Inferior Heel Pain (Plantar Fasciitis)

2018 ◽  
pp. 281-289.e1
Author(s):  
S. Brent Brotzman ◽  
John J. Jasko
Keyword(s):  
Plantar Fasciitis ◽  
Heel Pain

scholarly journals A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis

2021 ◽  
Vol 10 (21) ◽  
pp. 4891
Author(s):  
Piotr Tkocz ◽  
Tomasz Matusz ◽  
Łukasz Kosowski ◽  
Karolina Walewicz ◽  
Łukasz Argier ◽  
...  
Keyword(s):  
Pain Management ◽  
High Intensity ◽  
Plantar Fasciitis ◽  
Heel Pain ◽  
The Other ◽  
Control Group ◽  
Study Group ◽  
Calcaneal Spur ◽  
High Intensity Laser ◽  
Intensity Laser

Calcaneal spur and plantar fasciitis are the most common causes of plantar heel pain. There are many effective physical modalities for treating this musculoskeletal disorder. So far, the are no clear recommendations confirming the clinical utility of high-intensity laser therapy (HILT) in the management of painful calcaneal spur with plantar fasciitis. This study aimed to evaluate the effectiveness of HILT in pain management in patients with calcaneal spur and plantar fasciitis. A group of 65 patients was assessed for eligibility based on the CONSORT guidelines. This study was prospectively registered in the Australian New Zealand Clinical Trial Registry platform (registration number ACTRN12618000744257, 3 May 2018). The main eligibility criteria were: cancer, pregnancy, electronic and metal implants, acute infections, impaired blood coagulation, cardiac arrhythmias, taking analgesic or anti-inflammatory medications, non-experience of heel pain, or presence of other painful foot conditions. Finally, 60 patients were randomly assigned into two groups: study group (n = 30, mean age 59.9 ± 10.1), treated with HILT (7 W, 149.9 J/cm2, 1064 nm, 4496 J, 12 min), and placebo-controlled group (n = 30, mean age 60.4 ± 11.9), treated with sham HILT therapy. Both groups received ultrasound treatments (0.8 W/cm2, 1 MHz frequency, 100% load factor, 5 min). Treatment procedures were performed once a day, five times per week for three weeks (total of 15 treatment sessions). Study outcomes focused on pain intensity and were assessed before (M1) and after (M2) the treatment as well as after 4 (M3) and 12 (M4) weeks using the Visual Analogue Scale (VAS) and the Laitinen Pain Scale (LPS). According to VAS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.5 pts, M1 and M3 by 3.7 pts, and M1 and M4 by 3.2 pts (p < 0.001). On the other hand, the control group showed a statistically significant decrease (p < 0.001) between M1 and M2 by 3.0 pts, M1 and M3 by 3.4 pts, and M1 and M4 by 3.2 pts. According to LPS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.9 pts, M1 and M3 by 4.2 pts, and M1 and M4 by 4.0 pts (p < 0.001). On the other hand, the control group showed a statistically significant decrease between M1 and M2 by 3.2 pts (p = 0.002), M1 and M3 by 4.0 pts (p < 0.001), and M1 and M4 by 3.9 pts (p < 0.001). However, there were no statistically significant differences between the groups in VAS and LPS (p > 0.05). In conclusion, the HILT does not appear to be more effective in pain management of patients with calcaneal spurs and plantar fasciitis than the conservative standard physiotherapeutic procedures.

Incidence of plantar fasciitis in overweight patients of government hospitals of Faisalabad city.

2021 ◽  
Vol 28 (05) ◽  
pp. 718-724
Author(s):  
Ali Raza ◽  
Shahroz Saleem ◽  
Hafiz Salman Saeed ◽  
Ahmad Bilal ◽  
Zafar Ali Zafar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Plantar Fasciitis ◽  
Heel Pain ◽  
Significant Relation ◽  
Chi Square ◽  
Plantar Heel Pain ◽  
Government Hospitals ◽  
Chi Square Test

