Painful calcaneal spur often misdiagnosed for lumbar radicular pain
Keywords:
calcaneal spurs, lumbosacral radiculopathy, misdiagnosed, painful calcaneal spur (PCS), plantar fasciitisAbstract
Background: Persistence of painful calcaneal spur (PCS) and loss of long-term effect may be related to unrecognized low back pain (LBP), dysfunction and/or lumbosacral radiculopathy (LSR), but prevalence of LBP in PCS patients has not been established. Purpose: to determine the prevalence of LBP among individuals with and without PCS. Methods: A cross-sectional study of individuals with (n = 26) and without (n=27) PCS. X-ray used to determine calcaneal spur. MRI and X-ray (as available), and clinical tests used to determine LBP/pathology/LSR. Results: A greater percentage of individuals with PCS had LBP (88.5% vs. 33% in controls), lumbar pathology (58 vs. 19), and LSR (54 vs. 15). Conclusion: Individuals with painful calcaneal spur had a greater prevalence of LBP/lumbar pathology/LSR. Treatment to address impairments related to lumbar spine may be necessary to enhance the treatment of PCS.
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Rano JA, Fallet LM, Savoy-Moore RT. Correlation of heel pain heel spur and its relation to postural foot position. J Am with body mass index and other characteristics of heel pain. J Foot Ankle Surg. 2001;40:351–6.
Andrew J. Rosenbaum, John DiPreta, David Misener. Plantar Heel Pain. Med Clin N Am - (2013) -–- http://dx.doi.org/10.1016/j.mcna.2013.10.009
Ozdemir H, Yilmaz E, Murat A, Karakurt L, Poyraz AK, Ogur E. Sonographic evaluation of plantar fasciitis and relation to body mass index. Eur J Radiol. 2005;54:443–7.
Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: Fact or fiction Foot and ankle surgery : official journal of the surgeons. 2012; 18(1):39-41.
Kirkpatrick J, Yassaie O, Mirjalili SA. The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations. J Anat. 2017;230:743_51.
Waclawski R, Beach J, Milne A, Yacyshyn E, Dryden DM. Systematic review: plantar fasciitis and prolonged weight bearing. Occup Med. 2015;65:97–106.
Riddle DL, Pulisic M, Pidcoe P, et al. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg. 2003;85(5):872–7.
Werner RA, Gell N, Hartigan A, Wiggerman N, Keyserling WM. Risk factors for plantar fasciitis among assembly plant workers. PM R. 2010;2:110-6
Douglas H. Richie Jr. Pathomechanics of Common Foot Disorders https://doi.org/10.1007/978-3-030-54201-6 springer USA Switzerland PP303-305
van Leeuwen KDB, Rogers J, Winzenberg T, et al. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors British Journal of Sports Medicine 2016;50:972-981.
Mohammed AbdKadhima, Noor Jalal Al-deenb. Ultrasound and MRI Findings in Patients with Planter Fasciitis . American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS) (2019) Volume 57, No 1, pp 45-52.
Goff , J. D., & Crawford, R. (2011). Diagnosis and treatment of plantar fasciitis. American Family Physician, 84(6), 676-682.
Žiga Kozinc and Nejc Šarabon. Common Running Overuse Injuries and Prevention. J. Sports Sci. Med. 6 (2017) 2: 67–74 | UDC 796.412.5:613.64
Oktay Belhan, Mehmet Kaya, Murat Gurger. The thickness of heel fat-pad in patients with plantar fasciitis. Acta Orthopaedica et Traumatologica Turcica 53 (2019) 463e467
Menz HB, Thomas MJ, Marshall M, Rathod-Mistry T, Hall A, Chesterton LS, Peat GM, Roddy E. Coexistence of plantar calcaneal spurs and plantar fascial thickening in individuals with plantar heel pain. Rheumatology. 2019;58:237–45.
