Cause Of Foot Pain Research Articles

Comparative effectiveness of endoscopic plantar fasciotomy, needle knife therapy, and conventional painkillers in the treatment of plantar fasciitis: a real-world evidence study

Plantar fascia (PF) is the commonest causes of foot pain in the adult population. Several surgical treatments are available to treat PF. This study was aimed to investigate the clinical efficacy of three different treatments for plantar fasciitis. It was conducted among 60 patients, divided equally into three treatment groups named Needle Knife Therapy, Endoscopic Plantar Fasciotomy, and Conventional Painkillers. Descriptive and analytical analysis were done by using SPSS 25 software. VAS and AOFAS scores were analyzed. The maximum (n = 31) participants were in 41–60 year age range group with normal BMI. These differences of mean VAS and AOFAS pain scores between different treatment groups were statistically significant (One-way ANOVA, p < 0.01). Both scores found lower in the Endoscopic Plantar Fasciotomy group. This study opens a new window of knowledge to achieve sustained pain relief and functional improvement. Moreover, the superiority of Endoscopic Plantar Fasciotomy in treating plantar fasciitis compared to Needle Knife Therapy and Conventional Painkillers was explored.

Levitating Magnetic Insoles: A Novel Approach to Alleviating Plantar Fasciitis Through the Reduction and Redistribution of Plantar Pressures

Plantar fasciitis, a leading cause of foot pain, affects a significant portion of the population, with an estimated prevalence of 10% during an individual’s lifetime. This debilitating condition can result in substantial healthcare costs and decreased quality of life. The pain is attributed to the inflammation of the plantar fascia, which is crucial for supporting the foot's arch. Risk factors for plantar fasciitis include obesity, sedentary lifestyles, improper footwear, and biomechanical abnormalities. Current treatment options are primarily conservative, with varying levels of success. In response, an affordable, lightweight, and soft, magnetic insole was developed as a novel approach to alleviate plantar fasciitis by reducing and redistributing plantar pressures with neodymium magnets. The final prototype achieves a magnetic repulsion force of approximately 84.57 lbs. and incorporates sensor modules to monitor data. The device also facilitates real-time data visualization between Arduino and personal devices, providing valuable insights into plantar pressure and walking characteristics for various patients. Data analysis and structural optimization are further enhanced through the use of MATLAB and Excel, which generate heatmaps to visualize plantar pressure distribution. Future research should focus on increasing the magnetic intensity to improve pain relief effectiveness and incorporating personalized disease-specific adjustments to optimize the magnet placement within the sole. By addressing the prevalent issue of foot pain and offering a potential solution for plantar fasciitis, our levitating magnetic insoles demonstrate significant potential for enhancing the quality of life for a large portion of the population.

Calcaneal and dorsal spur morphological and morphometric measurements; 'A radiological study'

Aim: The foot is one of the most neglected parts of our body. One of the causes of foot pain is the plantar calcaneal spur (PCS), which is the bone protrusion formed under the calcaneal bone, and the dorsal spur (DS), which is seen dorsal to the calcaneus. Our study aimed to examine PCS and DS morphologically. Materials and Methods: 235 patients with PCS were included in this retrospective study. Plantar calcaneal spur length (PCSL), plantar calcaneal spur thickness (PCST), Fowler-Philip angle (FPA), and plantar calcaneal fat tissue thickness (PCFT) with radiology in patients with the calcaneal spur, and also to classify plantar calcaneal spur (PCS) and dorsal spur (DS). Results: Bilateral PCS was found in 57.4% of the patients. DS was found in 43.5% of the patients with right PCS and 40.3% of the patients with left PCS. Large DS types were found at a higher level in males than females. Right PCFT was found to be significantly higher in patients with PCS compared to the control group (p=0.034). Conclusion: It was concluded that the majority of PCS patients had bilateral PCS, DS could be seen and there was a strong correlation between PCSL and PCST.

The Role of Bone Edema in Plantar Fasciitis Treated with Temperature-Controlled High-Energy Adjustable Multi-Mode Emission Laser (THEAL) and Exercise: A Prospective Randomized Clinical Trial.