Objective: To determine relationships of body mass index with plantar fasciitis and foot functions index and how many activities of daily living were limited with plantar heel pain due to overweight in population of Government Hospitals of Faisalabad City. Study Design: Cross-sectional study. Setting: Government Hospitals of Faisalabad City (Allied Hospital & District Headquarter Hospital). Period: March to May 2018. Material & Methods: 140 patients included both males and females. Convenient sampling technique was used in selection of study sample. Calculate BMI (kg/m2) and FFI questionnaire used in this study to find how many activities of daily living was limited with plantar heel pain due to overweight. Data was analyzed by using statistical package for social sciences (SPSS) version 20. Chi square test was applied. Results: There were 70 males and 70 females. Data was collected to overweight population (mean age, 42.15; mean BMI, 29.52 kg/m2; and mean height, 1.68m). Out of 140 overweight population was (66.4%) and obese population (33.6%). The windlass test showed (87.9%) positive and (12.1%) negative. Chi-square test revealed no significant relation between rise in BMI and plantar heel pain (p = 0.105). However it shows significant relation between rise in BMI and FFI (p = 0.000). Conclusion: There is no statistical significant relation between body mass index and plantar fasciitis. According to foot function index patients significantly limit activities of daily living with plantar heel pain due to overweight.

scholarly journals Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches

2019 ◽  
Vol 24 ◽  
Author(s):  
Christopher Yelverton ◽  
Sunil Rama ◽  
Bernhard Zipfel
Keyword(s):  
Plantar Fasciitis ◽  
Pain Perception ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Combination Group ◽  
Mcgill Pain Questionnaire ◽  
Musculoskeletal Problem ◽  
Common Causes ◽  
Therapy Interventions ◽  
The University

Background: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols.Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis.Setting: This study was conducted at the University of Johannesburg, Chiropractic Day Clinic, and included participants that complied with relevant inclusion criteria.Methods: Forty-five participants between the ages of 18 and 50 years with heel pain for more than 3 months were divided into three groups and received one of the proposed treatment interventions. The data collected were range of motion (ROM) of the ankle (using a goniometer) and pain perception using the McGill Pain Questionnaire and Functional foot index and algometer.Results: The results of this study indicate that cross friction massage of the plantar fascia and stretching of the gastrocsoleus complex showed the greatest overall improvement in terms of reducing the pain and disability and ankle dorsiflexion ROM, whereas the combination group showed the greatest increase in plantar flexion.Conclusion: The results demonstrated that all three protocols had a positive effect on the ROM and pain perception to patients with plantar fasciitis.

scholarly journals Patient Outcomes after Surgical Release of the Tarsal Tunnel and Baxter’s Nerve in Addition to Partial Plantar Fasciectomy for Chronic Heel Pain

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0010
Author(s):  
Blake Baer ◽  
Kathleen C. Ringenbach ◽  
Christopher E. Honstad ◽  
Paul J. Juliano ◽  
Umur Aydogan
Keyword(s):  
Patient Outcomes ◽  
Surgical Approach ◽  
Plantar Fasciitis ◽  
Symptom Relief ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Tarsal Tunnel ◽  
Duration Of Symptoms ◽  
Visual Analogue Pain ◽  
Nerve Release

Category: Hindfoot; Midfoot/Forefoot; Sports; Other Introduction/Purpose: Chronic heel pain often presents diagnostic and treatment challenges, in part because symptoms attributed to chronic plantar fasciitis may be part of a larger constellation of associated symptoms. This could explain unsatisfactory symptom relief in many patients who undergo surgical partial plantar fascia release after failing conservative therapy. While previous studies have suggested that additional releases of the distal tarsal tunnel and first branch of lateral plantar (Baxter’s) nerve may improve outcomes in the setting of chronic and recalcitrant heel pain, this combined surgical approach has yet to be documented. Surgically addressing constricted neurologic structures of the tarsal tunnel and Baxter’s nerve alongside partial plantar fasciectomy may lead to improved pain relief and overall patient outcomes. Methods: Study participants were retrospectively identified by database search for relevant criteria and specific CPT codes. Patient outcomes post operation were evaluated using the Foot and Ankle Ability Measurement (FAAM) and sports subscale questionnaires as outcome measures. Inclusion criteria included age greater than 18 years old, at least 6 months since surgery at time of survey, and clinical diagnosis of chronic plantar fasciitis surgically treated by partial plantar fasciectomy with Baxter’s nerve release and tarsal tunnel release performed by either of two staff surgeons between January 1, 2010 and December 31, 2018. Patients with Charcot-Marie-Tooth disease, all patients who were unwilling to participate in the phone survey or were unable to be reached, and all non-English speaking patients were excluded. Eligible patients (N=87) were consented and surveyed by phone. Results: Mean surgery-to-survey time was 39.25 +- 24.33 months. Mean duration of symptoms prior to surgery was 26.73 +- 30.58 months. Mean visual analogue pain (VAS) pre-surgery was 8.47 +- 1.82 (n=84). Survey respondents reported mean scores of 73.10 +- 22.09 and 49.13 +- 1.82 on the ADL score and sports subscale of the FAAM respectively. In retrospectively assessing whether patients would have chosen the surgery again, 70.93% (n=61) reported ‘yes’ while 29.07% (n=25) reported ‘no.’ Significant positive confounders were longer surgery to survey time in months (B= 0.21, p<0.01) and longer pre-surgical symptom length in months (B= 0.169, p<0.04). History of prior foot surgery (B= -22.128, p<0.0001) was identified as a significant negative confounding variable. Conclusion: Patients with chronic plantar fasciitis may benefit from a combined surgical approach involving Baxter’s nerve release and tarsal tunnel release in addition to standard partial plantar fasciectomy. This study demonstrated that this surgical approach is successful with FAAM ADL scores of 73.10 +- 22.09 (n=87) along with 70.9% (n=61) of patients reporting satisfaction with surgical outcome. Considering these implications, future high-quality studies further investigating any comparative benefit of this combined approach over traditional methods are warranted. [Table: see text]

