Fascyjitis podeszwowy
Epidemiologia

Fascyjitis podeszwowy jest najczęstszą przyczyną bólu pięty w praktyce ambulatoryjnej, dotykając około 10% populacji w ciągu życia i generując około 1 miliona wizyt rocznie. Choroba występuje najczęściej u osób w wieku 40-60 lat, z wyższą częstością u kobiet (wskaźnik skorygowany 1,96; 95% CI 1,94-1,99) oraz u osób z BMI ≥30, które mają pięciokrotnie wyższe ryzyko. Inne czynniki ryzyka to zmniejszone grzbietowe zgięcie stawu skokowego, nieprawidłowe ustawienie stopy, długotrwałe obciążanie, nieodpowiednie obuwie oraz aktywność sportowa, zwłaszcza bieganie. Dodatkowo, choroba jest powiązana z nadciśnieniem tętniczym (OR 1,54; 95% CI 1,20-1,96), osteoporozą (OR 1,75; 95% CI 1,10-2,78) i kamicą nerkową (OR 1,52; 95% CI 1,09-2,11). Diagnostyka opiera się głównie na badaniu klinicznym, wspomaganym ultrasonografią (grubość powięzi ≥4 mm, czułość 96%, swoistość 100%), rezonansie magnetycznym i zdjęciach rentgenowskich w celu wykluczenia innych patologii.

Epidemiologia fascyjitis podeszwowego

Fascyjitis podeszwowy (plantar fasciitis) stanowi najczęstszą przyczynę bólu pięty w warunkach ambulatoryjnych. Mimo że dokładna częstość występowania i chorobowość w różnych grupach wiekowych nie jest w pełni poznana, szacuje się, że choroba dotyka około 10% populacji ogólnej w ciągu życia, a rocznie prowadzi do około 1 miliona wizyt pacjentów u lekarzy.123 Zaburzenie to odpowiada za około 10% urazów związanych z bieganiem oraz 11-15% wszystkich objawów stopy wymagających profesjonalnej opieki medycznej.14

Dystrybucja wiekowa i płciowa

Fascyjitis podeszwowy występuje najczęściej u osób w wieku 40-60 lat, chociaż może dotykać dorosłych w każdym wieku.567 Około 83% pacjentów to aktywni dorośli w wieku od 25 do 65 lat.1 Badania wykazały wyższą częstość występowania fascyjitis podeszwowego u kobiet w porównaniu do mężczyzn, ze wskaźnikiem skorygowanej częstości występowania wynoszącym 1,96 (95% CI 1,94-1,99).86 W młodszym wieku choroba występuje z podobną częstością u obu płci.6 Holenderskie badanie wykazało zachorowalność na fascyjitis podeszwowy na poziomie 3,83 przypadku na 1000 pacjento-lat, przy czym u kobiet wynosiła ona 4,64, a u mężczyzn 2,98 na 1000 pacjento-lat.9

Częstotliwość występowania w populacjach szczególnych

Fascyjitis podeszwowy dotyka zarówno osoby aktywne, jak i prowadzące siedzący tryb życia. W populacji sportowców, szczególnie biegaczy, wskaźnik zachorowalności jest znacznie wyższy i wynosi od 4% do 22%.101112 Według przeglądu literatury naukowej z 2012 roku, fascyjitis podeszwowy był trzecią najczęstszą kontuzją mięśniowo-szkieletową u biegaczy długodystansowych, po zespole przeciążeniowym piszczeli i tendinopatii ścięgna Achillesa.12 Choroba ta szczególnie dotyka również osoby pracujące w zawodach wymagających długotrwałego stania i chodzenia.13

W badaniu wojskowym przeprowadzonym w Stanach Zjednoczonych ogólny nieskorygowany wskaźnik zachorowalności na fascyjitis podeszwowy wynosił 10,5 na 1000 osobo-lat.1415 Zidentyfikowano istotne czynniki ryzyka, takie jak płeć żeńska, rasa czarna, starszy wiek oraz służba w Armii lub Korpusie Piechoty Morskiej.158

