Ból pięty
Epidemiologia

Ból pięty jest powszechnym problemem zdrowotnym, dotykającym około 9,6-13,2% populacji powyżej 50 roku życia, z 7,5% przypadków obustronnych i 8% upośledzających codzienne funkcjonowanie. Najczęstszą przyczyną jest zapalenie powięzi podeszwowej (plantar fasciitis), stanowiące około 80% przypadków bólu pięty, z rozpowszechnieniem 10-15% w populacji ogólnej i nawet do 22% wśród biegaczy. Występowanie bólu pięty jest wyższe u kobiet (częstość 1,19% vs. 0,47% u mężczyzn) oraz w grupach zawodowych wymagających długotrwałego stania, takich jak personel medyczny (np. 13,11% u pielęgniarek). Czynniki ryzyka obejmują podwyższony wskaźnik masy ciała (BMI >25 kg/m² zwiększa ryzyko 1,5-krotnie, a BMI >35 kg/m² aż 2,7-krotnie), choroby współistniejące (cukrzyca OR 1,48-1,56, nadciśnienie OR 1,54, osteoporoza OR 1,75), ograniczone zgięcie grzbietowe stawu skokowego oraz nieodpowiednie obuwie, zwłaszcza wysokie obcasy i twarda podeszwa.

Epidemiologia bólu pięty

Ból pięty jest powszechnym problemem zdrowotnym, dotykającym znaczną część populacji ogólnej. Według badań epidemiologicznych około 13,2% osób w wieku powyżej 50 lat zgłasza ból pięty w co najmniej jednej stopie, przy czym 7,5% cierpi z powodu obustronnego bólu, a 8% doświadcza bólu upośledzającego codzienne funkcjonowanie12. Inne badania wskazują, że występowanie bólu pięty w populacji ogólnej szacuje się na około 9,6%, z czego 7,9% to przypadki upośledzające codzienną aktywność34.

Przewiduje się, że nawet 10% ogólnej populacji może doświadczyć bólu pięty w ciągu swojego życia56. W Stanach Zjednoczonych szacuje się, że ponad 2 miliony Amerykanów rocznie poszukuje pomocy medycznej z powodu bólu pięty78. Generuje to około milion wizyt lekarskich rocznie, stanowiąc znaczące obciążenie dla systemu opieki zdrowotnej910.

Zapalenie powięzi podeszwowej jako główna przyczyna

Zapalenie powięzi podeszwowej (plantar fasciitis) jest najczęstszą przyczyną bólu pięty, odpowiadając za około 80% przypadków11. Dotyczy ono około 10-15% populacji ogólnej w ciągu życia1213. Rozpowszechnienie tego schorzenia wśród sportowców, zwłaszcza biegaczy, jest znacznie wyższe i wynosi od 4% do nawet 22%1415.

Badania nad dokładną częstością występowania zapalenia powięzi podeszwowej w populacji holenderskiej wskazują na współczynnik 3,83 przypadków na 1000 pacjento-lat, z większą częstością występowania u kobiet (4,64) niż u mężczyzn (2,98). Ogólna chorobowość wynosi tam 0,4374%1617.

Czynniki demograficzne

Ból pięty wykazuje zróżnicowanie w zależności od płci, wieku i innych czynników demograficznych:

  • Wiek: Szczytowa częstość występowania bólu pięty przypada na wiek 40-60 lat, choć może dotykać osoby w każdym wieku1819. Badania wskazują, że najwyższy wskaźnik występowania bólu pięty podeszwowej obserwuje się w grupie wiekowej 50-65 lat (14,5%), natomiast wśród kobiet najwyższą częstość (19,8%) odnotowano u osób powyżej 65 roku życia2021.
  • Płeć: Kobiety są dwukrotnie częściej dotknięte zapaleniem powięzi podeszwowej niż mężczyźni22. Badania wykazują, że częstość występowania bólu pięty jest wyższa u kobiet (1,19%) niż u mężczyzn (0,47%)23. W wojsku kobiety miały prawie dwukrotnie wyższy wskaźnik zapadalności na zapalenie powięzi podeszwowej (współczynnik 1,96) w porównaniu do mężczyzn24.
  • Grupy zawodowe: Personel medyczny jest szczególnie narażony na ból pięty, zwłaszcza pielęgniarki. W badaniu tajwańskim wykazano, że okres chorobowy zapalenia powięzi podeszwowej wynosił 8,14% wśród lekarzy i 13,11% wśród pielęgniarek25. Inne badanie wykazało, że częstość występowania bólu pięty wśród personelu szpitalnego wynosiła 14% u mężczyzn i 25% u kobiet26.

Czynniki ryzyka i predyspozycje

Badania epidemiologiczne zidentyfikowały kilka kluczowych czynników ryzyka związanych z bólem pięty:

  • Zwiększony wskaźnik masy ciała (BMI): Osoby z BMI powyżej 25 kg/m² mają 1,5-krotnie większe ryzyko bólu pięty, z BMI 30-35 kg/m² – 2,1-krotnie większe, a BMI powyżej 35 kg/m² – 2,7-krotnie większe ryzyko27. Metaanaliza wykazała, że osoby z bólem pięty mają średnio o 2,28 kg/m² wyższy BMI niż osoby bez tego problemu28.
  • Zawody wymagające długotrwałego stania: Osoby wykonujące prace fizyczne lub zawody wymagające długotrwałego przebywania w pozycji stojącej mają zwiększone ryzyko bólu pięty2930.
  • Choroby współistniejące: Cukrzyca (OR: 1,48-1,56), nadciśnienie (OR: 1,54) i osteoporoza (OR: 1,75) są niezależnymi czynnikami ryzyka bólu pięty3132.
  • Ograniczona zgięcie grzbietowe stawu skokowego: Jest to czynnik ryzyka, choć badania wykazują pewne niespójności w tej kwestii3334.
  • Obuwie: Przedłużone noszenie butów na wysokim obcasie lub z twardą podeszwą zwiększa prawdopodobieństwo rozwoju zapalenia powięzi podeszwowej3536.

Ból pięty u sportowców i w populacjach specjalnych

Ból pięty jest szczególnie rozpowszechniony wśród określonych grup populacji, które są narażone na specyficzne czynniki ryzyka:

Sportowcy i biegacze

Sportowcy, zwłaszcza biegacze, doświadczają znacznie wyższego wskaźnika bólu pięty w porównaniu z populacją ogólną. Szacuje się, że problem ten dotyka od 4% do 22% populacji biegaczy3738. Zapalenie powięzi podeszwowej stanowi około 10% urazów związanych z bieganiem3940.

Występowanie bólu pięty u sportowców wyczynowych może znacząco wpływać na ich poziom funkcjonowania, potencjalnie wymagając przedłużonego okresu odpoczynku i wywierając istotny wpływ na wydajność w ciągu sezonu41.

Personel wojskowy

Personel wojskowy należy do grup szczególnie narażonych na ból pięty. Ogólna częstość występowania zapalenia powięzi podeszwowej w populacji wojskowej wynosiła 10,55 na 1000 osobo-lat42. Badania wykazały, że w porównaniu z personelem Sił Powietrznych, żołnierze Armii i Marines mieli znacząco zwiększony współczynnik zapadalności na zapalenie powięzi podeszwowej wynoszący odpowiednio 1,85 i 1,2843.

Dzieci i młodzież

U dzieci i młodzieży najczęstszą przyczyną bólu pięty jest choroba Severa (apofizitis kości piętowej). Schorzenie to występuje u około 2-16% dzieci, najczęściej w wieku od 8 do 12 lat, szczególnie podczas intensywnego okresu wzrostu44. W retrospektywnym badaniu urazów wśród graczy w wieku 7-19 lat w niemieckiej akademii piłkarskiej częstość występowania choroby Severa wynosiła 0,36 na 100 sportowców rocznie45.

Wśród młodych japońskich piłkarzy w wieku 8-12 lat, 11,2% i 10,7% miało epizody bólu kolana i pięty związanego ze wzrostem w ciągu ostatnich 12 miesięcy46.

Skutki zdrowotne i społeczne bólu pięty

Ból pięty ma istotne implikacje dla jakości życia, funkcjonowania społecznego i korzystania z opieki zdrowotnej:

Wpływ na jakość życia

Ból pięty znacząco obniża jakość życia związaną ze zdrowiem (HRQoL), zarówno w aspekcie ogólnym, jak i specyficznym dla stopy47. U osób w wieku powyżej 50 lat z bólem pięty, około 82% klasyfikuje ten ból jako upośledzający48. Badania wykazały, że kobiety z zapaleniem powięzi podeszwowej doświadczają gorszej jakości życia związanej ze zdrowiem stóp w porównaniu do mężczyzn49.

