Obesity-Related Foot Pain: Diagnosis and Surgical Planning

Clin Podiatr Med Surg. 2019 Jan;36(1):141-151. doi: 10.1016/j.cpm.2018.08.008. Epub 2018 Oct 25.

Abstract

Obese patients are at higher risk for surgical complications and consist of a large portion of podiatric patients. Obese patients are additionally at increased risk of developing specific podiatric conditions, and it is important to be able to identify and appropriately treat these conditions accordingly. Initially, conservative treatment is adequate for a variety of pathologic conditions related to obesity. Occasionally surgical intervention is warranted depending on the severity and lack of response to conservative measures. Arthrodesis-type procedures are often preferable and may be necessary, as opposed to periarticular osteotomy, in obese patients even if the deformity is flexible.

Keywords: Achilles tendonitis; Management of obesity-related foot pain; Obesity; Plantar fasciitis.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Achilles Tendon / physiopathology
  • Achilles Tendon / surgery
  • Conservative Treatment / methods*
  • Fasciitis, Plantar / diagnosis*
  • Fasciitis, Plantar / etiology
  • Fasciitis, Plantar / surgery
  • Humans
  • Male
  • Musculoskeletal Pain / diagnosis
  • Musculoskeletal Pain / etiology*
  • Musculoskeletal Pain / surgery
  • Obesity / complications*
  • Obesity / diagnosis
  • Orthopedic Procedures / adverse effects
  • Orthopedic Procedures / methods*
  • Pain Measurement
  • Postoperative Complications / prevention & control
  • Prognosis
  • Risk Assessment
  • Tendinopathy / diagnosis*
  • Tendinopathy / etiology
  • Tendinopathy / therapy
  • Treatment Outcome