Ankle Pain

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Ahmet Alanay - One of the best experts on this subject based on the ideXlab platform.

Hylton B Menz - One of the best experts on this subject based on the ideXlab platform.

  • population prevalence and distribution of Ankle Pain and symptomatic radiographic Ankle osteoarthritis in community dwelling older adults a systematic review and cross sectional study
    PLOS ONE, 2018
    Co-Authors: Charlotte Murray, Hylton B Menz, Catherine Bowen, Michelle Marshall, Trishna Rathod, Edward Roddy
    Abstract:

    Objectives To identify by systematic review published prevalence estimates of radiographic Ankle osteoarthritis (OA) and to subsequently estimate the prevalence of Ankle Pain and symptomatic, radiographic Ankle OA within community-dwelling older adults from North Staffordshire, UK. Methods Electronic databases were searched using terms for Ankle, osteoarthritis and radiography. Data regarding population, radiographic methods, definitions and prevalence estimates of Ankle OA were extracted from papers meeting predetermined selection criteria. Adults aged ≥50 years and registered with four general practices in North Staffordshire were mailed a health questionnaire. Ankle Pain in the previous month was determined using a foot and Ankle Pain manikin. Respondents reporting Pain in or around the foot in the last 12 months were invited to attend a research clinic where weight-bearing, antero-posterior and lateral Ankle radiographs were obtained and scored for OA using a standardised atlas. Prevalence estimates for Ankle Pain and symptomatic, radiographic Ankle OA were calculated using multiple imputation and weighted logistic regression, and stratified by age, gender and socioeconomic status. Results Eighteen studies were included in the systematic review. The methods of radiographic classification of Ankle OA were poorly reported and showed heterogeneity. No true general population prevalence estimates of radiographic Ankle OA were found, estimates in select sporting and medical community-dwelling populations ranged from 0.0-97.1%. 5109 participants responded to the health survey questionnaire (adjusted response 56%). Radiographs were obtained in 557 participants. The prevalence of Ankle Pain was 11.7% (10.8,12.6) and symptomatic, radiographic Ankle OA grade≥2 was 3.4% (2.3, 4.5) (grade≥1: 8.8% (7.9,9.8); grade = 3: 1.9% (1.0,2.7). Prevalence was higher in females, younger adults (50-64 years) and those with routine/manual occupations. Conclusion No general population prevalence estimates of radiographic Ankle OA were identified in the published literature. Our prevalence study found that Ankle Pain was common in community-dwelling older adults, whereas moderate to severe symptomatic, radiographic Ankle OA occurred less frequently. Further investigations of the prevalence of Ankle OA using more sensitive imaging modalities are warranted.

  • the population prevalence of foot and Ankle Pain in middle and old age a systematic review
    Pain, 2011
    Co-Authors: Martin J Thomas, Edward Roddy, Weiya Zhang, Hylton B Menz, Marian T Hannan, George Peat
    Abstract:

    Abstract A systematic review and meta-analysis of population-based epidemiological studies was undertaken to determine the prevalence of foot and Ankle Pain in middle and old age. Searches were conducted in the following electronic databases from inception to October 2010: PubMed, EMBASE, AMED, CINAHL, Cochrane, PEDro, and SportDiscus. Full-text English language articles were included if they used population sample frames, cross-sectional design or analysis, and reported prevalence estimates for foot and/or Ankle Pain in adults aged 45 years and over. Thirty-four articles from 31 studies involving 75,505 participants provided 529 prevalence estimates based on different case definitions and population strata. Random-effects meta-analyses of studies with comparable case definitions provided pooled prevalence estimates, for frequent foot Pain of 24% (95% confidence interval 22–25%; n = 3; I2 = 46%) and for frequent Ankle Pain of 15% (95% confidence interval 13–16%; n = 2; I2 = 0). Small sample sizes and low response rates in some studies, together with heterogeneous case definitions, limit confident conclusions on the distribution, subtypes, and impact of foot/Ankle Pain. Narrative synthesis of evidence from existing studies suggested preponderance in females, an age-related increase in prevalence in women but not men, that the toes/forefoot were the most common anatomical sites of Pain, and that moderate disability in an aspect of daily life was reported by two-thirds of cases. This review provides estimates of the community burden of foot and Ankle Pain in middle and old age. By outlining the scale of this clinical problem, these findings can be used to inform health care planning and provision.

