Factors associated with severe pain in patients with plantar fasciitis: An association analysis

DOI: https://doi.org/10.15417/issn.1852-7434.2020.85.1.991
Keywords: Plantar fasciitis, heel pain, gastrocnemius tightness, eccentric strengthening, stretching

Abstract

Objective: The main purpose of our study was to describe the factors associated with more severe pain levels in a cohort of patients with plantar fasciitis (PF). The secondary purpose of this study was to study which of these factors were associated with higher levels of clinical improvement after conservative therapy. Materials and Methods: We conducted a prospective study in a cohort of patients with PF diagnosis. Each participant completed an ordinal pain scale (1-10) for first-step pain and end-of-day pain, and Foot Function Index-Revised (FFI-R) surveys at enrollment. Also, patient demographics were evaluated. The ankle joint dorsiflexion, the range of motion (ROM) for the first metatarsophalangeal joint (MTPJ), the gastrocnemius tightness, and the popliteal angle were evaluated through standard tests. Results: Our study included 214 participants, of which 64% (118 patients) were males, the average age was 49.67 years (SD 13.16) and the average BMI was 28.53 (SD 5.18). The multivariate analysis showed that the risk of having a Visual Analog Scale (VAS) score ≥8 increased when the patient reported standing for more than 6 hours (OR=1.17; P=0.03; CI95%: 1.02-1.359). The risk of a >8-VAS score was higher when the level of ankle dorsiflexion was <0 (OR=1.20; P=0.03; CI95%: 1.02-1.41). Conclusion: Our findings indirectly support the hypothesis that limited ankle dorsiflexion ROM plays a role as a risk factor associated with VAS scores ≥8, in PF patients. Level of Evidence: IV

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Author Biographies

Laura Cecilia Gaitan, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Santa Fe, Argentina)
Ana Belén Calvo, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Valeria López, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Juan Pablo Calvi, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Victoria Álvarez, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Gastón Slullitel, Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)
Foot and Ankle Department, Instituto de Ortopedia y Trauma “Dr. Jaime Slullitel” (Rosario, Santa Fe, Argentina)

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Published
2020-01-30
How to Cite
Gaitan, L. C., Calvo, A. B., López, V., Calvi, J. P., Álvarez, V., & Slullitel, G. (2020). Factors associated with severe pain in patients with plantar fasciitis: An association analysis. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(1), 23-30. https://doi.org/10.15417/issn.1852-7434.2020.85.1.991
Issue
Vol 85 No 1 (2020)
Section
Clinical Research
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