C, Pal A, Acharya A. A comparative study of efficacy of oral nonsteroidal antiinflammatory agents and locally injectable steroid for the treatment of plantar fasciitis.Anesth Essays Res 2011;5:158-161


How to cite this URL:
Biswas C, Pal A, Acharya A. A comparative study of efficacy of oral nonsteroidal antiinflammatory agents and locally injectable steroid for the treatment of plantar fasciitis. Anesth Essays Res [serial online] 2011 [cited 2020 Aug 4 ];5:158-161
Available from: http://www.aeronline.org/article.asp?issn=0259-1162;year=2011;volume=5;issue=2;spage=158;epage=161;aulast=Biswas;type=0