Plantar fascia evaluation with a dedicated magnetic resonance scanner in weight-bearing position: our experience in patients with plantar fasciitis and in healthy volunteers

Sutera, Raffaello; Iovane, Angelo; Sorrentino, Fortunato; Candela, F.; Mularo, V.; Tona, Giuseppe La; Midiri, Massimo

doi:10.1007/s11547-010-0534-z

Cited by 8 publications

(17 citation statements)

References 14 publications

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“…A study comparing patients with clinically diagnosed plantar fasciitis and healthy volunteers in a dedicated MR scanner showed that 25% of the patients with clinical suspicion of plantar fasciitis had normal MRI scans. 9 Hall et al demonstrated that 36% of the patients in their study had no pathology on MRI scan to explain the cause of heel pain. 33 In another study, MRI scans did not confirm clinical diagnosis of plantar fasciitis in 24% of the cases.…”

Section: Discussionmentioning

confidence: 88%

“…3 Plantar fasciitis is generally a self-limiting condition but recovery can take several months. 4,5 Approximately 10% to 20% of patients develop persistent and often disabling symptoms 6-10 that can have a significant effect on mobility, day-to-day activities, work, and general well-being. Diagnosis is mainly based on clinical assessment; however, recently there has been a surge in investigating these cases with magnetic resonance imaging (MRI) scans as it provides excellent soft tissue as well bony resolution and hence is recommended as an appropriate imaging choice.…”

mentioning

confidence: 99%

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Is There a Role for MRI in Plantar Heel Pain

Fazal

Tsekes

Baloch

2017

Foot & Ankle Specialist

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Section: Discussionmentioning

confidence: 88%

mentioning

confidence: 99%

Is There a Role for MRI in Plantar Heel Pain

Fazal

Tsekes

Baloch

2017

Foot & Ankle Specialist

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“…Meta-analysis of the two studies that measured proximal plantar fascia thickness included a total of 165 PHP participants and 174 control participants [ 45 , 49 ]. PHP participants had a mean plantar fascia thickness that was 3.17 mm (95% CI 1.95 to 4.39) thicker than control participants ( p < 0.001) – see Fig.…”

Section: Resultsmentioning

confidence: 99%

“…One MRI study reported the number of people with plantar fascia thickness > 4 mm [ 49 ]; this study found 15 (75%) of the PHP participants and none (0%) of the control participants presented with this finding.…”

Section: Resultsmentioning

confidence: 99%

Medical imaging for plantar heel pain: a systematic review and meta‐analysis

Drake

Whittaker

Kaminski

et al. 2022

Journal of Foot and Ankle Research

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Background Medical imaging can be used to assist with the diagnosis of plantar heel pain. The aim of this study was to synthesise medical imaging features associated with plantar heel pain. Methods This systematic review and meta-analysis conducted searches in MEDLINE, CINAHL, SPORTDiscus, Embase and the Cochrane Library from inception to 12th February 2021. Peer-reviewed articles of cross-sectional observational studies written in English that compared medical imaging findings in adult participants with plantar heel pain to control participants without plantar heel pain were included. Study quality and risk of bias was assessed using the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies. Sensitivity analyses were conducted where appropriate to account for studies that used unblinded assessors. Results Forty-two studies (2928 participants) were identified and included in analyses. Only 21% of studies were rated ‘good’ on quality assessment. Imaging features associated with plantar heel pain included a thickened plantar fascia (on ultrasound and MRI), abnormalities of the plantar fascia (on ultrasound and MRI), abnormalities of adjacent tissue such as a thickened loaded plantar heel fat pad (on ultrasound), and a plantar calcaneal spur (on x-ray). In addition, there is some evidence from more than one study that there is increased hyperaemia within the fascia (on power Doppler ultrasound) and abnormalities of bone in the calcaneus (increased uptake on technetium-99 m bone scan and bone marrow oedema on MRI). Conclusions People with plantar heel pain are more likely to have a thickened plantar fascia, abnormal plantar fascia tissue, a thicker loaded plantar heel fat pad, and a plantar calcaneal spur. In addition, there is some evidence of hyperaemia within the plantar fascia and abnormalities of the calcaneus. Whilst these medical imaging features may aid with diagnosis, additional high-quality studies investigating medical imaging findings for some of these imaging features would be worthwhile to improve the precision of these findings and determine their clinical relevance.

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“…Among the various diseases related to this symptom, such as Achilles tendinopathy, tarsal tunnel syndrome and plantar fascia ruptures, the most common is plantar fasciitis (1,2) . Plantar fasciitis is defined as an inflammatory and degenerative disorder located in the proximal region of the central band of the plantar fascia (1,3,4) . Studies deduce that it affects approximately one million Americans every year, accounting for 1% of all orthopedic appointments in the United States (US), at an annual cost of 192 to 376 million dollars (2)(3)(4)(5)(6) .…”

Section: Introductionmentioning

confidence: 99%

Impact of chronic plantar fasciitis on work-related activity

Pires¹,

Miziara²,

Sposeto³

et al. 2020

J Foot Ankle

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Objective: Compare the real need for rest of chronic plantar fasciitis patients with the leave of absence time and criteria used by national and international technical medical expert examination manuals. Methods: We conducted a review of the medical literature from 2013 to 2018, selecting only randomized controlled clinical trials on the treatment of chronic plantar fasciitis. National and international medical expert examination manuals were also selected. The treatment time for chronic plantar fasciitis was then compared with the leave of absence time recommended by the manuals. Results: Of the six articles selected, we ascertained that three articles evaluating second-line treatment managed to reduce the VAS by 60% after 4 weeks, one after 3 months, one after 6 months, and one that showed no improvement at all. In all studies, no control group receiving first-line treatment alone achieved a 60% reduction in the VAS during the follow-up period. The evaluated manuals recommend leave from work ranging from zero to 21 days, with only two using the criterion of the type of work performed by the employee for the expert decision. Conclusion: We observed that none of the medical expert examination manuals provides support for the medical expert to grant leave to workers with chronic plantar fasciitis from their work-related activities to receive secondary treatment for at least four weeks. In addition, stratification by acute or chronic disease is not observed. Two manuals scale leave time by type of activity. Level of Evidence III; Economic and Decision Analyses; Analyses Based on Limited Costs and Alternatives.

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Plantar fascia evaluation with a dedicated magnetic resonance scanner in weight-bearing position: our experience in patients with plantar fasciitis and in healthy volunteers

Abstract: Imaging the ankle/hind foot in the upright weight-bearing position with a dedicated MR scanner and a dedicated coil might enable the identification of partial tears of the plantar fascia, which could be overlooked in the supine position.

Cited by 8 publications

References 14 publications

Is There a Role for MRI in Plantar Heel Pain

Is There a Role for MRI in Plantar Heel Pain

Medical imaging for plantar heel pain: a systematic review and meta‐analysis

Impact of chronic plantar fasciitis on work-related activity

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