The role of mechanical factors in the clinical presentation of plantar heel pain
This brand new paper has just been published by Josh Burns's group out of The University of Sydney.
The key findings were:
• Plantar heel pain is associated with high Body Mass Index in non-athletic groups.
• Plantar heel pain is associated with specific foot strength deficits and reduced ankle dorsiflexion range of motion.
• The association between foot alignment and heel pain is unclear.
• Limited evidence supports heel pain being associated with loading due to running mileage and occupational weight-bearing.
Management strategies for plantar heel pain should include evidence-based interventions such as orthoses and tissue-specific plantar fascia stretching, as well as targeting specific strength and flexibility deficits and load management. Along with strategies to reduce body weight, load management strategies could include reductions in training or occupational load, followed by graduated return to necessary activity levels.
This paper is open access and may be read in its entirity below
Director of Bartold Clinical