Comparison of ultrasonography and radiography in assessment of the heel pad compressibility index of patients with plantar heel pain syndrome. Measurement of the fat pad in plantar heel pain syndrome

Background: Plantar heel pain is a clinical syndrome characterized by pain and tenderness beneath the heel which is typically worse in the morning and improves after the first few steps in the day. It is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft tissue disorders. Objective: To evaluate the effectiveness of an operation of multiple drilling of calcaneum for resistant plantar heel pain syndrome. Methods: During the period from November 2012 to August 2016, 17 patients (17heels) were enrolled in a cohort clinical study at the orthopedic unit in AL-Sheikh Zayed and Al-Wassity Hospitals. Result: Drilling of the calcaneum is a simple procedure achieving 70.6% cure in resistant ases with few complications provided good patient selection was done. Conclusion: Abnormalities in the intraosseous pressure within the calcaneum are a possible cause of plantar heel pain in some patients who failed to respond to conservative treatment

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Plantar Heel Pain due to Vascular Leiomyoma (Angioleiomyoma)

Foot & Ankle Specialist ◽

10.1177/1938640012457677 ◽

2012 ◽

Vol 5 (5) ◽

pp. 321-323 ◽

Cited By ~ 5

Author(s):

Man-hong Steve Cheung ◽

Tun-hing Lui

Keyword(s):

Differential Diagnosis ◽

Stress Fracture ◽

Plantar Fasciitis ◽

Heel Pain ◽

Therapeutic Level ◽

Vascular Leiomyoma ◽

Calcaneal Spur ◽

Plantar Heel Pain ◽

Heel Pad

The differential diagnosis of heel pain is extensive. The plantar heel pain is usually due to mechanical etiology, including plantar fasciitis, calcaneal spur, stress fracture, and nerve entrapment. Tumor is a rare cause of plantar heel pain. We present a case of chronic plantar heel pain with a vascular leiomyoma at the heel pad. Levels of Evidence: Therapeutic, Level IV, Case study

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Bulk compressive properties of the heel fat pad during walking: A pilot investigation in plantar heel pain

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2009.01.002 ◽

2009 ◽

Vol 24 (4) ◽

pp. 397-402 ◽

Cited By ~ 35

Author(s):

Scott C. Wearing ◽

James E. Smeathers ◽

Bede Yates ◽

Stephen R. Urry ◽

Philip Dubois

Keyword(s):

Heel Pain ◽

Fat Pad ◽

Compressive Properties ◽

Plantar Heel Pain ◽

Pilot Investigation

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Three single leg standing tests for clinical assessment of chronic plantar heel pain syndrome: static stance, half-squat and heel rise

Physiotherapy ◽

10.1016/j.physio.2016.06.003 ◽

2017 ◽

Vol 103 (2) ◽

pp. 237-244 ◽

Cited By ~ 2

Author(s):

B. Saban ◽

Y. Masharawi

Keyword(s):

Clinical Assessment ◽

Pain Syndrome ◽

Heel Pain ◽

Plantar Heel Pain

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The Relationship of the Heel Pad Compressibility and Plantar Pressure Distribution

Foot & Ankle International ◽

10.1177/107110070102200808 ◽

2001 ◽

Vol 22 (8) ◽

pp. 662-665 ◽

Cited By ~ 11

Author(s):

Ulunay Kanatli ◽

Haluk Yetkin ◽

Aykin Simsek ◽

Koksal Besli ◽

Akif Ozturk

Keyword(s):

Pressure Distribution ◽

Plantar Pressure ◽

Peak Pressure ◽

Heel Pain ◽

Heel Strike ◽

Control Group ◽

Heel Pad ◽

Plantar Pressure Distribution ◽

Compressibility Index ◽

And Control

Loss of heel pad elasticity has been suggested as one of the possible explanations of heel pain. This study aimed to determine the effect of heel pad thickness and its compressibility to heel pressure distribution, in 47 (94 feet) normal subjects and 59 (94 feet) patients with heel pain, using radiological measurements and EMED-SF (Novel, Munich) plantar pressure distribution measurement system. Both heels of the patients and control group were radiographed with and without weight bearing. The ratio of the heel pad thickness in loading to unloading position was defined as “the heel pad compressibility index.” The plantar peak pressure of the heel was measured at heel strike phase of the gait cycle. The compressibility index for control and patient groups were found to be 0.60 and 0.69, respectively. The peak pressure under the heel pad was recorded to be 28.4 N/cm2 for patients and 31.7 N/cm2 for control group. No significant difference was found for heel pad compressibility index and heel pad pressures between patient and control groups (p>0.05). This study revealed that there is no relationship between heel pad compressibility and pressure distribution of the heel pad both in control and patient group. We feel the flexibility of the heel pad does not have any influence on heel pain syndromes.

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