PREVALENCE OF PLANTAR FASCIITIS AND ITS ASSOCIATION WITH DEMOGRAPHIC FACTORS AMONG FEMALE SCHOOLTEACHERS

Authors

  • Hafsah Arshad Ibadat International University, Islamabad, Pakistan. Author
  • Hafsah Gul Khattak Ibadat International University, Islamabad, Pakistan. Author
  • Ayesha Sana Ibadat International University, Islamabad, Pakistan. Author
  • Nayab khan Foundation University Islamabad, Islamabad, Pakistan. Author
  • Syeda Uswa e Maryam Shifa International Hospital, Islamabad, Pakistan. Author
  • Misbah Razzaq University of Lahore, Islamabad Campus, Pakistan. Author
  • Zainab Shaukat The Heart Clinic, Rawalpindi, Pakistan.\ Author
  • Ayesha Zafar University of Lahore, Islamabad Campus, Pakistan. Author

DOI:

https://doi.org/10.71000/71484e71

Keywords:

Planter fasciitis, heel pain, teachers, Body Mass Index, Occupational Diseases, Pain Measurement, Prevalence

Abstract

Background: Plantar fasciitis is a leading cause of heel pain and functional limitation, particularly in occupations involving prolonged standing. Teachers, due to extended periods of weight-bearing activities, are at an increased risk of developing this condition. Although plantar fasciitis has been widely studied in various professions, limited data are available on its prevalence among primary school teachers in Pakistan. Understanding its occupational and demographic associations is essential for targeted prevention and management strategies.

Objective: To determine the prevalence of plantar fasciitis and its association with demographic and occupational factors among female primary school teachers in Rawalpindi and Islamabad.

Methods: This descriptive cross-sectional study was conducted from February to July 2022 on 243 female primary school teachers recruited from government and private schools using a non-probability convenience sampling technique. Inclusion criteria comprised teachers aged 24–65 years, with at least one year of teaching experience and heel pain. Those who were pregnant or had medical conditions, heel spurs, or recent foot injuries were excluded. Data were collected using a semi-structured questionnaire, incorporating demographic details, occupational characteristics, Visual Analogue Scale (VAS) for pain, and the Plantar Fasciitis Pain and Disability Scale (PFPS). Data analysis was performed using SPSS version 26, with chi-square tests applied to assess associations.

Results: The mean age of participants was 38.15 ± 9.3 years, with 55.5% aged 24–35 years. The mean PFPS score was 40.57 ± 11.48. Plantar fasciitis prevalence was 75.2%, and heel pain was reported by 86.4% of participants. Moderate pain on VAS was most common (56.4%). Significant associations were found between plantar fasciitis and age (p = 0.036) and BMI (p = 0.042), while standing duration and footwear type showed no association.

Conclusion: Plantar fasciitis was highly prevalent among young female primary school teachers, with most experiencing moderate heel pain. Age and BMI were significant associated factors, emphasizing the need for targeted workplace interventions.

Author Biographies

  • Hafsah Arshad, Ibadat International University, Islamabad, Pakistan.

    Assistant Professor, Ibadat International University, Islamabad, Pakistan.

  • Hafsah Gul Khattak, Ibadat International University, Islamabad, Pakistan.

    Senior Lecturer, Ibadat International University, Islamabad, Pakistan.

  • Ayesha Sana, Ibadat International University, Islamabad, Pakistan.

    Senior Lecturer, Ibadat International University, Islamabad, Pakistan.

  • Nayab khan , Foundation University Islamabad, Islamabad, Pakistan.

    Demonstrator, Foundation College of Physical Therapy, Foundation University Islamabad, Islamabad, Pakistan.

  • Syeda Uswa e Maryam , Shifa International Hospital, Islamabad, Pakistan.

     Head Practitioner Physiotherapist, eShifa, Shifa International Hospital, Islamabad, Pakistan.

  • Misbah Razzaq, University of Lahore, Islamabad Campus, Pakistan.

     Physiotherapist, University of Lahore, Islamabad Campus, Pakistan.

  • Zainab Shaukat, The Heart Clinic, Rawalpindi, Pakistan.\

    Physiotherapist, The Heart Clinic, Rawalpindi, Pakistan.

  • Ayesha Zafar, University of Lahore, Islamabad Campus, Pakistan.

     Physiotherapist, University of Lahore, Islamabad Campus, Pakistan.

References

Khammas ASA, Mahmud R, Hassan HA, Ibrahim I, Mohammed SS. An assessment of plantar fascia with ultrasound findings in patients with plantar fasciitis: a systematic review. J Ultrasound. 2023;26(1):13-38.

