THERAPEUTIC EFFECT OF COCKTAIL VS PROLOTHERAPY INJECTION IN CHRONIC PLANTAR FASCIITIS, A PROSPECTIVE CONTROLLED RANDOMIZED CLINICAL STUDY

Introduction:- Plantar fasciitis is the most common cause of heel pain. It a self-limiting condition. If causative factors are not addressed properly, it becomes chronic plantar fasciitis. Objectives:- The study aimed to evaluate efficacy 15 % hypertonic dextrose (treatment group) in treatment through comparison with cocktail group (control group). Design:- In this prospective controlled, randomized clinical at N.S.C.B. Medical College Jabalpur, from 1 January 2020 31 September 2021. statistical test used isthe chi-square and independent students t-test.A totalof 41 patients were taken intothe study. Patients divided into two groups, Prolotherapy (treating (n=18), single shot 15% Hypertonic injection was administered (1.2 ml 50 dextrose, 1.8 distilled water 2% lignocaine mixture)and (n=23) given (1ml 40mg local methylprednisolone mixed lignocaine). During 24-week follow-up period, pain intensity measured using visual analoguescale American orthopaedics foot ankle score, measurements undertaken before post-treatment weeks 4 12 24. Result:- study, both treatments significantly effective for up 12th week. However found have better result 4th week (AOFAS 93.17±3.33, VAS 1.65±.49 vs AOFAS 71.94±5.46, 4.54±.71) 90.43±2.86, 1.91±.29 76.78±4.12, 3.94±.64), but even 24th 86.39±4.20, 2.35±.71vs 67.22±4.19, 5.00±.34), (p-value <.001) term disability as compared prolotherapy Conclusion:- This showed favourable outcome towards injectionin terms score injection.