scholarly journals Shockwave therapy for plantar heel pain (plantar fasciitis)

2019 ◽  
Author(s):  
Rebecca L Jessup ◽  
Matthew J Oates ◽  
Renea V Johnston ◽  
Rachelle Buchbinder
Keyword(s):  
Plantar Fasciitis ◽  
Heel Pain ◽  
Shockwave Therapy ◽  
Plantar Heel Pain

The Conundrum of Calcaneal Spurs

2013 ◽  
Vol 7 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Paul J. Moroney ◽  
Barry J. O’Neill ◽  
Khalid Khan-Bhambro ◽  
Shay J. O’Flanagan ◽  
Peter Keogh ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Incidental Finding ◽  
Radiographic Finding ◽  
Heel Pain ◽  
Control Group ◽  
X Rays ◽  
Foot Pain ◽  
Level Of Evidence ◽  
Associated Conditions ◽  
And Control

Background: Chronic plantar heel pain is a common and potentially debilitating condition, often caused by plantar fasciitis. Plantar calcaneal spurs were originally considered the cause of plantar fasciitis but are now regarded as an incidental finding by most authors. We aimed to test this hypothesis and to investigate predisposing factors for the development of spurs. Methods: We reviewed all lateral ankle X rays taken in our institution over a 6-month period and identified all X rays demonstrating calcaneal spurs. Then, we identified a similar number of age- and sex-matched controls without spurs. We contacted both groups by telephone and compared symptoms of heel pain, plantar fasciitis, associated comorbidities, and foot and ankle outcome scores (FAOSs). Results: We reviewed the X rays of 1103 consecutive patients and found a spur prevalence of 12.4%, more common in women and older patients. Questioning of the spur group and control group found a higher body mass index in the spur group. Patients with spurs were 4 times more likely to have diabetes mellitus and 10 times more likely to have lower-limb osteoarthritis. Patients with spurs had more foot pain and poorer FAOS than the control group, even when patients with plantar fasciitis were excluded. Conclusion: Our results demonstrate that the presence of a plantar calcaneal spur may be an indicator of foot pain independent of plantar fasciitis. Although spurs may not cause foot pain themselves, they may be an indication of other associated conditions. Clinical relevance: We have demonstrated the relevance of a radiographic finding once considered irrelevant. Level of Evidence: Prognostic, Level III: Case-control study

scholarly journals Plantar Fasciitis: Are Pain and Fascial Thickness Associated With Arch Shape and Loading?