Mojahid KS Alshammaa, Nashae Alhafid, Emad YM Alsikilli and Asmaa Nashae Alhafid. Osteophytes above fifty years, prospective study. National Journal of Clinical Orthopaedics 2021; 5(1): 77-79 DOI: https://doi.org/10.33545/orthor.2021.v5.i1b.262
Wearing SC, Smeathers JE, Urry SR. The effect of plantar fasciitis on vertical foot-ground reaction forces. Clin Orthop Relat Res. 2003;17:175–85.
Wearing SC, Smeathers JE, Sullivan PM, Yates B, Urry SR, Dubois P. Plantar fasciitis: are pain and fascial thickness associated with arch shape and loading? Phys Ther. 2007;87:1002–8.
Wearing SC, Smeathers JE, Yates B, Urry SR, Dubois P. Bulk compressive properties of the heel fat pad during walking: a pilot investigation in plantar heel pain. Clin Biomech. 2009;24(4):397–402.
Mohammed SH. Al-Edanni , Basim S. Abdullah. The Effectiveness of Calcaneal Drilling for Treatment of Resistance Cases of Plantar Heel Pain 43 Al-kindy College Medical Journal 2018:14 No.2 www. jkmc.uobaghdad.edu.iq
Tunay Erden, Berkin Toker, Omer Cengiz, Bugra Ince, Seyda Asci, and Ali Toprak. Extracorporeal Shock Wave Therapy, and Radiofrequency Thermal Lesioning for Chronic Plantar Fasciitis. Foot & Ankle International 2021; 42(1) 69–75 DOI: 10.1177/1071100720949469
Karen Hudes. Conservative management of a case of tarsal tunnel syndrome. JCCA 2010; 54(2):100–106
Falsetti P, Frediani B, Acciai C, Baldi F, Filippou G, Marcolongo R. Heel fat pad involvement in rheumatoid arthritis and in spondyloarthropathies: An ultrasonographic study. Scand J Rheumatol 2004; 33:327-331.
ROBROY L. MARTIN, TODD E. DAVENPORT, STEPHEN F. REISCHL, THOMAS G. MCPOIL, JAMES W. MATHESON, DANE K. WUKICH, CHRISTINE M. MCDONOUGH. Heel Pain—Plantar Fasciitis: Revision 2014 . J Orthop Sports Phys Ther. 2014;44(11):A1-A23. doi:10.2519/jospt.2014.0303
McPoil TG, Martin RL, Cornwall MW, et al. Heel pain–plantar fasciitis: clinical practice guidelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(4):A1–A18.
David Sweeting, Ben Parish, Lee Hooper and Rachel Chester. The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review. Journal of Foot and Ankle Research 2011, 4:19 http://www.jfootankleres.com/content/4/1/19
Molloy, L. A. (2012). Managing chronic plantar fasciitis: when conservative strategies fail. Journal of the American Academy of Physician Assistants, 25(11), 48, 50, 52-43.