Przewlekły ból pięty ma przedłużony przebieg u wielu osób, z około 45% pacjentów nadal odczuwających ból po 10 latach, co prowadzi do znacznego wykorzystania usług zdrowotnych i dużego obciążenia ekonomicznego50.

Korzystanie z opieki zdrowotnej

Prawie dwie trzecie osób z bólem pięty konsultowało się z pracownikiem opieki zdrowotnej w ciągu ostatnich 12 miesięcy z powodu bólu stopy (61,5%)5152. Najczęściej konsultowano się z lekarzem rodzinnym (43,1%) lub podologiem (32,8%)53.

Całkowita liczba skierowań związanych z bólem stopy zarejestrowanych przez lekarzy POZ wynosiła średnio 2,4 na pacjenta, a liczba testów diagnostycznych wynosiła średnio 3,0 na pacjenta54.

Obciążenie ekonomiczne

Koszt leczenia zapalenia powięzi podeszwowej w samych Stanach Zjednoczonych szacuje się na 284 miliony dolarów rocznie55. Przewlekły charakter tego schorzenia przyczynia się do zwiększonego wykorzystania zasobów opieki zdrowotnej i ponoszenia kosztów związanych z leczeniem.

W Korei Południowej liczba leczonych przypadków zapalenia powięzi podeszwowej wzrosła z 11 627 (3 571 pacjentów) w 2010 roku do 38 515 (10 125 pacjentów) w 2018 roku, co świadczy o rosnącym obciążeniu systemu opieki zdrowotnej tym schorzeniem56.

Rokowanie i przebieg naturalny

Przebieg kliniczny bólu pięty jest zazwyczaj korzystny, choć może być przewlekły:

  • Remisję dolegliwości zgłasza 60-80% pacjentów po 12-24 miesiącach od diagnozy57.
  • Przy odpowiednim leczeniu, 80% pacjentów z zapaleniem powięzi podeszwowej poprawia się w ciągu 12 miesięcy58.
  • Niektóre badania sugerują jednak, że około 45% pacjentów nadal doświadcza bólu po 10 latach59.

Czynniki związane z gorszym rokowaniem obejmują otyłość, starszy wiek, cukrzycę oraz wykonywanie zawodów wymagających długotrwałego stania60. Natomiast wysoki poziom aktywności fizycznej jest negatywnie skorelowany z występowaniem bólu pięty, co sugeruje potencjalną rolę profilaktyczną61.

Znaczenie dla zdrowia publicznego i kierunki badań

Ból pięty stanowi istotny problem zdrowia publicznego ze względu na jego powszechność, wpływ na jakość życia i obciążenie systemów opieki zdrowotnej62. Obecne badania wskazują na potrzebę:

  • Lepszego zrozumienia czynników ryzyka i przyczyn bólu pięty, które mogą prowadzić do opracowania skuteczniejszych strategii prewencyjnych63.
  • Oceny skuteczności różnych opcji terapeutycznych, w tym fizjoterapii, ortez, wsparcia farmakologicznego i interwencji chirurgicznych64.
  • Badań nad efektywnością kosztową różnych opcji leczenia65.
  • Większej świadomości problemu wśród pracowników służby zdrowia i populacji ogólnej66.

Znaczący wzrost publikacji naukowych dotyczących zapalenia powięzi podeszwowej odzwierciedla rosnące zainteresowanie tym schorzeniem i jego istotność kliniczną67. W miarę postępu badań, oczekuje się udoskonalenia metod profilaktyki i leczenia, które mogą zmniejszyć obciążenie związane z bólem pięty68.

Strategie profilaktyczne

Działania profilaktyczne powinny koncentrować się na modyfikowalnych czynnikach ryzyka69:

  • Modyfikacja aktywności, odpowiednie obuwie i wsparcie łuku stopy70.
  • Ćwiczenia zwiększające elastyczność stopy i stawu skokowego71.
  • Zmniejszenie masy ciała u osób z nadwagą i otyłością72.
  • Zwiększenie świadomości znaczenia zmiany obuwia, szczególnie wśród kobiet noszących buty na wysokim obcasie73.

Wczesna interwencja i edukacja pacjentów mogą przyczynić się do zmniejszenia częstości występowania bólu pięty i związanego z nim obciążenia dla systemu opieki zdrowotnej74.