Czynniki ryzyka i komorbidologia

Wieloczynnikowa etiologia fascyjitis podeszwowego obejmuje zarówno czynniki wewnętrzne, jak i zewnętrzne.1617 Do uznanych czynników ryzyka należą:

W nowszych badaniach zidentyfikowano również związek fascyjitis podeszwowego z innymi schorzeniami, takimi jak nadciśnienie tętnicze (OR: 1,54, 95% CI: 1,20-1,96), osteoporoza (OR: 1,75, 95% CI: 1,10-2,78) oraz kamica nerkowa (OR: 1,52, 95% CI: 1,09-2,11).26

Wzorce konsultacji i wpływ ekonomiczny

Fascyjitis podeszwowy stanowi istotne obciążenie dla systemu opieki zdrowotnej. Wśród osób z bólem podeszwowej części stopy, około 61,5% konsultowało się ze specjalistą ochrony zdrowia w ciągu ostatnich 12 miesięcy, najczęściej z lekarzem rodzinnym (43,1%) lub podiatrą (32,8%).327 Zgodnie z badaniem przeprowadzonym wśród członków Amerykańskiego Towarzystwa Medycyny Podiatrycznej, fascyjitis podeszwowy/ból pięty był najczęstszym schorzeniem leczonym w klinikach podiatrycznych.10

Ekonomiczne obciążenie związane z fascyjitis podeszwowym szacuje się na 284 miliony dolarów rocznie w Stanach Zjednoczonych.2829 Koszty te obejmują zarówno bezpośrednie wydatki na opiekę zdrowotną, jak i pośrednie koszty związane z utratą produktywności.

Nadzór nad fascyjitis podeszwowym

Systemy nadzoru i monitorowania fascyjitis podeszwowego są niezbędne do zrozumienia trendów epidemiologicznych i opracowania skutecznych strategii profilaktycznych.3031

Metody diagnostyczne i monitorowanie

Diagnoza fascyjitis podeszwowego opiera się przede wszystkim na badaniu klinicznym, chociaż metody obrazowe mogą być pomocne w potwierdzeniu rozpoznania lub wykluczeniu innych przyczyn bólu pięty.32 Stosowane narzędzia diagnostyczne obejmują:

  • Badanie ultrasonograficzne – przy założeniu grubości powięzi podeszwowej ≥4 mm jako wartości odcięcia, ultrasonografia wykazuje czułość 96%, swoistość 100% i dokładność 98% w diagnozowaniu fascyjitis podeszwowego33
  • Badanie rezonansu magnetycznego – używane głównie w przypadkach opornych na leczenie32
  • Zdjęcia rentgenowskie – stosowane do wykluczenia innych przyczyn bólu pięty, takich jak złamania czy ostrogi piętowe34

Około 40% dorosłych w USA z fascyjitis podeszwowym miało wykonywane zdjęcia rentgenowskie przed otrzymaniem diagnozy, 17% miało tomografię komputerową, 14% badanie ultrasonograficzne, a 14% badanie rezonansem magnetycznym.34

Badania kliniczne i rejestry

Według portalu ClinicalTrials.gov przeprowadzono co najmniej 144 badania kliniczne dotyczące fascyjitis podeszwowego, w tym 3 aktywne, 76 zakończonych i 23 rekrutujące pacjentów.35 Badania te mają kluczowe znaczenie dla oceny skuteczności różnych metod leczenia i opracowania wytycznych klinicznych.

W Singapurze prowadzone są działania mające na celu określenie lokalnej częstości występowania fascyjitis podeszwowego i opracowanie wytycznych opartych na dowodach naukowych.31 Podobne inicjatywy można zaobserwować w innych krajach, co wskazuje na rosnące znaczenie tego schorzenia w globalnej opiece zdrowotnej.

