Abstract Context: Tendinopathy, mostly seen in athletes, is becoming common in sedentary population also. Orthopaedics now focuses on biological repair, like Platelet Rich Plasma (PRP), to keep native structure intact. Aims: Compare efficacy of PRP and steroid in treating tendinopathies. Settings and Design: Parallel group randomized control trial was conducted in Orthopaedics Department tertiary care hospital in North India over one year. Methods and Material: Clinical and radiological diagnosis of tendinopathy was made. Patients received PRP or steroid according to their group allocated. Functional status and severity of pain around injured joint was charted pre-procedurally on day 0 and post procedurally at end of 6 weeks, 12weeks, 24 weeks and 48 weeks based on clinical and radiological examination. Statistical analysis used: Mean and standard deviation of scores for both modalities of treatment was compared. Results: Forty patients were analysed in PRP group and 52 patients were analysed in steroid group. Both VAS and FFI score decreased in both type of injuries in both the modalities of treatment from pre procedure evaluation till 48weeks after therapy. In plantar fasciitis, the improvement seen in PRP group was more marked than that seen in steroid group (p<0.05). Similarly, for retrocal caneal bursitis with Achilles’ tendinopathy, the improvement in DASH and VAS score was statistically significant in the PRP group. Conclusions: Patients who received PRP showed better clinical results (reduction in pain, swelling and improved range of motion) as compared to patients who received steroid. Former also had higher satisfaction level because of improved functional status as well as relief of local symptoms which led to improved quality of life. Keywords: Platelet Rich Plasma; Steroid; Tendinopathy