Abstract:
BACKGROUND:Plantar fasciitis is a relatively common disorder of the foot, yet little is known about its prevalence, what types of physicians see patients with the disorder, or how, on a national scale, patients are typically managed. The purpose of this study was to generate national estimates of the volume of patient visits and characteristics of care given to patients diagnosed with plantar fasciitis by medical doctors. METHODS:Data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) for the years 1995-2000 were studied. These are multistage probability sample surveys of visits to office-based physicians (NAMCS) and visits to nonfederal, short-stay, and general hospitals (NHAMCS) to consult doctors of medicine and doctors of osteopathy. Sample data have been weighted to produce national estimates. Data describing the number of patient visits for plantar fasciitis and the characteristics of the care given during those visits were summarized using univariate analyses. Data were combined for the 6-year period to increase the reliability of the estimates, and figures are presented as annual averages. RESULTS:Approximately 1 million patient visits per year were made to office-based physicians and hospital outpatient departments for the diagnosis and treatment of plantar fasciitis during 1995-2000. Approximately 62% of all visits were made to primary care practitioners, and 31% were made to orthopaedic surgeons. Patient visits for plantar fasciitis accounted for approximately 1% of all patient visits to orthopedic surgeons. Pain medication, including nonsteroidal anti-inflammatory drugs (NSAIDs), was the most frequently used intervention (47% of visits). Exercise counseling was cited at 26% of visits, and physical therapy was ordered or provided at 19% of visits. CONCLUSIONS:This research suggests that plantar fasciitis is a relatively common disorder that is seen by several physician specialties. The disorder is not managed in a consistent way. Rather, there appears to be a large amount of variation in the way that these patients are managed. These findings support the argument that additional research is needed to identify effective interventions for plantar fasciitis and to determine if physician specialty influences treatment outcome.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Riddle DL,Schappert SMdoi
10.1177/107110070402500505keywords:
subject
Has Abstractpub_date
2004-05-01 00:00:00pages
303-10issue
5eissn
1071-1007issn
1944-7876pii
604513journal_volume
25pub_type
杂志文章abstract::Light and electron microscopy was used for a histologic examination of normal heel fat pads and atrophic heel fat pads from patients with peripheral neuropathies. Histomorphometric analysis revealed an average 30% smaller mean cell area and 16% smaller mean cell diameters in the atrophic pads compared with the normal ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600502
更新日期:1995-05-01 00:00:00
abstract::Achilles tendinosis is a degenerative overuse tendinopathy involving the primary ankle plantarflexors, namely the soleus and gastrocnemius muscles forming the tendo Achilles. The Orthopaedic Research Institute-Ankle Strength Testing System (ORI-ASTS) was designed to record objective measurements of force generated wit...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070202300206
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1023
更新日期:2011-11-01 00:00:00
abstract::Bilateral symmetrical Achilles tendon ossification is presented, with a fracture on one side. A 57 year old male patient was conservatively treated for bilateral clubfeet in his childhood. Part of his Achilles tendons were replaced by ectopic bony mass and on the left it fractured without any trauma. The fracture was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101206
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Insufficient or excessive bony constraint surrounding the talus might contribute to the occurrence of ligamentous injury or bone contusion, respectively, at the time of ankle inversion injuries. This study aimed to investigate the relationship between radiographic lateral ankle instability and osteochondral ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719868476
更新日期:2019-12-01 00:00:00
abstract::We examined the effect of cutaneous warming on the transcutaneous oxygen measurement (TcPO2) at standard locations below the knee, on the dorsal foot, on the plantar right great toe, and on the plantar surface under the second metatarsal head of 656 diabetic and 16 nondiabetic subjects. All subjects underwent a direct...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601208
更新日期:1995-12-01 00:00:00
abstract::Three-phase bone scintigraphy diagnosis of Lisfranc injury in a patient after foot trauma is discussed. Early diagnosis of Lisfranc joint injury is frequently missed and radionuclide bone scintigraphy may show a specific pattern where the x-rays are inconclusive. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601107
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:A recent clinical study suggested that restrictive tenosynovitis of the flexor hallucis longus (FHL) may play an important causative role in hallux rigidus. The goals of this research were to assess normal function of the FHL and the effect of restricted FHL gliding on the loading of the hallux metatarsophal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0367
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600604
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evalua...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0513
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
doi:10.1177/1071100713487526
更新日期:2013-09-01 00:00:00
abstract::Percutaneous axial extensometers were mounted on the medial cortex of the midtibial diaphysis in seven male volunteers and the effect of three different shoes on in vivo peak-to-peak axial compression-tension strains measured during dynamic loading. Zohar shoes had lower axial strains and strain rates during treadmill...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079801900206
