June 2026, Volume 4, Issue 6

Author

Santhosh S, T. Gunasekar, and D. Balamurugan

Abstract

Background: Plantar fasciitis is one of the most common musculoskeletal disorders affecting the foot, characterised by degenerative inflammation of the plantar fascia at its calcaneal insertion. Operation theatre (OT) personnel are an occupationally high-risk group due to prolonged standing on hard surfaces, heavy footwear usage, and inadequate rest breaks. However, published data on the prevalence of plantar fasciitis specifically among OT staff remain limited. Methods: A cross-sectional study was conducted among 97 operation theatre personnel at Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur. Plantar fasciitis was assessed clinically and functionally using the Roles and Maudsley Score and the American Orthopaedic Foot and Ankle Society (AOFAS) Score. Data on BMI, duration of standing, floor type, footwear type, physical activity, and ergonomic factors were collected. Statistical analysis included Chi-square test for categorical associations and multivariate logistic regression for independent predictors. Results: The overall prevalence of plantar fasciitis was 73.2% (71/97). BMI (p = 0.007), standing duration >6 hours/day (p = 0.002), hard floor exposure (p = 0.030), and irregular physical activity (p = 0.024) were significantly associated with plantar fasciitis. On multivariate analysis, prolonged standing >6 hours (Adjusted OR: 5.10; 95% CI: 1.23-21.14; p = 0.025), absence of breaks during surgery (Adjusted OR: 5.59; 95% CI: 1.31-23.88; p = 0.020), and non-use of cushioned footwear (Adjusted OR: 4.35; 95% CI: 1.02-18.52; p = 0.047) were independent predictors. Conclusion: Plantar fasciitis is highly prevalent among OT personnel. Prolonged standing, elevated BMI, absence of rest breaks, and inadequate footwear are major modifiable risk factors. Workplace ergonomic interventions including scheduled breaks, cushioned footwear, and anti-fatigue matting are urgently needed.