Inferior heel pain in soccer players: a retrospective study with a proposal for guidelines of treatment

Saggini, Raoul; Migliorini, M; Carmignano, Simona Maria; Ancona, Emilio; Russo, Chiara; Fulle, Stefania

doi:10.1136/bmjsem-2015-000085

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…We found only one study in which the authors [ 27 ] investigated the prevalence and characteristics of lower heel pain in 1473 professional, semi-professional and amateur soccer players. The authors [ 34 ] concluded that lower heel pain among soccer players was primarily caused by local biomechanical stress, although they also found other causes such as sural nerve compression [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

Plantar Fasciitis in Soccer Players—A Systemic Review

Noriega

Cristo²,

León³

et al. 2022

IJERPH

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Soccer is one of the most popular sports in the world. Players often suffer a variety of injuries, the most common being injuries to muscles and tendons. It is striking that with soccer, being the most practiced sport, and considering that most injuries occur in the lower extremities, plantar fasciitis (PF) is not one of the most frequent injuries (at least in terms of clinical data collected). The purpose of this review was to provide a comprehensive update of the topic “plantar fasciitis” focusing on soccer players. The review was conducted in accordance with the PRISMA (Preferred Reportiog ltems for Systmiatic reviews and Meta-Analyses) statement. PubMed, Cochrane Library and Scopus were researched. PICO (Patient, Population or Problem; Intervention; Comparison; and Outcome) components were identified. The keywords used were “plantar fasciitis”, “plantar fasciitis and sport”, “plantar fasciitis risk factors”, “plantar fasciitis soccer” and “plantar fasciitis football players”. With respect to the objective proposed for the research, we found eight specific articles focused on soccer. Of these, five were general reviews discussing the different methods of treatment of this pathology, and we have only found three studies that focused on PF in soccer, with two of them referring to a clinical case whereby the report and discussion only dealt with the specific treatment followed by the soccer player. After reviewing the manuscripts included in this work, we were surprised that there is no data in which the Silfverskiöld test was performed, as this test explores the passive mobility of the ankle and the degree of dorsiflexion in the supine position. We concluded that soccer players suffer pain in the sole of the foot compatible with plantar fasciitis; however, as indicated by Suzue et al., it is often not diagnosed because the athlete does not consider performing the clinical examinations necessary for its diagnosis. The shortage of reported publications in soccer may mask other PF-associated injuries.

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Section: Resultsmentioning

confidence: 99%

Plantar Fasciitis in Soccer Players—A Systemic Review

Noriega

Cristo²,

León³

et al. 2022

IJERPH

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“…Plantar heel pain is a highly prevalent condition accounting for between 20% and 39% of lower-extremity painful disorders affecting both athletic 1,2 and nonathletic 3 populations. Conservative treatment represents the first therapeutic line for this condition.…”

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confidence: 99%

Altered Central Pain Processing in Patients With Chronic Plantar Heel Pain: A Critically Appraised Topic

Jayaseelan¹,

Fernández‐de‐las‐Peñas²,

Blattenberger³

et al. 2021

Journal of Sport Rehabilitation

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Clinical Scenario: Plantar heel pain is a common condition frequently associated with persistent symptoms and functional limitations affecting both the athletic and nonathletic populations. Common interventions target impairments at the foot and ankle and local drivers of symptoms. If symptoms are predominantly perpetuated by alterations in central pain processing, addressing peripheral impairments alone may not be sufficient. Clinical Question: Do individuals with chronic plantar heel pain demonstrate signs potentially associated with altered central pain processing? Summary of Key Findings: After searching 6 electronic databases (PubMed, CINAHL, Scopus, SportDiscus, Cochrane, and PEDro) and filtering titles based on predetermined inclusion and exclusion criteria, 4 case-control studies were included. All studies scored highly on the Newcastle-Ottawa Scale for quality assessment. Using pressure pain thresholds, each study found decreased pressure pain hypersensitivity locally and at a remote site compared to control groups, suggesting the presence, to some extent, of altered nociceptive pain processing. Clinical Bottom Line: In the studies reviewed, reported results suggest a possible presence of centrally mediated symptoms in persons with plantar heel pain. However, despite findings from these studies, limitations in appropriate matching based on body mass index and measures used suggest additional investigation is warranted. Strength of Recommendation: According to the Oxford Centre for Evidence-Based Medicine, there is evidence level C to suggest chronic plantar heel pain is associated with alterations in central pain processing.

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“…However, in many cases, authors did not distinguish ab initio between professional and nonprofessional athletes, and in many other studies, results were presented mixing the 2 categories. 9 , 21 , 23 , 28 Because of this, the meticulous application of exclusion criteria led to their removal, although this induced us to think that a relevant amount of data might remain hidden because of nonoptimal study designs. Second, in the analysis of treatments for plantar fasciitis, we were not surprised to verify that nonsurgical treatment was the most frequent choice among authors, 13 , 25 , 26 but we expected to find a greater number of studies documenting the results of different treatment strategies.…”

Section: Discussionmentioning

confidence: 99%

Treatment Approaches for Plantar Fasciopathy in Elite Athletes: A Scoping Review of the Literature

Coppola

Sgadari

Marasco

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Plantar fasciopathy is a common orthopaedic condition that affects athletes and limits their performance. Purpose: To conduct a scoping review of the literature to summarize the evidence provided so far for the management of plantar fasciopathy in elite athletes and identify potential gaps in the current knowledge. Study Design: Scoping review; Level of evidence, 5. Methods: This scoping review followed the 6-stage methodological framework of Arksey and O’Malley and was registered in the Open Science Framework. PubMed, Scopus, and Web of Science were used to identify eligible articles. After charting of data, studies were pooled into 3 categories: epidemiological/diagnostic studies, outcome research focused on plantar fasciitis or partial tears, and studies on the rupture of the plantar fascia. The modified Coleman Methodology Score was used to assess the quality of included articles. Results: Of 742 initial studies, 10 were selected (109 patients): 8 level 4 articles and 2 level 5 articles. In 4 studies (91 athletes), potential risk factors were discussed but not investigated (ie, preexistent thickening of the fascia, spike shoes, varus hindfoot/knee alignment). In 3 studies (6 athletes) focusing on plantar fasciitis, the nonsurgical treatment led to a satisfactory but poorly documented outcome. In 3 studies (12 athletes), the rupture of the fascia was treated nonoperatively with contrasting results, while surgery was performed only in 2 cases. The mean modified Coleman Methodology Score was 19 (range, 3-42), demonstrating overall poor methodology. Conclusion: The limited number of studies and their poor quality do not allow to define the gold standard treatment of plantar fasciopathy in elite athletes. Until high-quality studies are provided, clinicians have to rely on the available literature regarding the nonprofessional or nonathletic population to make the best evidence-based decision.

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Inferior heel pain in soccer players: a retrospective study with a proposal for guidelines of treatment

Cited by 8 publications

References 14 publications

Plantar Fasciitis in Soccer Players—A Systemic Review

Plantar Fasciitis in Soccer Players—A Systemic Review

Altered Central Pain Processing in Patients With Chronic Plantar Heel Pain: A Critically Appraised Topic

Treatment Approaches for Plantar Fasciopathy in Elite Athletes: A Scoping Review of the Literature

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