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. 2024 May;12(3):101849.
doi: 10.1016/j.jvsv.2024.101849. Epub 2024 Feb 11.

Impact of static foot disorders on the conservative treatment success in chronic venous disease patients without wounds

Abdulkerim Özhan  1 , Fatih Günaydın  2
Affiliations

Impact of static foot disorders on the conservative treatment success in chronic venous disease patients without wounds

Abdulkerim Özhan et al. J Vasc Surg Venous Lymphat Disord. 2024 May.

Abstract

Objective: Chronic venous disease (CVD) and static foot disorders (SFDs) are prevalent conditions that commonly cause lower extremity pain. These conditions share common factors such as age and weight in their etiology. This study aimed to investigate the impact of SFDs on the treatment response of patients undergoing conservative treatment for CVD without wounds.

Materials and methods: A retrospective evaluation was conducted on 328 patients (60 males, 268 females) with CVD. Parameters including age, gender, affected side, body mass index, Visual Analog Scale (VAS), Clinical-Etiological-Anatomical-Pathophysiological (CEAP) classification, and revised Venous Clinical Severity Score (rVCSS) were considered for evaluation. Radiological measurements of calcaneal pitch angle (CPA) were analyzed as a determinant of SFDs.

Results: VAS and rVCSS of the patients were evaluated before and after conservative treatment of CVD without concomitant treatment of SFDs. The presence of SFDs was associated with decreased treatment success (P < .001). Among different types of SFDs, the pes cavus group exhibited the lowest change in VAS and rVCSS scores before and after conservative CVD treatment. In contrast, the normal group demonstrated the highest improvement. Patients with a normal foot medial arch consistently achieved the best treatment outcomes compared with patients with other SFDs.

Conclusions: In conclusion, SFDs affect outcomes of conservative treatment of CVD in CEAP 0 to 3 patients, with the efficacy of treatment dependent upon the severity of SFDs.

Keywords: Chronic venous disease; Pes cavus; Pes planus; Static foot disorders.

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Conflict of interest statement

Disclosures None.

Figures

Fig 1
Fig 1
Foot lateral view, radiography, and calcaneal pitch angle (CPA) measurement of patients with pes planus and pes cavus.
Fig 2
Fig 2
Clinical-Etiological-Anatomical-Pathophysiological (CEAP) class distribution according to calcaneal pitch angle (CPA).
See this image and copyright information in PMC

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