Trendy badawcze i luki w wiedzy

Zainteresowanie fascyjitis podeszwowym w literaturze naukowej znacznie wzrosło w ostatnich latach. Wyszukiwanie w bazie PubMed hasła „Plantar Fasciitis” zwraca ponad 1600 wyników (stan na luty 2021), z czego 636 pozycji opublikowano w latach 2015-2021.30 Również wyszukiwania Google dotyczące fascyjitis podeszwowego stale rosną w ostatnich latach.34

Mimo rosnącej liczby badań, istnieją znaczące luki w wiedzy, szczególnie w zakresie epidemiologii, skuteczności terapii ćwiczeniowej oraz efektywności kosztowej opcji leczenia fascyjitis podeszwowego.305 Przyszłe badania powinny również skupić się na potencjalnej roli zaburzeń naczyniowych i metabolicznych, tworzeniu wolnych rodników, hipertermii oraz czynników genetycznych w rozwoju tego schorzenia.36

Czynnik ryzyka Skorygowany wskaźnik częstości występowania (95% CI) Populacja badana Źródło
Płeć żeńska vs. męska 1,96 (1,94-1,99) Populacja wojskowa USA Scher i wsp.
Wiek ≥40 lat vs. 20-24 lata 3,42 (3,34-3,51) Populacja wojskowa USA Scher i wsp.
Rasa czarna vs. biała 1,12 (1,09-1,12) Populacja wojskowa USA Scher i wsp.
Służba w Armii vs. Siłach Powietrznych 1,85 (1,82-1,87) Populacja wojskowa USA Scher i wsp.
Służba w Korpusie Piechoty Morskiej vs. Siłach Powietrznych 1,28 (1,25-1,30) Populacja wojskowa USA Scher i wsp.
Nadciśnienie tętnicze OR: 1,54 (1,20-1,96) Populacja ogólna USA Badanie NHANES
Osteoporoza OR: 1,75 (1,10-2,78) Populacja ogólna USA Badanie NHANES
Kamica nerkowa OR: 1,52 (1,09-2,11) Populacja ogólna USA Badanie NHANES

Wpływ na jakość życia

Fascyjitis podeszwowy znacząco wpływa na jakość życia pacjentów. Badania wykazały, że przewlekły fascyjitis podeszwowy wiąże się z gorszą jakością życia związaną ze zdrowiem stóp i ogólnym stanem zdrowia w porównaniu do zdrowych osób w grupie kontrolnej.37 Kobiety z tym schorzeniem wykazują niższe wyniki w kwestionariuszu Foot Health Status Questionnaire (FHSQ) w wymiarach związanych z bólem stopy, funkcją stopy, obuwiem i ogólnym zdrowiem stopy niż mężczyźni, co sugeruje, że fascyjitis podeszwowy ma większy negatywny wpływ na jakość życia kobiet.38

