scholarly journals Effect of In-Shoe Foot Orthosis Contours on Heel Pain Due to Calcaneal Spurs

2019 ◽  
Vol 9 (3) ◽  
pp. 495 ◽  
Author(s):  
Dwi Basuki Wibowo ◽  
Achmad Widodo ◽  
Gunawan Dwi Haryadi ◽  
Wahyu Caesarendra ◽  
Rudiansyah Harahap
Keyword(s):  
Pain Relief ◽  
Heel Pain ◽  
Production Costs ◽  
Force Sensors ◽  
Calcaneal Spur ◽  
Plantar Heel Pain ◽  
Large Production ◽  
Compressive Pressure ◽  
Foot Orthosis

The objective of this study is to investigate the effect of contouring the shoe insole on calcaneal pressure and heel pain in calcaneal spur patients. Calcaneal pressure was measured using three force sensors from 13 patients including three males and 10 females. These patients have plantar heel pain due to calcaneal spurs, and we examined five customized contour insole foot areas (0–100%). Sensors were attached at the central heel (CH), lateral heel (LH) and medial heel (MH) of the foot. The pain was measured using an algometer and evaluated by the pain minimum compressive pressure (PMCP). In this study, it was observed that the calcaneal pressure decreased with increasing insole foot area. In addition, increasing the insole foot area from 25% to 50% can reduce the calcaneal pressure approximately 17.4% at the LH and 30.9% at the MH, which are smaller than the PMCP, while at the MH, pressure reduced 6.9%, which is greater than the PMCP. Therefore, to reduce pain, one can use 50% insole foot area, even though at MH it is still 19.3% greater than the PMCP. Excellent pain relief was observed when using 100% insole foot area, as the pressures in those three areas are lower than the PMCPs, but it is not recommended because it requires large production costs.

scholarly journals A Design Study of Orthotic Shoe Based on Pain Pressure Measurement Using Algometer for Calcaneal Spur Patients

Technologies ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 62
Author(s):  
Dwi Basuki Wibowo ◽  
Agus Suprihanto ◽  
Wahyu Caesarendra ◽  
Adam Glowacz ◽  
Rudiansyah Harahap ◽  
...  
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Heel Pain ◽  
Point Location ◽  
Mechanical Sensitivity ◽  
X Ray ◽  
Calcaneal Spur ◽  
Compressive Pressure ◽  
Pain Test ◽  
Exact Point

The pressure pain threshold (PPT) is a useful tool for evaluating mechanical sensitivity in individuals suffering from various musculoskeletal disorders. The aim of this study is to investigate PPT at the heel area in order to assist in the design of orthotic shoes for sufferers of heel pain due to a calcaneal spur. The size and location of the calcaneal spur was determined by x-ray images, with PPT data measured around the spur at five points by using algometer FDIX 25. The pain test experiment was conducted by pressing each point to obtain the pain minimum compressive pressure (PMCP) and its location. The information of shoe size, spur location and dimensions, and the PMCP location for each individual is used to obtain the exact point location for applying a softer material to the shoe in-sole, in order to reduce heel pain. The results are significant as it can be used by designers to design appropriate shoe in-soles for individuals suffering from heel pain.

Plantar Heel Pain due to Vascular Leiomyoma (Angioleiomyoma)

2012 ◽  
Vol 5 (5) ◽  
pp. 321-323 ◽  
Author(s):  
Man-hong Steve Cheung ◽  
Tun-hing Lui
Keyword(s):  
Differential Diagnosis ◽  
Stress Fracture ◽  
Plantar Fasciitis ◽  
Heel Pain ◽  
Therapeutic Level ◽  
Vascular Leiomyoma ◽  
Calcaneal Spur ◽  
Plantar Heel Pain ◽  
Heel Pad

The differential diagnosis of heel pain is extensive. The plantar heel pain is usually due to mechanical etiology, including plantar fasciitis, calcaneal spur, stress fracture, and nerve entrapment. Tumor is a rare cause of plantar heel pain. We present a case of chronic plantar heel pain with a vascular leiomyoma at the heel pad. Levels of Evidence: Therapeutic, Level IV, Case study

Chronic Plantar Heel Pain: Treatment with a Short Leg Walking Cast

1996 ◽  
Vol 17 (1) ◽  
pp. 41-42 ◽  
Author(s):  
Christopher L. Tisdel ◽  
Marion C. Harper
Keyword(s):  
Complete Resolution ◽  
Surgical Intervention ◽  
Pain Treatment ◽  
Heel Pain ◽  
Treatment Modalities ◽  
Plantar Heel Pain ◽  
Long Term Follow Up

The efficacy of a short leg walking cast in the treatment of chronic plantar heel pain was assessed for 32 patients with 37 involved extremities treated over a 2-year period. All patients had failed numerous other treatment modalities and had been symptomatic for an average of 1 year. Long-term follow-up for 24 patients with 28 involved extremities revealed complete resolution of pain for 7 extremities (25%), improvement for 17 (61%), and no improvement for 4 (14%). Ten (42%) patients were completely satisfied with cast treatment, 3 (12%) were satisfied with reservations, and 11 (46%) were dissatisfied. Casting appears to be a reasonable option for patients with recalcitrant heel pain and should be offered before surgical intervention.

scholarly journals Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis

2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Andrew M McMillan ◽  
Karl B Landorf ◽  
Joanna T Barrett ◽  
Hylton B Menz ◽  
Adam R Bird
Keyword(s):  
Systematic Review ◽  
Diagnostic Imaging ◽  
Meta Analysis ◽  
Heel Pain ◽  
Plantar Heel Pain

scholarly journals The incidence, prevalence, and management of plantar heel pain in Dutch general practice

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703217
Author(s):  
Nadine Rasenberg ◽  
Sita MA Bierma-Zeinstra ◽  
Patrick Bindels ◽  
Johan van der Lei ◽  
Marienke Van Middelkoop
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Medical Records ◽  
Search Algorithm ◽  
Heel Pain ◽  
Future Research ◽  
Healthcare Database ◽  
Plantar Heel Pain ◽  
Wait And See ◽  
Multiple Interventions

BackgroundPlantar heel pain (PHP) is a common cause of foot complaints, but information on the occurrence in primary care is scarce.AimThe objective of this study was to determine the incidence and prevalence of PHP and to gain insight in types of treatments provided to patients with PHP in primary care.MethodA cohort study was conducted in a healthcare database containing the electronic general practice medical records of approximately 1.9 million patients throughout the Netherlands. A search algorithm was defined and used to identify cases of PHP in the years 2013–2016. Descriptive statistics were used to obtain the incidence and prevalence of PHP. Data on the management of PHP was extracted in a random sample of 1000 patients.ResultsThe overall incidence of PHP was 3.81 (95% confidence [CI] = 3.75 to 3.87) per 1000 patient years and the overall prevalence of PHP was 0.4374% (95% CI = 0.4369 to 0.4378). Incidence of PHP peaked in the last quarter of every calendar year. The GP applied a wait-and-see policy at the first consultation for PHP in 18.0% of patients. The most commonly applied interventions included prescription for NSAID (19.9%), referral to a paramedical podiatric specialist (19.7%), and advice to wear insoles (16.4%): 34.0% of patients received multiple interventions (range 2–11) and 30.9% had multiple consultations for PHP (range 2–8).ConclusionPHP appears to be common in primary care. Despite a lack of evidence for most treatments, multiple interventions are applied. This urges the need for future research on effectiveness of treatments.

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