&lt;p&gt;Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management&lt;/p&gt;

Gariani, Karim; Waibel, Felix W A; Viehöfer, Arnd; Uçkay, İlker

doi:10.2147/dmso.s184259

Cited by 14 publications

(8 citation statements)

References 86 publications

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“…Other possible indications for amputation may include: ischemic pain; progressive necrosis; severe foot deformities; recurrent foot ulcers; the presence of osteosynthetic material that requires removal; or the patients’ wish to move beyond a conservative approach. Surgeons (and their patients) should, however, be wary of amputation of an acute bone infection that has occurred in the setting of a surgical site infection in the diabetic foot, e.g., after elective surgery for any indication [ 38 ]. In many instances, a required amputation does not need to be total, but only sufficient to removed infected tissue unlikely to respond to just antibiotic therapy ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

Treating Diabetic Foot Osteomyelitis: A Practical State-of-the-Art Update

Lipsky

Uçkay

2021

Medicina

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Background and Objectives: Diabetic foot osteomyelitis (DFO) can be difficult to treat and securing optimal clinical outcomes requires a multidisciplinary approach involving a wide variety of medical, surgical and other health care professionals, as well as the patient. Results of studies conducted in the past few years have allowed experts to formulate guidelines that can improve clinical outcomes. Material and Methods: We conducted a narrative review of the literature on treat- ment of DFO, with an emphasis on studies published in the last two years, especially regarding antimicrobial therapies and surgical approached to treatment of DFO, supplemented by our own extensive clinical and research experience in this field. Results: Major amputations were once com- mon for DFO but, with improved diagnostic and surgical techniques, “conservative” surgery (foot- sparing, resecting only the infected and necrotic bone) is becoming commonplace, especially for forefoot infections. Traditional antibiotic therapy, which has been administered predominantly in- travenously and frequently for several months, can often be replaced by appropriately selected oral antibiotic regimens following only a brief (or even no) parenteral therapy, and given for no more than 6 weeks. Based on ongoing studies, the recommended duration of treatment may soon be even shorter, especially for cases in which a substantial portion of the infected bone has been resected. Using the results of cultures (preferably of bone specimens) and antimicrobial stewardship princi- ples allows clinicians to select evidence-based antibiotic regimens, often of a limited pathogen spec- trum. Intra-osseous antimicrobial and surgical approaches to treatment are also evolving in light of ongoing research. Conclusions: In this narrative, evidenced-based review, taking consideration of principles of antimicrobial stewardship and good surgical practice, we have highlighted the recent literature and offered practical, state-of-the-art advice on the antibiotic and surgical management of DFO.

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Section: Resultsmentioning

confidence: 99%

Treating Diabetic Foot Osteomyelitis: A Practical State-of-the-Art Update

Lipsky

Uçkay

2021

Medicina

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“…Plantar fasciitis is one of the most common causes of heel pain affecting people in their fourth and fifth decades (25) and, as other musculoskeletal disorders (2), is particularly frequent patients with type 2 diabetes (3). Though pain is usually self-limiting and resolves within a year with conservative treatment, including extracorporeal shockwave therapy (26), a few patients need surgery (27).…”

Section: Discussionmentioning

confidence: 99%

Correlates of the Ultrasonographic and Elastosonographic Parameters of the Plantar Fascia in Patients with Type 2 Diabetes

Santoboni¹,

Michelini²,

Vetrano³

et al. 2023

Muscle Ligaments and Tendons J

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Background. Prevalence of plantar fasciitis is increased in type 2 diabetes. This study was aimed at assessing the correlates of ultrasonographic and elastosonographic parameters in plantar fascia (PF) individuals with type 2 diabetes encompassing various degrees of complications. Methods. This cross-sectional study included 98 patients with type 2 diabetes. Thickness of PF was assessed by ultrasonography, whereas elasticity of hard tissue (Elx-Hrd) at PF insertion and course and the subcutaneous-to-insertional strain ratio (Elx 2/1) were determined by elastosonography. Results. No significant differences were detected according to age category, sex, physical activity, and presence of complications, except for higher Elx-Hrd insertion and Elx 1/2 in participants with cardiac autonomic neuropathy (CAN). Thickness of PF, Elx-Hrd insertion and Elx 1/2 correlated significantly with BMI, waist circumference, fat-free mass, and parameters of peripheral neuropathy and CAN; BMI, waist circumference, fat mass, fat-free mass, and CAN were independently associated with PF thickness, Elx-Hrd insertion, and Elx 1/2. Conclusions. Adiposity, body composition and presence of CAN are the main correlates of PF ultrasonographic and elastosonographic parameters, suggesting that body weight reduction, maintenance of muscle mass, and prevention of neuropathic complications may result in a decreased incidence of plantar fasciitis in individuals with type 2 diabetes. Study registration. Study registered with ClinicalTrial.gov, NCT01600924 at https:// clinicaltrials.gov/ct2/show/NCT01600924.

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“…Subsequently, plantar fasciitis is not a presentation of women who had Diabetes Mellitus because of their peripheral neuropathy. [13].…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Iraqi Women Who Had Plantar Fasciitis

Abdulazeez¹,

Alhiti²,

Guma³

2021

J Clin Biomed Invest

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Plantar fasciitis is a common complaint. This paper aimed to find the clinical characteristics of Al-Ramadi Women who had Plantar fasciitis. A specialist rheumatologist in Al-Ramadi Teaching Hospital collected this prospective report from 170 Iraqi women, aged (25-70) years, who had plantar fasciitis between 1st January 2019 to 1st January 2020. Our findings showed that the most common affected age was between (40-49) years among all women who suffered from intense sharp painful heels at the start of walking. There were 66 women (38%) between (40-49) years plus 32 women (18%) their BMI was between (30-34%). In the commonest age group, there were 37 women (21.7%) who had Calcaneal spur and five women (0.2%) who had Diabetes Mellitus. Therefore, it can be clearly said that Plantar Fasciitis is an evidence for obese due to the statistical analysis carried on the middle-aged Iraqi women who had intense sharp painful heels at the start of walking plus calcaneal spur in the lateral X-ray.

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<p>Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management</p>

Cited by 14 publications

References 86 publications

Treating Diabetic Foot Osteomyelitis: A Practical State-of-the-Art Update

Treating Diabetic Foot Osteomyelitis: A Practical State-of-the-Art Update

Correlates of the Ultrasonographic and Elastosonographic Parameters of the Plantar Fascia in Patients with Type 2 Diabetes

Clinical Characteristics of Iraqi Women Who Had Plantar Fasciitis

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