更新日期:1998-02-01 00:00:00
abstract::We report a very rare case of anterior dislocation of the subtalar joint. Forceful supination of the foot and dorsiflexion of the ankle was considered the cause of the injury in this case. Closed reduction was successful for the talocalcaneal component of subtalar joint, although surgery was subsequently performed bec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200715
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Ankle replacement and ankle arthrodesis are standard treatments for treating end-stage ankle arthritis when conservative treatment fails. Comparing patient-reported outcome scores to the instrument's minimal important difference (MID) helps physicians and researchers infer whether a meaningful change in heal...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720977842
更新日期:2021-01-27 00:00:00
abstract::The use of locking plate technology in foot and ankle surgery has increased over the last decade. Reported applications include fracture repair, deformity correction, and arthrodesis. There is limited evidence, however, to guide clinicians with regard to the appropriate and optimal use of this technology. This work ai...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100714523274
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND::Operative management of chronic Achilles tendon ruptures is challenging, and numerous techniques have been described. Risk of infection and wound breakdown have been described after open techniques, and minimally invasive methods have been proposed to avoid them. The aim of this study was to describe the cl...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718793172
更新日期:2018-12-01 00:00:00
abstract::In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 succes...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079401500104
更新日期:1994-01-01 00:00:00
abstract::The outcome of surgically treated mucous cysts of the foot is poorly documented in the orthopaedic literature. This study reports on the treatment of mucous cysts of the toes by simple excision and joint debridement. This is in contrast to treatment of similar lesions in the fingers which is often treated by excision ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400607
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial. SPECT/CT combines bone scan with high-resolution CT and can provide functional-anatomical images in a single stage. The purpose of this study was to assess the value of SPECT...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0233
更新日期:2011-03-01 00:00:00
abstract::The "squeeze test" is a clinical test for detecting "stable" syndesmosis injuries. The test is positive when proximal compression of the calf produces pain in the area of the distal tibiofibular and interosseous ligaments. The purpose of this study was to examine what fibular movement, if any, occurs at the level of t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900713
更新日期:1998-07-01 00:00:00
abstract::The purpose of this study was to define the amount of lateral displacement of the chevron osteotomy to obtain a 50% displacement of the capital fragment. While mathematical analyses exist to predict the degree of correction of the intermetartarsal 1-2 angle with a distal metatarsal osteotomy, no guidelines exist regar...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800405
更新日期:1997-04-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552077
更新日期:2014-12-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600703
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis. METHODS:A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated thr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712459173
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Microsurgical reconstruction has improved limb salvage in patients who because of many etiologies have soft-tissue loss from the lower extremities. Free-tissue transfer to the foot and ankle often interferes with postoperative function and footwear because of the bulk of a muscle flap. The foot and ankle oft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600302
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Tibiotalocalcaneal (TTC) arthrodesis is a proven solution for severe hindfoot arthropathy that reestablishes stability for plantigrade gait and alleviates pain, while correcting deformity. Intramedullary nailing is an effective option for fixation. The aim of this study was to determine clinical outcome, ana...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714565900
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Deep infection after open reduction internal fixation (ORIF) of ankle fractures represents a challenge to the orthopaedic surgeon, particularly in patients in whom conventional surgical treatments have failed. The aim of this study was to assess the results of a modified technique of tibiotalocalcaneal fusio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720939884
更新日期:2020-11-01 00:00:00
abstract::Thirty-three patients treated for tumors of the foot and ankle at one cancer institution over a 14-year period were reviewed. There were 15 females and 18 males, with an age range of 1 to 64 years (average 22.6 years). Twenty-one tumors were benign, 11 were malignant, and 1 tumor had metastasized. The most common diag...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500404
更新日期:1994-04-01 00:00:00
abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract::A prospective case-control study was performed comparing axial and coronal CT scan images of 11 patients (14 ankles) with chronic lateral instability and 12 controls. Scans were performed in a standardized fashion to simulate weight-bearing. Nine measurements to evaluate the alignment of the hindfoot and forefoot were...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300107
更新日期:2002-01-01 00:00:00