Warto zauważyć, że około 90% przypadków fascyjitis podeszwowego jest skutecznie leczonych za pomocą leczenia zachowawczego, a ból zwykle ustępuje w ciągu jednego roku, niezależnie od zastosowanego leczenia.29 Pomimo to, fascyjitis podeszwowy pozostaje istotnym problemem zdrowia publicznego, wymagającym dalszych badań i opracowania skutecznych strategii profilaktycznych.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 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%.
  • #2 Plantar Fasciitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0615/p744.html
    Plantar fasciitis is a common problem that one in 10 people will experience in their lifetime. […] Plantar fasciitis (also called plantar fasciopathy, reflecting the absence of inflammation) is a common problem accounting for approximately 1 million patient visits per year, with about 60% of these to primary care physicians. It is the most common cause of heel pain in adults, with a lifetime incidence of about 10% and an increased incidence in women 40 to 60 years of age. […] Plantar fasciitis is associated with a variety of sports but is mostly reported in recreational and elite runners (incidence of 5% to 10%).
  • #3 Plantar fasciitis – UpToDate
    http://www.uptodate.com/contents/plantar-fasciitis-and-other-causes-of-heel-and-sole-pain
    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.
  • #4 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 more recent Dutch study had similar findings, with an incidence of plantar fasciitis of 2-4 per 1000 person-years. […] 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. It may present bilaterally in a third of cases.
  • #5 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://www.mdpi.com/2075-1729/11/12/1287
    The number of systematic review and meta-analyses on plantar fasciitis is expanding. […] 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.
  • #6 Plantar Fasciitis: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/86143-overview
    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.
  • #7 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.
  • #8 The Incidence of Plantar Fasciitis in the United States Military | Scilit
    https://www.scilit.net/publications/b8aca6e8c4c73eb65d344cd3273bf972
    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. […] 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.
  • #9 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 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.
  • #10 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    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. Sixty-two percent of these visits were made to general medicine clinics, while 31% of patients were evaluated by orthopaedic or general surgeons. Additionally, a recent survey of members of the American Podiatric Medical Association revealed that plantar fasciitis/heel pain was the most prevalent condition being treated in podiatric clinics. Within the current literature, prevalence rates of plantar fasciitis among a population of runners have been shown to be between 4% and 22%.
  • #11 103 Facts and Statistics About Plantar Fasciitis | KURU
    https://www.kurufootwear.com/blogs/articles/plantar-fasciitis-statistics?srsltid=AfmBOoqjOVW3IEAPE9RN1STgUDaWDXdkTAXAYxY7_qjNKeMvSZtzEaWK
    About 2 million Americans receive treatment for plantar fasciitis yearly, and an estimated 10 percent of people will face this problem during their lifetime. […] Its estimated that about 1 in 10 people will experience plantar fasciitis, and middle-aged women are more likely to develop the issue. […] Plantar fasciitis affects about 10 percent of the general population. (JU, 2022) […] Plantar fasciitis accounts for 15 percent of foot disorders. (EJMCM, 2023) […] Plantar fasciitis is one of the most common foot conditions that foot and ankle surgeons encounter. (JFAS, 2023) […] Plantar fasciitis patients account for about 1 percent of all orthopedic visits. (Healthcare, 2022) […] Some studies report the prevalence of plantar fasciitis among runners to be as high as 22 percent. (EJMCM, 2023)
  • #12 How to Treat Plantar Fasciitis | POGO Physio Gold Coast
    https://www.pogophysio.com.au/blog/plantar-fasciitis/
    Plantar fasciitis is one of the most common causes of plantar heel pain in both runners and non-runners, and one of the most prevalent causes of foot pain in general with 10% of people experiencing plantar fasciitis across their lifespan. […] Plantar fasciitis affects both sedentary and athletic people. It is estimated that approximately 1 in 10 people experience heel pain at some point. […] Although plantar fasciitis occurs at all ages, the highest risk of occurrence of plantar fasciitis is between 40 and 60 years of age. There is no known sex bias. […] A 2012 scientific literature review reported that plantar fasciitis was the third most common musculoskeletal injury to afflict distance runners who were in training, behind tibial stress syndrome (shin splints), and Achilles tendinopathy. Amongst runners, the incidence of plantar fasciitis ranged from 4.5 to 10%, while the prevalence ranged from 5.2 to 17.5%.
