|
KMID : 0361420110350040507
|
|
Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 4 p.507 ~ p.513
|
|
|
Clinical Characteristics of the Causes of Plantar Heel Pain
|
|
Yi Tae-Im
Lee Ga-Eun
Seo In-Seok
Huh Won-Seok
Yoon Tae-Hee
Kim Bo-Ra
|
|
|
Abstract
|
|
|
Objective: The objectives of this study were to investigate the causes of plantar heel pain and fi nd diff erences in the clinical features of plantar fasciitis (PF) and fat pad atrophy (FPA), which are common causes of plantar heel pain, for use in diff erential diagnosis.
Method: This retrospective study analyzed the medical records of 250 patients with plantar heel pain at the Foot Clinic of Rehabilitation Medicine at Bundang Jesaeng General Hospital from January to September, 2008.
Results: The subjects used in this study were 114 men and 136 women patients with a mean age of 43.8 years and mean heel pain duration of 13.3 months. Causes of plantar heel pain were PF (53.2%), FPA (14.8%), pes cavus (10.4%), PF with FPA (9.2%), pes planus (4.8%), plantar fi bromatosis (4.4%), plantar fascia rupture (1.6%), neuropathy (0.8%), and small shoe syndrome (0.8%). PF and FPA were most frequently diagnosed. First-step pain in the morning, and tenderness on medial calcaneal tuberosity correlated with PF. FPA mainly involved bilateral pain, pain at night, and pain that was aggravated by standing. Heel cord tightness was the most common biomechanical abnormality of the foot. Heel spur was frequently seen in X-rays of patients with PF.
Conclusion: Plantar heel pain can be provoked by PF, FPA, and other causes. Patients with PF or FPA typically show diff erent characteristics in clinical features. Plantar heel pain requires diff erential diagnosis for appropriate treatment.
|
|
|
KEYWORD
|
|
|
Plantar heel pain, Plantar fasciitis, Fat pad atrophy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|