Plantar fasciitis is one of the most common causes of foot pain; in 35% of cases, it is also associated with bone edema of the heel. The aim of this study was to investigate the relationship between bone edema and the outcomes of temperature-controlled high-energy adjustable multi-mode emission laser (THEAL) and/or exercises in patients with plantar fasciitis. A prospective randomized clinical trial was designed, in which 48 patients suffering from plantar fasciitis, with or without bone edema, were treated with temperature-controlled high-energy adjustable multi-mode emission laser and exercises (the laser group) or with exercises only (the control group). The patients were evaluated at recruitment (T0) and at 2 (T1) and 6 months (T2), monitoring pain (with the Visual Analogue Scale), functionality (with the Foot Function Index), perception of improvement (with the Roles and Maudsley Score), and fascia thickness (with ultrasound examination). In both groups, there was a significant improvement in pain, functional recovery, perception of remission, and a reduction in plantar fascia thickness at T1 and T2. The laser group presented statistically better values at T2 for the Roles and Maudsley Score (z: 2.21; 0.027). The regression analysis showed that a greater reduction in fascia thickness occurred in the laser group (p-value: 0.047). In conclusion, the two conservative treatments were effective in patients suffering from plantar fasciitis, even in the presence of bone edema, but with lesser results.

Tenosynovitis and longitudinal tear of the long fibular tendon caused by hypertrophy of the peroneal tubercle

Background. Tenosynovitis and longitudinal rupture of the tendon of the long fibular muscle linked to hypertrophy of the fibular tubercle of the calcaneus are relatively uncommon conditions. The literature has documented isolated clinical cases, but there is a lack of comprehensive research on diagnosing and treating these ailments.Aim. This article seeks to present an effective surgical treatment option along with mandatory diagnostic blockade for a patient with hypertrophic fibular tubercle complicated by tenosynovitis and longitudinal rupture of the tendon of the long fibular muscle.Case description. This article describes a rare clinical case involving tenosynovitis and longitudinal rupture of the tendon of the long fibular muscle, which is associated with hypertrophy of the fibular tubercle of the calcaneus. After examination, diagnostic blockade and unsuccessful conservative therapy, the decision was made to pursue surgical intervention.. The surgical procedure involved resection of the fibular tubercle and tubularisation of the tendon of the long fibular muscle. Eight months after treatment, there was no recurrence of symptoms.Conclusion. This clinical case illustrates the successful outcome of surgical intervention for a patient with hypertrophic fibular tubercle tenosynovitis, and longitudinal rupture of the tendon of the long fibular muscle. Diagnostic blockades can be beneficial for identifying the primary cause of foot pain and devising appropriate treatment strategies.

An ayurvedic management of vatakantak with special reference to plantar fasciitis

Ayurveda - the science of life and longevity - is an ancient Indian system of holistic medicine.Vatakantak can be correlated with Plantar Fasciitis.According to theAyurveda“Vatakantaka” is defined by Acharya Charaka in Charak chikitsa 28 (Vata vyadhi chikitsa adhyaya), by Sushruta in Sushruta Nidan 1 and by Vaagbhata in Vagbhat Nidan15 which is caused by vitiated Vata at Gulfa Sandhi Pradesha(Khudakashrit by Sushruta).Plantar Fasciitis is a chronic inflammation of plantar fascia and degeneration of fibrous tissue with without fibrous formation.Plantar fasciitis is a common cause of foot pain in adults, with the peak incidence occurring in people between the ages of 40 and 60 years, according to the Harrison. A 42-year-old male patient came to outpatient department with chief complaints pain in left heel and foot sole since 1 month.Pain was increased during first few step after waking up from bed. In modern medicine diclofenac sodium introduce by intramuscular, orally can be given for pain management of Plantar Fasciitis. He was treated with Agnikarma (5 seatings at interval of 8days) at local site and Yogaraj Guggulu 500 mg thrice daily for 30 days and Vatavidhwansa Rasa500 mg thrice daily for 30 days. The condition was completely cured without recurrence. Plantar fasciitis can be cured completely without recurrence through Ayurvedic management like Agnikarma with Rajat Shalaka.

Impacts of Ultrasonogram-Guided, Intra-fascial, Autologous, Activated Platelet-Rich Plasma Injection in Chronic Plantar Fasciitis: A Quasi-experimental Study.

