Topographical Pressure Pain Sensitivity Maps of the Feet Reveal Bilateral Pain Sensitivity in Patients With Unilateral Plantar Heel Pain

Ríos-León, Marta; Ortega‐Santiago, Ricardo; Madeleine, Pascal; Fernández‐de‐las‐Peñas, César; Plaza-Manzano, Gustavo

doi:10.2519/jospt.2019.8813

Cited by 11 publications

(16 citation statements)

References 27 publications

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“…Compared to the control groups, PPT was also significantly lower in the hand and neck (remote pain-free points) of the plantar heel group in 2 studies 6,8 and the contralateral foot in 3 studies. [6][7][8] In one study, 5 PPT values were lower in the plantar heel pain group with a medium effect size (0.7) but not at a level of statistical significance. The same authors found that half of the individuals with heel pain reported widespread pain on their body charts; however, no significant between-groups differences were found in heat or cold thresholds or conditioned pain modulation.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 94%

“…After applying all inclusion and exclusion criteria; 4 studies, all case-control trials, were included in this review. [5][6][7][8] Each study used some form of quantitative sensory testing (QST), typically pressure pain thresholds (PPTs) applied to both local and distant pain-free areas, to detect possible alterations in central pain processing in individuals with chronic plantar heel pain.…”

Section: Summary Of Search Best Evidencementioning

confidence: 99%

“…5 In addition, 2 studies found females to have statistically significant lower PPT compared to males, implying that widespread hyperalgesia in this population may be correlated to gender. 7,8 Identification of peripheral versus central nociceptive pathway sensitization in plantar heel pain would benefit from additional studies incorporating similar testing protocols.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

“…Identifying central pain processing dysfunction in humans is challenging, so the use of multiple testing modalities is preferred in this detection. In the included studies, 3 studies used PPT as the primary assessment of central pain processing, [6][7][8] while one study used additional QST measures. 5 Additionally, the demographics of participants should be considered.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

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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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Section: Implications For Practice Education and Future Researchmentioning

confidence: 94%

Section: Summary Of Search Best Evidencementioning

confidence: 99%

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

See 2 more Smart Citations

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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“…The mean of 3 tests on the most painful quadricipital tendon point was calculated and used for the analysis. Thirty seconds, similarly to other studies [15,16], was used between each test. A 30 s resting period was allowed between tests for avoiding temporal summation [17].…”

Section: Physical Examinationmentioning

confidence: 99%

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Cuñado-González

Ríos-León

2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

Self Cite

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Background Jumper’s knee is a highly prevalent tendon condition in volleyball players population. Research on clinical effects of tendon dry needling in jumper’s knee is scarce. Therefore, the aim of this study was to present clinical effects of ultrasound-guided dry needling of quadricipital tendon in a patient with jumper’s knee. Methods A 23-years-old volleyball player, who experienced pain in quadricipital tendon for 5 months, was presented and treated by ultrasound-guided dry needling of quadricipital tendon with one session. Slightly limited knee flexion range of motion, high scores in Visual Analogue Scale (VAS) at rest and during Single-Leg decline Squat test (SLDS) related to high pain intensity, low scores in Victorian Institute of Sport Assessment (VISA-P) scale and Lower Extremity Functional Scale (LEFS) were found. Further examination revealed sensitization of the quadricipital tendon (low pressure pain threshold). Results We found important improvements in VISA-P, LEFS and VAS. Besides, pressure pain threshold and knee flexion during SLDS also showed improvements. Results which were obtained were better in all the variables studied and these recoveries were stable for 6 months. Conclusions Our findings showed improvements in pain and function in medium term and could provide preliminary evidence of beneficial effects of quadricipital tendon dry needling in patients with jumper’s knee. Future studies are needed to clarify our results and compare dry needling with conservative treatments.

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Pressure pain threshold of the whole foot: Protocol and dense 3D sensitivity map

Wu,

Liu,

2024

Applied Ergonomics

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Topographical Pressure Pain Sensitivity Maps of the Feet Reveal Bilateral Pain Sensitivity in Patients With Unilateral Plantar Heel Pain

Cited by 11 publications

References 27 publications

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

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

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Pressure pain threshold of the whole foot: Protocol and dense 3D sensitivity map

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