Frequency and causes of painful heel syndrome - An outcome of a series of treatment modalities for calcaneal spur / plantar fasciitisMuhammad Ahmed Siddiqui, Ali Ahmed, Syed Abdul Majid Ali, Tasir Ahmed Mumtaz, Mohammad Arshad Khan, Mohammad Irfanullah Siddiqui, Mohammad Younus Khan.
Background: Painful heel is a common but a much-neglected medical condition. It has a benign origin/pathology; rarely there may be a grave underlying cause. Clinical reported work from Pakistan is non-existent.
Objective: To determine the most common pathological condition among other etiological entities of painful heel syndrome and to find a better treatment regime among different treatment modalities available at hand.
Study design: A multicenter cross sectional quasi-experimental study conducted from January 1999 till January 2009.
Setting: Data from four medium to large hospitals in the private sector of Karachi.
Subject: 310 cases of painful heels treated and followed up on the outpatient / indoor bases.
Main outcome measure: Associated risk factors, frequency and the different treatment modalities of calcaneal spur / plantar fasciitis and their outcome.
Results: Out of 628 cases of painful heel syndrome, 337 cases (54%) were due to plantar fasciitis/sub calcaneal plantar spur and the rest 291 cases (46%) were due to other etiological reasons. Cortisone injections provided a quick but temporary relief.
Key words: Calcaneal / Subcalcaneal spur, Planter spur, Planter fascitis, Painful heel syndrome, Tarsal tunnel syndrome