Ryskalin L, Morucci G, Soldani P, Gesi M. Do the fasciae of the soleus have a role in plantar fasciitis? Clin Anat. 2024;37(4):413-24.

Çatal B, Genç E, Çaçan MA, Güleryüz Y, Erdil ME. Is there a relation between plantar fasciitis and total cholesterol levels? Foot Ankle Surg. 2022;28(3):390-3.

Miladi S, Bouzid S, Fazaa A, Boussaa H, Makhlouf Y, Souabni L, et al. Is there an association between plantar fasciitis and knee osteoarthritis? Musculoskeletal Care. 2023;21(4):1045-52.

Campillo-Recio D, Ibañez M, Martin-Dominguez LA, Comas-Aguilar M, Fernandez-Morales M, Alberti-Fito G. Local Percutaneous Radiofrequency for Chronic Plantar Fasciitis. Arthrosc Tech. 2021;10(5):e1315-e20.

Khired Z, Najmi MH, Akkur AA, Mashhour MA, Bakri KA. The Prevalence and Risk Factors of Plantar Fasciitis Amongst the Population of Jazan. Cureus. 2022;14(9):e29434.

Alrashidi Y, Alsaygh EF, Khoshhal MS, Alsaedi OF, Dwmlou BA, Alandijani HA, et al. Prevalence of Plantar Heel Pain Among School Teachers in Medina Region, Saudi Arabia: A Cross-Sectional Study. Cureus. 2022;14(11):e31821.

Liu P, Chen Q, Yang K, Cai F. Prevalence, characteristics, and associated risk factors of plantar heel pain in americans : The cross-sectional NHANES study. J Orthop Surg Res. 2024;19(1):805.

Burke BE, Baillie JE. Randomized placebo controlled trial of phytoterpenes in DMSO for the treatment of plantar fasciitis. Sci Rep. 2024;14(1):17621.

Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis. Sports Health. 2021;13(3):296-303.

Matsumoto Y, Ogihara N, Kosuge S, Hanawa H, Kokubun T, Kanemura N. Sex differences in the kinematics and kinetics of the foot and plantar aponeurosis during drop-jump. Sci Rep. 2023;13(1):12957.

Kakouris N, Yener N, Fong DTP. A systematic review of running-related musculoskeletal injuries in runners. J Sport Health Sci. 2021;10(5):513-22.

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 (Basel). 2021;11(12).

Sajan A, Epelboym Y, Martínez AF, Little M, Talaie R, Isaacson A. Transarterial Embolization for Musculoskeletal Pain Management: AJR Expert Panel Narrative Review. AJR Am J Roentgenol. 2025;224(2):e2431626.

Chang AH, Rasmussen SZ, Jensen AE, Sørensen T, Rathleff MS. What do we actually know about a common cause of plantar heel pain? A scoping review of heel fat pad syndrome. J Foot Ankle Res. 2022;15(1):60.

Hashmi R, Naeem L, Arif S, Habiba U, Irfan R, Zafar M. Frequency of plantar fasciitis among females in teaching profession. Journal of Aziz Fatimah Medical & Dental College. 2020;2(2):53-7.

Alrashidi Y, Alsaygh EF, Khoshhal MS, Alsaedi OF, Dwmlou BA, Alandijani HA, et al. Prevalence of Plantar Heel Pain Among School Teachers in Medina Region, Saudi Arabia: A Cross-Sectional Study. Cureus. 2022;14(11).

Ali Q, Long Y, Ali M. Prevalence, causes, and treatment of plantar fasciitis in young females of a medical college. Bulletin of Faculty of Physical Therapy. 2024;29(1):31.

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;11(7):3851-5.

Aiman U, Malik L, Zahoor A. Pain And Difficulty Level In Working Females Having Plantar Fasciitis Of Multan City: Pain & Difficulty in Working females with Plantar Fasciitis. Pakistan BioMedical Journal. 2022:46-50.

Khired Z, Najmi MH, Akkur AA, Mashhour MA, Bakri KA. The prevalence and risk factors of plantar fasciitis amongst the population of Jazan. Cureus. 2022;14(9).

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Published

2025-08-13

How to Cite

1.
Arshad H, Hafsah Gul Khattak, Ayesha Sana, Nayab khan, Syeda Uswa e Maryam, Misbah Razzaq, et al. PREVALENCE OF PLANTAR FASCIITIS AND ITS ASSOCIATION WITH DEMOGRAPHIC FACTORS AMONG FEMALE SCHOOLTEACHERS. IJHR [Internet]. 2025 Aug. 13 [cited 2025 Aug. 29];3(4 (Health and Allied):555-62. Available from: https://insightsjhr.com/index.php/home/article/view/1172