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  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Epidemiology of Posterior Heel Pain in the General Population: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4737248/
    To identify the population prevalence of posterior heel pain (HP), related disability, and associated factors. […] A total of 5,109 questionnaires were received (adjusted response 56%). Six hundred seventy-five respondents (13%) reported posterior HP, of whom 382 had bilateral symptoms. A total of 398 (8%) reported disabling posterior HP. […] Posterior HP is prevalent and associated with obesity, manual occupations, and physical inactivity. […] This is the first large population-based study to report the prevalence of foot pain specific to the posterior heel. […] Posterior heel pain (HP) affects 1 in 8 of the population ages 50 years, and over half of these report disabling foot pain. […] The aims of this study were therefore to estimate the population prevalence of posterior HP in either foot, bilateral posterior HP, and disabling posterior HP in community-dwelling adults ages 50 years, and to examine factors that may be associated with posterior HP.
  • #2 Epidemiology of Posterior Heel Pain in the General Population: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4737248/
    Of 5,109 respondents, 675 (13.2%) reported posterior HP in either foot. Of these, 382 (7.5%) had bilateral posterior HP, and 398 (8%) disabling posterior HP. […] The population prevalence in adults ages 50 years was estimated to be 13.4% for posterior HP in either foot (95% CI 12.5-14.4), 7.6% for bilateral posterior HP (95% CI 6.9-8.3), and 7.9% for disabling posterior HP (95% CI 7.2-8.7). […] The main clinical implications of this study arise from our findings that posterior HP affects 1 in 8 of the population age 50 years and is associated with significant functional limitation, particularly in the obese, older people, those with diabetes mellitus, and those in routine and manual occupations, and it is significantly less common in those with high activity levels.
  • #3 Plantar heel pain in middle-aged and older adults: population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use | BMC Musculoskeletal Disorders | Full Text
    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2718-6
    The objectives of this study were to estimate the population prevalence and distribution of plantar heel pain in mid-to-older age groups, examine associations with selected health status and lifestyle factors, and report the frequency of healthcare use. […] The population prevalence of plantar heel pain was 9.6% (95% CI: 8.8, 10.5) and 7.9% (7.1, 8.7) for disabling plantar heel pain. […] Plantar heel pain is a common reason for health professional consultation. […] Nearly two-thirds of participants with plantar heel pain had consulted a healthcare professional in the last 12months for foot pain, with a similar number consulting a general practitioner or allied health professional. […] The aims of this study were to describe the occurrence of plantar heel pain, and examine associated health status and frequency of healthcare consultation using a representative population sample of adults from mid-older age.
  • #4 Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use
    https://keele-repository.worktribe.com/output/414045
    Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use […] The population prevalence of plantar heel pain was 9.6% (95% CI: 8.8, 10.5) and 7.9% (7.1, 8.7) for disabling plantar heel pain. […] Plantar heel pain is a common, disabling symptom among adults aged 50 years and over.
  • #5 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    Up to 10% of the population may present with heel pain over the course of their lives, which underscores the importance of practitioner familiarity with the diagnosis of plantar fasciitis and the associated risk factors, both intrinsic and extrinsic. […] Plantar fasciitis is an important public health disorder as it is the most common cause of heel pain in the outpatient setting. […] Ten percent of people in the United States may present with heel pain over the course of their lives, with 83% of these patients being active working adults between the ages of 25 and 65 years old. […] Two large national data sets of ambulatory care data (excluding visits to podiatrists or federal, military, or Veterans Administrations facilities) from the Centers for Disease Control and Preventions National Center for Health Statistics found that plantar fasciitis accounts for an average of one million patient visits per year to medical doctors.
  • #6 Plantar Heel Pain | Musculoskeletal Key
    https://musculoskeletalkey.com/plantar-heel-pain-2/
    Although the exact incidence of plantar heel pain is unknown, it is estimated that more than 2 million patients receive treatment for plantar fasciitis each year in the United States. Approximately 1 in 10 people will develop heel pain during their lifetime, and 1% of all visits to orthopaedic surgeons are thought to be for heel pain. In a 2009 study, Scher et al reported a 12% incidence of plantar fasciitis in a young, active-duty military servicemember population. An increased risk of plantar fasciitis has been associated with decreased ankle dorsiflexion, workers who spend prolonged periods of the day on their feet, runners, and individuals with a body mass index greater than 30 kg/m2. These studies demonstrate not only the significant number of patients impacted but also the wide range of ages within the adult population affected by plantar heel pain.
  • #7 Plantar Heel Pain: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1233178-overview
    Although the exact prevalence of plantar heel pain is unknown, it is estimated that more than 2 million Americans seek treatment for plantar heel pain each year. […] The prevalence in active and military populations is especially high. […] Internationally, in both athletic and nonathletic populations, the incidence of plantar fasciitis is reported to be approximately 10%. […] The average age of a patient with proximal plantar fasciitis is approximately 45 years. […] There is a known sex-based dimorphism in presentation, with proximal plantar fasciitis being twice as common in women as in men.
  • #8 Plantar Fasciitis: Symptoms, Causes & Treatment Options
    https://my.clevelandclinic.org/health/diseases/14709-plantar-fasciitis
    Plantar fasciitis is the most common cause of heel pain. […] Plantar fasciitis is extremely common. More than 2 million people in the U.S. are treated for it each year. Around 1 in 10 people will develop plantar fasciitis at some point throughout their life. […] Visit a healthcare provider if you’re experiencing heel or foot pain for more than a week. […] Visit a healthcare provider if you have pain in your heel or foot that doesn’t get better on its own in a week. […] Plantar fasciitis is the most common cause of heel pain.
  • #9 Plantar fasciitis – UpToDate
    https://www.uptodate.com/contents/plantar-fasciitis
    Plantar fasciitis is one of the most common causes of foot and heel pain in adults. Plantar fasciitis is responsible for approximately one million patient visits to the doctor per year in the United States. Among those with plantar foot pain, nearly two-thirds (61.5 percent) consulted a health professional in the last 12 months, most commonly a general practitioner (43.1 percent) or podiatrist (32.8 percent). […] Plantar fasciitis will be discussed in this topic review. Other causes of foot and heel pain are discussed separately:
  • #10 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    Plantar fasciitis is a common musculoskeletal injury affecting individuals across ages and activity levels, and the condition is estimated to account for over 1 million physician visits annually in the United States. […] Among athletes, the condition is especially prevalent in runners, affecting up to 17.4% of the running population. […] Plantar fasciitis is most common between 40 and 60 years of age and contributes to 15% of foot injuries in general population without gender difference. The conditions may affect both athletic and non-athletic populations, but the incidence is higher among runners. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #11 Plantar fasciitis – Wikipedia
    https://en.wikipedia.org/wiki/Plantar_fasciitis
    Plantar fasciitis is the most common type of plantar fascia injury and is the most common reason for heel pain, responsible for 80% of cases. The condition tends to occur more often in women, military recruits, older athletes, dancers, people with obesity, and young male athletes. […] Plantar fasciitis is estimated to affect 1 in 10 people at some point during their lifetime and most commonly affects people between 40 and 60 years of age. In the United States alone, more than two million people receive treatment for plantar fasciitis. The cost of treating plantar fasciitis in the United States is estimated to be $284 million each year.
  • #12 Plantar Fasciitis | 5-Minute Clinical Consult
    https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/116462/2.0/Plantar_Fasciitis
    Estimated 1 million patient visits yearly in the United States. […] Most common cause of plantar heel pain. […] Lifetime: 10-15% of population; peak incidence between ages 40 and 60 years; earlier in runners.
  • #13 Plantar Fasciitis | 5-Minute Clinical Consult
    https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116462/2.0/Plantar_Fasciitis
    Estimated 1 million patient visits yearly in the United States […] Most common cause of plantar heel pain […] Lifetime: 10-15% of population; peak incidence between ages 40 and 60 years; earlier in runners.
  • #14 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    Within the current literature, prevalence rates of plantar fasciitis among a population of runners have been shown to be between 4% and 22%. […] The overall incidence of plantar fasciitis in the military population was 10.55 per 1,000 person-years. […] These findings are based on incidence rates, but tend to correlate with prevalence data seen within the existing literature.
  • #15 Plantar Fasciitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431073/
    Plantar fasciitis is the most common cause of heel pain presenting in the outpatient setting. The exact incidence and prevalence of plantar fasciitis by age are unknown, but estimates show that approximately 1 million patient visits annually are due to plantar fasciitis. This condition accounts for about 10% of runner-related injuries and 11% to 15% of all foot symptoms requiring professional medical care. Plantar fasciitis occurs in about 10% of the general population, with 83% of these patients being active working adults between 25 and 65 years. The peak incidence is among the general population of 40 to 60 years. Plantar fasciitis may present bilaterally in a third of the cases. In addition, a higher prevalence of plantar fasciitis was observed in women compared to men, in those aged 45 to 64 versus those aged 18 to 44, and in those with a body mass index 25 kg/m2. Some literature shows that runners’ prevalence rates are as high as 22%.
