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Risk factors for plantar talalgia in nonathletes: a case-control study
J Alvarez-Nemegyei1, A Negreros-Castillo
1Servicio de Reumatología.
Summary
A calcaneal spur (CS) is the primary risk factor for plantar talalgia in nonathletes. Other factors like BMI and job type were not significantly associated with this foot pain condition.
Area of Science:
- Orthopedics
- Biomechanics
- Podiatry
Background:
- Plantar talalgia (PT) is a common foot pain syndrome.
- Etiology of PT in nonathletes is not fully understood.
- Previous studies suggested various risk factors for PT.
Purpose of the Study:
- To investigate the specific risk factors for plantar talalgia (PT) in nonathletes.
- To analyze the association of biomechanical, lifestyle, and clinical factors with PT development.
Main Methods:
- Case-control study design.
- Comparison of 85 PT cases with 58 age- and sex-matched controls.
- Logistic regression analysis to determine risk factors.
Main Results:
- Only calcaneal spur (CS) showed a significant association with PT risk (RR 2.5, 95% CI 1.1-6).
- Body mass index (BMI), SCFP characteristics, plantar/heel area, BMI/heel area ratio, heel-lifting device use, standing job, and heel malalignment were not significantly associated with PT in this cohort.
- Other biomechanical, lifestyle, and clinical variables were not clearly associated with PT risk in nonathletes.
Conclusions:
- Calcaneal spur is a significant risk factor for plantar talalgia in nonathletes.
- Reappraisal of commonly cited risk factors for PT in nonathletes is needed.
- Current therapeutic manipulations for PT in nonathletes may require re-evaluation based on these findings.