Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Cobden, Adem; Çamurcu, Yalkın; Sofu, Hakan; Üçpunar, Hanifi; Duman, Serda; Kocabiyik, Ahmet

doi:10.7547/17-150

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…Although a previous study reported that the incidence of plantar fasciitis increased with the severity of a hallux valgus deformity, 20) the hallux valgus angle and patient-reported symptoms did not show a significant relationship with plantar fasciitis in our patients. The previous study suggested that an abnormal windlass mechanism in hallux valgus deformity could favor the development of plantar fasciitis, 20) but this needs to be validated in biomechanical or cadaveric studies. A flatfoot has been shown to be a causative factor in the development of plantar fasciitis.…”

Section: Discussioncontrasting

confidence: 92%

Age, Body Mass Index, and Spur Size Associated with Patients’ Symptoms in Plantar Fasciitis

et al. 2022

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Background Plantar fasciitis is a common cause of heel pain affecting 10% of the general population. This study aimed to investigate the specific symptoms in patients with plantar fasciitis using the Foot and Ankle Outcome Score (FAOS) questionnaire and their relationship with demographic and radiographic factors. Methods We retrospectively analyzed 73 consecutive patients (mean age, 53.8 ± 10.0 years; 20 men and 53 women) with plantar fasciitis who had visited our foot and ankle clinic and undergone weight-bearing foot X-ray examinations. Their demographic data, anteroposterior and lateral talo-first metatarsal angles, intermetatarsal and hallux valgus angles, and responses to the FAOS questionnaire were recorded. Results The quality-of-life subscale showed the lowest score of all FAOS subscales. Age was significantly correlated with quality of life ( r = 0.297, p = 0.011), and body mass index was correlated with the function in sports and recreational activities ( r = –0.251, p = 0.032). Age and body mass index were statistically significantly correlated with calcaneal spur size ( r = 0.274, p = 0.027 and r = 0.324, p = 0.008, respectively). The calcaneal spur size was significantly correlated with pain ( r = –0.348, p = 0.004), function in daily living ( r = –0.410, p = 0.001), and function in sports and recreational activities ( r = –0.439, p < 0.001). Conclusions Demographic factors were associated with specific symptoms in patients with plantar fasciitis. Calcaneal spur size was the only radiographic parameter correlated with symptoms. These findings help communicate with patients, set appropriate treatment goals, and evaluate treatment effectiveness.

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Section: Discussioncontrasting

confidence: 92%

Age, Body Mass Index, and Spur Size Associated with Patients’ Symptoms in Plantar Fasciitis

et al. 2022

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“…Excessive stress in the fascia causes stress damage to the fascia near the attachment of the calcaneus. Continuous repetitive microtrauma is believed to inhibit the normal repair process [15] . By effectively connecting the expansion of the plantar fornix, the plantar fascia is in a state of being stretched during the stress buffering process.…”

Section: Discussionmentioning

confidence: 99%

Deep peroneal nerve block may be a new treatment way for plantar fasciitis

Lin,

Ying,

Zhong

et al. 2024

Preprint

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Background Toe dorsiflexion is considered to be an important cause of plantar fasciitis, and the deep peroneal nerve (DPN) is the only nerve innervating the ankle joint and toe dorsiflexion. We hypothesized that blocking the DPN at the lower part of the tibia can reduce dorsiflexion of the toes at rest and in motion, thereby reducing plantar fascia tension, and will not affect the patient's normal activities. Methods Under ultrasound guidance, a DPN block was performed 2 cm above the ankle joint. Blocking twice a week for two consecutive weeks. The VAS pain scores at rest and movement were evaluated before and after treatment. The toe dorsiflexion angle change was observed in a static state, and the plantar fascia thickness changes before and after the block were observed by ultrasound to reflect the plantar fascia tension. Results We analyzed the location of DNP block on the specimen, and implemented DNP block in 18 patients with unilateral plantar fasciitis. DPN block reduces the heel pain in patients with plantar fasciitis both at rest and movement, the visual analog score (VAS) at rest at baseline with a MD (95% CI) of 3.77 (2.96 to 4.59) and at 2 weeks of treatment of 1.16 (0.62 to 1.71), the VAS at movement of baseline with a MD (95% CI) of (5.22 4.75 to 5.69) and at 2 weeks of treatment of 3.16 (2.43 to 3.89). After the block the angle of toe dorsiflexion at baseline with a MD (95% CI) of 20.50° (18.7 to 22.26) was decreased to 13.08° (10.88 to 15.27), and the thickness of plantar fascia at baseline with a MD (95% CI) of 4.56 mm (4.18 to 4.95) was increased to 5.53 mm (4.95 to 5.04), showing signs of decreased fascial tension. Conclusion From the perspective of balancing the biological force of the plantar fascia, using DPN block can improve the biomechanical position and tension of the plantar fascia to a certain extent to promote the recovery of the damaged fascia block. As far as we know, this treatment concept may be a new treatment way for plantar fasciitis.

