Martin Thomas m.thomas@keele.ac.uk
Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use
Thomas, Martin J.; Whittle, Rebecca; Menz, Hylton B.; Rathod-Mistry, Trishna; Marshall, Michelle; Roddy, Edward
Authors
Rebecca Whittle
Hylton B. Menz
Trishna Rathod-Mistry
Dr Michelle Marshall m.marshall@keele.ac.uk
Edward Roddy e.roddy@keele.ac.uk
Abstract
Background
The objectives of this study were to estimate the population prevalence and distribution of plantar heel pain in mid-to-older age groups, examine associations with selected health status and lifestyle factors, and report the frequency of healthcare use.
Methods
Adults aged =50?years registered with four general practices were mailed a health survey (n?=?5109 responders). Plantar heel pain in the last month was defined by self-reported shading on a foot manikin, and was defined as disabling if at least one of the function items of the Manchester Foot Pain and Disability Index were also reported. Population prevalence estimates and associations between plantar heel pain and demographic characteristics, health status measures and lifestyle factors were estimated using multiple imputation and weighted logistic regression. Healthcare professional consultation was summarised as the 12-month period prevalence of foot pain-related consultation.
Results
The population prevalence of plantar heel pain was 9.6% (95% CI: 8.8, 10.5) and 7.9% (7.1, 8.7) for disabling plantar heel pain. Occurrence was slightly higher in females, comparable across age-groups, and significantly higher in those with intermediate/routine and manual occupations. Plantar heel pain was associated with physical and mental impairment, more anxiety and depression, being overweight, a low previous use of high-heeled footwear, and lower levels of physical activity and participation. The 12-month period prevalence of foot pain-related consultation with a general practitioner, physiotherapist or podiatrist/chiropodist was 43.0, 15.1 and 32.8%, respectively.
Conclusions
Plantar heel pain is a common, disabling symptom among adults aged 50?years and over. Observed patterns of association indicate that in addition to focused foot-specific management, primary care interventions should also target more general physical and psychological factors that could potentially act as barriers to treatment adherence and recovery.
Citation
Thomas, M. J., Whittle, R., Menz, H. B., Rathod-Mistry, T., Marshall, M., & Roddy, E. (2019). Plantar heel pain in middle-aged and older adults: Population prevalence, associations with health status and lifestyle factors, and frequency of healthcare use. BMC Musculoskeletal Disorders, 20, Article 337. https://doi.org/10.1186/s12891-019-2718-6
Journal Article Type | Article |
---|---|
Acceptance Date | Jul 15, 2019 |
Publication Date | Jul 20, 2019 |
Publicly Available Date | May 26, 2023 |
Journal | BMC Musculoskeletal Disorders |
Print ISSN | 1471-2474 |
Publisher | BioMed Central |
Peer Reviewed | Peer Reviewed |
Volume | 20 |
Article Number | 337 |
DOI | https://doi.org/10.1186/s12891-019-2718-6 |
Keywords | Plantar heel pain, Prevalence, Epidemiology |
Publisher URL | https://doi.org/10.1186/s12891-019-2718-6 |
Files
s12891-019-2718-6.pdf
(617 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
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