Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review

Federica Petraglia, Ileana Ramazzina, Cosimo Costantino, Federica Petraglia, Ileana Ramazzina, Cosimo Costantino

Abstract

Background: Plantar fasciitis (PF) is reported in different sports mainly in running and soccer athletes. Purpose of this study is to conduct a systematic review of published literature concerning the diagnosis and treatment of PF in both recreational and élite athletes. The review was conducted and reported in accordance with the PRISMA statement.

Methods: The following electronic databases were searched: PubMed, Cochrane Library and Scopus. As far as PF diagnosis, we investigated the electronic databases from January 2006 to June 2016, whereas in considering treatments all data in literature were investigated.

Results: For both diagnosis and treatment, 17 studies matched inclusion criteria. The results have highlighted that the most frequently used diagnostic techniques were Ultrasonography and Magnetic Resonance Imaging. Conventional, complementary, and alternative treatment approaches were assessed.

Conclusions: In reviewing literature, we were unable to find any specific diagnostic algorithm for PF in athletes, due to the fact that no different diagnostic strategies were used for athletes and non-athletes. As for treatment, a few literature data are available and it makes difficult to suggest practice guidelines. Specific studies are necessary to define the best treatment algorithm for both recreational and élite athletes.

Level of evidence: Ib.

Keywords: diagnostic techniques; plantar fasciitis; plantar fasciopathy; treatment strategies; élite and recreational athletes.

Figures

Figure 1.
Figure 1.
Summary of studies identification and selection for diagnosis (a) and treatment (b) of Plantar fasciitis in athletes.

