Clinical and radiological characteristics of patients with plantar fasciitis

Aim: to study the clinical and radiological parameters of patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, 73 (80.2%) women, 18 (19.8%) men. The mean age of the patients was 53.42 ± 9.16 years, disease duration was 30.32 ± 8.06 days, BMI w...

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Main Authors: A. P. Anischenko, S. I. Dzhadayev, A. V. Dzhadayeva, V. V. Inanov, M. V. Kovrizhnyh
Format: Article
Language:English
Published: National Electronic Information Consortium (NEICON) 2023-07-01
Series:Спортивная медицина: наука и практика
Subjects:
Online Access:https://www.smjournal.ru/jour/article/view/503
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author A. P. Anischenko
S. I. Dzhadayev
A. V. Dzhadayeva
V. V. Inanov
M. V. Kovrizhnyh
author_facet A. P. Anischenko
S. I. Dzhadayev
A. V. Dzhadayeva
V. V. Inanov
M. V. Kovrizhnyh
author_sort A. P. Anischenko
collection DOAJ
description Aim: to study the clinical and radiological parameters of patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, 73 (80.2%) women, 18 (19.8%) men. The mean age of the patients was 53.42 ± 9.16 years, disease duration was 30.32 ± 8.06 days, BMI was 24.75 ± 4.55 kg/m2. Patients underwent history taking, pain level and quality of life were assessed using the visual analogue scale, the SF-36 questionnaire and the AOFAS scale. The functional state of the feet was assessed using plantoscopy, Y-balance test, Friedland index. X-ray parameters were assessed using magnetic resonance imaging.Results: the disease is common among women aged 51 to 60 years. In 100% of cases, there is no traumatic etiological factor, 42.9% of the subjects note an increase in body weight as the cause, 35.2% – the relationship of the onset of pain with wearing flat shoes; men are more likely to associate the onset of symptoms with an increase in physical activity (83.3%). Subjective sensation of pain on the VAS does not depend on gender (p = 0.280), age (p = 0.509), disease duration (p = 0.371), BMI (p = 0.974). X-ray parameters of patients are characterized in 49.5% by the absence of heel exostosis, in other cases, the development of a heel spur is more typical for women (p = 0.019), its length does not depend on the duration of the disease (p = 0.845), age (p = 0.054), BMI (p = 0.196), lifestyle (p = 0.324) and does not correlate with the severity of pain (p = 0.691). The level of pain is directly proportional to the thickness of the plantar fascia (p < 0.001, ρ = 0.459). Calcaneal edema is observed in 14.3 % of patients, soft tissue edema — in 18.7 %; there was no relationship between calcaneal edema (p = 0.604) and soft tissue edema (p = 0.541) with the severity of pain, and calcaneal edema directly correlates with BMI (p = 0.029).Conclusion: These studies suggest that among the predictors of the development of plantar fasciitis, the most significant are female gender, overweight, wearing flat shoes, and the disease itself is not always a consequence of the development of a heel spur.
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spelling doaj.art-d77ba991bc144fc690ec62f4534b0edf2023-12-29T11:27:48ZengNational Electronic Information Consortium (NEICON)Спортивная медицина: наука и практика2223-25242587-90142023-07-01131555910.47529/2223-2524.2023.1.7322Clinical and radiological characteristics of patients with plantar fasciitisA. P. Anischenko0S. I. Dzhadayev1A. V. Dzhadayeva2V. V. Inanov3M. V. Kovrizhnyh4A.I. Yevdokimov Moscow State University of Medicine and DentistryKhimki Regional HospitalMoscow Center for Dermatovenereology and Cosmetology, Zelenogradsky BranchFSBEI HE SamSMU MOH RussiaCity Polyclinic №68Aim: to study the clinical and radiological parameters of patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, 73 (80.2%) women, 18 (19.8%) men. The mean age of the patients was 53.42 ± 9.16 years, disease duration was 30.32 ± 8.06 days, BMI was 24.75 ± 4.55 kg/m2. Patients underwent history taking, pain level and quality of life were assessed using the visual analogue scale, the SF-36 questionnaire and the AOFAS scale. The functional state of the feet was assessed using plantoscopy, Y-balance test, Friedland index. X-ray parameters were assessed using magnetic resonance imaging.Results: the disease is common among women aged 51 to 60 years. In 100% of cases, there is no traumatic etiological factor, 42.9% of the subjects note an increase in body weight as the cause, 35.2% – the relationship of the onset of pain with wearing flat shoes; men are more likely to associate the onset of symptoms with an increase in physical activity (83.3%). Subjective sensation of pain on the VAS does not depend on gender (p = 0.280), age (p = 0.509), disease duration (p = 0.371), BMI (p = 0.974). X-ray parameters of patients are characterized in 49.5% by the absence of heel exostosis, in other cases, the development of a heel spur is more typical for women (p = 0.019), its length does not depend on the duration of the disease (p = 0.845), age (p = 0.054), BMI (p = 0.196), lifestyle (p = 0.324) and does not correlate with the severity of pain (p = 0.691). The level of pain is directly proportional to the thickness of the plantar fascia (p < 0.001, ρ = 0.459). Calcaneal edema is observed in 14.3 % of patients, soft tissue edema — in 18.7 %; there was no relationship between calcaneal edema (p = 0.604) and soft tissue edema (p = 0.541) with the severity of pain, and calcaneal edema directly correlates with BMI (p = 0.029).Conclusion: These studies suggest that among the predictors of the development of plantar fasciitis, the most significant are female gender, overweight, wearing flat shoes, and the disease itself is not always a consequence of the development of a heel spur.https://www.smjournal.ru/jour/article/view/503plantar fasciitisheel spurheel pain
spellingShingle A. P. Anischenko
S. I. Dzhadayev
A. V. Dzhadayeva
V. V. Inanov
M. V. Kovrizhnyh
Clinical and radiological characteristics of patients with plantar fasciitis
Спортивная медицина: наука и практика
plantar fasciitis
heel spur
heel pain
title Clinical and radiological characteristics of patients with plantar fasciitis
title_full Clinical and radiological characteristics of patients with plantar fasciitis
title_fullStr Clinical and radiological characteristics of patients with plantar fasciitis
title_full_unstemmed Clinical and radiological characteristics of patients with plantar fasciitis
title_short Clinical and radiological characteristics of patients with plantar fasciitis
title_sort clinical and radiological characteristics of patients with plantar fasciitis
topic plantar fasciitis
heel spur
heel pain
url https://www.smjournal.ru/jour/article/view/503
work_keys_str_mv AT apanischenko clinicalandradiologicalcharacteristicsofpatientswithplantarfasciitis
AT sidzhadayev clinicalandradiologicalcharacteristicsofpatientswithplantarfasciitis
AT avdzhadayeva clinicalandradiologicalcharacteristicsofpatientswithplantarfasciitis
AT vvinanov clinicalandradiologicalcharacteristicsofpatientswithplantarfasciitis
AT mvkovrizhnyh clinicalandradiologicalcharacteristicsofpatientswithplantarfasciitis