Metatarsalgia – Epidemiologia

Metatarsalgia
Epidemiologia

Metatarsalgia, definiowana jako ból w przedniej części stopy pod głowami kości śródstopia, dotyka od 13% do 36% populacji ogólnej, z wyższą częstością w specyficznych grupach ryzyka, takich jak kobiety, osoby starsze powyżej 50 roku życia, osoby z otyłością oraz sportowcy. Epidemiologia tego schorzenia jest złożona i zależy od definicji przypadku – badania uwzględniające ból, bolesność i sztywność wykazują wyższe wskaźniki rozpowszechnienia (do 36%) niż te ograniczające się do samego bólu (około 13%). Czynniki ryzyka obejmują płeć żeńską, otyłość, aktywność fizyczną o wysokim obciążeniu kończyn dolnych oraz współistniejące schorzenia takie jak reumatoidalne zapalenie stawów, neuropatia cukrzycowa czy paluch koślawy. Metatarsalgia często współwystępuje z innymi patologiami stopy, np. nerwiakiem Mortona, paluchem koślawym i sztywnym, a także uszkodzeniem płytki podeszwowej, co dodatkowo komplikuje obraz kliniczny i wpływa na jakość życia pacjentów.

Metatarsalgia (ból w śródstopiu) – epidemiologia

Rozpowszechnienie w populacji ogólnej
Czynniki demograficzne
Grupy ryzyka
Choroby współistniejące z bólem w śródstopiu
Wpływ na jakość życia
Status socjoekonomiczny a metatarsalgia

Systemy nadzoru nad bólem w śródstopiu

Narzędzia oceny klinicznej
Wskaźnika zdrowia publicznego
Inicjatywy badawcze
Rekomendacje dla systemów nadzoru

Wnioski

Kolejne rozdziały

Metatarsalgia (ból w śródstopiu) – epidemiologia

Metatarsalgia (ból w śródstopiu) to dolegliwość zlokalizowana w przedniej części stopy, obejmująca obszar pod głowami kości śródstopia, tuż za palcami. Charakteryzuje się ostrym, piekącym lub pulsującym bólem, który ma znaczący wpływ na jakość życia pacjentów.¹ Stanowi ona istotny problem zdrowia publicznego, który wymaga dokładnego rozpoznania epidemiologicznego dla skutecznego planowania interwencji klinicznych.

Rozpowszechnienie w populacji ogólnej

Ból w śródstopiu (okolicy podbicia stopy) jest jedną z najczęstszych dolegliwości stóp, dotykającą znaczną część populacji. Badania epidemiologiczne wskazują na zróżnicowaną częstość występowania tego schorzenia:

Według badań populacyjnych, ból w śródstopiu dotyka około 13-36% populacji ogólnej¹
W badaniu North West Adelaide Health Study wykazano, że około 17,4% uczestników zgłaszało ból, bolesność lub sztywność stóp²
Badanie Glasgow Caledonian University Alumni Foot Health Survey wykazało, że spośród osób z bólem stopy, 24,6% lokalizowało ból właśnie w przedniej części stopy (śródstopiu)³
Niektóre źródła podają, że ból w śródstopiu może dotykać około 80% populacji w pewnym momencie życia⁴

Warto zauważyć, że definicja przypadku znacząco wpływa na odnotowane wskaźniki rozpowszechnienia. Badania wykorzystujące definicję obejmującą wyłącznie składnik bólowy wykazują niższy odsetek występowania (około 13%) w porównaniu do badań uwzględniających ból, bolesność i sztywność łącznie (do 36%).⁵

Czynniki demograficzne

Analiza danych epidemiologicznych wskazuje na kilka istotnych czynników demograficznych związanych z występowaniem metatarsalgii:

Płeć

Płeć żeńska stanowi znaczący czynnik ryzyka występowania bólu w śródstopiu:

Kobiety znacznie częściej niż mężczyźni doświadczają bólu w przedniej części stopy⁶⁷
Analizy wieloczynnikowe potwierdzają, że płeć żeńska jest niezależnie związana z umiarkowanym do ciężkiego bólem stopy⁸
Szczególnie narażone są kobiety w średnim wieku uprawiające sport, u których ból może rozwijać się stopniowo w związku z niewłaściwym obuwiem, zmianą terenu biegowego lub szybkim zwiększeniem intensywności treningu⁹

Wiek

Zależność między wiekiem a występowaniem bólu w śródstopiu jest złożona:

Niektóre badania wskazują, że osoby starsze (powyżej 50 roku życia) mają znacznie wyższe wskaźniki problemów ze stopami, co przypisuje się kumulacyjnemu wpływowi starzenia na struktury stopy¹⁰
Jednocześnie inne badania (np. Glasgow Caledonian University Alumni Foot Health Survey) nie wykazały istotnego związku między zwiększającym się wiekiem a występowaniem umiarkowanego do ciężkiego bólu stopy (OR 1.00, 95% CI 0.99-1.01, p=0.98)¹¹
Badanie Framingham Foot Study wskazuje, że około 20% osób starszych doświadcza bólu stóp regularnie¹²

Warto zaznaczyć, że ból w śródstopiu występuje również u młodszych pacjentów, szczególnie tych aktywnych fizycznie.¹³

Grupy ryzyka

Badania epidemiologiczne wyróżniają kilka grup szczególnie narażonych na rozwój metatarsalgii:

Osoby z nadwagą i otyłością

Otyłość stanowi istotny niezależny czynnik ryzyka bólu w śródstopiu:

Osoby z otyłością doświadczają znacznie większych sił działających na stopę podczas chodzenia¹⁴
Otyłość zwiększa tendencję do płaskostopia, co może prowadzić do metatarsalgii¹⁵
Osoby z nadwagą mają tendencję do przedłużającego się bólu i gorszego gojenia tkanek z powodu zwiększonego poziomu stanu zapalnego w organizmie¹⁶
Analizy wieloczynnikowe potwierdzają, że otyłość jest niezależnie związana z umiarkowanym do ciężkiego bólem stopy¹⁷

Sportowcy

Sportowcy, zwłaszcza uprawiający sporty o wysokim obciążeniu kończyn dolnych, stanowią istotną grupę ryzyka:

Sportowcy uczestniczący w sportach o wysokim obciążeniu kończyn dolnych często zgłaszają urazy przedniej części stopy, w tym metatarsalgię¹⁸
Nagły wzrost aktywności lub presji na stopę jest jedną z najczęstszych przyczyn bólu w przedniej części stopy, prowadzącą do mikrourazów i stanu zapalnego¹⁹
Szczególnie kobiety w średnim wieku uprawiające sport są narażone na stopniowe rozwijanie się bólu związanego z niewłaściwym obuwiem lub zmianą intensywności treningu²⁰
U biegaczy długodystansowych często występują złamania przeciążeniowe kości śródstopia, manifestujące się jako ból w śródstopiu²¹

Osoby z chorobami współistniejącymi

Liczne badania wskazują na związek między bólem w śródstopiu a innymi schorzeniami:

Osoby z bólami pleców, kolan i bioder częściej zgłaszają również ból stóp²²
Schorzenia takie jak reumatoidalne zapalenie stawów, łuszczyca stawowa czy dna moczanowa często objawiają się również bólem w śródstopiu²³²⁴
U pacjentów z cukrzycą neuropatia może prowadzić do mrowienia, pieczenia lub kłującego bólu w stopie²⁵
Obecność palucha koślawego (hallux valgus) jest istotnie związana z umiarkowanym do ciężkiego bólem stopy²⁶²⁷

Choroby współistniejące z bólem w śródstopiu

Metatarsalgia często współwystępuje z innymi schorzeniami stopy oraz dolegliwościami w obrębie innych części układu mięśniowo-szkieletowego:

Nerwiak Mortona – około połowa pacjentów z bólem w śródstopiu może mieć tę przypadłość, charakteryzującą się pogrubieniem tkanki wokół nerwu między trzecim a czwartym palcem stopy²⁸²⁹
Paluch koślawy (hallux valgus) – występuje u około 26% kobiet w wieku 18-65 lat i 36% kobiet powyżej 65 roku życia³⁰
Paluch sztywny (hallux rigidus) – dotyka ponad 40% mężczyzn i 50% kobiet do wczesnych lat 70-tych, a u 20% osób rozwija się do wczesnych lat 40-tych³¹
Uszkodzenie płytki podeszwowej – uraz stawu palca, powodujący ból i cofnięcie palca, często obserwowany u kobiet w średnim wieku³²
Twardzina układowa – w badaniu pacjentów z twardziną układową 24,1% zgłaszało ból stopy³³

Wpływ na jakość życia

Badania epidemiologiczne wykazują istotny negatywny wpływ bólu w śródstopiu na jakość życia pacjentów:

Uczestnicy badań zgłaszający ból stopy wykazują niższe wyniki w kwestionariuszu SF-36 oceniającym jakość życia związaną ze zdrowiem³⁴
Związek między bólem stopy a obniżoną jakością życia utrzymuje się nawet po skorygowaniu wyników o wiek, płeć i BMI³⁵
Umiarkowany do ciężkiego ból stopy jest istotnie i niezależnie związany z niższą funkcją stopy, zdrowiem stopy i wynikami jakości życia związanej ze zdrowiem³⁶
Nieleczony ból w śródstopiu może prowadzić do zaburzeń równowagi i niestabilności podczas stania lub chodzenia, zwiększając ryzyko upadków³⁷³⁸
Ból w śródstopiu może również powodować wtórny ból pleców, kostek, kolan lub bioder³⁹

Status socjoekonomiczny a metatarsalgia

Badania analizujące związek między statusem socjoekonomicznym a występowaniem bólu w śródstopiu przedstawiają mieszane wyniki:

Niektóre badania nie wykazały istotnego związku między deprywacją społeczną a występowaniem umiarkowanego do ciężkiego bólu stopy (OR 0.86, 95% CI 0.57-1.29, p=0.46)⁴⁰
Jednocześnie wykazano związek między niższą klasą zawodową a występowaniem umiarkowanego do ciężkiego bólu stopy (OR 1.45, 95% CI 0.99-2.01, p=0.05)⁴¹
Analizy wieloczynnikowe potwierdziły, że niższa klasa zawodowa jest niezależnie związana z umiarkowanym do ciężkiego bólem stopy⁴²

Systemy nadzoru nad bólem w śródstopiu

Ze względu na powszechność występowania bólu w śródstopiu i jego istotny wpływ na jakość życia, wdrażane są różne systemy nadzoru i monitorowania tego problemu zdrowotnego:

Narzędzia oceny klinicznej

W praktyce klinicznej stosuje się różne narzędzia do oceny i monitorowania bólu w śródstopiu:

Kwestionariusz Foot Function Index (FFI) – służy do oceny wpływu patologii stopy na funkcję w kategoriach bólu, niepełnosprawności i ograniczenia aktywności⁴³
VIF (Variance Inflation Factor) – miara, która pomaga lekarzom w ocenie prawdopodobieństwa wystąpienia bólu stopy u pacjentów⁴⁴
Wskaźnik Foot Posture Index (FPI) – ocena postawy stopy, szczególnie istotna przy analizie pronacji stopy jako czynnika ryzyka bólu w śródstopiu⁴⁵
Kwestionariusz SF-36 – często stosowany do oceny wpływu bólu stopy na ogólną jakość życia związaną ze zdrowiem⁴⁶

Wskaźnika zdrowia publicznego

Dla celów zdrowia publicznego monitoruje się różne wskaźniki związane z bólem w śródstopiu:

Liczba konsultacji podstawowej opieki zdrowotnej z powodu bólu w śródstopiu – wskaźnik obciążenia systemu opieki zdrowotnej⁴⁷
Liczba skierowań do specjalistów (ortopedów, podologów) z powodu bólu w śródstopiu⁴⁸
Częstość występowania chorób współistniejących z bólem w śródstopiu, takich jak otyłość, cukrzyca czy choroby reumatyczne⁴⁹
Dane dotyczące obciążenia ekonomicznego związanego z bólem stopy – każdego roku ponad 800 000 Amerykanów poniżej 65 roku życia szuka ambulatoryjnego leczenia zapalenia powięzi podeszwy, które często współwystępuje z bólem w śródstopiu⁵⁰

Inicjatywy badawcze

Na świecie prowadzone są liczne inicjatywy badawcze mające na celu lepsze zrozumienie epidemiologii bólu w śródstopiu:

Framingham Foot Study – długoterminowe badanie dostarczające danych o występowaniu bólu stopy, w tym bólu w śródstopiu, szczególnie wśród osób starszych⁵¹
North West Adelaide Health Study – populacyjne badanie dotyczące zdrowia stóp, które wykazało 17,4% częstość występowania bólu stóp⁵²
Glasgow Caledonian University Alumni Foot Health Survey – szczegółowe badanie dostarczające danych o lokalizacji bólu stóp, wskazujące że 24,6% osób z bólem stopy lokalizuje go właśnie w śródstopiu⁵³

Rekomendacje dla systemów nadzoru

W związku z wyzwaniami w porównywaniu danych epidemiologicznych dotyczących bólu w śródstopiu, formułowane są następujące rekomendacje:

Standaryzacja definicji przypadku bólu w śródstopiu w badaniach epidemiologicznych⁵⁴
Konsekwentne stosowanie miar zbierania danych w przyszłych badaniach populacyjnych⁵⁵
Rozwijanie modeli opieki opartych na dowodach naukowych dla zarządzania bólem w śródstopiu⁵⁶
Ocena, czy obecne usługi opieki podiatrycznej są wystarczające wobec rosnącej częstości występowania bólu stopy w starzejących się społeczeństwach⁵⁷
Wczesna interwencja – osoby szukające pomocy w ciągu 12 miesięcy od wystąpienia objawów mają większe szanse na ich ustąpienie⁵⁸

Wnioski

Metatarsalgia (ból w śródstopiu) stanowi istotny problem zdrowia publicznego, dotykający od 13% do 36% populacji ogólnej, z jeszcze wyższym odsetkiem wśród specyficznych grup ryzyka, takich jak kobiety, osoby starsze, osoby z otyłością oraz sportowcy.⁵⁹⁶⁰ Przeprowadzone badania epidemiologiczne wskazują na złożoność tego problemu i jego istotny wpływ na jakość życia pacjentów.

Dane epidemiologiczne podkreślają potrzebę standaryzacji definicji przypadku w badaniach naukowych, co pozwoliłoby na dokładniejsze porównywanie wskaźników występowania między różnymi populacjami.⁶¹ Wobec starzenia się społeczeństwa i rosnącej częstości występowania otyłości, przewiduje się wzrost liczby przypadków bólu w śródstopiu, co stanowi wyzwanie dla systemów ochrony zdrowia.⁶²

Dalsze badania są niezbędne do określenia optymalnych modeli opieki nad pacjentami z bólem w śródstopiu oraz oceny, czy obecne usługi specjalistyczne są wystarczające wobec rosnącego zapotrzebowania.⁶³ Szczególną uwagę należy zwrócić na grupy wysokiego ryzyka oraz wdrażanie skutecznych strategii profilaktycznych i terapeutycznych, które mogłyby zmniejszyć obciążenie związane z tym powszechnym schorzeniem.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