Background Plantar fasciitis is the most common cause of foot pain. Patients with plantar fasciitis typically present with 'first step pain,'which tends to decrease with activity and worse with heavy use. This study determines the effect of ultrasound-guided, single-dose, platelet-rich plasma (PRP) injection in patients with chronic plantar fasciitis. Materials and methods It was a quasi-experimental trial carried out in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from March 2019 to March 2022. A total of 148 patients diagnosed with chronic plantar fasciitis were selected as samples. A total of 75 patients were allocated to group A (intra-lesional injection of autologous PRP with conservative management) and 73 patients to Group B (only conservative management). Both groups of patients were allocated to conservative management with exercises, shoe modification, activities ofdaily living (ADLs) instruction, and oral paracetamol. Results This study shows that in group A, the mean visual analog scale(VAS) score significantly reduced to 1.47±0.51 after six months of single-dose PRP injection (p<0.001). In group B, the VASscorealso decreased substantially after conservative treatment. Though in groups A and B, pain reduction was significant, in group A, the pain was decreased more compared to group B and statistically significant differences were found between the two groups at the 12th week and 24th week. The foot function index (FFI) scores decreased significantly in group A after a single dose PRP injection, compared with group B treated with conventional therapy. In group A, FFI scores decreased from 49.09±5.72 to 7.67±3.41. The study revealed a significant difference between study groupsin the 12th week and 24th week regarding FFI scores. Conclusion Ultrasound-guided intra-lesional autologous PRP Injection is safe and effective and recommended in patients with chronic plantar fasciitis, especially in recalcitrant cases after the failure of conservative treatment and corticosteroid injection.

Iselin's disease as an uncommon cause of foot pain

Iselin's disease as an uncommon cause of foot pain

Schmerzen an Fuss und Sprunggelenk – Ein Rundgang

Where does the athlete suffer from pain in the foot or ankle? Where can pain be triggered during the examination or do certain movements cause pain? The following paper is intended to provide an overview of the various causes of foot pain. Depending on the localization, the differential diagnoses can be further narrowed down and confirmed with additional examinations and imaging. Depending on the type of sport, the risk of certain injuries or degenerative changes is increased. The timely diagnosis and initiation of the right therapy is important in order to be able to avoid long-term deformities, functional limitations and the development of arthritis. Specifically adapted training units also help to avoid certain illnesses or injuries.

Functional and radiological outcome of autologous platelet rich plasma in chronic plantar fasciitis: A prospective study

Plantar fasciitis is one of the most common causes of foot pain. It results from sustained stress of weight bearing - hopping, jumping, running -which results in micro trauma to plantar fascia which further leads to plantar fasciitis. It constitutes 11% to 15% of all foot symptoms. Its prevalence is 8% to 10% in general population. It commonly affects at the age of 40 to 60 years. Recently platelet rich plasma was used in treating in degeneration, muscle and tendon injuries. Hence, the present study aimed to assess the treatment outcome of autologous platelet rich plasma injection in treatment of plantar fasciitis. In this prospective study, we enrolled 35 patients with plantar fasciitis coming to OPD or casualty. Patients satisfying inclusion criteria were selected based on consecutive sampling. 11 patients responded well to conservative management and 3 patients had loss of follow up. The different scoring systems were adopted such as VAS and AOFAS for pain assessment. The thickness of plantar fascia was determined by ultrasound technique. Autologous platelet rich plasma was prepared and the same was injected. The outcome analysis was done at 2 weeks, 3 months, and 6 months; and compared with pre injection values. From pre-injection to up to post-6 months period, the VAS reduction was statistically significant (P&amp;#60;0.0001). All the time interval, the AOFAS was increased which was statistically significant (P&amp;#60;0.001). The injection was effective in reducing the thickness of plantar fascia, which was found to be statistically significant at all the time intervals (P&amp;#60;0.001). Autologous PRP injection for chronic plantar fasciitis was found to be an effective treatment modality for chronic plantar fasciitis.

\u201cPsychometric properties of the Norwegian foot function index revised short form\u201d

BackgroundFoot disorders affect up to one quarter of the adult population. Plantar fasciopathy is a common cause of foot pain associated with decreased activity level and quality of life. Patient-reported outcome measures are important in assessing the burden of a condition as well as in research on the effects of interventions. The Foot Function Index revised short form (FFI-RS) is a region specific questionnaire frequently used in research. This study aimed to cross-culturally adapt the FFI-RS into Norwegian and to test its psychometric properties.MethodsThe FFI-RS was translated into Norwegian (FFI-RSN) following international guidelines. 139 patients with foot disorders (88% with plantar fasciopathy) were included at baseline to measure internal consistency, explorative factor analysis, construct validity and floor and ceiling effects. 54 patients were included after 1 week for test-retest reliability and smallest detectable change analyses. 100 patients were included for responsiveness and minimal important change at 3 months.ResultsCronbach’s alpha for internal consistency was 0.97 and factor analysis supported the use of the total score of the FFI-RSN. Two out of three predefined hypotheses were confirmed by assessing the construct validity with Spearman’s correlation coefficient. Quadratic weighted Kappa for test-retest reliability showed 0.91 (95% CI 0.86–0.96) and the smallest detectable change was 6.5%. The minimal important change was 8.4% and the area under the receiver operating characteristic curve for responsiveness was 0.78 (95% CI 0.69–0.87). We found no floor or ceiling effects on the total score of the FFI-RSN.ConclusionsThe present study showed excellent reliability of the FFI-RSN and supports the use of the total score of the questionnaire. Furthermore, we found the FFI-RSN to have acceptable responsiveness in relation to change in general health. Smallest detectable change, minimal important change and responsiveness were presented as novel results of the total score of the FFI-RS. FFI-RSN can be used to evaluate global foot health in clinical or research settings with Norwegian patients suffering from plantar fasciopathy.Trial registrationClinical Trials.gov NCT04207164. Initial release 01.11.19.

