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Plantar fasciitis: a retrospective analysis of 267 cases
Affiliation:1. Director Allan McGavin Sports Medicine Centre & Professor Faculty of Medicine and School of Human Kinetics, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada;2. University of British Columbia, Vancouver, BC, V6T 1Z3, Canada;3. Professor Emeritus, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada;4. Professor Faculty of Medicine and School of Human Kinetics, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada;5. Instructor Faculty of Medicine and School of Human Kinetics, Clinician Allan McGavin Sports Medicine Centre and Student Health Services, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada;1. Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do 10475, Republic of Korea;2. Department of Anesthesiology and Pain Medicine, Myongji Hospital, Hanyang University College of Medicine, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do 10475, Republic of Korea;1. Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, National Research Center for Rehabilitation Technical Aids, 100176 Beijing, PR China;2. Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, 100191 Beijing, PR China;1. Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong, China;2. Michigan Performance Research Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI, USA;3. Musculoskeletal Biomechanics & Imaging Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI, USA;4. Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA;5. Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA;6. The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, Guangdong, China;1. Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Thailand;2. Faculty of Physical Therapy, Mahidol University, Thailand;1. Division of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, United States;2. Division of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, United States
Abstract:
Objectives: To gain a better understanding of the anthropometric, biomechanical and treatment statistics for a diversified population affected with plantar fasciitis. Design: A retrospective case review. Setting: The Allan McGavin Sports Medicine Centre, University of British Columbia, Vancouver, Canada. Subjects: Referral patients seen by attending physicians from 1998–2000. Age 43·1 years (±3·81), weight 72·2 kg (±14·7), height 1·61 m (±0·9), BMI 24·7 kg/m2 (±5·16), number of years active 10·6 (±10·42), weekly activity 5·6 h (±8·6). Results: Over half (54·7%) of patients with plantar fasciitis were reported as having excessive pronation. The frequencies for other biomechanical variables include: genu valgum (20·2%), genu varum (16·9%), pes cavus arch (10·1%), and leg length inequality (6·7%). A prior history of injury to the ankle/foot area was reported in 21·7% of patients and training errors were felt to be the cause in 17·2% of cases. A majority of patients were prescribed stretching and strengthening exercises (76·8%), and orthotics and NSAIDs were given to 49·1% and 41·6% respectively. Of the 78 patients for whom follow-up data was available, 17·9% claimed to have complete resolution of symptoms, and 39·7% reported having 75% improvement or better.
Keywords:
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