Ultrasonographic Evaluation of Heel Pain in Indian Population and Its Demographic and Clinical Assessment.

Aims: To evaluate role of ultrasonography in heel pain in Indian population and also to perform its demographic and clinical assessment Material And Method : The prospective study was conducted in 41 patients of all age group complaining of heel pain. Patients with major trauma and previous surgery were excluded. Informed consent, Demographic data and clinical complaints were obtained from the subjects. The ankle ultrasound was performed using a high-frequency probe (3-12 MHz) . Frequency distribution was performed from the data to prepare the tables. The outcomes are presented as mean ± standard deviation (SD) and median. Result: Among 41 subjects majority were > 40 years (68.3%), with male : female ratio 24:17 Fieldwork/security/police accounted for 36.6 % of the participants. Most common ultrasound ndings is Planter fasciitis (34.1%) followed by heel pad atrophy (17.1 %) , Calcaneal spur (12.2%) and Achilles tendinopathy (7.3%). Other causes were Achilles tendon tear, Peroneal Tenosynovitis and tibial posterior Tenosynovitis. And in 9 subjects (21.95%) normal sonographic ndings noted. Conclusion: Heel pain is common complaint with plantar fasciitis noted in 10% of musculoskeletal pain of heel and ankle. Ultrasound is a problem-solving tool to evaluate heel pain. Demographic data, clinical examination and history also provide valuable clues to the diagnosis. By incorporating ≥ 2 ultrasound ndings in the evaluation of plantar fasciitis the condence of denitive diagnosis can be increased.