2007 ◽  
Vol 87 (8) ◽  
pp. 1002-1008 ◽  
Author(s):  
Scott C Wearing ◽  
James E Smeathers ◽  
Patrick M Sullivan ◽  
Bede Yates ◽  
Stephen R Urry ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Matched Control ◽  
Weight Bearing ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Structural Factors ◽  
Local Loading ◽  
Analog Scale ◽  
Pressure Plate ◽  
Arch Shape

Background and Purpose: Although plantar fascial thickening is a sonographic criterion for the diagnosis of plantar fasciitis, the effect of local loading and structural factors on fascial morphology are unknown. The purposes of this study were to compare sonographic measures of fascial thickness and radiographic measures of arch shape and regional loading of the foot during gait in individuals with and without unilateral plantar fasciitis and to investigate potential relationships between these loading and structural factors and the morphology of the plantar fascia in individuals with and without heel pain. Subjects: The participants were 10 subjects with unilateral plantar fasciitis and 10 matched asymptomatic controls. Methods: Heel pain on weight bearing was measured by a visual analog scale. Fascial thickness and static arch angle were determined from bilateral sagittal sonograms and weight-bearing lateral foot roentgenograms. Regional plantar loading was estimated from a pressure plate. Results: On average, the plantar fascia of the symptomatic limb was thicker than the plantar fascia of the asymptomatic limb (6.1±1.4 mm versus 4.2±0.5 mm), which, in turn, was thicker than the fascia of the matched control limbs (3.4±0.5 mm and 3.5±0.6 mm). Pain was correlated with fascial thickness, arch angle, and midfoot loading in the symptomatic foot. Fascial thickness, in turn, was positively correlated with arch angle in symptomatic and asymptomatic feet and with peak regional loading of the midfoot in the symptomatic limb. Discussion and Conclusion: The findings indicate that fascial thickness and pain in plantar fasciitis are associated with the regional loading and static shape of the arch.

Plantar Fascia Rupture Associated with Corticosteroid Injection

1994 ◽  
Vol 15 (7) ◽  
pp. 376-381 ◽  
Author(s):  
John Robert Sellman
Keyword(s):  
Plantar Fasciitis ◽  
Corticosteroid Injection ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Gradual Change ◽  
Resonance Imaging ◽  
Presumptive Diagnosis ◽  
Metatarsal Fracture ◽  
Foot Problems ◽  
Corticosteroid Injections

A series of 37 patients, all with a presumptive diagnosis of plantar fascia rupture, is presented. All had had prior heel pain diagnosed as plantar fasciitis, and all had been treated with corticosteroid injection into the calcaneal origin of the fascia. One third described a sudden tearing episode in the heel, while the rest had a gradual change in symptoms. Most of the patients had relief of the original heel pain, which had been replaced by a variety of new foot problems, including dorsal and lateral midfoot pain, swelling, foot weakness, metatarsal pain, and metatarsal fracture. In all 37 patients, there was a palpable diminution in the tension of the plantar fascia on the involved side, and footprints often showed a flattening of the involved arch. Magnetic resonance imaging done on one patient showed attenuation of the plantar fascia. From these observations and data, the author concluded that plantar fascia rupture had occurred. Treatment following rupture included supportive shoes, orthoses, and time. The majority had resolution of their new symptoms, but this often took 6 to 12 months to occur. In the remainder, there were persisting symptoms. Corticosteroid injections, although helpful in the treatment of plantar fasciitis, appear to predispose to plantar fascia rupture.

scholarly journals Plantar fasciitis - an update

2014 ◽  
Vol 14 (1) ◽  
pp. 3-8
Author(s):  
Purnima Guatham ◽  
Shibili Nuhmani ◽  
Shaji John Kachanathu
Keyword(s):  
Plantar Fasciitis ◽  
Physical Therapists ◽  
Current Knowledge ◽  
Weight Bearing ◽  
Medical Science ◽  
Treatment Strategies ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Medical Attention ◽  
Common Causes

Plantar fasciitis is one of the most common causes of inferior heel pain managed by many physical therapists in variety of clinical settings and wildly treated conservatively. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. It is estimated that 11% to 15% of all foot complaints requiring medical attention can be attributed to this condition. The patient typically presents with inferior heel pain on weight bearing. Pain associated with plantar fasciitis may be throbbing, searing, or piercing, especially with the first few steps in the morning or after periods of inactivity. This article present on overview of the current knowledge on plantar fasciitis and focuses on biomechanics, etiology, diagnosis and treatment strategies, conservative treatment including the physical therapy management are discussed. This information should assist health care practitioners who treat patients with this disorder DOI: http://dx.doi.org/10.3329/bjms.v14i1.17052 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.3-8

Sign in / Sign up

Export Citation Format

Share Document