  • #16 Incidence, prevalence, and management of plantar heel pain: a retrospective cohort study in Dutch primary care | British Journal of General Practice
    https://bjgp.org/content/69/688/e801
    Plantar heel pain (PHP) is a common cause of foot complaints in general practice. However, information on the occurrence and practical management is scarce. […] The aim of this study was to determine the incidence and prevalence of PHP in Dutch primary care and to gain insight into the types of treatments provided to patients with PHP in primary care. […] The overall incidence of PHP was 3.83 cases (95% confidence interval [CI] = 3.77 to 3.89) per 1000 patient-years, the incidence in females was 4.64 (95% CI = 4.55 to 4.72), and 2.98 (95% CI = 2.91 to 3.05) in males. The overall prevalence of PHP was 0.4374% (95% CI = 0.4369 to 0.4378%). […] The clinical course of PHP is considered favourable, as remission of complaints has been reported in 60-80% of patients after 12 to 24 months of diagnosis.
  • #17 Incidence, prevalence, and management of plantar heel pain: a retrospective cohort study in Dutch primary care | British Journal of General Practice
    https://bjgp.org/content/69/688/e801
    The objective of this study was to determine the incidence and prevalence of PHP in Dutch general practice, and to gain insight into types of treatments provided by GPs. […] This study found an incidence of PHP of 3.83 cases per 1000 patient years and a prevalence of 0.4374%. […] In Dutch general practice, PHP is a common complaint, with an incidence of PHP of 3.83 cases per 1000 patient years, an average GP will see approximately eight new cases per year.
  • #18 Plantar Fasciitis: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/86143-overview
    Plantar fasciitis is the most common cause of heel pain for which professional care is sought. Approximately 10% of the United States population experiences bouts of heel pain, which results in 1 million visits per year to medical professionals for treatment of plantar fasciitis. […] A survey of US professional football, baseball, and basketball team physicians and trainers found that plantar fasciitis was among the 5 most common foot and ankle injuries observed in professional athletes. It is estimated that approximately 1 million patient visits per year are due to plantar fasciitis. Plantar fasciitis accounts for about 10% of runner-related injuries and 11-15% of all foot symptoms requiring professional care. It is thought to occur in 10% of the general population as well. […] The exact incidence and prevalence by age of plantar fasciitis is unknown, but the condition is seen in adults essentially of all ages. A peak incidence may occur in women aged 40-60 years. An increased incidence exists in patients with certain spondyloarthropathies (eg, ankylosing spondylitis), which often present in patients aged 20-40 years. Women are affected by plantar fasciitis twice as often as men. In young people, the condition occurs equally in both sexes. Race and ethnicity play no role in the incidence of plantar fasciitis.
  • #19 Plantar fasciitis – Knowledge @ AMBOSS
    https://www.amboss.com/us/knowledge/plantar-fasciitis/
    Plantar fasciitis is one of the most common causes of foot pain in adults. […] Peak incidence: 4060 years of age. […] One of the most common causes of foot pain.
  • #20 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    By analyzing data from NHANES, we aimed to evaluate the prevalence, characteristics, and associated factors of plantar heel pain in Americans aged 20 or above. […] Plantar heel pain is a prevalent problem that affects a substantial number of adults and significantly impairing their quality of life. […] To investigate the prevalence and characteristics of plantar heel pain, exploring the associated risk factors. […] Among the total 4957 US participants 20 years of age, 549 (11.1%) participants reported plantar heel pain. […] There was a significant difference in distribution between female and male (p=0.002). […] Furthermore, participants aged between 50 and 65 years had the highest plantar heel pain prevalence of 14.5% among the entire population, however, among the female participants, those aged 65 years demonstrated the highest prevalence (19.8%) of plantar heel pain.
  • #21 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    Additionally, this study revealed that among female patients, the age group exhibiting the highest prevalence of plantar heel pain was individuals aged over 65 years, with a significant incidence rate of 19.8%. […] Our study supports the associations between osteoporosis and plantar heel pain. In our findings, the results indicated a significantly higher likelihood of experiencing plantar heel pain among women with osteoporosis.
  • #22 Plantar Heel Pain: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1233178-overview
    Although the exact prevalence of plantar heel pain is unknown, it is estimated that more than 2 million Americans seek treatment for plantar heel pain each year. […] The prevalence in active and military populations is especially high. […] Internationally, in both athletic and nonathletic populations, the incidence of plantar fasciitis is reported to be approximately 10%. […] The average age of a patient with proximal plantar fasciitis is approximately 45 years. […] There is a known sex-based dimorphism in presentation, with proximal plantar fasciitis being twice as common in women as in men.
  • #23 Prevalence, causes, and treatment of plantar fasciitis in young females of a medical college | Bulletin of Faculty of Physical Therapy | Full Text
    https://bfpt.springeropen.com/articles/10.1186/s43161-024-00195-6
    Plantar fasciitis, a common musculoskeletal disorder, is characterized by inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. […] The prevalence of plantar fasciitis is high in females wearing high heels. […] This study reveals that an increase in the total duration of wearing high heels with hard soles increases the symptoms of plantar fasciitis. […] Plantar fasciitis affects two million people in the US and results in one million outpatient visits each year. […] Plantar fasciitis had an overall unadjusted incidence rate of 10.5 per 1000 person-years. […] Women exhibited a considerably higher adjusted incidence rate ratio for plantar fasciitis of 1.96 when compared to males. […] The prevalence of plantar fasciitis was higher in women (1.19%) than in males (0.47%), in people 45 to 64 years old (1.33%) than in people 18 to 44 years old (0.53%; referent), and in obese people (1.48%) than in people with a body mass below 25 (0.29%; referent).
  • #24 The Incidence of Plantar Fasciitis in the United States Military | Scilit
    https://www.scilit.net/publications/b8aca6e8c4c73eb65d344cd3273bf972
    Background: Although plantar fasciitis is the most common cause of heel pain, little has been reported on the incidence rates of this disorder. […] The overall unadjusted incidence rate of plantar fasciitis was 10.5 per 1000 person-years. […] Compared with men, women had a significantly increased adjusted incidence rate ratio for plantar fasciitis of 1.96 (95% confidence interval, 1.94 to 1.99). […] The adjusted incidence rate ratio for black service members compared with white service members was 1.12 (95% confidence interval, 1.09 to 1.12). […] With junior officers as the referent category, junior enlisted, senior enlisted, and senior officer rank groups had a significantly increased adjusted incidence rate ratio for plantar fasciitis: 1.20 (95% confidence interval, 1.18 to 1.23), 1.19 (95% confidence interval, 1.17 to 1.22), and 1.56 (95% confidence interval, 1.52 to 1.61), respectively.
  • #25 Plantar Fasciitis: A Continuous Challenge for Medical Professionals
    https://e-kjhp.org/journal/view.php?number=922
    According to a nationwide study held in 2020 in Taiwan, physicians and nurses had a period prevalence of PF of 8.14% and 13.11%, respectively. […] The study concluded that female nurses exhibit a higher predisposition to PF compared to their male counterparts. […] These findings pose as a multifaceted threat to workforce sustainability as well as healthcare delivery. […] Hence, PF not only disrupts the daily course of life, it also spawns dangerous long-term repercussions that can cause a nosedive in productivity, competency, and efficiency.
  • #26
    https://jhrlmc.com/index.php/home/article/view/213
    Plantar heel pain (PHP) is recognized as a widespread issue among adults, particularly affecting those with occupations necessitating prolonged standing. […] Prior research has indicated a higher incidence of PHP among specific demographics and job functions within hospital settings. […] The prevalence of diagnosed heel pain was 14% among males and 25% among females. […] Professional breakdown revealed the highest incidence of foot pain in nurses, followed by doctors, radiographers, CCTs, NAs, URs, and physiotherapists, respectively. […] A substantial portion of the hospital staff reported experiencing heel and mid-foot pain, primarily due to the extensive standing inherent in their jobs. […] The lack of diagnosis and treatment, mainly attributable to a lack of awareness, suggests an urgent need for educational interventions and workplace ergonomic assessments to prevent the progression to plantar fasciitis.
  • #27 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    In addition, compared to those with BMI 25 kg/m2, BMI with 25-30 kg/m2 had 1.5-fold risk of plantar heel pain (OR: 1.50, 95% CI: 1.10-2.05), while BMI with 30-35 kg/m2 had a 2.1-fold higher risk and those with BMI 35 kg/m2 had a 2.7-fold risk to experience plantar heel pain. […] Age, BMI, female (OR: 1.35, 95% CI: 1.07-1.70), kidney stones history (OR: 1.52, 95% CI: 1.09-2.11), hypertension (OR: 1.54, 95% CI: 1.20-1.96) and osteoporosis (OR: 1.75, 95% CI: 1.10-2.78) were independent risk factors for plantar heel pain. […] Our findings might offer evidences for the prevention and treatment of plantar heel pain. Further prospective studies are needed to confirm our findings. […] The occurrence of plantar heel pain is frequently observed in runners, and its presence of plantar heel pain in elite athletes can significantly impact their level of function, potentially necessitating an extended period of rest and exerting a notable influence on performance throughout the season.
