Is There a Role for MRI in Plantar Heel Pain

Fazal, Muhammad; Tsekes, Demetris; Baloch, Irshad

doi:10.1177/1938640017729493

Cited by 10 publications

(7 citation statements)

References 40 publications

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“…Plantar fasciitis was diagnosed clinically with the exclusion of other causes for heel pain. Although there have been reports on the usefulness of magnetic resonance imaging (MRI) in diagnosing plantar fasciitis, 1 clinical diagnosis remains key, 21 and MRI is often indicated only in cases of recalcitrant plantar fasciitis and to rule out other pathologies. 13,49 The Silfverskiöld test was performed with the patient supine, assessing the range of ankle dorsiflexion with the knee in full extension and in 90 degrees of flexion.…”

Section: Methodsmentioning

confidence: 99%

Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness

et al. 2017

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Section: Methodsmentioning

confidence: 99%

Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness

et al. 2017

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“…It should be acknowledged that this was a clinical assessment only with no radiological imaging. Medical imaging may have subsequently provided a more speci c diagnosis; however it is not routinely indicated unless atypical symptoms present [14] and the key is careful clinical assessment [15].…”

Section: Screeningmentioning

confidence: 99%

Effect of a toe-walking protocol in plantar heel pain: A pilot study

Huffer

Hing

Charles

et al. 2021

Preprint

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Introduction/Purpose: Plantar heel pain (PHP) is one of most common disorders of the foot treated in primary care. It affects athletic and sedentary populations, with patient reports of activity-limiting pain and reduced quality of life. Recently, atrophy of the forefoot plantar intrinsic musculature was identified in patients with PHP.Therefore, the purpose of this study was to assess whether loading the plantar fascia strengthens the intrinsic foot musculature (IFM) and decreases PHP sufferers’ symptoms.Methods: A within-subjects experimental design assessed Foot Function Index (FFI) and IFM strength via hand-held dynamometry (HHD) in 12 patients with PHP prior to and at the end of a six-week toe-walking program.Results: After six weeks of treatment, the mean (SD) FFI score significantly decreased from 73.2 (32.4) to 43.3 (22.8) points (p = 0.010, ES = 1.1). HHD measures: Both great toe flexion and lesser toes flexion strength measures demonstrated significant force increase of 7.8N 95%CI [1.3, 14.4] (p = 0.024, ES = 1.0) and 6.6N 95%CI [1.8, 11.4] (p = 0.010, ES = 0.9), respectively.Conclusion: Results suggest toe-walking reduces PHP symptoms and increases IFM strength. There was no identified correlation between the IFM and FFI changes. Symptom reduction may potentially be due to a reduction in cortical inhibition rather than IFM strength changes. Findings provide foundation for future studies, employing imaging, to further validate the effectiveness of toe-walking in reducing symptoms of PHP patients.Trial registration: PROSPERO 2016 CRD42016036302 Registered 10 March 2016, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42016036302

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“…Medical imaging may have subsequently provided a more speci c diagnosis. However, it is not routinely indicated unless atypical symptoms present[16] and the key is careful clinical assessment [17].…”

Section: Screeningmentioning

confidence: 99%

Effect of a Toe-Walking Protocol in Plantar Heel Pain: A Proof of Concept

Huffer

Hing

Charles

et al. 2021

Preprint

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Background: Plantar heel pain (PHP) is one of most common disorders of the foot treated in primary care. It affects athletic and sedentary populations, with patient reports of activity-limiting pain and reduced quality of life. Recently, atrophy of the forefoot plantar intrinsic musculature was identified in patients with PHP. Therefore, the purpose of this study was to assess whether loading the plantar fascia strengthens the intrinsic foot musculature (IFM) and decreases symptoms in subjects with PHP Methods: A within-subjects experimental design assessed foot function, foot pain, disability, and activity limitation in 12 subjects with PHP prior to and at the end of a six-week toe-walking program. The primary outcome measure was the Foot Function Index (FFI). IFM strength (both hallux flexion and lesser toe flexion) was measured as a secondary outcome. Results: After six weeks of treatment, the mean (SD) FFI score significantly decreased from 73.2 (32.4) to 43.3 (22.8) points (p = 0.010, ES=1.1). HHD measures: Both great toe flexion and lesser toes flexion strength measures demonstrated significant force increases from 21.8N to 29.6N (+7.8N) 95%CI [1.3, 14.4] (p=0.024, ES=1.0) and from 21.4N to 28.4N (+6.6N) 95%CI [1.8, 11.4] (p=0.010, ES=0.9), respectively. Conclusion: Results suggest that toe-walking may reduce PHP symptoms and increase IFM strength. There was no identified correlation between the IFM and FFI changes. Symptom reduction may be due to a reduction in cortical inhibition rather than IFM strength changes. Findings provide foundation for future larger and more controlled studies, to further validate the effectiveness of toe-walking in reducing symptoms of PHP patients. Trial registration: Bond University Ethics Committee (BUHREC Protocol No. 1908)

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Is There a Role for MRI in Plantar Heel Pain

Abstract: Therapeutic, Level IV: Retrospective, Case series.

Cited by 10 publications

References 40 publications

Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness

Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness

Effect of a toe-walking protocol in plantar heel pain: A pilot study

Effect of a Toe-Walking Protocol in Plantar Heel Pain: A Proof of Concept

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