Observational studyRheumatology (Oxford, England)2019
Coexistence of plantar calcaneal spurs and plantar fascial thickening in individuals with plantar heel pain.
Observational study in Rheumatology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Endoscopic plantar fasciotomy versus open plantar fasciotomy for treatment of plantar fasciitis: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Medical imaging for plantar heel pain: a systematic review and meta-analysis.Journal of foot and ankle research · 2022Pooled it
- Article
- Do plantar calcaneal spurs make the plantar aponeurosis enthesis stronger? A biomechanical analysis.Journal of anatomy · 2026Article
- Calcaneal spur detection from lateral foot radiographs using deep feature engineering.Scientific reports · 2026Article
- Ultrasound-guided endoscopy for recalcitrant plantar fasciitis with calcaneal spurs: A safety-oriented surgical adjunct to minimize complications.International orthopaedics · 2026Article
- Endoscopic plantar fascia release via dual medial deep fascia approach for refractory plantar fasciitis: an effective, safe, and rapid surgical approach.International orthopaedics · 2025Article
- Clinical Study of a Four-Step Program for the Treatment of Plantar Fasciitis with Bone Spurs.Orthopaedic surgery · 2024Article
- Comparison of the effectiveness of peloid therapy and kinesiotaping in patients with unilateral plantar fasciitis: A prospective, randomized controlled study.Turkish journal of physical medicine and rehabilitation · 2024Article
- Bilateral Paired Calcaneal Spur: A Rare Entity.Journal of orthopaedic case reports · 2023Article
- Treatment Approaches for Plantar Fasciopathy in Elite Athletes: A Scoping Review of the Literature.Orthopaedic journal of sports medicine · 2022Article
- Age, Body Mass Index, and Spur Size Associated with Patients' Symptoms in Plantar Fasciitis.Clinics in orthopedic surgery · 2022Article
- Review
- A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis.Journal of clinical medicine · 2021Article
- Long-term effect and prognostic factors of a low-dose radiotherapy of painful plantar calcaneal spurs : A retrospective unicenter study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021Article
- The frequency of Achilles and plantar calcaneal spurs in gout patientsTurkish journal of medical sciences · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
Objectives: To examine associations between plantar calcaneal spurs, plantar fascia thickening and plantar heel pain (PHP), and to determine whether tenderness on palpation of the heel differentiates between these presentations. Methods: Adults aged ⩾50 years registered with four general practices were mailed a Health Survey. Responders reporting foot pain within the last 12 months underwent a detailed clinical assessment. PHP in the past month was documented using a foot manikin. Plantar calcaneal spurs were identified from weight-bearing lateral radiographs and plantar fascia thickening (defined as >4 mm) from ultrasound. Tenderness on palpation of the plantar fascia insertion was documented. Associations between these factors and PHP were explored using generalized estimating equations. Results: Clinical and radiographic data were available from 530 participants (296 women, mean [s.d.] age 64.9 [8.4] years), 117 (22.1%) of whom reported PHP. Plantar calcaneal spurs and plantar fascia thickening were identified in 281 (26.5%) and 501 (47.3%) feet, respectively, but frequently coexisted (n = 217, 20.4%). Isolated plantar calcaneal spurs were rare (n = 64, 6.0%). Participants with PHP were more likely to have a combination of these features compared with those without PHP (odds ratio 2.16, 95% CI 1.24, 3.77, P = 0.007). Tenderness on palpation of the heel was not associated with plantar calcaneal spurs or plantar fascia thickening, either in isolation or in combination, in those with PHP. Conclusion: Plantar calcaneal spurs and plantar fascial thickening are associated with PHP, but frequently coexist. Tenderness on palpation of the heel does not appear to differentiate between clinical presentations of PHP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.