The Effect of Addition of Buffered Dextrose 5% Solution on Pain Occurring During Local Steroid Injection for Treatment of Plantar Fasciitis: A Randomized Controlled Trial

Abstract

Objective. To evaluate the potential immediate analgesic effect of addition of 5% dextrose water (D5W) during local steroid injection for treatment of plantar fasciitis (PF). Methods. In this single blind study, 122 patients with PF were randomly assigned to receive either 40 mg triamcinolone acetonide/1ml + 0.5ml. lidocaine 2% (group A: 61 patients; 73 heels) or 40mg triamcinolone acetonide/1ml+0.5ml. lidocaine2%+ 0.5ml. buffered D5W (group B: 61 patients; 69 heels) as a local injection using the medial approach. Visual analogue scale (VAS 0-10) was used to assess the degree of pain intensity during the injection. Results. The mean for age was 42.56 years in group A and 43.39 years in group B (P = 0.86), the female to male ratio was 2.8-1 in both groups and the mean for BMI was 31.49 in group A and 30.86 in group B (P=0.51). A significant difference in VAS was observed; the mean was 8.26±2.00 in group A and 4.25±2.05 in group B (P <0.0001) with a confidence interval (95% CI) of 7.78 -8.74 for group A and 3.76 -4.72 for group B. Conclusions. The addition of 0.5 ml. D5W can decrease the pain associated with local steroid injection for treatment of PF.

Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

“…With the design limitation of a retrospective study, our results could be affected by various factors, such as selection bias, small sample size, and lack of long-term follow-up period, compared with randomized clinical trials [38]. On the other hand, small sample size is common in many of the available reports.…”

Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

“…We may speculated that there was no significant correlation between calcaneal osteophytes and the incidence of heel pain. With the design limitation of a retrospective study, our results could be affected by various factors, such as selection bias, small sample size, and lack of long-term follow-up period compared with randomized clinical trials [38]. In the other hand, small sample size is common in many of the available reports.The shield could protect surrounding tissues when pantar facia were cut compared with the way published by Oliva F [39].…”

Ultrasound-Guided Injection of Low Molecular Weight Hyaluronic Acid versus Steroid for Inflammatory and Degenerative Sacroiliitis: a Single-Blinded Randomized Controlled Trial

“…As many other regional pain syndromes, local therapy of the SI joints with intra-articular corticosteroid injection, offers significant therapeutic benefit. Various studies have been conducted to explore the indications, therapeutic response, and outcomes of intraarticular and soft tissue injection (9,(17)(18)(19). However, long-acting steroid is contraindicated in many medical comorbid conditions and in such instances, low molecular weight HA resembles a good alternative that has been stated to exert pain relieving effects through its anti-inflammatory properties in many soft tissue and degenerative conditions (20)(21)(22)(23)(24).…”