  • #13 Prevalence Of Plantar Fasciitis And Contributing Factors In Patients Visiting Physical Therapy Center Of Secondary Care Hospital | Neuroquantology
    https://neuroquantology.com/open-access/Prevalence+Of+Plantar+Fasciitis+And+Contributing+Factors+In+Patients+Visiting+Physical+Therapy+Center+Of+Secondary+Care+Hospital_12215/
    Plantar fasciitis is the most prevalent cause of heel pain in people encountered in primary care. […] Plantar fasciitis can be caused by a variety of reasons, the most prevalent of which is overuse stress. […] To find out the prevalence of plantar fasciitis and contributing factors in patients visiting physical therapy center of secondary care hospital. […] Among 359 participants, 202 (56.3) were presented with planter fasciitis, 108 of them were females and 94 were males. […] There was a significant positive correlation between planter fasciitis and contributing factors of plantar fasciitis in participants as the p-value was significant (p0.05). […] Plantar fasciitis is a common and disabling condition in patients visiting physical therapy center and it has a significant impact on one’s quality of life. […] Long periods of walking or standing were linked to an increased chance of developing plantar fasciitis. […] Age, Gender, Weight, BMI and employment status were also associated with plantar fasciitis.
  • #14 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 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 adjusted incidence rate ratio for plantar fasciitis increased considerably among the officer rank categories. […] The prevalence of plantar fasciitis in the US military was studied by Scher, Belmount Jr. They discovered that plantar fasciitis had a 10.5 per 1000 person-year annual unadjusted incidence rate. […] According to studies by Damien B. Irving, pronated feet and obesity both raise the likelihood of chronic plantar heel discomfort. […] The research was conducted on the risk factor for plantar fasciitis by Robert A. Werner. […] He claims that both primary and secondary preventative techniques could be employed.
  • #15 The epidemiology of plantar fasciitis | Lower Extremity Review Magazine
    https://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis
    The overall incidence of plantar fasciitis in the military population was 10.55 per 1,000 person-years. Female sex; black race; junior enlisted, senior enlisted and senior officer rank groups; military service in the Army or Marines; and age greater than 24 years old were found to be significant risk factors for the development of incident plantar fasciitis when compared to male sex, white race, junior officers rank, service in the Air Force, and age 20 to 24, respectively. Female subjects, when compared with male subjects, had a significantly increased incidence rate ratio for plantar fasciitis of 1.95 (95% CI 1.93-1.98). These findings are based on incidence rates, but tend to correlate with prevalence data seen within the existing literature.
  • #16 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8705263/
    The number of systematic review and meta-analyses on plantar fasciitis is expanding. […] The purpose of this review was to provide a comprehensive summary of reviews on the topic pertaining to plantar fasciitis, identify any conflicting and inconsistent results, and propose future research direction. […] A total of 1052 articles were initially identified and 96 met the inclusion criteria. Included articles were summarized and divided into the following topics: epidemiology, diagnosis, and treatment. […] 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 association between BMI and plantar fasciitis has been examined in multiple reviews.
  • #17 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. […] Factors such as excessive physical activity, improper footwear, and biomechanical abnormalities are recognized contributors to the development of plantar fasciitis. […] However, the prevalence and underlying causes may vary across different demographic groups, necessitating targeted investigations. […] This study aims to investigate the prevalence, causes and treatment of plantar fasciitis in young female students (1830) of a medical college in Pakistan and explore potential associations with high-heel footwear. […] Plantar fasciitis affects two million people in the US and results in one million outpatient visits each year.
  • #18 103 Facts and Statistics About Plantar Fasciitis | KURU
    https://www.kurufootwear.com/blogs/articles/plantar-fasciitis-statistics?srsltid=AfmBOoqjOVW3IEAPE9RN1STgUDaWDXdkTAXAYxY7_qjNKeMvSZtzEaWK