Prevalence of Heel Spur In Teachers

Calcaneal heel spur is a typical foot problem that impairs 15–20% of the community and can affect people of all ages. Heelspur cause pain during walking and prolong standing. Calcaneal spurs' pathogenesis is poorly known. Heel spurs are found in around half of all individuals with plantar fasciitis. Methods: A cross-sectional investigation was carried out among 141 (both genders) participants mainly teachers by profession from the different hospitals of Lahore. Research was done in order to determine the incidence of heel spur in teachers. Data was collected by questionnaire and checking their radiographs. Descriptive analysis using SPSS version 26.0 to find results. Results: Overall prevalence came out as 79 (56%) teachers indicate heel spurs and 62 (44%) indicate no heel spur. Conclusion: The finding of this study showed that prolong standing can be the cause of foot pain and cause changes. Participants indicate foot pain due to heel spurs.

A new classification for Freiberg’s disease

IntroductionFreiberg’s osteochondrosis is an uncommon cause of foot pain. Following a national survey circulated by the British Foot and Ankle Society it was found that no classification is used to guide surgical treatment. This study aimed to create a simple, reproducible CT based classification to preoperatively plan whether an osteotomy is required. MethodsA retrospective review of 24 CT scans of new Freiberg's diseasediagnoses over a 10 year period was conducted. These images were assigned a study number and anonymised. The scans were then reviewed in their entirety by three independent specialists who determined whether an osteotomy would be of benefit. The sagittal CT slice that displayed the widest portion of proximal articular margin of the proximal phalanx was identified and divided the articular surface into 2 zones - plantar and dorsal and this formed the basis for our classification. These sagittal slices were then reviewed independently by two surgeons to determine if patients had disease in one or both zones and re-reviewed two weeks later to assess intra-observer reliability. ResultsAll 24 cases involved the second metatarsal. From reviewing the sagittal CT slices, it was felt that 18 patients were suitable for osteotomy and 6 were suitable for debridement +/− arthroplasty alone. The current classification demonstrated that 18 patients had disease confined to zone 1 only and the remaining patients had disease in both zones. Inter-observer reliability assessment had 95.8% agreement (Krippendorff’s Alpha 0.897). Intra-observer reliability was 100%. Correlation of those observed to have isolated zone 1 disease and suitability for osteotomy was absolute (Pearson r = 1). ConclusionDividing the metatarsal head into two zones on the widest sagittal slice of the CT scan offers an easy reproducible way to preoperatively plan surgical treatment for Freiberg’s osteochondrosis. Patients with isolated zone 1 disease should be suitable for an osteotomy.

Cost-Effectiveness of Two Dry Needling Interventions for Plantar Heel Pain: A Secondary Analysis of an RCT.

Plantar heel pain is a common cause of foot pain that affects patients’ quality of life and represents a significant cost for the healthcare system. Dry needling and percutaneous needle electrolysis are two minimally invasive treatments that were shown to be effective for the management of plantar heel pain. The aim of our study was to compare these two treatments in terms of health and economic consequences based on the results of a published randomized controlled trial. For this, we evaluated the costs from the point of view of the hospital and we carried out a cost-effectiveness study using quality of life as the main variable according to the Eq-5D-5L questionnaire. The cost of the complete treatment with dry needling (DN) was €178.86, while the percutaneous needle electrolysis (PNE) was €200.90. The quality of life of patients improved and was translated into +0.615 quality-adjusted life years (QALYs) for DN and +0.669 for PNE. PNE presented an average incremental cost-effectiveness ratio (ICER) of €411.34/QALY against DN. These results indicate that PNE had a better cost-effectiveness ratio for the treatment of plantar heel pain than DN.

