The Role of Lower Extremity Venous Insufficiency in Plantar Fasciitis Etiology

Abstract

Aim: Plantar fasciitis (PF) is one of the most important causes of heel pain. Although the pathophysiology is not well understood, the current consideration is a degenerative process at the calcaneal insertion site of the plantar fascia. There are different conservative and surgical treatment methods. Etiology is multifactorial. In this study, it was aimed to investigate if there is a role of lower extremity venous insufficiency on the etiopathogenesis of PF. 
Material and Method: Sixty-seven patients (n=67) with diagnosis of PF (Group-1, male/female: 20/47) and fifty-two patients patients (n=52) with venous insufficiency (Group-2, male/female: 26/26) were examined in two different groups. Statistical analysis of the relationship between two groups was performed with Minitap-17 normality test and then paired samples t-test. 
Results: Among the doppler ultrasound examinations of sixtyseven patients in Group-1, no venous insufficiency was determined. Among the fifty-two patients in Group-2, only two patients were diagnosed as PF. 
Conclusion: It was found that there is no influence of lower extremity venous insufficiency on the etiopathology of PF.

Keywords

• plantar fasciitis,venous insufficiency,etiopathogenesis

Alt Ekstremite Venöz Yetmezliğinin Plantar Fasiit Etyolojisindeki Rolü

Abstract

Amaç: Plantar (PF) topuk ağrısının en önemli sebeplerinden birisidir. Patofizyolojisi tam anlaşılmamakla birlikte güncel görüş plantar fasya ile kalkaneusun yapışma yerinde dejeneratif bozukluğun olmasıdır. Çeşitli konservatif ve cerrahi tedavi yöntemleri mevcuttur. Etyolojisi multifaktoriyeldir. Bu çalışmada, PF etyopatogenezinde alt ekstremite venöz yetmezliğin yeri olup olmadığının araştırılması amaçlanmıştır. Materyal ve Metot: PF tanısı olan atmış yedi hasta (n=67) (Grup-1, erkek/kadın: 20/47) ve alt ekstremite venöz yetmezlik tanısı olan elli iki hasta (n=52) (Group-2, male/female: 26/26) iki ayrı grupta incelendi. İki grup arasındaki ilişkinin istatistiksel analizi, Minitap-17 normalite testi ve sonrasında paired t-test ile yapıldı. 
Bulgular: Grup-1 hastalarının Doppler ultrasonografi incelemelerinde, atmışyedi hastanın hiçbirinde venöz yetmezlik saptanmadı. Grup-2’deki elli iki hastada yapılan incelemelerde ise sadece iki kişide PF tespit edildi. 
Sonuç: Alt ekstremite venöz yetmezliğinin, PF etiyolojisi üzerine bir etkisi olmadığı bulundu.

Keywords

• plantar fasiit,venöz yetmezlik,etyopatogenez

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