Heel Pain – Plantar Fasciitis: Revision 2023

Koc, Thomas A.; Bise, Christopher G.; Neville, Christopher; Carreira, Dominic; Martin, Robroy L.; McDonough, Christine M.

doi:10.2519/jospt.2023.0303

Cited by 12 publications

(3 citation statements)

References 68 publications

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“…with over 48 years of combined experience in orthopaedic rehabilitation selected the orthopaedic assessments for inclusion. Because there are no EDGE documents for orthopaedic conditions, they leveraged the American Physical Therapy Association Academy of Orthopaedic Physical Therapy's Clinical Practice Guidelines (CPGs) for achilles tendinopathy, [27] ankle instability, [28] carpal tunnel syndrome, [29] heel pain, [30] ACL injury Prevention, [31] knee ligamentous instability, [32] meniscal and cartilage lesions, [33] anterior knee pain, [34] hamstring injury, [35] hip fracture, [36] hip osteoarthritis, [37] non-arthritic hip pain, [38] lateral elbow pain, [39] low back pain, [40,41] concussion, [42] neck pain, [43] occupational injury, [44] pelvic girdle pain, [45] and adhesive capsulitis. [46] These CPGs provide recommendations on assessments for the targeted patient population based on the current best evidence.…”

Section: Assessment Selectionmentioning

confidence: 99%

Examination of the coverage of functional assessments in the OMOP common data model

French,

Hartman,

Hayes

et al. 2024

Preprint

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Background: High-value care aims to enhance meaningful patient outcomes while reducing costs. Curating data across healthcare systems with common data models (CDMs) would help these systems move towards high-value healthcare. However, meaningful patient outcomes, such as function, must be represented in commonly used CDMs, such as Observational Medical Outcomes Partnership Model (OMOP). Yet the extent that functional assessments are included in the OMOP CDM is unclear. Objective: Examine the extent that functional assessments used in neurologic and orthopaedic conditions are included in the OMOP CDM. Methods: After identifying functional assessments from clinical practice guideline, two reviewer teams independently mapped the neurologic and orthopaedic assessments into the OMOP CDM. After this mapping, we measured agreement with the reviewer team with the number of assessments mapped by both reviewers, one reviewer but not the other, or neither reviewer. The reviewer teams then reconciled disagreements, after which we again examined agreement and the average number of concept ID numbers per assessment. Results: Of the 81 neurologic assessments, 48.1% were initially mapped by both reviewers, 9.9% were mapped by one reviewer but not the other, and 42% were unmapped. After reconciliation, 46.9% of neurologic assessments were mapped by both reviewers and 53.1% were unmapped. Of the 79 orthopaedic assessments, 46.8% were initially mapped by both reviewers, 12.7% were mapped by one reviewer but not the other, and 48.1% were unmapped. After reconciliation, 48.1% of orthopaedic assessments were mapped by both reviewers and 51.9% were unmapped. Most assessments that were mapped had more than one concept ID number (neurologic assessments: 2.2 ± 1.3; orthopaedic assessments: 4.3 ± 4.4). Conclusions: The OMOP CDM includes a portion of functional assessments recommended for use in neurologic and orthopaedic conditions. Many assessments did not have any term in the OMOP CDM. Thus, expanding the OMOP CDM to include recommended functional assessments and creating guidelines for mapping functional assessments would improve our ability to harmonize these data across healthcare systems.

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Section: Assessment Selectionmentioning

confidence: 99%

Examination of the coverage of functional assessments in the OMOP common data model

French,

Hartman,

Hayes

et al. 2024

Preprint

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“…Conservative management is considered the first therapeutic line for treating plantar heel pain. Clinical guidelines recommend different treatment interventions, e.g., corticosteroid injection, exercises, extracorporeal shockwave therapy, or manual therapies for plantar heel pain [3,4]; however, current evidence on which treatment strategy is the most effective is inconclusive [5]. Two meta-analyses have found that needling interventions are effective for managing plantar heel-associated pain [6] but highlighted the need for further research on their efficacy and the methodology used to perform these interventions.…”