Effectiveness of saline water and lidocaine injection treatment of intractable plantar keratoma: a randomised feasibility study

BackgroundAn intractable plantar keratoma (IPK) is a conical thickening of the epidermis’ stratum corneum and a common cause of foot pain which can have a significant, detrimental impact on the mobility, quality of life and independence of individuals. Conservative treatments are currently offered to patients with IPK, but they are unsatisfactory since they do not offer a sufficient or permanent reduction of symptoms. The purpose of this study was the evaluation of the feasibility, safety and effectiveness of innovative treatments for intractable plantar keratoma (IPK).MethodsA randomized single blind trial with 40 patients divided with block randomization in four parallel groups was conducted to compare treatment combinations: conservative sharp debridement only or sharp debridement with needle insertion, physiological water injection or lidocaine injection. All patients obtained the same treatment four times at a four-week interval. At each visit, visual analog scale (VAS), Foot Function Index (FFI) and IPK size were evaluated. VAS and FFI were also completed at a six and twelve-month follow-up.ResultsOur findings in regards to feasibility demonstrated recruitment challenges because of the anticipated pain that would be provoked by needle insertion may not be worth the potential pain relief compared to debridement alone from the patient’s perspective. This was also the principal cause of drop out. Our preliminary results show no main effect of group for any of the clinical outcomes: pain felt on VAS, FFI score, IPK’s size (p > 0.05). However, the analysis revealed a statistically significant effect of time on VAS (p < 0.001), FFI score (p < 0.001) and IPK’s size (width and depth (p < 0.001); length (p = 0.001)), but no group x time interaction was found (p > 0.05).ConclusionsThis study demonstrates that IPK treatment consisting of sharp debridement with needle insertion, physiological saline water injection or lidocaine injection is feasible and safe. There was a non-statistically significant trend toward diminishing pain intensity compared to scalpel debridement alone. The pain provoked by needle insertion and injection treatments must be addressed with a scientifically proven protocol to make it more comfortable for patients before these treatments could be considered in further studies.Trial registrationClinicalTrials.gov, NCT04777227. 2 March, 2021 - Retrospectively registered (All participants were recruited prior to registration).

Unusual aetiology of foot pain in the elderly: A case report & review of literature

The osteochondroma of metatarsal is a rare clinical entity. It generally occurs in the first or second decade of life. The osteochondroma should be investigated to rule out any malignant changes before embarking any surgical intervention. We report an osteochondroma of 5th metatarsal in a 65 years old female as an unusual aetiology of foot pain. We propose the scalloping effect of the osteochondroma on adjacent metatarsal as one of the mechanisms of causing pain in the foot. After ruling out the malignant transformation with the help of MRI, excision of the tumour was done with a curvilinear incision on the dorsum of the foot. There was no recurrence in 1 year follow up. This case report depicts the occurrence of osteochondroma in geriatric patient as an unusual cause of foot pain. The scalloping effect on the adjacent bone and tissues can be the aetiology of the pain.

Comparison of the Effect of Custom Insole With CAD-CAM and Conventional Insole on FAOS Questionnaire Subscales in Patients With Plantar Fasciitis

Objective: One of the significant causes of foot pain is plantar fasciitis. The use of medical insoles is a conventional treatment for this condition. The purpose of this study was to compare the effect of the customized insole with the CAD-CAM and conventional insole on pain, symptoms, daily activity, exercise and recreational activity, and quality of life in patients with PF. Materials &amp; Methods: This quasi-experimental study was performed on 14 patients with plantar fasciitis (five women and nine men) with the mean age of 40 years. Fourteen patients have been diagnosed with orthopedic pain after being diagnosed with plantar fasciitis according to inclusion criteria. Diagnosis of the complication of plantar fasciitis by orthopedic physician, Patients with flexible flat foot. No neurological disorders or any foot pathology such as diabetes and osteoarthritis. Patients were randomly assigned into two groups of 7 using customized insole with CAD-CAM and conventional (prefabricated) insole. From the outset it was found to be one of two types of insole to be studied: first the patient was given a CNC insole, and the other 13 patients received the same insole and divided into two groups. The instrument of this study was the FAOS questionnaire (foot and ankle outcomes) which measures the five variables of pain, symptoms, daily activities, sports and recreational activities, and quality of life. Both groups completed the questionnaire before using the insole and again after six weeks. Compressive scan of both groups was accomplished using EMED foot pressure system. The custom-made insole was designed using Rhino Cross software and then shaved using EVA foam blocks with 50% shore using a CNC machine. In the conventional insoles group, patients received conventional polyurethane insoles based on the length measurements of the single leg. Patients completed the questionnaire again after six weeks. Data were analyzed by SPSS software v. 22. After checking the normality of the data by Shapiro-Wilk test, non-parametric Mann-Whitney and Wilcoxon tests were used to analyze the data. Results: In the pre-intervention phase, there was no significant difference in pain, symptoms, daily activities, recreational-sports activities, and quality of life in the two groups, and the two groups were homogeneous. After six weeks, there was a significant difference between the two groups in the FAOS questionnaire (P&lt;0.05). There was no significant difference between the two groups in pain score, symptoms, daily activities, recreational-sport activities, and quality of life (P &lt;0.05). Conclusion: According to the results of this study, both customized insoles with CAD-CAM and conventional insoles are effective in improving FAOS questionnaire subscales. There was no significant difference in the impact between the two types of insoles in foot and ankle.

