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BACKGROUND: Plantar fasciitis is a degenerative tissue condition with symptom of heel pain. Treatment includes patient education, NSAIDS, localinjections,surgery& footwear modification alternative therapy.Aim &Objective:To study the clinical profile of plantar fasciitis patients. Methods:Prospective cross-sectional studywith 40 diagnosed unilateral or bilateral plantar fasciitis patients satisfied inclusion and exclusion criteria attendedthe PMR opdof VMMC & Safdarjung hospital were enrolled . Detailed history and clinical examination done. Results:Patients mean age group was 36.92 ± 7.99 years among them60% females&40% were males also involvement of left side is more 60% & right side 40%, the occupation profiles are 35% homemakers, 35% professionals, 17.50% laborer &12.50% were students Conclusion: Female homemakers and professionals of age group 31-40 years were mostly affected with dominancy of left heel.

Introduction: Plantar fasciitis is a degenerative tissue condition that occurs at the site of origin of plantar fascia at the medial tuberosity of calcaneum. Most commonly reported symptom of plantar fasciitis is described as first step pain. Treatment of plantar fasciitis include methods such as heat modalities, patient education, massage, stretching and strengthening exercises, extracorporeal shockwave therapy, non-steroidal anti-inflammatory medications, injections (steroids, local anesthetics, PRP), and surgical interventions (fasciotomy). Objective: The purpose of the study is to prospectively evaluate comparative efficacy of ultrasound guided steroid injection versus palpation technique. Materials and Methods: It is a prospective and interventional randomized comparative study. Eighty cases (40 in each group) in otherwise healthy individuals with the diagnosis of unilateral or bilateral plantar fasciitis attending Outpatient department of PMR of VMMC & Safdarjung hospital were enrolled in this study. The diagnosis of plantar fasciitis was made based on history and clinical examination. Patients who satisfied inclusion and exclusion criteria was randomly assigned by computerized block method to two groups-both groups were treated with injection of 40 mg(1ml) methyl prednisolone, one group with palpation guided (group A) and other with ultrasound guided(group B). All patients underwent pain intensity assessment (VAS), ultrasound examination of foot for plantar fascia thickness and x-ray foot for heel pad thickness at pre injection (0 week), 2 weeks and 8 weeks after steroid injection. Result: Statistically significant improvement in pain (VAS) at the end of 2 weeks (3.25±0.95 vs 2.65±0.83, p=0.003) and 8weeks (2.28±1.24 vs 1.12±1.07, p=0.0005) of intervention in both groups but more in USG guided group. There was decrease in plantar fascia thickness at the end of 2 weeks (0.33±0.02 vs 0.31±0.02, p=0.0005) and 8 weeks (0.30±0.02 vs 0.28±0.02, p=0.0005) of intervention in both groups but more in USG guided group, this was statistically significant. No significant difference in heel pad thickness at the end of 2 weeks (18.08±0.76 vs 18.23±0.80, p=0.356) and 8weeks (18.00±0.75 vs 18.12±0.79, p=0.444) of intervention in both groups. Conclusion: Ultrasound guided injection is better than palpation method as it enhances the accuracy of injection by precisely localizing the lesion and needle placement giving more relief in symptoms and normalization of plantar fascia thickness.