A matched casecontrol study plantar fasciitis is one of the more common softtissue disorders of the foot, yet little is known about its etiology. Surgical interventions are reserved for chronic or recalcitrant cases of plantar fasciitis and are required only in about 1% of patients suffering from plantar fasciitis cutts et al. The purpose of this study was to examine the association between cphp and a number of commonly hypothesised causative factors. Owens bd, wolf jm, seelig ad, jacobson ig, boyko ej 20 risk factors for lower extremity tendinopathies in military personnel. Riddle et al 48 determined risk factors for plantar fasciitis in a nonathletic population using a matched casecontrol design with 2 controls for each patient. Risk factors associated with the development of plantar heel pain in athletes. Request pdf on jul 1, 2003, d riddle and others published risk factors for plantar fasciitis. The standing heel rise test for ankle plantar flexion. We conducted a matched casecontrol study to determine whether risk factors for the disorder could be identified. Obesity and pronated foot type may increase the risk of chronic plantar heel pain. Risk factors for developing plantar fasciitis include older age most common between the ages of 40 of 60, female.
Plantar fasciitis history and exam bmj best practice. May 17, 2007 riddle dl, pulisic m, pidcoe p, johnson re. Thesis submitted to the graduate council of texas state university, may 2016. Effectiveness of foot orthoses to treat plantar fasciitis. Further research is indicated to rank the relative 43 significance of these risk factors. There are several risk factors associated with plantar fasciitis. The effect of additional ankle and midfoot mobilizations.
Treatment of chronic plantar fasciitis with botulinum. Analysis of plantar fasciitis risk factors among intercollegiate and recreational runners. Plantar fasciitis is one of the more common softtissue disorders of the foot, yet little is known about its etiology. Elevated bmi is not only a risk factor for plantar fasciitis but also a predictor of the extent of functional loss as. Current therapeutic approaches for plantar fasciitis.
A matched casecontrol study vol 85, pg 872, 2003 find, read and cite all the research you need. What are the structural risk factors for plantar fasciitis. Riddle et al conducted a matched casecontrol study of plantar fasciitis and found significant associations between plantar fasciitis and body mass index bmi, limited ankle dorsiflexion of the involved side, and spending the majority of the workday on the feet. Risk factors for plantar fasciitis among assembly plant workers robert a. The purpose of the present study was to use an epidemiological design to determine whether risk factors for plantar fasciitis could be identified.
Plantar fasciitis risk factorsin normal population. Bmi is not only a risk factor for plantar fasciitis, but also a predictor of the extent of functional loss as reported by patients. Epub ahead of print irving db, cook jl, young ma, menz hb. We used a matched case control design, with two controls for each patient. Causation and risk factors of plantar fasciitis april 2016 acc. Riddle dl, pulisic m, pidcoe p, johnson re 2003 risk factors for plantar fasciitis. Several studies have found being overweight or obese to be significant risk factors for plantar fasciitis. Journal of the american podiatric medical association. Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis. Background plantar fasciitis is one of the more common softtissue disorders of the foot, yet little is known about its etiology. Pdf risk factors for plantar fasciitis among assembly plant. Case studies in treating chronic plantar fasciitis. We identified fifty consecutive patients with unilateral plantar fasciitis who met the inclusion criteria. Rigorous statistical reliability, validity, and responsiveness testing of the cincinnati knee rating system in 350 subjects with uninjured, injured, or anterior cruciate ligamentreconstructed knees.
Plantar fasciitis, a special type of a soft tissue rheumatic syndrome, is a common painful condition which often becomes chronic. Specifically, we examined the risk factors of limited ankle dorsiflexion with the knee extended, obesity, and time spent weightbearing. Pdf prevalence and risk factors of plantar fasciitis among. Eighty participants with cphp 33 males, 47 females, mean age 52. How to address equinus in the athlete podiatry today. Plantar fasciitis treatment algorithm bmj best practice. To determine prevalence rate and risk factors of plantar fasciitis in primary health care settings. A matched casecontrol study riddle, daniel l pulisic, matthew.
