Diagnosis and Management of Plantar Fasciitis

Thompson, John V.; Saini, Sundeep; Reb, Christopher W.; Daniel, Joseph N.

doi:10.7556/jaoa.2014.177

Cited by 65 publications

(101 citation statements)

References 35 publications

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“…The complete recovery from PF symptoms is a very long process, which usually occurs within two years 4 . Thanks to conservative therapies, about 85-90% of subjects with PF can be successfully treated 11,28 . Plantar fascia rupture may be a consequence of PF especially in athletes that are subjected to an excessive overload.…”

Section: Blood Analysismentioning

confidence: 99%

“…Noteworthy side effects for the surgical treatment are reported (e.g. infections, nerve damage and chronic pain) 11,21 . In recalcitrant PF, literature reported promising outcomes with minimally invasive radiofrequency microtenotomy 28 .…”

Section: Blood Analysismentioning

confidence: 99%

“…Moreover, the Windlass test can be performed to evaluate the plantar fascia loading, albeit this test is characterized by low sensitivity 22 . These manipulations will trigger pain in the subject 4,11,21 . The intrinsic and extrinsic risks associated with the onset and progression of PF are also assessed (Tab.…”

Section: Inadequate Footwearmentioning

confidence: 99%

“…heel cups, insoles and night splints) were used to improve PF symptoms, thanks to the reduction of the pressure on the plantar fascia. Low-dye taping and kinesiotaping are also considered for the treatment of PF 4,6,11 . Noteworthy, the weight loss is the primary treatment for overweight people (Table III) 4,6 .…”

Section: Treatment Of Pfmentioning

confidence: 99%

“…In the past PF was defined as chronic inflammatory condition, nowadays PF is considered a degenerative pathology, more similar to tendinopathy and to a chronic disease which is evident at the site of the attachment of plantar fascia at the medial tubercle of the calcaneus. PF is also referred to plantar heel pain syndrome, heel spur syndrome, plantar fasciopathy or painful heel syndrome 4,10,11 . The acute phase of PF can turn into a chronic phase, which is characterized by a clinical remission and from the progression of the plantar fascia degeneration process 3 .…”

Section: Introductionmentioning

confidence: 99%

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Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Petraglia

Ramazzina

Cipolla

2017

MLTJ

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SummaryBackground: Plantar fasciitis (PF) is reported in different sports mainly in running and soccer athletes. Purpose of this study is to conduct a systematic review of published literature concerning the diagnosis and treatment of PF in both recreational and élite athletes. The review was conducted and reported in accordance with the PRIS-MA statement. Methods: The following electronic databases were searched: PubMed, Cochrane Library and Scopus. As far as PF diagnosis, we investigated the electronic databases from January 2006 to June 2016, whereas in considering treatments all data in literature were investigated. Results: For both diagnosis and treatment, 17 studies matched inclusion criteria. The results have highlighted that the most frequently used diagnostic techniques were Ultrasonography and Magnetic Resonance Imaging. Conventional, complementary, and alternative treatment approaches were assessed. Conclusions: In reviewing literature, we were unable to find any specific diagnostic algorithm for PF in athletes, due to the fact that no different diagnostic strategies were used for athletes and non-athletes. As for treatment, a few literature data are available and it makes difficult to suggest practice guidelines. Specific studies are necessary to define the best treatment algorithm for both recreational and élite athletes. Level of evidence: Ib.

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Section: Blood Analysismentioning

confidence: 99%

Section: Blood Analysismentioning

confidence: 99%

Section: Inadequate Footwearmentioning

confidence: 99%

Section: Treatment Of Pfmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Petraglia

Ramazzina

Cipolla

2017

MLTJ

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Direct visualization and measurement of the plantar aponeurosis behavior in foot arch deformation via the windlass mechanism

Matsumoto,

Ogihara

2024

Clinical Anatomy

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The plantar aponeurosis (PA) is an elastic longitudinal band that contributes to the generation of a propulsive force in the push‐off phase during walking and running through the windlass mechanism. However, the dynamic behavior of the PA remains unclear owing to the lack of direct measurement of the strain it generates. Therefore, this study aimed to visualize and quantify the PA behavior during two distinct foot postures: (i) neutral posture and (ii) windlass posture with midtarsal joint plantarflexion and metatarsophalangeal joint dorsiflexion, using computed tomography scans. Six healthy adult males participated in the experiment, and three‐dimensional reconstruction of the PA was conducted to calculate its path length, width, thickness, and cross‐sectional area. This study successfully visualized and quantified the morphological changes in the PA induced by the windlass mechanism, providing a precise reference for biomechanical modeling. This study also highlighted the interindividual variability in the PA morphology and stretching patterns. Although the windlass posture was not identical to that observed in the push‐off phase during walking, the observed PA behavior provides valuable insights into its mechanics and potential implications for foot disorders.

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The Comparative Effectiveness of Autologous Blood‐derived Products Versus Steroid Injections in Plantar Fasciitis: A Systematic Review and Meta‐analysis of Randomized Controlled Trials

Tseng

Chiu

et al. 2020

PM&R

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Objective Plantar fasciitis is one of the most common musculoskeletal diseases, and nearly 90% of patients can be successfully treated by nonsurgical options. However, it is yet to be determined which nonsurgical treatment has the best efficacy. The present study investigated differences between autologous blood‐derived products and corticosteroid injections in the treatment of plantar fasciitis. Type Systematic Review and Meta‐analysis. Literature Survey PubMed, EMBASE, CINAHL, and Web of Science were searched for relevant articles up to November 2019. There was no language restriction, and unpublished trials were excluded. This systematic review included only randomized controlled trials. Methodology The primary outcomes were Visual Analog Scale and American Orthopedic Foot and Ankle Score (AOFAS). The follow‐up times were divided into short term (3‐6 weeks), intermediate term (3 months or 12 weeks), and long term (6 months or 24 weeks). The random‐effects model was utilized, and weighted mean difference was calculated as the pool estimates. Synthesis Thirteen randomized controlled trials and 640 patients were included. No significant difference in Visual Analog Scale reduction was observed between autologous blood‐derived product and corticosteroid injections in the short term (weighted mean difference [WMD] = −0.84; 95% confidence interval [CI], −1.71 to 0.03; P = .057), intermediate term (WMD = −0.24; 95% CI, −0.90 to 0.42; P = .475), and long term (WMD = 0.47; 95% CI, −0.72 to 1.65; P = .44). No significant difference in AOFAS was observed between autologous blood‐derived products and corticosteroids in the short term (WMD = −0.65; 95% CI, −5.40 to 4.10; P = .79), intermediate term (WMD = 0.17; 95% CI, −8.07 to 8.41; P = .97), and long term (WMD = 1.16; 95% CI, −4.54 to 6.86; P = .69). Conclusions This systematic review and meta‐analysis of autologous blood‐derived products versus corticosteroids for plantar fasciitis is the first that includes only randomized controlled trials. The meta‐analysis found no significant difference between autologous blood‐derived products and corticosteroids, as measured by Visual Analog Scale or AOFAS. These findings applied whether followed up in short, intermediate, or long term. These results differ from previous studies that showed superior efficacy of autologous blood‐derived products compared with corticosteroids in the long term.

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Diagnosis and Management of Plantar Fasciitis

Cited by 65 publications

References 35 publications

Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Direct visualization and measurement of the plantar aponeurosis behavior in foot arch deformation via the windlass mechanism

The Comparative Effectiveness of Autologous Blood‐derived Products Versus Steroid Injections in Plantar Fasciitis: A Systematic Review and Meta‐analysis of Randomized Controlled Trials

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