Materiały źródłowe

#1 Metatarsalgia – Symptoms & causes – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/metatarsalgia/symptoms-causes/syc-20354790
Metatarsalgia (met-uh-tahr-SAL-juh) is a condition in which the ball of the foot becomes painful and irritated. […] Symptoms of metatarsalgia can include: Sharp, aching or burning pain in the ball of the foot. The ball is the part of the sole just behind the toes. […] Talk to your health care professional if you have a burning pain in the ball of your foot that doesn’t improve after changing your shoes and your activities. […] Left untreated, metatarsalgia might lead to pain in other parts of the same foot or in the other foot.
#1 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#2 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#3 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey
https://pmc.ncbi.nlm.nih.gov/articles/PMC6098653/
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Most commonly reported regional sites for pain in the foot were the arch (26.3%), the ball of the foot (24.6%), toes (20.7%), forefoot (20.1%) and the heel (18.5%). […] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#4 Metatarsalgia | NHS Lanarkshire
https://www.nhslanarkshire.scot.nhs.uk/services/podiatry/metatarsalgia/
Metatarsalgia or ball of the foot pain is very common and will affect around 80% of the population at some point in their life. It is made up of a group of conditions that can cause pain and inflammation around the bones and joints in the ball of the foot. […] The most common conditions affecting the ball of the foot are: Fatpadatrophy, Capsulitis, Intermetatarsal bursitis, Plantar plate injury. […] The most common cause of pain in the ball of the foot is from a sudden increase in pressure or activity resulting in micro trauma and inflammation. […] People who tend to have increased weight can have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve and pain and the healing process. […] Weight Reduction People who are overweight tend to have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve the healing process.
#5 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#6 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey
https://pmc.ncbi.nlm.nih.gov/articles/PMC6098653/
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Most commonly reported regional sites for pain in the foot were the arch (26.3%), the ball of the foot (24.6%), toes (20.7%), forefoot (20.1%) and the heel (18.5%). […] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#7 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p<0.05). [...] Moderate-to-severe foot pain experienced in the previous week affected 236/593 (prevalence [95% CI] of 39.8%, [35.9-43.7%]). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05).
#8 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
The presence of bunions was associated with moderate-to-severe foot pain (p<0.05), while the presence of claw toes, and nail problems were associated with moderate-to-severe foot pain at the p<0.2 level. [...] Medical conditions back pain, knee pain, hip pain, high BP, rheumatoid arthritis, being overweight/obese (see Fig. 3) and having either any one medical condition or multi-morbidity were all associated with moderate-to-severe foot pain (p<0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#9 Metatarsalgia: Practice Essentials, Etiology, Epidemiology
https://emedicine.medscape.com/article/85864-overview
Athletes who participate in high-impact sports that involve the lower extremities commonly present with forefoot injuries, including metatarsalgia. […] Athletes, especially those who are middle-aged women, may experience a gradual onset of pain that is associated with improper footwear, a change in running terrain, or a rapid increase in training intensity.
#10 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#11 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p<0.05). [...] Moderate-to-severe foot pain experienced in the previous week affected 236/593 (prevalence [95% CI] of 39.8%, [35.9-43.7%]). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05).
#12 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
About 20 percent of older adults experience it on a regular basis, according to results from the Framingham Foot Study, published in the journal Gerontology. […] But foot pain should never be ignored, as research suggests it can impair balance and foot function, and may even increase a persons risk of falling. […] Your pain may even point to other, potentially serious health issues. […] If you are diagnosed with a stress fracture in your foot, talk to your doctor about whether you should undergo screening for osteoporosis. […] Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness.
#13 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#14 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#15 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#16 Metatarsalgia | NHS Lanarkshire
https://www.nhslanarkshire.scot.nhs.uk/services/podiatry/metatarsalgia/
Metatarsalgia or ball of the foot pain is very common and will affect around 80% of the population at some point in their life. It is made up of a group of conditions that can cause pain and inflammation around the bones and joints in the ball of the foot. […] The most common conditions affecting the ball of the foot are: Fatpadatrophy, Capsulitis, Intermetatarsal bursitis, Plantar plate injury. […] The most common cause of pain in the ball of the foot is from a sudden increase in pressure or activity resulting in micro trauma and inflammation. […] People who tend to have increased weight can have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve and pain and the healing process. […] Weight Reduction People who are overweight tend to have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve the healing process.
#17 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
The presence of bunions was associated with moderate-to-severe foot pain (p<0.05), while the presence of claw toes, and nail problems were associated with moderate-to-severe foot pain at the p<0.2 level. [...] Medical conditions back pain, knee pain, hip pain, high BP, rheumatoid arthritis, being overweight/obese (see Fig. 3) and having either any one medical condition or multi-morbidity were all associated with moderate-to-severe foot pain (p<0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#18 Metatarsalgia: Practice Essentials, Etiology, Epidemiology
https://emedicine.medscape.com/article/85864-overview
Athletes who participate in high-impact sports that involve the lower extremities commonly present with forefoot injuries, including metatarsalgia. […] Athletes, especially those who are middle-aged women, may experience a gradual onset of pain that is associated with improper footwear, a change in running terrain, or a rapid increase in training intensity.
#19 Metatarsalgia | NHS Lanarkshire
https://www.nhslanarkshire.scot.nhs.uk/services/podiatry/metatarsalgia/
