Prevalence of Plantar Fasciitis and Its Association with Prolonged Standing among Healthcare Workers
Plantar Fasciitis and Its Association with Prolonged Standing among Healthcare Workers
DOI:
https://doi.org/10.54393/pbmj.v9i2.1345Keywords:
Plantar Fasciitis, Healthcare Workers, Occupational Risk Factors, Work Performance, Quality of Life, Foot PainAbstract
Plantar fasciitis (PF) is a widespread heel and foot pain, especially in healthcare workers (HCWs), who are required to spend long periods standing/walking. PF is a poorly researched variable in this population, although it affects the quality of life and work performance. Objectives: To determine the prevalence, effect, and risk factors of plantar fasciitis (PF) in healthcare professionals, its effect on job performance, and quality of life. Methods: It was a cross-sectional study carried out on 176 healthcare workers at four tertiary care hospitals in Lahore, Pakistan. The respondents were asked to fill in a structured questionnaire on demographics, occupational risk factors, and the severity of the PF symptoms. SPSS version 22.0 was used to analyze data through descriptive statistics. Results: The study included 176 healthcare workers with an average age of 37 ±9 years. Over 60% were female, with nursing staff making up 24.4%, followed by physiotherapists and medical doctors. And 57.4% (101/176) of participants reported experiencing heel pain. However, using a more specific clinical case definition (pain on first waking, localized to the medial calcaneal tubercle, and worsening after prolonged rest), the prevalence of classic plantar fasciitis was determined to be 42.4% (75/176). Conclusions: The prevalence of PF among healthcare workers was high, especially in employees with long working hours and inadequate footwear decisions. PF affects the physical health and working performance of medical workers in a negative way, which underlines the necessity of specific preventive measures and workplace coping that can enhance the quality of life.
References
Khired Z, Najmi MH, Akkur AA, Mashhour MA, Bakri KA, Najmi M et al. The Prevalence and Risk Factors of Plantar Fasciitis amongst the Population of Jazan. Cureus. 2022 Sep; 14(9). doi: 10.7759/cureus.29434. DOI: https://doi.org/10.7759/cureus.29434
Littlejohn B. From Heel to Toe: Investigating Plantar Fasciitis Causes, Diagnosis, and Treatment Strategies. 2024. https://digitalcommons.gardner-webb.edu/undergrad-honors/61/.
Tamir Tsehay Y, Lamesgin Endalew H, Dessalegn Bogale A, Walle TA. Prevalence and Associated Factors of Ankle-Foot Pain Among Nurses Working in Surgical Units of Comprehensive Specialized Hospitals in Amhara Regional State, Northwest Ethiopia, 2022. Journal of Pain Research. 2023 Dec: 2685-96. doi: 10.2147/JPR.S405417. DOI: https://doi.org/10.2147/JPR.S405417
Bernardes RA, Caldeira S, Parreira P, Sousa LB, Apóstolo J, Almeida IF et al. Foot and Ankle Disorders in Nurses Exposed to Prolonged Standing Environments: A Scoping Review. Workplace Health and Safety. 2023 Mar; 71(3): 101-16. doi: 10.1177/21650799221137646. DOI: https://doi.org/10.1177/21650799221137646
Alsahly MA, Aldosari MN, Alkhudhairi K. Prevalence of Plantar Fasciitis and its Associated Factors: A Retrospective Study in Patients Attending Primary Healthcare Clinics in Riyadh. Journal of Pioneering Medical Sciences. 2025 Aug; 14: 87-91. doi: 10.47310/jpms2025140715. DOI: https://doi.org/10.47310/jpms2025140715
Mbue ND and Wang W. Nurses' Experience with Chronic Foot Pain and Their Job: The National Science Foundation Foot Health Survey. Heliyon. 2023 Mar; 9(3). doi: 10.1016/j.heliyon.2023.e14485. DOI: https://doi.org/10.1016/j.heliyon.2023.e14485
Ahmad L, Laeeq M, Abbas N, Fatima S, Fatima T, Habib E. Relationship Between Body Mass Index and Severity of Plantar Fasciitis in Adults. Journal of Health, Wellness and Community Research. 2025 Aug: e1069-. doi: 10.61919/eacy1z63. DOI: https://doi.org/10.61919/eacy1z63
