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Do the presence, size, and shape of plantar calcaneal spurs have any significance in terms of pain and treatment outcomes in patients with plantar fasciitis?        
Yazarlar
Mehmet Okçu
Türkiye
Prof. Dr. Figen TUNCAY Prof. Dr. Figen TUNCAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Fatmanur Aybala Koçak
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Yakup Erden
Türkiye
Mustafa Yemliha Ayhan
Türkiye
Samet Sancar Kaya
Türkiye
Özet
Background/aim: The purpose of this study was to determine the effect of the presence, size, or type of calcaneal spurs on pain or the outcomes of extracorporeal shock wave therapy (ESWT) therapy in patients with plantar fasciitis. Materials and methods: Seventy-four patients with unilateral plantar fasciitis who had no pain in the contralateral foot, either currently or in the past, were included in the study. The length, base width, type, and presence of plantar calcaneal spurs in both heels of the patients were determined using radiography. A total of five sessions of ESWT (3 bar, 2000 shocks/session, 12 Hz frequency) with an interval of 3 days were performed on the painful sides of the patients. Symptom duration and numerical rating scale (NRS) scores were recorded pretreatment and 1 week and 12 weeks after treatment. Results: Spurs were detected in 85.1% of painful feet and 71.6% of painless feet, this difference was statistically significant (p = 0.046). There was no significant correlation between the type of the spurs and whether the foot was painful. Patients with spur sizes of >5 mm or with horizontal and hooked spurs had a higher NRS decrease than patients with spur sizes of ≤5 mm or with a vertical spur. Symptom duration, spur length, and base width were found to be correlated with pretreatment NRS scores. Conclusion: The presence and size of calcaneal spurs are associated with pain. However, it should be kept in mind that a high rate of spurs can also be found in painless feet, so spur is not the only factor that causes pain. Patients with a spur size of ≤5 mm or a vertical spur have less pain relief with ESWT.
Anahtar Kelimeler
Calcaneal spur | extracorporeal shock wave therapy | pain | plantar fasciitis | size | type
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı The Scientific and Technological Research Council of Turkey (TUBITAK-ULAKBIM) - DIGITAL COMMONS JOURNALS
Dergi ISSN 1300-0144
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili Türkçe
Basım Tarihi 01-2023
Cilt No 53
Sayı 1
Sayfalar 413 / 419
Doi Numarası 10.55730/1300-0144.5598
Makale Linki http://dx.doi.org/10.55730/1300-0144.5598