Metatarsalgia or ball of the foot pain is very common and will affect around 80% of the population at some point in their life. It is made up of a group of conditions that can cause pain and inflammation around the bones and joints in the ball of the foot. […] The most common conditions affecting the ball of the foot are: Fatpadatrophy, Capsulitis, Intermetatarsal bursitis, Plantar plate injury. […] The most common cause of pain in the ball of the foot is from a sudden increase in pressure or activity resulting in micro trauma and inflammation. […] People who tend to have increased weight can have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve and pain and the healing process. […] Weight Reduction People who are overweight tend to have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve the healing process.
#20 Metatarsalgia: Practice Essentials, Etiology, Epidemiology
https://emedicine.medscape.com/article/85864-overview
Athletes who participate in high-impact sports that involve the lower extremities commonly present with forefoot injuries, including metatarsalgia. […] Athletes, especially those who are middle-aged women, may experience a gradual onset of pain that is associated with improper footwear, a change in running terrain, or a rapid increase in training intensity.
#21 Foot Pain | Causes & Treatment Options in Singapore – Straits Podiatry
https://www.straitspodiatry.com/conditions/foot-pain/
Foot pain is a common ailment that affects millions of people worldwide, with a prevalence rate of up to 36%. […] Pain at the ball of the foot: Metatarsalgia: a common overuse injury that causes aches at the ball of the foot. […] Pain at the ball of the foot: Mortons Neuroma: an inflammation of a nerve that causes pain and numbness shooting to the toes. […] Pain at the ball of the foot: Plantar Plate Injury: A toe joint injury that causes pain and retraction of the toe, commonly seen in middle-aged females. […] Pain at the ball of the foot: Stress Fracture: A hairline crack on the metatarsal bones, usually seen in Athletes or long-distance runners.
#22 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#23 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
About 20 percent of older adults experience it on a regular basis, according to results from the Framingham Foot Study, published in the journal Gerontology. […] But foot pain should never be ignored, as research suggests it can impair balance and foot function, and may even increase a persons risk of falling. […] Your pain may even point to other, potentially serious health issues. […] If you are diagnosed with a stress fracture in your foot, talk to your doctor about whether you should undergo screening for osteoporosis. […] Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness.
#24 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
Gout a form of inflammatory arthritis where high levels of a substance known as urate build up in your body, leading to joint pain and swelling often begins in your big toe, but it can be misdiagnosed and overlooked. […] When you think of deep vein thrombosis, you may automatically think of leg swelling and leg pain. But this condition, where a blood clot forms in one of the bodys deep veins, can also cause sudden and severe pain in the ankle or foot.
#25 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
About 20 percent of older adults experience it on a regular basis, according to results from the Framingham Foot Study, published in the journal Gerontology. […] But foot pain should never be ignored, as research suggests it can impair balance and foot function, and may even increase a persons risk of falling. […] Your pain may even point to other, potentially serious health issues. […] If you are diagnosed with a stress fracture in your foot, talk to your doctor about whether you should undergo screening for osteoporosis. […] Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness.
#26 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
The presence of bunions was associated with moderate-to-severe foot pain (p<0.05), while the presence of claw toes, and nail problems were associated with moderate-to-severe foot pain at the p<0.2 level. [...] Medical conditions back pain, knee pain, hip pain, high BP, rheumatoid arthritis, being overweight/obese (see Fig. 3) and having either any one medical condition or multi-morbidity were all associated with moderate-to-severe foot pain (p<0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#27 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey
https://pmc.ncbi.nlm.nih.gov/articles/PMC6098653/
The presence of self-reported bunions was associated with moderate-to-severe pain, and was significantly more prevalent in women, which was in agreement with previous studies. […] The high prevalence of foot pain, comorbidity and multi-morbidity in this sample may also be explained by the student recruitment profile of GCU and the demographic characteristics of its students.
#28 Morton’s neuroma – Symptoms and causes – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/mortons-neuroma/symptoms-causes/syc-20351935
Morton’s neuroma involves a thickening of the tissue around one of the nerves leading to your toes. This can cause a sharp, burning pain in the ball of your foot. […] Morton’s neuroma is a painful condition that affects the ball of your foot, most commonly the area between your third and fourth toes. […] A burning pain in the ball of your foot that may radiate into your toes. […] It’s best not to ignore any foot pain that lasts longer than a few days. See your doctor if you experience a burning pain in the ball of your foot that’s not improving, despite changing your footwear and modifying activities that may cause stress to your foot. […] Wearing high-heeled shoes or shoes that are tight or ill fitting can place extra pressure on your toes and the ball of your foot.
#29
https://tohealthyfeet.com/blog/Pain+In+the+Ball+Of+Your+Foot+It039s+Probably+Morton039s+Neuroma+or+Metatarsalgia/44
Metatarsalgia is a condition that is characterized by inflammation and soreness in the metatarsal bones, or the bones that connect your toes to the rest of your foot. This can result in pain and inflammation in the ball of your foot, pain at the base of your toes, and pain that increases when you walk or move. […] Although similar to Metatarsalgia, due to the high prevalence of pain in and around the ball of your foot, Mortons Neuroma is quite different. Mortons Neuroma is a condition brought on by injuries to the nerves and tendons in the foot, heel, or toes. […] Mortons Neuroma is commonly brought on as a result of improper fitting shoes or the stress of wearing high heels for an extended period of time. […] While both will feel painful in the balls of your feet, Mortons Neuroma can also be distinguished by pain in the third and fourth toes.
#30 Common Foot Problems: Over-the-Counter Treatments and Home Care | AAFP
https://www.aafp.org/pubs/afp/issues/2018/0901/p298.html
Hallux valgus is known for the characteristic bunion deformity at the first MTP joint, which can lead to osteoarthritis of the joint. It is more prevalent in women, occurring in 26% of women 18 to 65 years of age and in 36% of those older than 65 years.28 […] The prevalence of tinea pedis, or athlete’s foot, may be as high as 50% to 80% in some populations.50 […] Onychomycosis has an estimated prevalence of 6% to 14% in the general population and is more common in persons with tinea pedis.51,52