  • #28 Health-related quality of life is substantially worse in individuals with plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-022-19588-5
    While many factors have been found to be associated with PHP, the cause of this painful condition is still not fully understood, with studies finding inconsistent results for most of the proposed factors. Nevertheless, a recent systematic review found that body mass index (BMI) was consistently associated with PHP, with meta-analysis finding that people with PHP have on average a BMI of 2.28 kg/m2 more than people without PHP. However, increased BMI, overweight and obesity have also been associated with poorer general HRQoL, and more specifically, foot-related HRQoL. Therefore, there appears to be a link between obesity, PHP and HRQoL. This is important as not all studies that have investigated HRQoL in PHP have controlled for weight or BMI. Accordingly, increased weight or BMI may have confounded the findings from some of the studies that have investigated the association of PHP with HRQoL. Therefore, BMI, as well as other important factors such as age and sex, should be accounted for when investigating this issue.
  • #29 Epidemiology of Posterior Heel Pain in the General Population: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4737248/
    To identify the population prevalence of posterior heel pain (HP), related disability, and associated factors. […] A total of 5,109 questionnaires were received (adjusted response 56%). Six hundred seventy-five respondents (13%) reported posterior HP, of whom 382 had bilateral symptoms. A total of 398 (8%) reported disabling posterior HP. […] Posterior HP is prevalent and associated with obesity, manual occupations, and physical inactivity. […] This is the first large population-based study to report the prevalence of foot pain specific to the posterior heel. […] Posterior heel pain (HP) affects 1 in 8 of the population ages 50 years, and over half of these report disabling foot pain. […] The aims of this study were therefore to estimate the population prevalence of posterior HP in either foot, bilateral posterior HP, and disabling posterior HP in community-dwelling adults ages 50 years, and to examine factors that may be associated with posterior HP.
  • #30 Expert Opinion: A Review of the Evaluation and Treatment of Heel Pain, Part 1
    https://practicalneurology.com/articles/2015-june/expert-opinion-a-review-of-the-evaluation-and-treatment-of-heel-pain-part-1
    Heel pain is said to be highly prevalent in the general population. A study showed that up to one million patient visits to physicians a year were for diagnosis and evaluation of heel pain in the US. It is the most common complaint seen by foot and ankle specialists estimated at 11-15 percent of adults. The average age is adults 40-60 years old. […] Current studies have shown inconsistent results associating heel pain and gender. The disorder is observed in people with sedentary lifestyles, involved with routine/manual labor, and elevated BMI. It accounts for a quarter of all foot injuries seen in runners. The cause of heel pain is thought to be multifactorial, intrinsic and extrinsic risk factors. These included limited dorsiflexion, leg length discrepancy, reduced heel pad thickness, excessive foot pronation, reduced calf strength, prolonged standing and inappropriate foot wear.
  • #31 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    In addition, compared to those with BMI 25 kg/m2, BMI with 25-30 kg/m2 had 1.5-fold risk of plantar heel pain (OR: 1.50, 95% CI: 1.10-2.05), while BMI with 30-35 kg/m2 had a 2.1-fold higher risk and those with BMI 35 kg/m2 had a 2.7-fold risk to experience plantar heel pain. […] Age, BMI, female (OR: 1.35, 95% CI: 1.07-1.70), kidney stones history (OR: 1.52, 95% CI: 1.09-2.11), hypertension (OR: 1.54, 95% CI: 1.20-1.96) and osteoporosis (OR: 1.75, 95% CI: 1.10-2.78) were independent risk factors for plantar heel pain. […] Our findings might offer evidences for the prevention and treatment of plantar heel pain. Further prospective studies are needed to confirm our findings. […] The occurrence of plantar heel pain is frequently observed in runners, and its presence of plantar heel pain in elite athletes can significantly impact their level of function, potentially necessitating an extended period of rest and exerting a notable influence on performance throughout the season.
  • #32 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    Additionally, this study revealed that among female patients, the age group exhibiting the highest prevalence of plantar heel pain was individuals aged over 65 years, with a significant incidence rate of 19.8%. […] Our study supports the associations between osteoporosis and plantar heel pain. In our findings, the results indicated a significantly higher likelihood of experiencing plantar heel pain among women with osteoporosis.
  • #33 Clinical measures of foot posture and ankle joint dorsiflexion do not differ in adults with and without plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-021-85520-y
    Foot posture and ankle joint dorsiflexion have long been proposed to be risk factors for plantar heel pain, however body mass may be a confounder when investigating these factors. […] Clinical measures of foot posture and ankle joint dorsiflexion do not differ in adults with and without plantar heel pain when body mass is accounted for. Therefore, clinicians should not focus exclusively on foot posture and ankle dorsiflexion and ignore the contribution of overweight or obesity. […] Plantar heel pain (PHP), also referred to as plantar fasciitis, is one of the most common foot disorders in adults, with population prevalence estimates ranging up to 10%. […] Many risk factors have been proposed for PHP, including intrinsic factors, such as pronated foot posture and limited ankle joint dorsiflexion.
  • #34 Clinical measures of foot posture and ankle joint dorsiflexion do not differ in adults with and without plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-021-85520-y
    However, a recent systematic review found that the evidence from studies that have investigated the associations of foot posture and ankle joint dorsiflexion with PHP was inconsistent. […] The mean age of participants with PHP in our study was 49 years with a range of 23 to 75 years, 58% were women, and their mean BMI was 30.6 kg/m2 with a range of 20.1 to 47.7 kg/m2. These values are consistent with other studies from multiple countries that have evaluated adults with PHP in epidemiological investigations, risk factor studies, and pragmatic randomised trials. […] Our study matched a general sample of adult participants with and without PHP for BMI. This is important as BMI has consistently been associated with PHP, as well as foot posture and ankle joint range of motion, so BMI may be a confounding factor in studies like ours.
  • #35 Prevalence, causes, and treatment of plantar fasciitis in young females of a medical college | Bulletin of Faculty of Physical Therapy | Full Text
    https://bfpt.springeropen.com/articles/10.1186/s43161-024-00195-6
    Plantar fasciitis, a common musculoskeletal disorder, is characterized by inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. […] The prevalence of plantar fasciitis is high in females wearing high heels. […] This study reveals that an increase in the total duration of wearing high heels with hard soles increases the symptoms of plantar fasciitis. […] Plantar fasciitis affects two million people in the US and results in one million outpatient visits each year. […] Plantar fasciitis had an overall unadjusted incidence rate of 10.5 per 1000 person-years. […] Women exhibited a considerably higher adjusted incidence rate ratio for plantar fasciitis of 1.96 when compared to males. […] The prevalence of plantar fasciitis was higher in women (1.19%) than in males (0.47%), in people 45 to 64 years old (1.33%) than in people 18 to 44 years old (0.53%; referent), and in obese people (1.48%) than in people with a body mass below 25 (0.29%; referent).
  • #36 Prevalence, causes, and treatment of plantar fasciitis in young females of a medical college | Bulletin of Faculty of Physical Therapy | Full Text
    https://bfpt.springeropen.com/articles/10.1186/s43161-024-00195-6
    The data demonstrated a correlation between the extended use of shoes with firm soles or high heels and an increased likelihood of developing plantar fasciitis. […] We suggest that preventive measures should be implemented for heel pain. This must include emphasizing the importance of changing footwear and raising awareness in the population to reduce the prevalence of plantar fasciitis.
  • #37 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    Within the current literature, prevalence rates of plantar fasciitis among a population of runners have been shown to be between 4% and 22%. […] The overall incidence of plantar fasciitis in the military population was 10.55 per 1,000 person-years. […] These findings are based on incidence rates, but tend to correlate with prevalence data seen within the existing literature.
  • #38 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    Plantar fasciitis is a common musculoskeletal injury affecting individuals across ages and activity levels, and the condition is estimated to account for over 1 million physician visits annually in the United States. […] Among athletes, the condition is especially prevalent in runners, affecting up to 17.4% of the running population. […] Plantar fasciitis is most common between 40 and 60 years of age and contributes to 15% of foot injuries in general population without gender difference. The conditions may affect both athletic and non-athletic populations, but the incidence is higher among runners. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #39 Plantar Fasciitis: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/86143-overview
    Plantar fasciitis is the most common cause of heel pain for which professional care is sought. Approximately 10% of the United States population experiences bouts of heel pain, which results in 1 million visits per year to medical professionals for treatment of plantar fasciitis. […] A survey of US professional football, baseball, and basketball team physicians and trainers found that plantar fasciitis was among the 5 most common foot and ankle injuries observed in professional athletes. It is estimated that approximately 1 million patient visits per year are due to plantar fasciitis. Plantar fasciitis accounts for about 10% of runner-related injuries and 11-15% of all foot symptoms requiring professional care. It is thought to occur in 10% of the general population as well. […] The exact incidence and prevalence by age of plantar fasciitis is unknown, but the condition is seen in adults essentially of all ages. A peak incidence may occur in women aged 40-60 years. An increased incidence exists in patients with certain spondyloarthropathies (eg, ankylosing spondylitis), which often present in patients aged 20-40 years. Women are affected by plantar fasciitis twice as often as men. In young people, the condition occurs equally in both sexes. Race and ethnicity play no role in the incidence of plantar fasciitis.