References

    1. Benjamin M. The fascia of the limbs and back-a review. J Anat. 2009;214(1):1–18.
    1. McNally EG, Shetty S. Plantar fascia: imaging diagnosis and guided treatment. Semin Musculoskelet Radiol. 2010 Sep;14(3):334–343.
    1. League AC. Current concepts review: plantar fasciitis. Foot Ankle Int. 2008;29(3):358–366.
    1. Young C. In the clinic. Plantar fasciitis. Ann Intern Med. 2012;156(1 Pt 1) ITC1-1, ITC1-2, ITC1-3, ITC1-4, ITC1-5, ITC1-6, ITC1-7, ITC1-8, ITC1-9, ITC1-10, ITC11-11, ITC11-12, ITC11-13, ITC11-14, ITC11-15; quiz ITC11-16.
    1. Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98(4):283–289.
    1. Orchard J. Plantar fasciitis. BMJ. 2012;345:e6603.
    1. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;36(2):95–101.
    1. Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004;25(5):303–310.
    1. Tong KB, Furia J. Economic burden of plantar fasciitis treatment in the United States. Am J Orthop (Belle Mead NJ) 2010;39(5):227–231.
    1. Stuber K, Kristmanson K. Conservative therapy for plantar fasciitis: a narrative review of randomized controlled trials. J Can Chiropr Assoc. 2006;50(2):118–133.
    1. Thompson JV, Saini SS, Reb CW, Daniel JN. Diagnosis and management of plantar fasciitis. J Am Osteopath Assoc. 2014;114(12):900–906.
    1. Sobhani S, Dekker R, Postema K, Dijkstra PU. Epidemiology of ankle and foot overuse injuries in sports: A systematic review. Scand J Med Sci Sports. 2013;23(6):669–686.
    1. Elias DA, Carne A, Bethapudi S, Engebretsen L, Budgett R, O’Connor P. Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics. Skeletal Radiol. 2013;42(12):1645–1655.
    1. Lopes AD, Hespanhol Junior LC, Yeung SS, Costa LO. What are the main running-related musculoskeletal injuries? A Systematic Review. Sports Med. 2012;42(10):891–905.
    1. Nielsen RO, Ronnow L, Rasmussen S, Lind M. A prospective study on time to recovery in 254 injured novice runners. PLoS One. 2014;9(6):e99877.
    1. Hoffman MD, Krishnan E. Health and exercise-related medical issues among 1,212 ultramarathon runners: baseline findings from the Ultrarunners Longitudinal TRAcking (ULTRA) Study. PLoS One. 2014;9(1):e83867.
    1. Murphy K, Curry EJ, Matzkin EG. Barefoot running: does it prevent injuries? Sports Med. 2013;43(11):1131–1138.
    1. Bolgla LA, Malone TR. Plantar fasciitis and the windlass mechanism: a biomechanical link to clinical practice. J Athl Train. 2004;39(1):77–82.
    1. Ribeiro AP, Joao SM, Dinato RC, Tessutti VD, Sacco IC. Dynamic Patterns of Forces and Loading Rate in Runners with Unilateral Plantar Fasciitis: A Cross-Sectional Study. PLoS One. 2015;10(9):e0136971.
    1. Wu CH, Chang KV, Mio S, Chen WS, Wang TG. Sonoelastography of the plantar fascia. Radiology. 2011;259(2):502–507.
    1. Goff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Physician. 2011;84(6):676–682.
    1. De Garceau D, Dean D, Requejo SM, Thordarson DB. The association between diagnosis of plantar fasciitis and Windlass Test results. Foot & Ankle International. 2003;24(3):251–255.
    1. Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg. 2008;16(6):338–346.
    1. Cutts S, Obi N, Pasapula C, Chan W. Plantar fasciitis. Ann R Coll Surg Engl. 2012;94(8):539–542.
    1. Mahmoud Ali Moustafa A. Objective assessment of corticosteroid effect in plantar fasciitis: additional utility of ultrasound. Muscles, Ligaments and Tendons Journal. 2015.
    1. Costantino C, Vulpiani MC, Romiti D, Vetrano M, Saraceni VM. Cryoultrasound therapy in the treatment of chronic plantar fasciitis with heel spurs. A randomized controlled clinical study. Eur J Phys Rehabil Med. 2014;50(1):39–47.
    1. Ott OJ, Niewald M, Weitmann HD, et al. DEGRO guidelines for the radiotherapy of non-malignant disorders. Part II: Painful degenerative skeletal disorders. Strahlenther Onkol. 2015;191(1):1–6.
    1. Miller LE, Latt DL. Chronic Plantar Fasciitis is Mediated by Local Hemodynamics: Implications for Emerging Therapies. N Am J Med Sci. 2015;7(1):1–5.
    1. Tsikopoulos K, Vasiliadis HS, Mavridis D. Injection therapies for plantar fasciopathy (‘plantar fasciitis’): a systematic review and network meta-analysis of 22 randomised controlled trials. Br J Sports Med. 2016
    1. Tsikopoulos K, Tsikopoulos A, Natsis K. Autologous whole blood or corticosteroid injections for the treatment of epicondylopathy and plantar fasciopathy? A systematic review and meta-analysis of randomized controlled trials. Phys Ther Sport. 2016
    1. Ang TW. The effectiveness of corticosteroid injection in the treatment of plantar fasciitis. Singapore Med J. 2015;56(8):423–432.
    1. Lewis RD, Wright P, McCarthy LH. Orthotics Compared to Conventional Therapy and Other Non-Suraical Treatments for Plantar Fasciitis. J Okla State Med Assoc. 2015;108(12):596–598.