#31 Common Foot Problems: Over-the-Counter Treatments and Home Care | AAFP
https://www.aafp.org/pubs/afp/issues/2018/0901/p298.html
Foot pain reportedly affects 30% of the general population.1 In addition to causing pain and inconvenience, some foot problems are associated with disability and fall-related morbidity.2 Many common foot ailments do not require podiatry referral or complex interventions and are best managed with appropriate over-the-counter (OTC) treatments and home care, with careful guidance from the family physician. […] Each year, more than 800,000 Americans younger than 65 years seek outpatient treatment of plantar fasciitis.3 In 80% of plantar fasciitis cases, symptoms resolve with OTC and home therapies alone, most often within six months of commencing treatment.4 Those who seek care within 12 months of onset are more likely to have resolution of symptoms.4 […] Hallux rigidus is common, affecting more than 40% of men and 50% of women by their early 70s. Significant hallux rigidus will develop in 20% of persons by their early 40s.21
#32 Foot Pain | Causes & Treatment Options in Singapore – Straits Podiatry
https://www.straitspodiatry.com/conditions/foot-pain/
Foot pain is a common ailment that affects millions of people worldwide, with a prevalence rate of up to 36%. […] Pain at the ball of the foot: Metatarsalgia: a common overuse injury that causes aches at the ball of the foot. […] Pain at the ball of the foot: Mortons Neuroma: an inflammation of a nerve that causes pain and numbness shooting to the toes. […] Pain at the ball of the foot: Plantar Plate Injury: A toe joint injury that causes pain and retraction of the toe, commonly seen in middle-aged females. […] Pain at the ball of the foot: Stress Fracture: A hairline crack on the metatarsal bones, usually seen in Athletes or long-distance runners.
#33 Foot Pain and Lesions in Systemic Sclerosis: Prevalence and Association with Organ Involvement
https://clinmedjournals.org/articles/jrdt/journal-of-rheumatic-diseases-and-treatment-jrdt-5-076.php?jid=jrdt
Our goal was to evaluate prevalence of foot pain and lesions in patients with systemic sclerosis (SSc) and their association with other organ involvements. […] Of all patients, 119 (89%) were women with a mean age +Standard Deviation (SD) of 39.3 + 13.1 years, 32 (24.1%) patients had foot pain, and 40.6% were classified as having diffuse cutaneous SSc. […] Foot pain and lesion are common in Scleroderma patients, the diffuse subtype of the diseases, foot’s Raynaud’s, calcinosis, and telangiectasia were independently associated factors with foot lesion. […] The current cross-sectional study demonstrated that foot pain is a prevalent clinical symptom of SSc. […] Foot problems are very prevalent and should be considered as part of routine clinical management of SSc.
#34 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#35 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#36 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p<0.05). [...] Moderate-to-severe foot pain experienced in the previous week affected 236/593 (prevalence [95% CI] of 39.8%, [35.9-43.7%]). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05).
#37 Bottom of Foot Pain: Causes, Seriousness, Relief
https://www.health.com/bottom-of-foot-pain-8651555
Pain on the bottom of the foot can occur anywhere from the heel to the toes. […] The pain can also be a sign of an injury or underlying condition affecting the foot’s bones, muscles, nerves, or ligaments. […] If you have severe or ongoing pain in the bottom of your foot, seek medical attention for a diagnosis and treatment. […] Left untreated, the pain can cause balance issues and instability when standing or walking. […] This can lead to pain in your back, ankles, knees, or hips and increase the risk of falls. […] Pain can occur at the back of the foot, near the bottom of the heel bone. […] Discomfort can occur along the foot’s arch, which stretches from the heel to the ball of the foot. […] This pain occurs in the padded area between the arch and toes. […] It may feel like burning or sharp shooting sensations, particularly during running or jumping.
#38 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
About 20 percent of older adults experience it on a regular basis, according to results from the Framingham Foot Study, published in the journal Gerontology. […] But foot pain should never be ignored, as research suggests it can impair balance and foot function, and may even increase a persons risk of falling. […] Your pain may even point to other, potentially serious health issues. […] If you are diagnosed with a stress fracture in your foot, talk to your doctor about whether you should undergo screening for osteoporosis. […] Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness.
#39 Bottom of Foot Pain: Causes, Seriousness, Relief
https://www.health.com/bottom-of-foot-pain-8651555
Pain on the bottom of the foot can occur anywhere from the heel to the toes. […] The pain can also be a sign of an injury or underlying condition affecting the foot’s bones, muscles, nerves, or ligaments. […] If you have severe or ongoing pain in the bottom of your foot, seek medical attention for a diagnosis and treatment. […] Left untreated, the pain can cause balance issues and instability when standing or walking. […] This can lead to pain in your back, ankles, knees, or hips and increase the risk of falls. […] Pain can occur at the back of the foot, near the bottom of the heel bone. […] Discomfort can occur along the foot’s arch, which stretches from the heel to the ball of the foot. […] This pain occurs in the padded area between the arch and toes. […] It may feel like burning or sharp shooting sensations, particularly during running or jumping.
#40 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p<0.05). [...] Moderate-to-severe foot pain experienced in the previous week affected 236/593 (prevalence [95% CI] of 39.8%, [35.9-43.7%]). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05).
#41 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Moderate-to-severe foot pain was significantly and independently associated lower foot function, foot health and health-related quality of life scores following adjustment for age, gender and body mass index (p<0.05). [...] Moderate-to-severe foot pain experienced in the previous week affected 236/593 (prevalence [95% CI] of 39.8%, [35.9-43.7%]). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05).
#42 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
The presence of bunions was associated with moderate-to-severe foot pain (p<0.05), while the presence of claw toes, and nail problems were associated with moderate-to-severe foot pain at the p<0.2 level. [...] Medical conditions back pain, knee pain, hip pain, high BP, rheumatoid arthritis, being overweight/obese (see Fig. 3) and having either any one medical condition or multi-morbidity were all associated with moderate-to-severe foot pain (p<0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#43 Predictive factors for foot pain in the adult population | BMC Musculoskeletal Disorders | Full Text