  • #40 Plantar Fasciitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431073/
    Plantar fasciitis is the most common cause of heel pain presenting in the outpatient setting. The exact incidence and prevalence of plantar fasciitis by age are unknown, but estimates show that approximately 1 million patient visits annually are due to plantar fasciitis. This condition accounts for about 10% of runner-related injuries and 11% to 15% of all foot symptoms requiring professional medical care. Plantar fasciitis occurs in about 10% of the general population, with 83% of these patients being active working adults between 25 and 65 years. The peak incidence is among the general population of 40 to 60 years. Plantar fasciitis may present bilaterally in a third of the cases. In addition, a higher prevalence of plantar fasciitis was observed in women compared to men, in those aged 45 to 64 versus those aged 18 to 44, and in those with a body mass index 25 kg/m2. Some literature shows that runners’ prevalence rates are as high as 22%.
  • #41 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    In addition, compared to those with BMI 25 kg/m2, BMI with 25-30 kg/m2 had 1.5-fold risk of plantar heel pain (OR: 1.50, 95% CI: 1.10-2.05), while BMI with 30-35 kg/m2 had a 2.1-fold higher risk and those with BMI 35 kg/m2 had a 2.7-fold risk to experience plantar heel pain. […] Age, BMI, female (OR: 1.35, 95% CI: 1.07-1.70), kidney stones history (OR: 1.52, 95% CI: 1.09-2.11), hypertension (OR: 1.54, 95% CI: 1.20-1.96) and osteoporosis (OR: 1.75, 95% CI: 1.10-2.78) were independent risk factors for plantar heel pain. […] Our findings might offer evidences for the prevention and treatment of plantar heel pain. Further prospective studies are needed to confirm our findings. […] The occurrence of plantar heel pain is frequently observed in runners, and its presence of plantar heel pain in elite athletes can significantly impact their level of function, potentially necessitating an extended period of rest and exerting a notable influence on performance throughout the season.
  • #42 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    Within the current literature, prevalence rates of plantar fasciitis among a population of runners have been shown to be between 4% and 22%. […] The overall incidence of plantar fasciitis in the military population was 10.55 per 1,000 person-years. […] These findings are based on incidence rates, but tend to correlate with prevalence data seen within the existing literature.
  • #43 The Incidence of Plantar Fasciitis in the United States Military | Scilit
    https://www.scilit.net/publications/b8aca6e8c4c73eb65d344cd3273bf972
    Compared with service members in the Air Force, those in the Army and Marines had a significantly increased adjusted incidence rate ratio for plantar fasciitis of 1.85 (95% confidence interval, 1.82 to 1.87) and 1.28 (95% confidence interval, 1.25 to 1.30), respectively. […] The adjusted incidence rate ratio for the age group of forty years old or more compared with the twenty to twenty-four-year-old group was 3.42 (95% confidence interval, 3.34 to 3.51). […] Female sex; black race; junior enlisted, senior enlisted, and senior officer rank groups; service in the Army or Marines; and increasing age are all risk factors for plantar fasciitis.
  • #44 Apophysitis and Osteochondrosis: Common Causes of Pain in Growing Bones | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0515/p610.html
    Sever disease (i.e., calcaneal apophysitis) is the most common cause of heel pain in children and adolescents.23 It occurs at the point of insertion of the Achilles tendon to the calcaneus and is often aggravated by running or jumping.24 The incidence ranges from 2% to 16% in children.24,25 Onset is gradual and most common in eight- to 12-year-old children.26 Risk factors include a tight heel cord, running or jumping sports, and early sport specialization.26 Examination findings include tenderness at the heel when squeezed. Calcaneal radiographic results are usually negative but can be used to evaluate for rare stress fractures.5 Initial treatment includes icing, heel cups, and heel cord stretching, and treatment with acetaminophen or NSAIDs.24 Patients can participate in pain-free activities only as they recover.24
  • #45 Sever’s Disease: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/severs-disease-pro
    Sever’s disease is the most common cause of heel pain in children and adolescents, usually occurring between 9 and 12 years of age during their rapid period of growth in those involved in sports. […] In a retrospective study of injuries among players aged 7-19 years in a German football academy the incidence was 0.36 per 100 athletes per year.
  • #46 Factors Associated with Knee and Heel Pain in Children: An Observational Web-Based Survey for 1,200 Parents with Young Japanese Footballers Aged in 8–12 Years
    https://ej-sport.org/index.php/sport/article/view/75
    The characteristics of injuries in young children differ from those of adult or adolescent players. To maintain a good physical condition among young children, knowledge of the factors associated with knee and heel pain in growth phase is essential. This study investigated the factors that correlated with growth-related knee and heel pain in Japanese football players aged 8 to 12 years. […] Among young Japanese footballers, 11.2% and 10.7% had episodes of growth-related knee and heel pain within recent 12 months, respectively. […] Age, body size, and external load such as weekly training volume were associated with knee and heel pain in children. Coaches and guardians, who monitor childrens growth, should pay attention to modifiable risk factors that correlated with knee and heel pains in childhood.
  • #47 Health-related quality of life is substantially worse in individuals with plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-022-19588-5
    After accounting for age, sex, body mass and osteoarthritis, adults with PHP have poorer generic and foot-specific HRQoL. While pain and functional impairment associated with PHP have already received considerable investigation, further research is needed to fully understand its impact on mental health, specifically its effects on the ability for an individual to function socially and on the roles that they would normally participate in, including work.
  • #48 Health-related quality of life is substantially worse in individuals with plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-022-19588-5
    Plantar heel pain (PHP), also referred to as plantar fasciitis, is a very common foot disorder. Up to 10% of the general adult population are estimated to be affected by PHP, but it is also prevalent among younger, athletic populations, such as long distance runners and military personnel. In adults 50 years of age and older who have PHP, the pain is classified as disabling in 82% of those affected. PHP has been found in one study to lead to poorer foot-specific health-related quality of life (HRQoL), and individuals who experience it have been reported to have increased levels of depression, anxiety and stress. Further, PHP has been found to have a prolonged course in many people, with approximately 45% of patients still experiencing pain after 10 years, which leads to a substantial use of health services and a large economic burden.
  • #49 Impact of plantar fasciitis on the quality of life of male and female | JPR
    https://www.dovepress.com/impact-of-plantar-fasciitis-on-the-quality-of-life-of-male-and-female–peer-reviewed-fulltext-article-JPR
    The results of the comparison between the FHSQ scores of males and females are shown in Table 2. With regard to section one of the FHSQ, which evaluates four specific foot domains, significant differences (P0.05) were shown for foot pain and footwear. They showed a worse QoL related to foot health for females, with females having lower scores than males, but not for foot function or general foot health (P0.05). In section two, which assesses four domains of general wellbeing, significant differences (P0.05) were shown for overall health, physical function, social capacity, and vigor. This result showed a worse QoL related to general health for females, with females having lower scores than males. […] The results of the present study show that females had lower FHSQ scores for the dimensions related to foot pain, foot function, footwear, and general foot health than males. Higher FHSQ scores were also recorded for males than for females with regard to general health, physical activity, social capacity, and vigor. Thus, females with PF are more likely than males to present a worse specific and general QoL related to foot health.
  • #50 Health-related quality of life is substantially worse in individuals with plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-022-19588-5
    Plantar heel pain (PHP), also referred to as plantar fasciitis, is a very common foot disorder. Up to 10% of the general adult population are estimated to be affected by PHP, but it is also prevalent among younger, athletic populations, such as long distance runners and military personnel. In adults 50 years of age and older who have PHP, the pain is classified as disabling in 82% of those affected. PHP has been found in one study to lead to poorer foot-specific health-related quality of life (HRQoL), and individuals who experience it have been reported to have increased levels of depression, anxiety and stress. Further, PHP has been found to have a prolonged course in many people, with approximately 45% of patients still experiencing pain after 10 years, which leads to a substantial use of health services and a large economic burden.
  • #51 Plantar heel pain in middle-aged and older adults: population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use | BMC Musculoskeletal Disorders | Full Text
    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2718-6
