الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Summary and Conclusion
Chronic plantar fasciitis (PF) is the most common cause of foot complaints making up 11– 15% of the foot symptoms requiring professional care among adults. [1]Also, it is a common problem that affects sport participants as well as inactive middle-aged individuals. [45]
There is a debate in literature regarding pathophysiology of planter fasciitis. It is widely believed that plantar fasciitis results from repeated micro-trauma due to overuse, which results in micro-tears of the tissue substance until a macro injury occurs and not an inflammatory process [46]
Patients; typically compliant of pain that; starts with the first step on arising in the morning or after prolonged sitting. Pain onset is usually insidious. Location of pain is vital to diagnosis. Patients required extracting full details of the site or sites of pain in the foot by getting the patient to map out with the finger exactly where the pain is felt which is usually at medial calcaneal tubercle.[47]
The natural history of PF has been shown to be self-limiting. Initiation of conservative treatment within six weeks after the onset of symptoms is commonly believed to hasten recovery from plantar fasciitis, but this is also unproved. The role of various management strategies should be considered in the light of the self-limiting nature of the condition. Problems arise when the pain does not significantly diminish within 6 months or when recurrent episodes of worsening pain occur.[48]
This study demonstrates that both steroid and PRP injections highly effective in treatment of chronic plantar fasciitis but improvement in pain was more rapid with steroid injection. This study recommends for follow up for a longer period than three months to compare long term benefits of steroids and PRP.