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“…Besides the variations of surgical techniques, the intrinsic features of HV, such as spring ligament insufficiency [ 70 ], first ray hypermobility [ 71 ], hypermobility due to malpractice in amateur ballet dancers [ 72 ], generalized ligament laxity [ 73 ], medial column instability, and posterior tibial tendon dysfunction [ 74 ], may have contributed to clinical heterogeneity as well. Moreover, HV was often compounded with other foot problems that were infeasible to isolate [ 59 , 75 ], such as flatfoot [ 76 ], plantar fasciitis [ 77 ], transfer metatarsalgia [ 18 ], and claw toes [ 78 ]. There is limited research on the impact of plantar pressure under such circumstances.…”

Section: Discussionmentioning

confidence: 99%

Forefoot Function after Hallux Valgus Surgery: A Systematic Review and Meta-Analysis on Plantar Load Measurement

Wong

Cheung

Zhao

et al. 2023

JCM

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While hallux valgus (HV) surgeries are useful for correcting skeletal alignment problems, their effects on plantar load, which reflects forefoot functions, are less understood. The objective of this study is to conduct a systematic review and meta-analysis on the plantar load change after HV surgeries. A systematic search of Web of Science, Scopus, PubMed, CENTRAL, EMBASE, and CINAHL was performed. Studies that assessed the pre- and post-operative plantar pressure of HV patients undergoing surgeries and reported load-related parameters over the hallux, medial metatarsal, and/or central metatarsal regions were included. Studies were appraised by using the modified NIH quality assessment tool for before-after study. Studies suitable for meta-analysis were pooled with the random-effects model, using the standardized mean difference of the before-after parameters as an effect measure. Twenty-six studies containing 857 HV patients and 973 feet were included for the systematic review. Meta-analysis was conducted on 20 of them, and most studies did not favor HV surgeries. Overall, HV surgeries reduced the plantar load over the hallux region (SMD −0.71, 95% CI, −1.15 to −0.26), indicating that forefoot function worsened after surgeries. For the other five outcomes, the overall estimates were not statistically significant, indicating that surgeries did not improve them either. There was substantial heterogeneity among the studies, which in most cases could not be resolved by pre-planned subgroup analyses by surgical classification, year of publication, median age of patients, and length of follow-up. Sensitivity analysis removing lower-quality studies showed that the load integrals (impulse) over the central metatarsal region significantly increased (SMD 0.27, 95% CI, 0 to 0.53), indicating that surgeries increased the risk of transfer metatarsalgia. There is no solid evidence that HV surgeries could improve forefoot functions from a biomechanical point perspective. Currently available evidence even suggests that surgeries might reduce the plantar load over the hallux and adversely affect push-off function. The reasons behind and the effectiveness of alternative surgical methods warrant further investigation.

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Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Cited by 9 publications

References 15 publications

Age, Body Mass Index, and Spur Size Associated with Patients’ Symptoms in Plantar Fasciitis

Age, Body Mass Index, and Spur Size Associated with Patients’ Symptoms in Plantar Fasciitis

Deep peroneal nerve block may be a new treatment way for plantar fasciitis

Forefoot Function after Hallux Valgus Surgery: A Systematic Review and Meta-Analysis on Plantar Load Measurement

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