Outcome of Various Treatment Modalities in Calcaneal Spur and Plantar Fasciitis: A Review of 510 Cases

Objective: To determine the most effective treatment regime for this common pathological condition. Methods: This multi center cross sectional quasi-experimental study conducted from November 2007 till November 2014. Total 540 cases of painful heels treated and followed up in the out patient department. We collected data from Civil Hospital Karachi, Sindh Employees Social Security Institution Kulsum Bai Valika Hospital Karachi, Hamdard Medical Hospital Karachi, Aga Khan Hospital Karachi, Baqai Medical University Hospital, Govt. Hospital Sindh and private sector Hospitals. Due to associated risk factors, frequency and the different treatment modalities of calcaneal spur/plantar fasciitis and their out come. Results:- Out of 956 patients of painful heel syndrome, 592 cases (61.9%) were due to plantar fasciitis/sub calcaneal plantar spur and the rest 364 patients (38%) were due to other etiological reasons. Conclusion: We concluded that cortisone injections providing a rapid response to relieve the pain but this relief is temporary. Key Words:- Plantar fasciitis, Calcaneal Spur, Treatment Modalities