    About 14 percent of U.S. adults reporting plantar fasciitis had ultrasounds before receiving their diagnosis. (KURU, 2022) […] About 14 percent of U.S. adults reporting plantar fasciitis had MRI scans before receiving their diagnosis. (KURU, 2022) […] Plantar fasciitis is more likely caused by various factors rather than just one. (EJMCM, 2023) […] Some recognized risk factors for developing plantar fasciitis include poor foot biomechanics including flat foot or heel spurs, obesity, prolonged standing, age and poor footwear. (EJMCM, 2023) […] U.S. adults with a BMI of 30 or higher are five times more likely to report plantar fasciitis than those with a BMI under 25. (NCCIH, 2018) […] Diabetic adults are more at risk of developing plantar fasciitis than non-diabetic patients. (DMSO, 2020)
  • #19 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. Plantar fasciitis is common in runners but can also affect sedentary people. With proper treatment, 80% of patients with plantar fasciitis improve within 12 months. Plantar fasciitis is predominantly a clinical diagnosis. […] Primary prevention efforts include activity modification, proper footwear and arch supports, and foot and ankle flexibility exercises.
  • #20 Plantar Fasciitis: Symptoms and Treatment | Doctor
    https://patient.info/doctor/plantar-fasciitis-pro
    Plantar fasciitis is common in runners but can also affect sedentary people. […] Plantar fasciitis risk factors include intrinsic factors such as pes planus, pes cavus, over-pronation, leg-length discrepancy, excessive lateral tibial torsion, excessive femoral anteversion, being overweight, gastrocnemius and soleus muscles tightness, Achilles tendon tightness, gastrocnemius, soleus and intrinsic foot muscles weakness, ageing of the heel fat pad, atrophy of the heel fat pad, and plantar fascia stiffness. […] Extrinsic factors include overuse, mechanical stresses and micro-tearing, incorrect training, and inadequate or inappropriate footwear.
  • #21 Plantar fasciopathy: a current concepts review in: EFORT Open Reviews Volume 3 Issue 8 (2018)
    https://eor.bioscientifica.com/view/journals/eor/3/8/2058-5241.3.170080.xml
    Plantar fasciopathy is very prevalent, affecting one in ten people in their lifetime. […] One in ten people will suffer from PF in their lifetime. Around 2 million people worldwide receive treatment every year for this condition. […] The aim of this study was to critically evaluate literature investigating epidemiology, pathomechanics, and management of chronic PF. […] The aetiology of PF is unknown. A number of factors that may increase the risk of suffering from recalcitrant PF have been suggested. […] Most of the reviews are not systematic and include foot conditions other than PF. […] Beeson studied the different risk factors for PF. […] Intrinsic factors included age, gender, body weight, heel spurs, nerve entrapment, systemic disease, biomechanical dysfunction, and genetics.
  • #22 The Incidence of Plantar Fasciitis in the United States Military | Scilit
    https://www.scilit.net/publications/b8aca6e8c4c73eb65d344cd3273bf972
    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.
  • #23
    https://www.healio.com/news/orthopedics/20120325/diagnosis-and-treatment-of-plantar-fasciitis-in-the-military
    We utilized a large military database to determine the incidence rate and demographic risk factors for this common entity. The largest effect we noted was increased age, with the greater than 40 year old group having a 3.4-times higher incidence than the 20 to 24 years-old group. […] The next largest effect was gender, where we found that the rate in female service members was twice that of men. We found a slightly higher incidence among black service members compared to those of white service members. We also found that junior enlisted personnel and those in the Army and Marines were at higher risk for plantar fasciitis with these categories probably having higher activity levels than senior officers and other branches of service. […] We do not have a complete understanding of the natural history of plantar fasciitis in the military population, as this has not been studied to our knowledge. There are activity requirements that may alter the natural history in this unique population. Service members are subjected to austere activity and load conditions that increase their risk for a degenerative process such as plantar fasciitis especially in a deployed or combat environment.
  • #24 Plantar fasciopathy: a current concepts review in: EFORT Open Reviews Volume 3 Issue 8 (2018)
    https://eor.bioscientifica.com/view/journals/eor/3/8/2058-5241.3.170080.xml
    Neuritis or nerve entrapments, especially Baxters nerve, may be another risk factor for the development of pain that simulates PF. […] Spondyloarthropathy should be ruled out in patients who are younger than the typical age of presentation of PF and who present with bilateral heel pain. […] Genetics may play a role in the progressive contracture of connective tissue. […] Recreational running, military activities, and Irish dancing have been found to be related to PF. […] Although a significant association between PF and time spent standing at work has been found, no data have been presented on the extent and time of either exposure or the type of occupation of cases and controls. […] Another study considering prolonged weight-bearing as a risk factor found low-quality evidence of an association between weight-bearing tasks and PF. […] Foot/ankle/leg deformities and biomechanical dysfunction may be the underlying cause of recalcitrant PF. […] Most risk factors reviewed may be linked to increasing the degree/rate of an already underlying tight gastrocnemius.