    The objectives of this study were to estimate the population prevalence and distribution of plantar heel pain in mid-to-older age groups, examine associations with selected health status and lifestyle factors, and report the frequency of healthcare use. […] The population prevalence of plantar heel pain was 9.6% (95% CI: 8.8, 10.5) and 7.9% (7.1, 8.7) for disabling plantar heel pain. […] Plantar heel pain is a common reason for health professional consultation. […] Nearly two-thirds of participants with plantar heel pain had consulted a healthcare professional in the last 12months for foot pain, with a similar number consulting a general practitioner or allied health professional. […] The aims of this study were to describe the occurrence of plantar heel pain, and examine associated health status and frequency of healthcare consultation using a representative population sample of adults from mid-older age.
  • #52 Plantar heel pain in middle-aged and older adults: population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use | BMC Musculoskeletal Disorders | Full Text
    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2718-6
    Our findings suggest that plantar heel pain affects approximately one in 10 adults aged 50years and over in the general population, with approximately 80% experiencing some form of disability due to their heel pain. […] A high proportion of participants with plantar heel pain consulted a health professional in the last 12months for foot pain (61.5%, 95% CI 57.1, 66.0).
  • #53 Plantar fasciitis – UpToDate
    https://www.uptodate.com/contents/plantar-fasciitis
    Plantar fasciitis is one of the most common causes of foot and heel pain in adults. Plantar fasciitis is responsible for approximately one million patient visits to the doctor per year in the United States. Among those with plantar foot pain, nearly two-thirds (61.5 percent) consulted a health professional in the last 12 months, most commonly a general practitioner (43.1 percent) or podiatrist (32.8 percent). […] Plantar fasciitis will be discussed in this topic review. Other causes of foot and heel pain are discussed separately:
  • #54 Encounters for foot and ankle pain in UK primary care: a population-based cohort study of CPRD data | British Journal of General Practice
    https://bjgp.org/content/69/683/e422
    A foot and/or ankle pain encounter was recorded for 346 067 patients, and there was a total of 567 095 recorded encounters (mean per person 1.6, standard deviation [SD] 1.3). The prevalence of recorded encounters of foot and/or ankle pain was 2980 per 100 000 (3%). The number of patients with a recorded encounter of foot and/or ankle pain was 1820 per 100 000 (1.8%). […] The burden of foot and/or ankle pain encounters recorded by GPs is not insubstantial, and spans all ages, with a high proportion of referrals to orthopaedics. […] The total number of referrals recorded by GPs linked within CPRD to foot pain encounters was 347 754 (per patient mean 2.4, SD 2.5), and the total number of tests linked to foot pain encounters was 291 968 (per patient mean 3.0, SD 4.1). […] The authors would like to thank those at the Nuffield Department of Primary Care Health Sciences for their contribution to obtaining the dataset, and all of the GPs who fed information into the CPRD database for the duration of the study period.
  • #55 Plantar fasciitis – Wikipedia
    https://en.wikipedia.org/wiki/Plantar_fasciitis
    Plantar fasciitis is the most common type of plantar fascia injury and is the most common reason for heel pain, responsible for 80% of cases. The condition tends to occur more often in women, military recruits, older athletes, dancers, people with obesity, and young male athletes. […] Plantar fasciitis is estimated to affect 1 in 10 people at some point during their lifetime and most commonly affects people between 40 and 60 years of age. In the United States alone, more than two million people receive treatment for plantar fasciitis. The cost of treating plantar fasciitis in the United States is estimated to be $284 million each year.
  • #56 Plantar Fasciitis: A Continuous Challenge for Medical Professionals
    https://e-kjhp.org/journal/view.php?number=922
    Plantar fasciitis (PF) is an unpleasant hurdle that medical professionals have to face on a daily basis and susceptible to a pathological condition known as PF, which represents one of the primary etiologies of heel pain. […] This letter emphasizes the epidemiology, risk factors with systemic consequences of PF among healthcare workers, encouraging targeted interventions to mitigate this easily preventable occupational menace. […] According to a Korean study which was done in 2020 by Lee et al., results indicated that PF (7.8%) and hallux valgus (7.0%) were the most prevalent foot disorders. […] Another cross-sectional retrospective observational design, analyzing patients diagnosed with PF in South Korea between January 2010 and December 2018. Findings revealed that treated PF cases rose from 11,627 (3,571 patients) in 2010 to 38,515 (10,125 patients) by 2018.
  • #57 Incidence, prevalence, and management of plantar heel pain: a retrospective cohort study in Dutch primary care | British Journal of General Practice
    https://bjgp.org/content/69/688/e801
    Plantar heel pain (PHP) is a common cause of foot complaints in general practice. However, information on the occurrence and practical management is scarce. […] The aim of this study was to determine the incidence and prevalence of PHP in Dutch primary care and to gain insight into the types of treatments provided to patients with PHP in primary care. […] The overall incidence of PHP was 3.83 cases (95% confidence interval [CI] = 3.77 to 3.89) per 1000 patient-years, the incidence in females was 4.64 (95% CI = 4.55 to 4.72), and 2.98 (95% CI = 2.91 to 3.05) in males. The overall prevalence of PHP was 0.4374% (95% CI = 0.4369 to 0.4378%). […] The clinical course of PHP is considered favourable, as remission of complaints has been reported in 60-80% of patients after 12 to 24 months of diagnosis.
  • #58 Plantar Fasciitis | PM&R KnowledgeNow
    https://now.aapmr.org/plantar-fasciitis/
    Plantar fasciitis in the US affects 2 million people a year, with a peak incidence between 45 and 64 years and a slight gender predisposition for females. It results in approximately 1,000,000 patient visits per year. Plantar fasciitis accounts for 10% of injuries in runners. […] Risk factors include limited ankle dorsiflexion, increased body mass index, sedentary lifestyle, and standing for prolonged periods of time. […] With proper treatment, 80% of patients with plantar fasciitis improve within 12 months. […] Primary prevention efforts include activity modification, proper footwear and arch supports, and foot and ankle flexibility exercises. […] Those who have risk factors for persistent loading (endurance runners, occupational requirements, obesity) may be at risk for poor outcomes.
  • #59 Health-related quality of life is substantially worse in individuals with plantar heel pain | Scientific Reports
    https://www.nature.com/articles/s41598-022-19588-5
    Plantar heel pain (PHP), also referred to as plantar fasciitis, is a very common foot disorder. Up to 10% of the general adult population are estimated to be affected by PHP, but it is also prevalent among younger, athletic populations, such as long distance runners and military personnel. In adults 50 years of age and older who have PHP, the pain is classified as disabling in 82% of those affected. PHP has been found in one study to lead to poorer foot-specific health-related quality of life (HRQoL), and individuals who experience it have been reported to have increased levels of depression, anxiety and stress. Further, PHP has been found to have a prolonged course in many people, with approximately 45% of patients still experiencing pain after 10 years, which leads to a substantial use of health services and a large economic burden.
  • #60 Epidemiology of Posterior Heel Pain in the General Population: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4737248/
    Of 5,109 respondents, 675 (13.2%) reported posterior HP in either foot. Of these, 382 (7.5%) had bilateral posterior HP, and 398 (8%) disabling posterior HP. […] The population prevalence in adults ages 50 years was estimated to be 13.4% for posterior HP in either foot (95% CI 12.5-14.4), 7.6% for bilateral posterior HP (95% CI 6.9-8.3), and 7.9% for disabling posterior HP (95% CI 7.2-8.7). […] The main clinical implications of this study arise from our findings that posterior HP affects 1 in 8 of the population age 50 years and is associated with significant functional limitation, particularly in the obese, older people, those with diabetes mellitus, and those in routine and manual occupations, and it is significantly less common in those with high activity levels.
  • #61 Epidemiology of posterior heel pain | Podiatry Arena
    https://podiatryarena.com/index.php?threads/epidemiology-of-posterior-heel-pain.100912/
    Epidemiology of posterior heel pain in the general population: cross-sectional findings from the Clinical Assessment Study of the Foot. Objectives To identify the population prevalence of posterior heel pain (PostHP), related disability, and associated factors. Results 675 respondents (13%) reported PostHP, of whom 382 had bilateral symptoms. 398 (8%) reported disabling PostHP. PostHP in either foot associated with increasing BMI (25.0-29.9 OR 1.58; 30.0-34.9 2.13; 35.0 4.09) and manual occupations (1.96; 95% CI 1.47, 2.62). Bilateral PostHP associated with increasing BMI (25.0-29.9 1.79; 30.0-34.9 2.43; 35.0 5.79), diabetes (1.48; 1.07, 2.05), and manual occupations (2.21; 1.48, 3.30). Disabling PostHP associated with increasing BMI (25.0-29.9 1.44; 30.0-34.9 2.50; 35.0 4.69), age (aged 75 1.41; 1.01, 1.96), manual occupations (1.97; 1.35, 2.88), and diabetes (1.56; 1.04, 1.95). Conclusion PostHP is prevalent and associated with obesity, manual occupations and physical inactivity. […] High physical activity was negatively associated with PostHP in either heel (0.43; 0.33, 0.56), bilateral PostHP (0.35; 0.25, 0.49), and disabling PostHP (0.33; 0.23, 0.46).
  • #62 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    Up to 10% of the population may present with heel pain over the course of their lives, which underscores the importance of practitioner familiarity with the diagnosis of plantar fasciitis and the associated risk factors, both intrinsic and extrinsic. […] Plantar fasciitis is an important public health disorder as it is the most common cause of heel pain in the outpatient setting. […] Ten percent of people in the United States may present with heel pain over the course of their lives, with 83% of these patients being active working adults between the ages of 25 and 65 years old. […] Two large national data sets of ambulatory care data (excluding visits to podiatrists or federal, military, or Veterans Administrations facilities) from the Centers for Disease Control and Preventions National Center for Health Statistics found that plantar fasciitis accounts for an average of one million patient visits per year to medical doctors.
  • #63 APA | Chronic plantar heel pain: a case-control study
