Relationship of Plantar Fascia Thickness and Preoperative Pain, Function, and Quality of Life in Recalcitrant Plantar Fasciitis

Gamba, Carlo; Sala-Pujals, Aleix; Pérez-Prieto, Daniel; Ares-Vidal, Jesus; Solano-Lopez, Alberto; González-Lucena, Gemma; Ginés-Cespedosa, Alberto

doi:10.1177/1071100718772041

Cited by 23 publications

(23 citation statements)

References 21 publications

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“…On magnetic resonance imaging (MRI) findings, the mean thickness of the plantar fascia of healthy feet was 3.1 mm ± 1.0, while it was 4.4 mm ± 1.6 for the affected feet. Furthermore, Gamba et al used ultrasound and MRI to identify a correlation between the thickness of plantar fascia and pain 31 . They found that the thickness of the plantar fascia in patients with PF did not correlate with pain using a VAS 31 .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, Gamba et al used ultrasound and MRI to identify a correlation between the thickness of plantar fascia and pain 31 . They found that the thickness of the plantar fascia in patients with PF did not correlate with pain using a VAS 31 . The findings from this study probably reflect a relationship that does not correlate with the thickness of the plantar fascia and pain.…”

Section: Discussionmentioning

confidence: 99%

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Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Zhou

Feng

et al. 2020

Sci Rep

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The objectives of this study were (1) to investigate the passive stiffness of the medial gastrocnemius (MG) and lateral gastrocnemius (LG) in patients with and without plantar fasciitis (PF), (2) to explore the correlation between gastrocnemius stiffness and plantar fascia thickness (PFT) as well as the intensity of pain in patients with PF, (3) to detect optimal cutoff points for stiffness of the MG and LG for identifying patients with pf. forty patients (mean age = 51.1 years ± 12.9) participated in this study. The elastic properties of the MG and LG were quantified using shear wave elastography ultrasound. The thickness of the plantar fascia was measured by B-mode imaging. the intensity of pain was assessed using a visual analogue scale. The results showed that when the ankle was in the relaxed position, patients with PF had increased passive stiffness in the MG (P < 0.05) but not in the LG. Significant correlations were found between pain and the stiffness of the MG (middle, distal; all P-values < 0.05) and no correlation was observed between pain and pft (P = 0.416). The initial cutoff point for the stiffness of the MG was 29.08 kPa when the ankle was in the relaxed position. The findings from the present study show that an increase in muscle stiffness is not the same in the individual muscles of the gastrocnemius muscle. traditional treatment of the whole gastrocnemius muscle might not be targeted at the tight muscle.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Zhou

Feng

et al. 2020

Sci Rep

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“…Furthermore, Mahowald et al 18 found a correlation between plantar fascia thickness and symptoms of plantar fasciitis, in that thickness changes could be used to objectively measure the effectiveness of various treatments. However, a study by Gamba et al 11 found no relationship between plantar fascia thickness and negative clinical markers (ie, pain, function, and patient surveys) associated with plantar fasciitis. This may serve to change how we should view plantar fascia thickness and how it relates to gender.…”

Section: Plantar Fascia Thickness and Plantar Fasciitismentioning

confidence: 97%

Effect of Gender, Toe Extension Position, and Plantar Fasciitis on Plantar Fascia Thickness

et al. 2018

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Background: Ultrasound is a widely used diagnostic tool for patients with plantar fasciitis. However, the lack of standardization during the measurement for plantar fascia thickness has made it challenging to understand the etiology of plantar fasciitis, as well as identify risk factors, such as gender. The purpose of this study was to investigate gender differences regarding plantar fascia thickness while controlling for metatarsophalangeal (MTP) joint position in the healthy and those with unilateral plantar fasciitis. Methods: Forty participants (20 with unilateral plantar fasciitis and 20 controls) with plantar fascia thickness (mean age, 44.8 ± 12.2 years) participated in this study. The majority were females (n = 26, 65%). Plantar fascia thickness was measured via ultrasound 3 times at 3 different MTP joint positions: (1) at rest, (2) at 30 degrees of extension, and (3) at maximal extension. Results: When comparing gender differences, the males in the plantar fasciitis group had a significantly thicker plantar fascia than the females ( P = .048, η2 = 2.35). However, no significant differences were observed between healthy males and females. The males with unilateral plantar fasciitis also had significantly thicker asymptomatic plantar fasciae collectively compared with controls ( P < .05), whereas females with unilateral plantar fasciitis had a similar but not significant change. Conclusion: It appears that healthy males and females have similar plantar fascia thickness. However, as plantar fasciitis develops, males tend to develop thicker plantar fasciae than their female counterparts, which could have future treatment implications. Level of Evidence: Level III, case-control comparative study.

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“…There are numerous treatment modalities that have been used to treat plantar fasciitis (PF), but the condition generally returns during life and can impair gait [7]. While pain is indicative of PF, the thickness, when measured 0.5 cm from the calcaneus insertion of the plantar fascia, is normally 0.4 mm or less in healthy individuals and greater than 0.4 mm in individuals with PF [8,9].…”

Section: Introductionmentioning

confidence: 99%

Greater Postural Sway and Tremor during Balance Tasks in Patients with Plantar Fasciitis Compared to Age-Matched Controls

et al. 2020

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Plantar fasciitis (PF) is a common condition found in men and women and can reoccur throughout life. PF is commonly diagnosed by prolonged foot pain lasting more than 3 months and a plantar fascia over 0.4 mm thick, as measured using ultrasound imaging. This study examined the ability to balance and the occurrence of muscle tremor during different balance tasks in patients with PF compared to their control counterparts. Fifty subjects (25 patients with PF and 25 control subjects) participated in this study. Subjective pain (measured with a visual analog scale (VAS)), pressure pain threshold (PPT), and postural sway and tremor during eight different balance tasks were measured. Postural sway was measured by a balance platform, while tremor was measured as the mechanical movement of the platform in the 8 Hz frequency range. Thickness of plantar fascia, subjective pain, and PPT were significantly greater in the PF group compared to the controls (p < 0.001). Postural sway and 8 Hz tremor were significantly greater in the PF group compared to the control group for all eight balance tasks (p < 0.01). These results indicate that the lack of plantar fascia elasticity is probably the cause of the reduced balance and increased muscle tremor.

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Relationship of Plantar Fascia Thickness and Preoperative Pain, Function, and Quality of Life in Recalcitrant Plantar Fasciitis

Abstract: Level IV, case series.

Cited by 23 publications

References 21 publications

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain

Effect of Gender, Toe Extension Position, and Plantar Fasciitis on Plantar Fascia Thickness

Greater Postural Sway and Tremor during Balance Tasks in Patients with Plantar Fasciitis Compared to Age-Matched Controls

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