  • #25 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
    Research on plantar fasciitis’ prevalence and medical management in the adult population of the United States was published by Nahin, R. L. […] He claimed that the prevalence of plantar fasciitis was higher in women (1.19%) than in males (0.47%). […] We conclude that 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 can be prevented by education and applying ergonomics and could be treated by steroids and the ice method, according to medical practitioners.
  • #26 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
    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. […] In the United States, Nahin et al. reported that 0.85% of adults experienced complaints related to plantar heel pain. […] It is reported that about 1 million patient consult the physician per year for plantar heel pain. […] The existing literature has consistently demonstrated that plantar heel pain is influenced by various person-level factors, such as gender, age, body mass index (BMI), and depression.
  • #27 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. […] In the USA, it has been estimated that management of plantar heel pain accounts for 1 million physician visits per year, with the associated annual economic burden calculated at US$284 million. […] In the UK, 12.1% of all musculoskeletal foot and ankle consultations in primary care in 2006 were related to heel pain, with 7.5% specifying plantar fasciitis.
  • #28 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.
  • #29 103 Facts and Statistics About Plantar Fasciitis | KURU
    https://www.kurufootwear.com/blogs/articles/plantar-fasciitis-statistics?srsltid=AfmBOoqjOVW3IEAPE9RN1STgUDaWDXdkTAXAYxY7_qjNKeMvSZtzEaWK
    Most plantar fasciitis patients heal within six to 12 months. (EJMCM, 2023) […] Regardless of treatment, plantar fasciitis pain typically resolves within one year. (AS, 2022) […] About 90 percent of plantar fasciitis cases receive successful treatment with conservative care. (EJMCM, 2023) […] The estimated national cost of evaluating and treating plantar fasciitis in America is $284 million annually. (MCNA, 2014)
  • #30 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8705263/
    The authors found that while BMI was not associated with plantar fasciitis in the athletic population, there was evidence to support such an association in the non-athletic population. […] These results have been supported by other reviews that specifically investigated risk factors of plantar fasciitis, especially in non-athletic population. […] A review published in 2006 included 16 articles and found that the presence of a calcaneal spur were consistently associated with plantar fasciitis, and weaker associations for increased age, and prolonged standing. […] The importance in understanding this condition is reflected by a marked increase in published plantar fasciitis research. […] A PubMed search of Plantar Fasciitis returns over 1600 results in February 2021, with 636 items published in years 2015 to 2021. […] Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.
  • #31 Consensus statements and guideline for the diagnosis and management of plantar fasciitis in Singapore – Annals Singapore
    https://annals.edu.sg/consensus-statements-and-guideline-for-the-diagnosis-and-management-of-plantar-fasciitis-in-singapore/
    Plantar fasciitis (PF) is a common cause of heel pain among the general population. […] Approximately 10% of the general population is expected to develop PF over a lifetime. […] In Singapore, there are ongoing efforts to elucidate the local prevalence of PF. […] Clinical practice guidelines have been widely used to improve the quality of healthcare through evidence-based best practice. […] Local guidelines for PF management are sparse and hence, it is timely to review current evidence and provide revised recommendations. […] The 18 consensus statements pertain to the diagnosis and management of PF, including investigations, assessment of risk factors, treatment modalities, monitoring and return to work/play. […] The consensus was developed around 5 clinical domains: diagnosis and investigation; risk factors, treatment modalities, monitoring and return to work/play.
  • #32 Diagnosis and Treatment of Plantar Fasciitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0915/p676.html