    1. Schwartz EN, Su J. Plantar fasciitis: a concise review. Perm J. 2014;18(1):e105–107.
    1. Saxena A. Plantar Fascia Ruptures in Athletes. American Journal of Sports Medicine. 2004;32(3):662–665.
    1. Tahririan MA, Motififard M, Tahmasebi MN, Siavashi B. Plantar fasciitis. J Res Med Sci. 2012;17(8):799–804.
    1. Padulo J, Oliva F, Frizziero A, Maffulli N. Muscles, Ligaments and Tendons Journal - Basic principles and recommendations in clinical and field Science Research: 2016 Update. MLTJ. 2016;6(1):1–5.
    1. Segen JC. Concise dictionary of modern medicine. New York; London: McGraw-Hill; 2006.
    1. James P, Barbour T, Stone I. The match day use of ultrasound during professional football finals matches. Br J Sports Med. 2010;44(16):1149–1152.
    1. Suzue N, Iwame T, Kato K, et al. Plantar fascia rupture in a professional soccer player. J Med Invest. 2014;61(3–4):413–416.
    1. Nguyen BM. Trigger point therapy and plantar heel pain: A case report. Foot (Edinb) 2010;20(4):158–162.
    1. OCEBM Levels of Evidence Working Group . Oxford Centre for Evidence Based Medicine.; The Oxford 2011 Levels of Evidence. Available at: .
    1. Walls RJ, Brennan SA, Hodnett P, O’Byrne JM, Eustace SJ, Stephens MM. Overuse ankle injuries in professional Irish dancers. Foot Ankle Surg. 2010;16(1):45–49.
    1. Abdel-Wahab N, Fathi S, Al-Emadi S, Mahdi S. High-resolution ultrasonographic diagnosis of plantar fasciitis: a correlation of ultrasound and magnetic resonance imaging. International Journal of Rheumatic Diseases. 2008;11(3):279–286.
    1. Chimutengwende-Gordon M, O’Donnell P, Singh D. Magnetic resonance imaging in plantar heel pain. Foot Ankle Int. 2010;31(10):865–870.
    1. Karabay N, Toros T, Hurel C. Ultrasonographic evaluation in plantar fasciitis. J Foot Ankle Surg. 2007;46(6):442–446.
    1. Lee SY, Park HJ, Kwag HJ, et al. Ultrasound elastography in the early diagnosis of plantar fasciitis. Clin Imaging. 2014;38(5):715–718.
    1. Sconfienza LM, Silvestri E, Orlandi D, et al. Real-time sonoelastography of the plantar fascia: comparison between patients with plantar fasciitis and healthy control subjects. Radiology. 2013;267(1):195–200.
    1. McMillan AM, Landorf KB, Gregg JM, De Luca J, Cotchett MP, Menz HB. Hyperemia in plantar fasciitis determined by power Doppler ultrasound. J Orthop Sports Phys Ther. 2013;43(12):875–880.
    1. Wu CH, Chen WS, Wang TG. Plantar fascia softening in plantar fasciitis with normal B-mode sonography. Skeletal Radiol. 2015;44(11):1603–1607.
    1. Rios-Diaz J, Martinez-Paya JJ, del Bano-Aledo ME, de Groot-Ferrando A, Botia-Castillo P, Fernandez-Rodriguez D. Sonoelastography of Plantar Fascia: Reproducibility and Pattern Description in Healthy Subjects and Symptomatic Subjects. Ultrasound Med Biol. 2015;41(10):2605–2613.
    1. Joong MA, El-Khoury GY. Radiologic evaluation of chronic foot pain. American Family Physician. 2007;76(7):975–983.
    1. Doody O, Hopper MA. Imaging of the foot and ankle. Orthopaedics and Trauma. 2014;28(5):339–349.
    1. Chen CK, Lew HL, Chu NC. Ultrasound-guided diagnosis and treatment of plantar fasciitis. Am J Phys Med Rehabil. 2012;91(2):182–184.
    1. Hansberger BL, Baker RT, May J, Nasypany A. A Novel Approach to Treating Plantar Fasciitis - Effects of Primal Reflex Release Technique: A Case Series. Int J Sports Phys Ther. 2015;10(5):690–699.
    1. Saxena A, Fournier M, Gerdesmeyer L, Gollwitzer H. Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete. Muscles Ligaments Tendons J. 2012;2(4):312–316.
    1. Moretti B, Garofalo R, Patella V, Sisti GL, Corrado M, Mouhsine E. Extracorporeal shock wave therapy in runners with a symptomatic heel spur. Knee Surg Sports Traumatol Arthrosc. 2006;14(10):1029–1032.
    1. Saxena A. Uniportal endoscopic plantar fasciotomy: a prospective study on athletic patients. Foot Ankle Int. 2004;25(12):882–889.
    1. Rompe JD, Decking J, Schoellner C, Nafe B. Shock wave application for chronic plantar fasciitis in running athletes. A prospective, randomized, placebo-controlled trial. Am J Sports Med. 2003;31(2):268–275.
    1. Lee HS, Choi YR, Kim SW, Lee JY, Seo JH, Jeong JJ. Risk factors affecting chronic rupture of the plantar fascia. Foot Ankle Int. 2014;35(3):258–263.
    1. Felix JF, Bradfield JP, Monnereau C, et al. Genome-wide association analysis identifies three new susceptibility loci for childhood body mass index. Hum Mol Genet. 2016;25(2):389–403.
    1. Martin RL, Davenport TE, Reischl SF, et al. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014;44(11):A1–33.
    1. Thomas JL, Christensen JC, Kravitz SR, et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010;49(3 Suppl):S1–19.

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