Comparative Study of: Non-Invasive Conservative Treatments with Local Steroid Injection in the Management of Planter Fasciitis.

BACKGROUND: Planter Fasciitis is an annoying and painful condition that limits function. There is pain and tenderness in the sole of the foot, mostly under the heel, with standing or walking and is considered a self limiting condition. Symptoms resolve in 80% to 90% of cases within ten months. However, this long interval is frustrating for both patients and clinicians. AIM: This study was undertaken to compare the two different modalities of non operative treatment: Non- invasive conservative methods: NSAID's, Soft Insoles, Stretching, Ultrasound therapy and Contrast baths versus local Steroid injection therapy. MATERIALS AND METHODS: Patients by random sampling were divided in two groups. Group A as: Conservative group and Group B as Local Steroid Injections group, 100 patients in each. Patients were assessed as per Visual Analogue Scale (VAS) at the start of treatment and then after 4 wk and 8 wk duration on follow up. STATISTICAL ANALYSIS USED: SPSS for Windows (version 10.0) by the Chi-Square test. RESULTS: The difference in the distribution of subjects belonging to either of the treatment modalities regarding the treatment outcome at four and eight week was found to be statistically insignificant. CONCLUSION: As both treatment modalities are at par on comparison of their treatment outcome it is better to go for conservative approach because this can save the patients from the complications of steroid therapy.

Vitamin d deficiency among postmenopausal women with osteoporosis.

BACKGROUND: Hypovitaminosis D is widely prevalent in India and is a formidable issue especially in postmenopausal women. The study intends to estimate the prevalence of vitamin D deficiency among postmenopausal women with osteoporosis. METHODS: The study was performed at a referral teaching institute in north India between 2007 and 2009. One hundred and ninety postmenopausal osteoporotic women were enrolled and the clinical information was collected along with the assessment of biochemical parameters. RESULTS & CONCLUSION: Serum vitamin D was found to be de- ficient in two third of patients. A significant correlation was observed between body mass index and bone mineral density at lumbar spine. Prevention and early detection of hypovitaminosis D is the key to reduce the incidence of osteoporosis among postmenopausal women.