    Plantar fasciitis, a self-limiting condition, is a common cause of heel pain in adults. It affects more than 1 million persons per year, and two-thirds of patients with plantar fasciitis will seek care from their family physician. […] Plantar fasciitis is a common cause of heel pain in adults. It is estimated that more than 1 million patients seek treatment annually for this condition, with two-thirds going to their family physician. […] Diagnosis of plantar fasciitis is based on patient history, risk factors and physical examination findings. […] Imaging can aid in the diagnosis of plantar fasciitis. Although not routinely needed initially, imaging can be used to confirm recalcitrant plantar fasciitis or to rule out other heel pathology. […] If at least six months of conservative treatment is ineffective, a trial of extracorporeal shock wave therapy or plantar fasciotomy can be considered.
  • #33
    https://www.polradiol.com/Evaluation-of-plantar-fascia-using-high-resolution-ultrasonography-r-nin-clinically,121527,0,2.html
    The aim of this study was to assess the role of diagnostic ultrasonography in establishing the diagnosis of plantar fasciitis. […] With 4 mm of thickness of plantar fascia as the cut-off, ultrasonography was diagnostic of PF in 42/44 patients (48 heels), giving a sensitivity of 96%, specificity of 100%, and accuracy of 98%. […] Diagnosis of plantar fasciitis can be easily confirmed with ultrasonography. Thickness 4 mm, indistinct margins, and hypoechogenicity are diagnostic. […] Ultrasonography is highly sensitive and specific in diagnosing plantar fasciitis.
  • #34 103 Facts and Statistics About Plantar Fasciitis | KURU
    https://www.kurufootwear.com/blogs/articles/plantar-fasciitis-statistics?srsltid=AfmBOoqjOVW3IEAPE9RN1STgUDaWDXdkTAXAYxY7_qjNKeMvSZtzEaWK
    U.S. adult females are 2.5 times more likely to report plantar fasciitis than males. (NCCIH, 2018) […] Google searches for plantar fasciitis have steadily increased in recent years. (Healthcare, 2022) […] Plantar fasciitis usually only affects one foot, but in 30 percent of cases, it affects both feet. (JRMS 2012) […] Each year, about 1 million doctor visits in the U.S. result in a plantar fasciitis diagnosis. (DMSO, 2020) […] About 85 percent of U.S. adults that report having plantar fasciitis have a formal diagnosis. (KURU, 2022) […] About 20 percent of U.S. adults reporting plantar fasciitis have a self-diagnosis. (KURU, 2022) […] About 40 percent of U.S. adults reporting plantar fasciitis had X-rays before receiving their diagnosis. (KURU, 2022) […] About 17 percent of U.S. adults reporting plantar fasciitis had CT scans before receiving their diagnosis. (KURU, 2022)
  • #35 Top Published Expert Doctors for Plantar Fasciitis
    https://findexpertmd.com/d/Plantar_Fasciitis
    331 top medical experts on Plantar Fasciitis across 39 countries and 36 U.S. states, including 188 MDs (Physicians). This is based on an objective analysis of their Scientific Publications, Clinical Trials, Medicare, and NIH Grants. […] Clinical Trials ClinicalTrials.gov: at least 144 including 3 Active, 76 Completed, 23 Recruiting.
  • #36 How to Treat Plantar Fasciitis | POGO Physio Gold Coast
    https://www.pogophysio.com.au/blog/plantar-fasciitis/
    In the US it has been estimated to affect about two million people, resulting in more than one million visits to both primary care physicians and foot specialists. […] Known factors that can cause plantar fasciitis include age, certain types of exercise, foot mechanics, increased body mass, and occupations that require people to be on their feet for prolonged periods of time. […] Only one prospective risk factor study has been conducted for plantar fasciitis in the athletic population which investigated a cohort of 166 recreational and competitive runners. This study found a varus hindfoot, a varus knee position, a cavus foot type, spiked footwear and middle distance running to be the chief risk factors for the onset of plantar fasciitis. […] Further research is required to determine the importance of such factors as vascular and metabolic disturbances, the formation of free radicals, hyperthermia, and the potential role of genetics in the onset and development of plantar fasciitis.
  • #37 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
    Plantar fasciitis (PF) may affect 1 million people worldwide per year. The exact prevalence of PF is not known. The lifetime prevalence may reach 10% of the general population worldwide. A local population study of 3206 participants in Australia showed that the prevalence of heel pain was 3.6%. […] Approximately 11%15% of all foot symptoms require long-term professional care and affect all age groups, sexes, and ethnicities, with a higher prevalence noted in females aged 4060 years. […] Chronic PF shows a poorer foot-specific and general health-related QoL with respect to healthy matched controls, without being associated with age, sex, or the body mass index (BMI). […] 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.
  • #38 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 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.