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-07144-9
Foot pain has been associated to factors like: fat, body mass index, age increased, female gender and the presence of pathologies. Although evidence is limited. The purpose is to determine the predictive factors for foot pain in the adult population. […] Among the general population, foot pain is the most common variant, with an estimated prevalence of 1336%. Women are more likely than men to suffer this condition. […] Predictive factors for foot pain in the adult population include gender, age, Body Mass Index, FPI on the right foot, perceived health and mobility. Clinical implication, the presented measure aids physicians in assessing their patients foot pain likelihood. […] The prevalence of foot pain in the participants was 36%. […] Our findings showed the following predictive factors for foot pain (FFI-pain 45 points): gender (specifically female), age, BMI, right FPI (high values for pronation), perceived general health and mobility (difficulty in walking). […] The present study has important clinical implications, as the VIF serves as a measure that aids physicians in assessing the likelihood of their patients suffering foot pain.
#44 Predictive factors for foot pain in the adult population | BMC Musculoskeletal Disorders | Full Text
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-07144-9
Foot pain has been associated to factors like: fat, body mass index, age increased, female gender and the presence of pathologies. Although evidence is limited. The purpose is to determine the predictive factors for foot pain in the adult population. […] Among the general population, foot pain is the most common variant, with an estimated prevalence of 1336%. Women are more likely than men to suffer this condition. […] Predictive factors for foot pain in the adult population include gender, age, Body Mass Index, FPI on the right foot, perceived health and mobility. Clinical implication, the presented measure aids physicians in assessing their patients foot pain likelihood. […] The prevalence of foot pain in the participants was 36%. […] Our findings showed the following predictive factors for foot pain (FFI-pain 45 points): gender (specifically female), age, BMI, right FPI (high values for pronation), perceived general health and mobility (difficulty in walking). […] The present study has important clinical implications, as the VIF serves as a measure that aids physicians in assessing the likelihood of their patients suffering foot pain.
#45 Predictive factors for foot pain in the adult population | BMC Musculoskeletal Disorders | Full Text
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-07144-9
Foot pain has been associated to factors like: fat, body mass index, age increased, female gender and the presence of pathologies. Although evidence is limited. The purpose is to determine the predictive factors for foot pain in the adult population. […] Among the general population, foot pain is the most common variant, with an estimated prevalence of 1336%. Women are more likely than men to suffer this condition. […] Predictive factors for foot pain in the adult population include gender, age, Body Mass Index, FPI on the right foot, perceived health and mobility. Clinical implication, the presented measure aids physicians in assessing their patients foot pain likelihood. […] The prevalence of foot pain in the participants was 36%. […] Our findings showed the following predictive factors for foot pain (FFI-pain 45 points): gender (specifically female), age, BMI, right FPI (high values for pronation), perceived general health and mobility (difficulty in walking). […] The present study has important clinical implications, as the VIF serves as a measure that aids physicians in assessing the likelihood of their patients suffering foot pain.
#46 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#47 Heel Pain: Diagnosis and Management | AAFP
https://www.aafp.org/pubs/afp/issues/2018/0115/p86.html
More than 2 million persons present with plantar heel pain every year. Plantar fasciitis is the most common cause, with a lifetime prevalence of 10% in the general population. The primary symptom is usually throbbing medial plantar heel pain that is worse with the first steps after rest. […] Heel pain is a common presenting symptom to family physicians and has an extensive differential diagnosis. Most diagnoses stem from a mechanical etiology. […] A thorough patient history, physical examination of the foot and ankle, and appropriate imaging studies are essential in making a correct diagnosis and initiating proper management.
#48 Why does the ball of my foot hurt?
https://www.topdoctors.co.uk/medical-articles/why-does-the-ball-of-my-foot-hurt
Pain in the ball of the foot can be caused by a number of things, most of which involve excessive pressure being placed on this area. […] Pain in the ball of the foot should not be ignored. If it continues to be overloaded, further problems can occur, including: […] It is important to diagnose the condition accurately from the offset to properly manage it. Your doctor should take a detailed medical history and conduct a clinical examination. They may also order appropriate scans, such as X-rays or MRI scans. […] If you are concerned about pain in the ball of your foot, visit your doctor or book an appointment with a specialist.
#49 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey | Journal of Foot and Ankle Research | Full Text
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0290-1
The presence of bunions was associated with moderate-to-severe foot pain (p<0.05), while the presence of claw toes, and nail problems were associated with moderate-to-severe foot pain at the p<0.2 level. [...] Medical conditions back pain, knee pain, hip pain, high BP, rheumatoid arthritis, being overweight/obese (see Fig. 3) and having either any one medical condition or multi-morbidity were all associated with moderate-to-severe foot pain (p<0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#50 Common Foot Problems: Over-the-Counter Treatments and Home Care | AAFP
https://www.aafp.org/pubs/afp/issues/2018/0901/p298.html
Foot pain reportedly affects 30% of the general population.1 In addition to causing pain and inconvenience, some foot problems are associated with disability and fall-related morbidity.2 Many common foot ailments do not require podiatry referral or complex interventions and are best managed with appropriate over-the-counter (OTC) treatments and home care, with careful guidance from the family physician. […] Each year, more than 800,000 Americans younger than 65 years seek outpatient treatment of plantar fasciitis.3 In 80% of plantar fasciitis cases, symptoms resolve with OTC and home therapies alone, most often within six months of commencing treatment.4 Those who seek care within 12 months of onset are more likely to have resolution of symptoms.4 […] Hallux rigidus is common, affecting more than 40% of men and 50% of women by their early 70s. Significant hallux rigidus will develop in 20% of persons by their early 40s.21