Edward Roddy - One of the best experts on this subject based on the ideXlab platform.

  • population prevalence and distribution of Ankle Pain and symptomatic radiographic Ankle osteoarthritis in community dwelling older adults a systematic review and cross sectional study
    PLOS ONE, 2018
    Co-Authors: Charlotte Murray, Hylton B Menz, Catherine Bowen, Michelle Marshall, Trishna Rathod, Edward Roddy
    Abstract:

    Objectives To identify by systematic review published prevalence estimates of radiographic Ankle osteoarthritis (OA) and to subsequently estimate the prevalence of Ankle Pain and symptomatic, radiographic Ankle OA within community-dwelling older adults from North Staffordshire, UK. Methods Electronic databases were searched using terms for Ankle, osteoarthritis and radiography. Data regarding population, radiographic methods, definitions and prevalence estimates of Ankle OA were extracted from papers meeting predetermined selection criteria. Adults aged ≥50 years and registered with four general practices in North Staffordshire were mailed a health questionnaire. Ankle Pain in the previous month was determined using a foot and Ankle Pain manikin. Respondents reporting Pain in or around the foot in the last 12 months were invited to attend a research clinic where weight-bearing, antero-posterior and lateral Ankle radiographs were obtained and scored for OA using a standardised atlas. Prevalence estimates for Ankle Pain and symptomatic, radiographic Ankle OA were calculated using multiple imputation and weighted logistic regression, and stratified by age, gender and socioeconomic status. Results Eighteen studies were included in the systematic review. The methods of radiographic classification of Ankle OA were poorly reported and showed heterogeneity. No true general population prevalence estimates of radiographic Ankle OA were found, estimates in select sporting and medical community-dwelling populations ranged from 0.0-97.1%. 5109 participants responded to the health survey questionnaire (adjusted response 56%). Radiographs were obtained in 557 participants. The prevalence of Ankle Pain was 11.7% (10.8,12.6) and symptomatic, radiographic Ankle OA grade≥2 was 3.4% (2.3, 4.5) (grade≥1: 8.8% (7.9,9.8); grade = 3: 1.9% (1.0,2.7). Prevalence was higher in females, younger adults (50-64 years) and those with routine/manual occupations. Conclusion No general population prevalence estimates of radiographic Ankle OA were identified in the published literature. Our prevalence study found that Ankle Pain was common in community-dwelling older adults, whereas moderate to severe symptomatic, radiographic Ankle OA occurred less frequently. Further investigations of the prevalence of Ankle OA using more sensitive imaging modalities are warranted.

  • the population prevalence of foot and Ankle Pain in middle and old age a systematic review
    Pain, 2011
    Co-Authors: Martin J Thomas, Edward Roddy, Weiya Zhang, Hylton B Menz, Marian T Hannan, George Peat
    Abstract:

    Abstract A systematic review and meta-analysis of population-based epidemiological studies was undertaken to determine the prevalence of foot and Ankle Pain in middle and old age. Searches were conducted in the following electronic databases from inception to October 2010: PubMed, EMBASE, AMED, CINAHL, Cochrane, PEDro, and SportDiscus. Full-text English language articles were included if they used population sample frames, cross-sectional design or analysis, and reported prevalence estimates for foot and/or Ankle Pain in adults aged 45 years and over. Thirty-four articles from 31 studies involving 75,505 participants provided 529 prevalence estimates based on different case definitions and population strata. Random-effects meta-analyses of studies with comparable case definitions provided pooled prevalence estimates, for frequent foot Pain of 24% (95% confidence interval 22–25%; n = 3; I2 = 46%) and for frequent Ankle Pain of 15% (95% confidence interval 13–16%; n = 2; I2 = 0). Small sample sizes and low response rates in some studies, together with heterogeneous case definitions, limit confident conclusions on the distribution, subtypes, and impact of foot/Ankle Pain. Narrative synthesis of evidence from existing studies suggested preponderance in females, an age-related increase in prevalence in women but not men, that the toes/forefoot were the most common anatomical sites of Pain, and that moderate disability in an aspect of daily life was reported by two-thirds of cases. This review provides estimates of the community burden of foot and Ankle Pain in middle and old age. By outlining the scale of this clinical problem, these findings can be used to inform health care planning and provision.