Section: Introductionmentioning

confidence: 99%

The Precision and Safety of Ultrasound-Guided versus Palpation-Guided Needle Placement on the Plantar Fascia and Flexor Digitorum Brevis Interface: An Anatomical Study

Malo-Urriés,

Borrella-Andrés,

López-de-Celis

et al. 2024

Healthcare

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Background: Evidence suggests the plantar fascia and its interphase with the flexor digitorum brevis muscle can play a relevant role in plantar heel pain. Needling interventions could offer an appropriate treatment strategy to addressing this interface. Objective: We compared the accuracy and safety of ultrasound-guided versus palpation-guided procedures for the proper targeting of the interface between the plantar fascia and the flexor digitorum brevis with a solid needle. Methods: A crossover cadaveric study was conducted. Five experienced therapists performed a series of 20 needle insertions each (n = 100 in total, 10 landmark-guided and 10 ultrasound-guided) on 10 anatomical samples. The therapists were instructed to accurately place the needle on the interface between the plantar fascia and the flexor digitorum brevis muscle. The distance of the tip of the needle to the identified target (accuracy), the surrounding sensitive structures targeted (safety), the time needed for the procedure, the number of needle passes, and the needle length outside the skin were assessed. Results: The ultrasound-guided technique was associated with a significantly higher accuracy (p < 0.001) but without differences in safety (p = 0.249) as compared to the palpation-guided procedure. Conclusion: Our results suggest that ultrasound-guided insertion exhibits greater accuracy but not greater safety than palpation-guided insertion when targeting the interface between the plantar fascia and the flexor digitorum brevis.

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“…Furthermore, PHP is one of the most common injuries in runners [ 2 ]. The symptoms of plantar fasciitis, including PHP, are reportedly worse in the morning and after long periods of rest [ 3 ]. It has become increasingly apparent that the pathological basis of tendinopathy pain is associated with elevated intratendinous resting pressure and heightened intratendinous dynamic pressure [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Posterior Tibial Artery Blood Flow Velocity Is Increased in Patients with Plantar Heel Pain

Kaneko,

Katayama,

Kudo

2024

JCM

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Background/Objectives: This study aimed to investigate the relationship between posterior tibial artery blood flow velocity and plantar heel pain (PHP). Methods: The PHP group comprised patients diagnosed with plantar fasciitis with plantar heel pain during gait, and the control group comprised healthy participants without plantar heel pain. The peak systolic velocity of the posterior tibial artery was measured using ultrasonography; it was measured three times on each side, and the mean value was calculated. Receiver operating characteristic curve analysis was performed to calculate the peak systolic velocity cutoff value for plantar heel pain. Results: 23 patients (age 58.0 ± 16.5 years; 13 males and 10 females) and 23 healthy participants (age 51.3 ± 17.3 years; 10 males and 13 females) formed the PHP and control groups, respectively. Peak systolic velocity on the affected side was significantly greater in the PHP group (44.1 ± 13.1 cm/s) than in the control group (32.7 ± 5.9 cm/s). No significant difference was observed between the left and right sides in the PHP (7.1 ± 9.8 cm/s) and control (3.7 ± 3.0 cm/s) groups. A cutoff value of 38.2 cm/s was observed on the affected side. Conclusions: We quantified the increase in posterior tibial artery blood flow velocity in patients with plantar heel pain. Peak systolic velocity measurements can aid in quantitatively evaluating these patients. This study was registered as a clinical trial (UMIN000046875) on 1 October 2021.

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Heel Pain – Plantar Fasciitis: Revision 2023

Cited by 12 publications

References 68 publications

Examination of the coverage of functional assessments in the OMOP common data model

Examination of the coverage of functional assessments in the OMOP common data model

The Precision and Safety of Ultrasound-Guided versus Palpation-Guided Needle Placement on the Plantar Fascia and Flexor Digitorum Brevis Interface: An Anatomical Study

Posterior Tibial Artery Blood Flow Velocity Is Increased in Patients with Plantar Heel Pain

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