One of the firstline treatments of plantar fasciitis is rest and oral analgesics such as acetaminophen and nonsteroidal antiinflammatory drugs. Risk factors for plantar fasciitis can be categorised as patientrelated or physically related 5, 12. Prevalence and risk factors of plantar fasciitis among patients with heel. Feb 04, 2018 other risk factors associated with plantar fasciitis include. The comparison of the effect of corticosteroids and plateletrich plasma prp for the treatment of plantar fasciitis. We used a matched casecontrol design, with two controls for each patient. It affects more than 1 million per sons per year, and twothirds of patients with plantar fasciitis will. Prevalence and risk factors of plantar fasciitis among patients with. It is well known that plantar fasciitis can occur in association. Weak study designs casecontrol and crosssectional studies and poor methodological quality limit the conclusions that can be made. A matched casecontrol study risk factors for plantar fasciitis. Obesity and pronated foot type may increase the risk of.
A study of the elastic properties of the plantar fascia. The studies suggest lowquality evidence of a causal association between plantar fasciitis and prolonged weightbearing tasks royal college of general practitioners grade. Low quality evidence from 2 case control and 1 crosssectional study. Obesity and pronated foot type may increase the risk of chronic. Risk factors described for plantar fasciitis and summary of the quality of. Plantar fasciitis, a selflimiting condition, is a common cause of heel pain in adults. Heel pain is a common presenting complaint in the foot and ankle practice, and plantar fasciitis pf is the most common cause of chronic pain beneath the heel in adults, making up 1115% of the foot symptoms requiring professional care among adults.
While this was an excellent account of the pathology and management of the condition, it was disappointing that management using a gastrocnemius release was totally excluded, especially as the authors had recognised reduced ankle dorsiflexion and tightness of the achilles tendon as risk factors for pf. This damage is typically associated with one or more of the risk factors as described in this informative article. Impact of chronic plantar heel pain on healthrelated quality of life. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis. The amount of time spent on feet was a dichotomous variable and was selfreported.
Risk factors for plantar fasciitis among assembly plant workers. Plantar fasciitiscalcaneal spur among security forces personnel. Anatomical risk factors for plantar fasciitis include limited ankle dorsiflexion, leg length discrepancy, heel pad thickness, increased plantar fascia thickness, pes planus excessive pronation of the foot, pes cavus, muscle imbalance, limited first. Obesity and reduced ankle dorsiflexion are recognised risk factors for the condition. The specific cause of plantar fasciitis is poorly understood and is multifactorial.
What other risk factors are associated with plantar fasciitis. Riddle et al 48 determined risk factors for plantar fasciitis in a nonathletic population using a matched case control design with 2 controls for each patient. Rotation of shoes during the work week was found to reduce the risk of presenting with plantar fasciitis. Elevated bmi is not only a risk factor for plantar fasciitis but also a predictor of the extent of functional loss as reported by patients. Case studies in treating chronic plantar fasciitis podiatry. Apr 12, 2020 volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis. Effectiveness of dry needling for the management of. Obesity and pronated foot type may increase the risk of chronic heel pain. The relationship of pes planus and calcaneal spur to plantar heel pain. Riddle dlpulisic mpidcoe pjohnson re risk factors for plantar fasciitis. The causes of plantar fasciitis are thought to be multifactorial and a combination of patient related and physical risk factors have been reported.
The epidemiology of plantar fasciitis lower extremity. Frequencymatched casecontrol study prognostic study, level ii. Risk factors for plantar fasciitis among assembly plant. The effect of additional ankle and midfoot mobilizations on. Treatment of chronic plantar fasciitis with botulinum toxin a. Increased supervisor support showed a trend toward reducing the prevalence of plantar fasciitis. Heel pain may be caused by plantar fascia rupture, fat pad atrophy. Werner, md ms, nancy gell, mph pt, anne hartigan, md. A total of 50 patients with unilateral plantar fasciitis met the inclusion criteria. Effectiveness of dry needling for the management of plantar. Risk factors for developing plantar fasciitis in nonathletes include limited ankle dorsiflexion, body mass index greater than 27 kg per m 2 odds ratio 3. While most cases of plantar fasciitis respond to conservative management and the passage of time, around 1% of patients will. Chronic plantar heel pain cphp is one of the most common musculoskeletal disorders of the foot, yet its aetiology is poorly understood. Obesity appears to be independent risk factor for plantar fasciitis.
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