Ali Oznur - One of the best experts on this subject based on the ideXlab platform.

Ivan Urits - One of the best experts on this subject based on the ideXlab platform.

  • minimally invasive treatment of chronic Ankle instability a comprehensive review
    Current Pain and Headache Reports, 2020
    Co-Authors: Ivan Urits, Vwaire Orhurhu, Morgan Hasegawa, Jacquelin Peck, Angele C Kelly, Rachel J Kaye, Mariam Salisu Orhurhu, Joseph Brinkman, Stephen Giacomazzi, Lukas Foster
    Abstract:

    Chronic Ankle Pain is a prevalent and significant cause of chronic Pain. While the definition of chronic Ankle Pain is heterogeneous and poorly defined in the literature, systematic reviews and meta-analyses have estimated this condition to be a prevalent and debilitating source of chronic Pain. The most identifiable and prominent cause of chronic Ankle Pain is chronic Ankle instability (CAI), a condition defined by instability of the Ankle-joint complex. It is a common consequence of lateral Ankle sprains or ligamentous injuries and can be described as a failure of the lateral Ankle joint complex after an acute, or recurring, Ankle injury. The objective of this manuscript is to provide a comprehensive review of CAI diagnosis and our current understanding of minimally invasive treatment options. First-line treatment is conservative management, some of which includes neuromuscular rehabilitation, balance training, nonsteroidal anti-inflammatory drugs (NSAIDs), manual mobilization, ice therapy, and compression. While conservative management is effective, additional treatments for those who fail conservative management, or who seek alternative options also have been explored. Recent advances and modern techniques have expanded available treatment options, many of which are becoming less invasive, and have shown improving functionality, recovery, and patient satisfaction. Minimally invasive treatments highlighted in this review include: arthroscopic surgery, steroid injections, plasma-rich plasma injections, hyaluronic acid (HA) injections, medicinal signaling cell injections, radiofrequency therapies, and shockwave therapies. This review will discuss some of these current treatments for minimally invasive treatment of CAI, as well as suggest novel treatments for clinical trials and further investigation.

  • a systematic review of radiofrequency treatment of the Ankle for the management of chronic foot and Ankle Pain
    Current Pain and Headache Reports, 2019
    Co-Authors: Vwaire Orhurhu, Ivan Urits, Sebastian Orman, Omar Viswanath, Alaa Abdelsayed
    Abstract:

    Chronic Pain of the lower extremity remains challenging to manage. Radiofrequency treatment applies heat to nerve fibers with the goal of mitigating chronic Pain conditions. The clinical efficacy has not yet been adequately established for pathologies of the Ankle and foot. In this review paper, we report the use and efficacy of radiofrequency treatment applied to foot and Ankle Pain. PubMed and the Cochrane Controlled Trials Register were searched (final search 30 March 2018) using the MeSH terms “radiofrequency ablation,” “neurolysis,” “radiofrequency therapy,” “Pain syndrome,” “analgesia,” “plantar heel Pain,” “plantar fascitis,” and “chronic Pain” in the English literature. Of the 23 papers screened, 18 were further investigated for relevance. Our final search methodology yielded 15 studies that investigated the use of radiofrequency treatment at the Ankle. Of these 15 studies, there were three randomized control trials, four prospective studies, three retrospective studies, and five case reports. The quality of selected publications was assessed using the Cochrane risk of bias instrument. The evidence from our studies suggests that radiofrequency treatment can be used safely for the management foot and Ankle Pain. The technique (continuous vs pulsatile), temperature, location of treatment, and duration of administration need more thorough evaluation. Randomized control trials are needed to establish the efficacy and safety profile of radiofrequency ablation and its long-term benefits in patients with chronic Pain of the foot and Ankle. The evidence from our studies suggests that radiofrequency treatment can be used safely for the management foot and Ankle Pain. The technique (continuous vs pulsatile), temperature, location of treatment, and duration of administration need more thorough evaluation. Randomized control trials are needed to establish the efficacy and safety profile of radiofrequency ablation and its long-term benefits in patients with chronic Pain of the foot and Ankle.