Radiographic Evaluation for the Relationship of Foot Arch Alignment and Plantar Calcaneal Spur to Plantar Fasciitis in Adult

Authors

  • Atthaporn Siriburananon M.D., Makarak Hospital

Keywords:

plantar fasciitis, foot arch alignment, plantar calcaneal spur

Abstract

            Objective: To study the correlation between plantar fasciitis and foot arch alignment and investigate the incidence of plantar calcaneal spur in patients with plantar fasciitis compared to a without plantar fasciitis group from radiographic examination.

            Methods: Radiographic images of foot arch alignment were collected, and the presence of plantar calcaneal spur was evaluated in a total of 106 patients. This group was divided into two: 53 patients with plantar fasciitis and 53 control patients without plantar fasciitis.

            Result: Patients were evaluated based on their foot arch alignment, it was found that the Meary’s angle, calcaneal inclination angle, and medial cuneiform-fifth metatarsal height in the plantar fasciitis group had values that were significantly more indicative of a high arch of foot (pes cavus) than the control group (p-value < .001 for all parameters). Concurrently, patients with plantar fasciitis had a higher chance of having a plantar calcaneal spur than the control group with statistically significant (p-value = .006). Additionally, plantar fasciitis patients with a plantar calcaneal spur were significantly more likely to experience pain from the spur than the control group (p-value < .001).

            Conclusion: Patients with high arch of foot (pes cavus) are more likely to have plantar fasciitis than the general population or those with flat feet (pes planus). Additionally, patients with plantar fasciitis are more likely to have a plantar calcaneal spur than those without the condition. Among this group, there is a 77% chance of also experiencing pain from the plantar calcaneal spur.

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Published

2025-10-07

How to Cite

1.
Siriburananon A. Radiographic Evaluation for the Relationship of Foot Arch Alignment and Plantar Calcaneal Spur to Plantar Fasciitis in Adult. Reg 4-5 Med J [internet]. 2025 Oct. 7 [cited 2026 Feb. 22];44(3):457-6. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/278149