Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management

Karim Gariani,1 Felix WA Waibel,2 Arnd F Viehöfer,2 Ilker Uçkay3 1Service of Endocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, Switzerland; 2Foot and Ankle Service, Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Swi...

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Autores principales:	Gariani K, Waibel FWA, Viehöfer AF, Uçkay I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	plantar fasciitis diabetic foot management epidemiology diagnosis Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/063f5cb53b4e4ea59ea94ba1f223e888
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spelling	oai:doaj.org-article:063f5cb53b4e4ea59ea94ba1f223e8882021-12-02T08:36:30ZPlantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management1178-7007https://doaj.org/article/063f5cb53b4e4ea59ea94ba1f223e8882020-04-01T00:00:00Zhttps://www.dovepress.com/plantar-fasciitis-in-diabetic-foot-patients-risk-factors-pathophysiolo-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Karim Gariani,1 Felix WA Waibel,2 Arnd F Viehöfer,2 Ilker Uçkay3 1Service of Endocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, Switzerland; 2Foot and Ankle Service, Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Switzerland; 3Unit for Clinical and Applied Research, Balgrist University Hospital, Zurich, SwitzerlandCorrespondence: Karim GarianiEndocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, SwitzerlandEmail Karim.gariani@hcuge.chAbstract: Plantar fasciitis (PF) is a common degenerative disorder and a frequent cause of heel pain, mostly affecting patients in their fourth and fifth decades. Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle. The diagnosis of PF is mainly clinical. Imaging is not recommended for the initial approach. The initial management is conservative and should include physiotherapy, off-loading, stretching exercises, and nonsteroidal anti-inflammatory drugs. Glucocorticoid injections or surgery is an option at a later stage in recalcitrant cases. The overall management of PF does not differ between patients with diabetic foot problems and non-diabetic patients, although the details can differ. This narrative review summarizes the state of the art in terms of the risk factors, pathophysiology, diagnosis, assessment, and management of PF in diabetic patients.Keywords: plantar fasciitis, diabetic foot, management, epidemiology, diagnosisGariani KWaibel FWAViehöfer AFUçkay IDove Medical Pressarticleplantar fasciitisdiabetic footmanagementepidemiologydiagnosisSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1271-1279 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	plantar fasciitis diabetic foot management epidemiology diagnosis Specialties of internal medicine RC581-951
spellingShingle	plantar fasciitis diabetic foot management epidemiology diagnosis Specialties of internal medicine RC581-951 Gariani K Waibel FWA Viehöfer AF Uçkay I Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
description	Karim Gariani,1 Felix WA Waibel,2 Arnd F Viehöfer,2 Ilker Uçkay3 1Service of Endocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, Switzerland; 2Foot and Ankle Service, Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Switzerland; 3Unit for Clinical and Applied Research, Balgrist University Hospital, Zurich, SwitzerlandCorrespondence: Karim GarianiEndocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, SwitzerlandEmail Karim.gariani@hcuge.chAbstract: Plantar fasciitis (PF) is a common degenerative disorder and a frequent cause of heel pain, mostly affecting patients in their fourth and fifth decades. Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle. The diagnosis of PF is mainly clinical. Imaging is not recommended for the initial approach. The initial management is conservative and should include physiotherapy, off-loading, stretching exercises, and nonsteroidal anti-inflammatory drugs. Glucocorticoid injections or surgery is an option at a later stage in recalcitrant cases. The overall management of PF does not differ between patients with diabetic foot problems and non-diabetic patients, although the details can differ. This narrative review summarizes the state of the art in terms of the risk factors, pathophysiology, diagnosis, assessment, and management of PF in diabetic patients.Keywords: plantar fasciitis, diabetic foot, management, epidemiology, diagnosis
format	article
author	Gariani K Waibel FWA Viehöfer AF Uçkay I
author_facet	Gariani K Waibel FWA Viehöfer AF Uçkay I
author_sort	Gariani K
title	Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
title_short	Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
title_full	Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
title_fullStr	Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
title_full_unstemmed	Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management
title_sort	plantar fasciitis in diabetic foot patients: risk factors, pathophysiology, diagnosis, and management
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/063f5cb53b4e4ea59ea94ba1f223e888
work_keys_str_mv	AT garianik plantarfasciitisindiabeticfootpatientsriskfactorspathophysiologydiagnosisandmanagement AT waibelfwa plantarfasciitisindiabeticfootpatientsriskfactorspathophysiologydiagnosisandmanagement AT viehoferaf plantarfasciitisindiabeticfootpatientsriskfactorspathophysiologydiagnosisandmanagement AT uckayi plantarfasciitisindiabeticfootpatientsriskfactorspathophysiologydiagnosisandmanagement
_version_	1718398445531693056

Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management

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