Use of Ultrasonically Interdigitated Anchors in Haglund's Deformity Correction Surgery.

Haglund's deformity is a common cause of foot pain, with high success rates of surgical intervention. Because early weightbearing rehabilitation correlates with better surgical results, the integrity of anchors employed in these surgeries needs to be evaluated for proper fixation strength, leading to improved postoperative outcomes. The ultrasonically interdigitated anchor is a biodegradable suture anchor that is melted into bony trabeculae using ultrasound, leaving a small biological footprint and less interference on computed tomography and magnetic resonance imaging scans, without loss of fixation strength. We performed a review of 44 patients aged 26 to 84 years treated with either ultrasonically interdigitated anchors or fully threaded titanium anchors during Haglund's deformity excision. Overall, 7 of 14 patients who received an ultrasonically interdigitated anchor reported raw PROMIS (Patient-Reported Outcomes Measurement Information System) scores averaging 14.3, with an average return to ambulation time of 4.2 weeks. Fifteen of 30 patients receiving a fully threaded titanium anchor reported raw PROMIS scores averaging 9.7, with an average return to ambulation time of 3.5 weeks. We found little difference between the outcomes between the 2 anchors and no massive failures or infections in either group, implying that ultrasonically interdigitated anchors are a viable option for Achilles tendon reattachment during Haglund's deformity repair surgery.Levels of Evidence: Level III: Case control study.

Effectiveness of Three Scalpel Debridement Techniques on Painful Callus in Older People.

Plantar hyperkeratotic lesions are prevalent foot problems in the older population, affecting 30% to 65% of people older than 65 years. Their onset is a common cause of foot pain due to the release of inflammatory mediators. Because of its simplicity, scalpel debridement is the most common treatment. We assessed how the degree of plantar hyperkeratosis debridement affects self-perception of pain in older people. Three hundred older participants (mean ± SD age, 76.3 ± 7.4 years) were randomly allocated to receive full debridement (FD) of plantar hyperkeratoses, partial debridement (PD) of plantar hyperkeratoses, or debridement simulation (control group). Plantar hyperkeratotic pain was measured on a visual analog scale before treatment, just after treatment, 24 hours after treatment, and 7 days after treatment. Both FD and PD of plantar hyperkeratoses of the forefoot generate similar levels of self-perception of pain just after treatment (P = .32), 24 hours after treatment (P = .15), and 7 days after treatment (P = .22). Significant differences were found between the groups treated using a scalpel (FD and PD) and the control group just after treatment (P = .04 for FD; P = .05 for PD), 24 hours after treatment (P = .03 for FD; P = .04 for PD), and 7 days after treatment (P = .04 for FD and PD). The results of this trial suggest that there are no significant differences in pain reduction between PD and FD of forefoot plantar hyperkeratoses in older people.

Intrinsic foot muscle atrophy in individuals with chronic plantar heel pain: a cross-sectional investigation using ultrasound imaging

Introduction: Plantar heel pain (PHP) is a prevalent musculoskeletal condition and common cause of foot pain presenting to sports medicine practitioners. Previous research using magnetic resonance imaging has reported reduced rearfoot muscle volume in experienced runners with PHP symptoms greater than 2 years duration. It is unknown if these deficits exist in the general population presenting with PHP, including those with shorter duration pain, and if deficits can be detected with ultrasound imaging - a less expensive, more readily available clinical assessment of muscle morphology. An improved understanding of deficits associated with PHP is important for the development of effective long term management. The aim of this study was to evaluate intrinsic foot muscle morphology in individuals with and without PHP.