#51 6 Causes of Foot Pain You Should Not Ignore
https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
About 20 percent of older adults experience it on a regular basis, according to results from the Framingham Foot Study, published in the journal Gerontology. […] But foot pain should never be ignored, as research suggests it can impair balance and foot function, and may even increase a persons risk of falling. […] Your pain may even point to other, potentially serious health issues. […] If you are diagnosed with a stress fracture in your foot, talk to your doctor about whether you should undergo screening for osteoporosis. […] Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness.
#52 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#53 Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey
https://pmc.ncbi.nlm.nih.gov/articles/PMC6098653/
Moderate-to-severe foot pain affected 236/593 respondents (39.8%). […] Most commonly reported regional sites for pain in the foot were the arch (26.3%), the ball of the foot (24.6%), toes (20.7%), forefoot (20.1%) and the heel (18.5%). […] Female gender was associated with foot pain affecting the forefoot, ball of the foot, and heel regions (all p<0.05). [...] The presence of moderate-to-severe foot pain was not associated with increasing age (OR 1.00, 95% CI 0.99-1.01, p=0.98) or social deprivation (OR 0.86, 95% CI 0.57-1.29, p=0.46), but was associated with non-professional occupation class at the p<0.2 level (OR 1.45, 95% CI 0.99-2.01, p=0.05). [...] Multivariate analyses identified that female gender, obesity, bunions, hip pain, back pain and lower occupational class were significantly and independently associated with moderate-to-severe foot pain.
#54 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#55 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#56 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#57 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#58 Common Foot Problems: Over-the-Counter Treatments and Home Care | AAFP
https://www.aafp.org/pubs/afp/issues/2018/0901/p298.html
Foot pain reportedly affects 30% of the general population.1 In addition to causing pain and inconvenience, some foot problems are associated with disability and fall-related morbidity.2 Many common foot ailments do not require podiatry referral or complex interventions and are best managed with appropriate over-the-counter (OTC) treatments and home care, with careful guidance from the family physician. […] Each year, more than 800,000 Americans younger than 65 years seek outpatient treatment of plantar fasciitis.3 In 80% of plantar fasciitis cases, symptoms resolve with OTC and home therapies alone, most often within six months of commencing treatment.4 Those who seek care within 12 months of onset are more likely to have resolution of symptoms.4 […] Hallux rigidus is common, affecting more than 40% of men and 50% of women by their early 70s. Significant hallux rigidus will develop in 20% of persons by their early 40s.21
#59 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#60 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#61 Prevalence of foot pain across an international consortium of population based cohorts
https://stacks.cdc.gov/view/cdc/77860
Objective. Despite the potential burden of foot pain, some of the most fundamental epidemiological questions surrounding the foot remain poorly explored. The prevalence of foot pain has proved difficult to compare across existing studies due to variations in case definitions. […] The prevalence of foot pain ranged from 13 to 36% and was lowest within the cohort that used a case definition specific to pain, compared to the four remaining cohorts that included components of pain, aching or stiffness. […] Foot pain is common and is associated with female sex, older age and obesity. The prevalence of foot pain is likely affected by the case definition used, therefore consideration must be given for future population studies to use consistent measures of data collection.
#62 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.
#63 Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study
https://pmc.ncbi.nlm.nih.gov/articles/PMC2547889/
Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Overall, 17.4% (95% confidence interval 16.2 18.8) of participants indicated that they had foot pain, aching or stiffness in either of their feet. Females, those aged 50 years and over, classified as obese and who reported knee, hip and back pain were all significantly more likely to report foot pain. Foot pain affects nearly one in five of people in the community, is associated with increased age, female sex, obesity and pain in other body regions, and has a significant detrimental impact on health-related quality of life. The prevalence of foot pain in other age-groups, however, has not been as widely studied. The 1990 US National Health Interview Survey of 119,631 people aged over 18 years included a podiatry supplement and found that 24% of the sample reported foot „trouble”. More recently, a random community-based sample of 3,417 people drawn from a general practice register in the UK found that 10% of study participants aged 18 to 80 years had „disabling” foot pain, and a community-based postal survey of 16,222 people aged over 55 years found that 18% reported joint pain, swelling and/or stiffness in their feet. The overall prevalence rate reported in this study is higher than that reported in the Cheshire Foot Pain and Disability Survey in the UK (10%), but lower than that reported in the US National Health Interview Survey (24%) and the Framingham Foot Study (28%). The associations reported between foot pain and age, female sex and obesity are largely consistent with previous reports. Prevalence studies involving participants across a wide age range have consistently found that older people have much higher rates of foot problems, which has been attributed to the cumulative effects of ageing on the integumentary, vascular and musculoskeletal structures of the foot. The association between foot pain and obesity can be partly explained by the significant increase in forces under the foot when walking in those who are obese and the increased tendency for obese people to be flatfooted. Irrespective of the underlying cause, our results indicate that foot pain has a significant impact on health-related quality of life. Participants who reported foot pain demonstrated lower scores on the SF-36, and this association persisted after adjusting for age, sex and BMI. This study indicates that although it has received relatively little attention in the epidemiological literature, foot pain is highly prevalent, even in young people, and has a significant detrimental impact on health-related quality of life. As the population ages and the prevalence of obesity increases, there is likely to be an increasing prevalence of foot pain. Further research is required to determine best practice models for managing foot pain and to determine whether the provision of foot care services, such as podiatry, are sufficient to meet this increasing demand.