Bloch Agata, Misiak Kinga, Nowicki Łukasz, Złotnik Anna, Kałużny Krystian, Kałużna Anna, Hagner-Derengowska Magdalena, Zukow Walery. Comparison of the effectiveness of low-energy laser treatment and sonotherapy in the healing of plantar aponeurosis enthesopathy symptoms. Journal of Education, Health and Sport. 2018;8(11):643-652. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2572005
Meriç Uğurlar, Mesut Mehmet Sönmez, Özge Yapıcı Uğurlar, Levent Adıyeke , Hakkı Yıldırım , Osman Tuğrul Eren . Effectiveness of Four Different Treatment Modalities in the Treatment of Chronic Plantar Fasciitis During a 36-Month Follow-Up Period: A Randomized Controlled Trial, J foot ankle surg 2018;m 57 (5): 913-918 https://doi.org/10.1053/j.jfas.2018.03.017Get rights and content
E. Yalcin, A. Keskin Akca, B. Selcuk, A. Kurtaran, M. Akyuz. Effects of extracorporal shock wave therapy on symptomatic heel spurs: a correlation between clinical outcome and radiologic changes. Rheumatol Int (2012) 32:343–347 DOI 10.1007/s00296-010-1622-z
Meng-Chen Yin, Jie Ye, Min Yao, Xue-Jun Cui, Ye Xia, Qi-Xing Shen…Wen Mo. Is Extracorporeal Shock Wave Therapy Clinical Efficacy for Relief of Chronic, Recalcitrant Plantar Fasciitis? A Systematic Review and Meta-Analysis of Randomized Placebo or Active-Treatment Controlled Trials. Archives of Physical Medicine and Rehabilitation 2014;95:1585-93
Mohsen Mardani-Kivi, Mahmoud Karimi Mobarakeh, Zabihallah Hassanzadeh, Ahmadreza Mirbolook, Kamran Asadi, Hossein Ettehad… Keyvan Fallah-Alipour. Treatment Outcomes of Corticosteroid Injection and Extracorporeal Shock Wave Therapy as Two Primary Therapeutic Methods for Acute Plantar Fasciitis: A Prospective Randomized Clinical Trial. The Journal of Foot & Ankle Surgery xxx (2015) 1–6
Hani Al-Abbad, Sophie Allen, Susan Morris, Jackie Reznik, Erik Biros, Bruce Paulik and Anthony Wright. The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression. BMC Musculoskeletal Disorders (2020) 21:275 https://doi.org/10.1186/s12891-020-03270-w
Cenk Ermutlu, Murat Aksakal , Ays¸em Gümüs¸ tas¸ , Güven €Ozkaya , Emrah Kovalak, Yüksel €Ozkan. Thickness of plantar fascia is not predictive of functional outcome in plantar fasciitis treatment. Acta Orthopaedica et Traumatologica Turcica 52 (2018) 442e446
James M. Cottom, Joseph S. Baker. Endoscopic Plantar Fascia Debridement for Chronic Plantar Fasciitis. Clin Podiatr Med Surg 33 (2016) 545–551 http://dx.doi.org/10.1016/j.cpm.2016.06.004
Landsman AS, Catanese DJ, Wiener SN, Richie DH, Hanft JR: A prospective, randomized, double-blinded study with crossover to determine the efficacy of radio-frequency nerve ablation for the treatment of heel pain. J Am Podiatr Med Assoc. 2013, 103: 8-15.
Ricardo Cardenuto Ferreira. Talalgia: plantar fasciitis. rev bras ortop. 2014;49(3):213–217
Alshami A, Souvlis T, Coppieters M: A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther 2008, 13:103-111
Yutaka Yabe, Yoshihiro Hagiwara1, Takuya Sekiguchi, Haruki Momma, Masahiro Tsuchiya, Kenji Kanazawa, … Ryoichi Nagatomi. High prevalence of low back pain among young basketball players with lower extremity pain: a cross-sectional study. BMC Sports Science, Medicine and Rehabilitation (2020) 12:40 https://doi.org/10.1186/s13102-020-00189-6
Naseri S, Kahrizi S. Plantar Flexor Muscles Asymmetry and Their Lower Strength Is Maybe Related to Development of Low Back Pain during Prolonged Standing. J Clin Physio Res. 2017; 2(3): 133-138
Kwangsun Do, Jaeeun Kimb, Jongeun Yim. Acute effect of self-myofascial release using a foam roller on the plantar fascia on hamstring and lumbar spine superficial back line flexibility. Phys Ther Rehabil Sci 2018, 7 (1), 35-40 www.jptrs.org https://doi.org/10.14474/ptrs.2018.7.1.35
Feng Shen, Ho-Joong Kim, Seung Won Jeon, Bong-Soon Chang, Choon-Ki Lee, and Jin S. Yeom. Influence of Handgrip Strength and Paraspinal Muscles’ Volume on Clinical Outcomes in the Patients With Each Sagittal Imbalance and Lumbar Spinal Stenosis. Global Spine Journal 2021: 1-8 DOI: 10.1177/21925682211001871.