Landorf KB, Kaminski MR, Munteanu SE, Zammit GV, Menz HB. Clinical Measures of Foot Posture and Ankle Joint Dorsiflexion Do Not Differ in Adults with and Without Plantar Heel Pain. Scientific Reports. 2021 Mar; 11(1): 6451. doi: 10.1038/s41598-021-85520-y. DOI: https://doi.org/10.1038/s41598-021-85520-y
Umar H, Idrees W, Umar W, Khalil A, Rizvi ZA. Impact of Routine Footwear on Foot Health: A Study on Plantar Fasciitis. Journal of Family Medicine and Primary Care. 2022 Jul; 11(7): 3851-5. doi: 10.4103/jfmpc.jfmpc_637_21. DOI: https://doi.org/10.4103/jfmpc.jfmpc_637_21
Bint e Ejaz I, Iqbal MH, Khalid F, Rauf W, Zahid H. The Prevalence of Plantar Fasciitis and Its Association with Posture in Salesmen with Prolonged Standing. Journal of Health, Wellness and Community Research. 2025 Jul: e422-. doi: 10.61919/jpr3cn84. DOI: https://doi.org/10.61919/jpr3cn84
Rarassanti IG, Saraswati PA, Dewi AA. Factors Contributing to Plantar Fasciitis in Women. Physical Therapy Journal of Indonesia. 2022 Jun; 3(1): 1-5. doi: 10.51559/ptji.v3i1.46 DOI: https://doi.org/10.51559/ptji.v3i1.46
Landorf KB, Kaminski MR, Munteanu SE, Zammit GV, Menz HB. Health-Related Quality of Life Is Substantially Worse in Individuals with Plantar Heel Pain. Scientific Reports. 2022 Sep; 12(1): 15652. doi: 10.1038/s41598-022-19588-5. DOI: https://doi.org/10.1038/s41598-022-19588-5
Sung KC, Chung JY, Feng IJ, Yang SH, Hsu CC, Lin HJ et al. Plantar Fasciitis in Physicians and Nurses: A Nationwide Population-Based Study. Industrial Health. 2020; 58(2): 153-60. doi: 10.2486/indhealth.2019-0069. DOI: https://doi.org/10.2486/indhealth.2019-0069
Sikander MS, Shinwari NU, Shah J, Atif M, Jan SI, Naz M. Prevalence and Association of Risk Factors for Plantar Fasciitis among Nurses in Government Tertiary Care Hospitals of Peshawar. Journal of Health and Rehabilitation Research. 2024 Jun; 4(2): 1623-8. doi: 10.61919/jhrr.v4i2.1157. DOI: https://doi.org/10.61919/jhrr.v4i2.1157
Riaz F, Waseem I, Sarfraz M, Qamar L, Abid M, Manan R. Prevalence of Plantar Fasciitis and Its Contributing Factors Among Working Women. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2025 Aug; 5(1): 97-103. doi: 10.55735/b0w3d039. DOI: https://doi.org/10.55735/b0w3d039
Rhim HC, Kwon J, Park J, Borg-Stein J, Tenforde AS. A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life. 2021 Nov; 11(12): 1287. doi: 10.3390/life11121287. DOI: https://doi.org/10.3390/life11121287
Mazahreh S. Evidence of Health Risks Associated with Prolonged Standing at Work for Health Care Professionals. Innovational: Journal of Nursing and Healthcare. 2024; 2(1): 233-238. Retrieved from https://innovationaljournals.com/index.php/ijnh/article/view/663.
Sufi HL, Safdar A, Shahbaz A, Amir W, Javed HR, Rajput R. Association of Plantar Fasciitis with Functional Limitations and Work Productivity Among Teachers. Journal of Health, Wellness and Community Research. 2025 Nov: e948-. doi: 10.61919/yhw7mq10. DOI: https://doi.org/10.61919/yhw7mq10
Ikram H, Khalid W, Ahmad A, Khan J, Shamskhel SA, Khan HY. Prevalence of Plantar Fasciitis and Non-Specific Chronic Low Back Pain and Its Association with Body Mass Index among Teachers of Private Schools in Peshawar. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2025 Aug; 5(2): 407-12. DOI: https://doi.org/10.55735/yp1qw409
Palee P, Sakulsriprasert P, Thammajaree C, Theapthong M, Pakpakorn P, Sitti T et al. Association among Pain, Skin Blood Flow and Temperature, Plantar Fascia and Flexor Digitorum Brevis Thickness, and Foot Function Index in Individuals with Plantar Fasciitis: A Cross-Sectional Study. Journal of Musculoskeletal Research. 2024 Mar; 27(01): 2350010. doi:10.1142/S0218957723500100. DOI: https://doi.org/10.1142/S0218957723500100
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