    https://australian.physio/research/prf/translation/chronic-plantar-heel-pain-case-control-study
    Chronic plantar heel pain (CPHP) is the most common reason people with musculoskeletal foot pain consult a healthcare practitioner, and it encompasses a range of conditions, including plantar fasciitis. […] New research, however, is starting to shed some light on risk factors and causes of heel pain, suggesting better, evidence-based approaches to treatment. […] Jason has recently completed a series of studies describing different heel pain phenotypes, risk factors and predictors of outcomes, including the important role of psychological, pain processing and bone imaging factors in CPHP. […] Professor Jones was Tasmanian Scientist of the Year in 2013 and won the 2014 UTAS Research Excellence Medal.
  • #64 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    Plantar fasciitis is a common musculoskeletal injury affecting individuals across ages and activity levels, and the condition is estimated to account for over 1 million physician visits annually in the United States. […] Among athletes, the condition is especially prevalent in runners, affecting up to 17.4% of the running population. […] Plantar fasciitis is most common between 40 and 60 years of age and contributes to 15% of foot injuries in general population without gender difference. The conditions may affect both athletic and non-athletic populations, but the incidence is higher among runners. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #65 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    Plantar fasciitis is a common musculoskeletal injury affecting individuals across ages and activity levels, and the condition is estimated to account for over 1 million physician visits annually in the United States. […] Among athletes, the condition is especially prevalent in runners, affecting up to 17.4% of the running population. […] Plantar fasciitis is most common between 40 and 60 years of age and contributes to 15% of foot injuries in general population without gender difference. The conditions may affect both athletic and non-athletic populations, but the incidence is higher among runners. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #66
    https://jhrlmc.com/index.php/home/article/view/213
    Plantar heel pain (PHP) is recognized as a widespread issue among adults, particularly affecting those with occupations necessitating prolonged standing. […] Prior research has indicated a higher incidence of PHP among specific demographics and job functions within hospital settings. […] The prevalence of diagnosed heel pain was 14% among males and 25% among females. […] Professional breakdown revealed the highest incidence of foot pain in nurses, followed by doctors, radiographers, CCTs, NAs, URs, and physiotherapists, respectively. […] A substantial portion of the hospital staff reported experiencing heel and mid-foot pain, primarily due to the extensive standing inherent in their jobs. […] The lack of diagnosis and treatment, mainly attributable to a lack of awareness, suggests an urgent need for educational interventions and workplace ergonomic assessments to prevent the progression to plantar fasciitis.
  • #67 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    Plantar fasciitis is a common musculoskeletal injury affecting individuals across ages and activity levels, and the condition is estimated to account for over 1 million physician visits annually in the United States. […] Among athletes, the condition is especially prevalent in runners, affecting up to 17.4% of the running population. […] Plantar fasciitis is most common between 40 and 60 years of age and contributes to 15% of foot injuries in general population without gender difference. The conditions may affect both athletic and non-athletic populations, but the incidence is higher among runners. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #68 Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study | Journal of Orthopaedic Surgery and Research | Full Text
    https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-05300-y
    In addition, compared to those with BMI 25 kg/m2, BMI with 25-30 kg/m2 had 1.5-fold risk of plantar heel pain (OR: 1.50, 95% CI: 1.10-2.05), while BMI with 30-35 kg/m2 had a 2.1-fold higher risk and those with BMI 35 kg/m2 had a 2.7-fold risk to experience plantar heel pain. […] Age, BMI, female (OR: 1.35, 95% CI: 1.07-1.70), kidney stones history (OR: 1.52, 95% CI: 1.09-2.11), hypertension (OR: 1.54, 95% CI: 1.20-1.96) and osteoporosis (OR: 1.75, 95% CI: 1.10-2.78) were independent risk factors for plantar heel pain. […] Our findings might offer evidences for the prevention and treatment of plantar heel pain. Further prospective studies are needed to confirm our findings. […] The occurrence of plantar heel pain is frequently observed in runners, and its presence of plantar heel pain in elite athletes can significantly impact their level of function, potentially necessitating an extended period of rest and exerting a notable influence on performance throughout the season.
  • #69 Factors Associated with Knee and Heel Pain in Children: An Observational Web-Based Survey for 1,200 Parents with Young Japanese Footballers Aged in 8–12 Years
    https://ej-sport.org/index.php/sport/article/view/75
    The characteristics of injuries in young children differ from those of adult or adolescent players. To maintain a good physical condition among young children, knowledge of the factors associated with knee and heel pain in growth phase is essential. This study investigated the factors that correlated with growth-related knee and heel pain in Japanese football players aged 8 to 12 years. […] Among young Japanese footballers, 11.2% and 10.7% had episodes of growth-related knee and heel pain within recent 12 months, respectively. […] Age, body size, and external load such as weekly training volume were associated with knee and heel pain in children. Coaches and guardians, who monitor childrens growth, should pay attention to modifiable risk factors that correlated with knee and heel pains in childhood.
  • #70 Plantar Fasciitis | PM&R KnowledgeNow
    https://now.aapmr.org/plantar-fasciitis/
    Plantar fasciitis in the US affects 2 million people a year, with a peak incidence between 45 and 64 years and a slight gender predisposition for females. It results in approximately 1,000,000 patient visits per year. Plantar fasciitis accounts for 10% of injuries in runners. […] Risk factors include limited ankle dorsiflexion, increased body mass index, sedentary lifestyle, and standing for prolonged periods of time. […] With proper treatment, 80% of patients with plantar fasciitis improve within 12 months. […] Primary prevention efforts include activity modification, proper footwear and arch supports, and foot and ankle flexibility exercises. […] Those who have risk factors for persistent loading (endurance runners, occupational requirements, obesity) may be at risk for poor outcomes.
  • #71 Plantar Fasciitis | PM&R KnowledgeNow
    https://now.aapmr.org/plantar-fasciitis/
    Plantar fasciitis in the US affects 2 million people a year, with a peak incidence between 45 and 64 years and a slight gender predisposition for females. It results in approximately 1,000,000 patient visits per year. Plantar fasciitis accounts for 10% of injuries in runners. […] Risk factors include limited ankle dorsiflexion, increased body mass index, sedentary lifestyle, and standing for prolonged periods of time. […] With proper treatment, 80% of patients with plantar fasciitis improve within 12 months. […] Primary prevention efforts include activity modification, proper footwear and arch supports, and foot and ankle flexibility exercises. […] Those who have risk factors for persistent loading (endurance runners, occupational requirements, obesity) may be at risk for poor outcomes.
  • #72 Epidemiology of posterior heel pain | Podiatry Arena
    https://podiatryarena.com/index.php?threads/epidemiology-of-posterior-heel-pain.100912/
    Epidemiology of posterior heel pain in the general population: cross-sectional findings from the Clinical Assessment Study of the Foot. Objectives To identify the population prevalence of posterior heel pain (PostHP), related disability, and associated factors. Results 675 respondents (13%) reported PostHP, of whom 382 had bilateral symptoms. 398 (8%) reported disabling PostHP. PostHP in either foot associated with increasing BMI (25.0-29.9 OR 1.58; 30.0-34.9 2.13; 35.0 4.09) and manual occupations (1.96; 95% CI 1.47, 2.62). Bilateral PostHP associated with increasing BMI (25.0-29.9 1.79; 30.0-34.9 2.43; 35.0 5.79), diabetes (1.48; 1.07, 2.05), and manual occupations (2.21; 1.48, 3.30). Disabling PostHP associated with increasing BMI (25.0-29.9 1.44; 30.0-34.9 2.50; 35.0 4.69), age (aged 75 1.41; 1.01, 1.96), manual occupations (1.97; 1.35, 2.88), and diabetes (1.56; 1.04, 1.95). Conclusion PostHP is prevalent and associated with obesity, manual occupations and physical inactivity. […] High physical activity was negatively associated with PostHP in either heel (0.43; 0.33, 0.56), bilateral PostHP (0.35; 0.25, 0.49), and disabling PostHP (0.33; 0.23, 0.46).
  • #73 Prevalence, causes, and treatment of plantar fasciitis in young females of a medical college | Bulletin of Faculty of Physical Therapy | Full Text
    https://bfpt.springeropen.com/articles/10.1186/s43161-024-00195-6
    The data demonstrated a correlation between the extended use of shoes with firm soles or high heels and an increased likelihood of developing plantar fasciitis. […] We suggest that preventive measures should be implemented for heel pain. This must include emphasizing the importance of changing footwear and raising awareness in the population to reduce the prevalence of plantar fasciitis.
  • #74
    https://jhrlmc.com/index.php/home/article/view/213
    Plantar heel pain (PHP) is recognized as a widespread issue among adults, particularly affecting those with occupations necessitating prolonged standing. […] Prior research has indicated a higher incidence of PHP among specific demographics and job functions within hospital settings. […] The prevalence of diagnosed heel pain was 14% among males and 25% among females. […] Professional breakdown revealed the highest incidence of foot pain in nurses, followed by doctors, radiographers, CCTs, NAs, URs, and physiotherapists, respectively. […] A substantial portion of the hospital staff reported experiencing heel and mid-foot pain, primarily due to the extensive standing inherent in their jobs. […] The lack of diagnosis and treatment, mainly attributable to a lack of awareness, suggests an urgent need for educational interventions and workplace ergonomic assessments to prevent the progression to plantar fasciitis.