Yin, M.‐c., Yan, Y.‐j., Tong, Z.‐y., Xu, C.‐q., Qiao, J.‐j., Zhou, X.‐n., Ye, J. and Mo, W. (2020), Development and Validation of a Novel Scoring System for Severity of Plantar Fasciitis. Orthop Surg, 12: 1882-1889. https://doi.org/10.1111/os.12827
Koen Van Boxem; Jianguo Cheng; Jacob Patijn; Maarten van Kleef; Arno Lataster; Nagy Mekhail, Jan Van Zundert. 11. Lumbosacral Radicular Pain; EVIDENCE-BASED MEDICINE: Evidence-Based Interventional Pain Medicine according to Clinical Diagnoses. Pain Practice; 10 (4), 2010 339–358.
Nouri K.H., Abdi S. (2018) Lumbosacral Radicular Pain. In: Cheng J., Rosenquist R. (eds) Fundamentals of Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-64922-1_22
Luijsterburg PA, Verhagen AP, Ostelo RW, et al. Physical therapy plus general practitioners’ care versus general practitioners’ care alone for sciatica: a randomised clinical trial with a 12-month follow-up. Eur Spine J. 2008;17:509–517.
Atlas SJ, Keller RB, Wu YA, Deyo RA, Singer DE. Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8–10 year results
Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the -Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA. 2006;296:2441–2450.
Peul WC, van Houwelingen HC, van den Hout WB, et al. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med. 2007;356:2245–2256.
Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334:1313–1317.
F Moosajee; A A Kalla. Approach to lower back pain. S Afr Med J 2015;105(12):1077. DOI:10.7196/SAMJ.2015.v105i12.10249
Deville WL, van der Windt DA, Dzaferagic A, Bezemer PD, Bouter LM. The test of Lasegue: systematic review of the accuracy in diagnosing herniated discs. Spine. 2000;25:1140–1147.
Peul WC, Brand R, Thomeer RT, Koes BW. Influence of gender and other prognostic factors on outcome of sciatica. Pain. 2008;138:180–191.
Shane McClinton, Carolyn F. Weber, Bryan Heiderscheit, Low back pain and disability in individuals with plantar heel pain, The Foot, Volume 34, 2018: 18-22, https://doi.org/10.1016/j.foot.2017.09.003.
Mcclinton, Shane & Heiderscheit, Bryan & Mcpoil, Thomas & Flynn, Timothy. (2018). Physical therapist decision-making in managing plantar heel pain: cases from a pragmatic randomized clinical trial. Physiotherapy Theory and Practice. 36. 1-25. 10.1080/09593985.2018.1490941.
Grim, Casper & Kramer, Ruth & Engelhart, Martin & John, Swen & Hotfiel, Thilo & Hoppe, Matthias. (2019). Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis—A RCT. Sports. 7. 128. 10.3390/sports7060128.
Mcclinton, Shane & Heiderscheit, Bryan & Mcpoil, Thomas & Flynn, Timothy. (2019). Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial. BMC Musculoskeletal Disorders. 20. 10.1186/s12891-019-3009-y.
Mcclinton, Shane & Cleland, Joshua & Flynn, Timothy. (2014). Predictors of Response to Physical Therapy Intervention for Plantar Heel Pain. Foot & ankle international. 36. 10.1177/1071100714558508.
James Dunning. S1 Radiculopathy Masquerading as Plantar Fasciitis: a Case Report. OSTEOPRACTIC PHYSICAL THERAPY 2019
Ruth Defrin, Marshall Devor, Silviu Brill, Tactile allodynia in patients with lumbar radicular pain (sciatica), PAIN®, 155 (12),2014: 2551-2559, ISSN 0304-3959, https://doi.org/10.1016/j.pain.2014.09.015
Batesha HHM, Abd Elrazik Gad Elhak RK, Effect of trunk control training on plantar pressure in patients with lumbar disc herniation. IJTR 2020: 1-12.DOI: 10.12968/ijtr.2019.0026
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