Frequency of Heel Pain and Its Association with Quality of Life Among Hair Dressers in Lahore

Authors

  • Maliha Arshad University of Management and Technology, Lahore, Pakistan Author
  • Rubab Nadeem University of Management and Technology, Lahore, Pakistan Author
  • Fariha Arshad University of Management and Technology, Lahore, Pakistan Author
  • Moeen Ahmad Khan University of Management and Technology, Lahore, Pakistan Author
  • Laraib Gul University of Management and Technology, Lahore, Pakistan Author
  • Ahmad Raza University of Management and Technology, Lahore, Pakistan Author

DOI:

https://doi.org/10.61919/0jgftx87

Keywords:

Heel pain; hairdressers; quality of life; occupational health; Numeric Pain Rating Scale; musculoskeletal pain; Lahore.

Abstract

Background: Heel pain is a common occupational musculoskeletal complaint among workers who spend prolonged periods standing, including hairdressers, and may negatively affect physical functioning, psychological wellbeing, work performance, and overall quality of life. Objective: To determine the frequency of heel pain and assess its association with quality of life among hairdressers in Lahore. Methods: This cross-sectional observational study included 279 male and female hairdressers aged 18–35 years who had been practicing professionally for at least two years and worked 7–8 hours per day. Participants were recruited from salons in Lahore using convenience sampling. Heel pain intensity was assessed using the Numeric Pain Rating Scale and categorized as no pain, mild pain, moderate pain, or severe pain. Quality of life was assessed using domain-based questionnaire responses covering general health, physical health, psychological health, social relationships, and environmental health. Data were analyzed using descriptive statistics and tests of association, with statistical significance set at p < 0.05. Results: Most participants were male (61.6%). Heel pain was reported by 65 participants (23.3%), while 214 participants (76.7%) reported no pain. Mild pain was present in 21 participants (7.5%), moderate pain in 33 participants (11.8%), and severe pain in 11 participants (3.9%). Heel pain intensity showed a statistically significant association with poorer quality-of-life outcomes across general, physical, psychological, social, and environmental domains (p < 0.001). Conclusion: Heel pain affected nearly one-fourth of hairdressers and was significantly associated with reduced quality of life, particularly in physical and psychological domains. Early screening, ergonomic education, supportive footwear, rest breaks, and preventive workplace strategies may help reduce heel pain burden and improve wellbeing among hairdressers

References

1. Agyekum EK, Ma K. Heel pain: a systematic review. Chin J Traumatol. 2015;18(3):164-169.

2. Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98(4):283-289.

3. Khumalo NP, Jessop S, Ehrlich R. Prevalence of cutaneous adverse effects of hairdressing: a systematic review. Arch Dermatol. 2006;142(3):377-383.

4. Gupta AK, Mays RR. The impact of onychomycosis on quality of life: a systematic review of the available literature. Skin Appendage Disord. 2018;4(4):208-216.

5. Chen HC, Chang CM, Liu YP, Chen CY. Ergonomic risk factors for the wrists of hairdressers. Appl Ergon. 2010;41(1):98-105.

6. Nawaz I, Bukhari A, Shafique W, Quratulain, Aiman U, Rafique U, et al. Factors associated with heel pain in young professionals. Pak J Med Health Sci. 2023;17(5):16.

7. Mishra S, Sarkar K. Work-related musculoskeletal disorders and associated risk factors among urban metropolitan hairdressers in India. J Occup Health. 2021;63(1):e12200.

8. Tsegay GS, Gebremeskel BF, Gezahegn SD, Teklemichael DM. Low back pain and associated factors among hairdressers in Northern Ethiopia: a cross-sectional study. Pain Res Manag. 2021;2021:2408413.

9. Kamal F, Gillani MHZ, Nawaz A, Aman Z, Waseem A, Anwar A. Frequency of musculoskeletal disorders among hairdressers; a cross-sectional study. Healer J Physiother Rehabil Sci. 2023;3(5):540-548.

10. López-López D, Pérez-Ríos M, Ruano-Ravina A, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Romero-Morales C, et al. Impact of quality of life related to foot problems: a case-control study. Sci Rep. 2021;11(1):14515.

11. Nshunju RK. Compliance to occupational and public health requirements and associated factors in barbershops and hair dressing salons: a case of Kinondoni Municipality, Dar es Salaam [dissertation]. Dar es Salaam: Muhimbili University of Health and Allied Sciences; 2012.

12. Cooper MT. Common Painful Foot and Ankle Conditions: A Review. Jama. 2023;330(23):2285-94.

13. Kim DH, Lee Y. Effect of Dynamic Taping versus Kinesiology Taping on Pain, Foot Function, Balance, and Foot Pressure in 3 Groups of Plantar Fasciitis Patients: A Randomized Clinical Study. Med Sci Monit. 2023;29:e941043.

14. Charles R, Fang L, Zhu R, Wang J. The effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy, and plantar fasciitis: a systematic review and meta-analysis. Front Immunol. 2023;14:1193835.

15. Cortés-Pérez I, Moreno-Montilla L, Ibáñez-Vera AJ, Díaz-Fernández Á, Obrero-Gaitán E, Lomas-Vega R. Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis: A systematic review and meta-analysis. Clin Rehabil. 2024;38(8):1023-43.

16. Melese H, Alamer A, Getie K, Nigussie F, Ayhualem S. Extracorporeal shock wave therapy on pain and foot functions in subjects with chronic plantar fasciitis: systematic review of randomized controlled trials. Disabil Rehabil. 2022;44(18):5007-14.

17. Morrissey D, Cotchett M, Said J'Bari A, Prior T, Griffiths IB, Rathleff MS, et al. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. Br J Sports Med. 2021;55(19):1106-18.

18. Boob MA, Jr., Phansopkar P, Somaiya KJ. Physiotherapeutic Interventions for Individuals Suffering From Plantar Fasciitis: A Systematic Review. Cureus. 2023;15(7):e42740.

19. Noriega DC, Cristo Á, León A, García-Medrano B, Caballero-García A, Córdova-Martinez A. Plantar Fasciitis in Soccer Players-A Systemic Review. Int J Environ Res Public Health. 2022;19(21).

20. 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).

Downloads

Published

2025-12-31

Issue

Section

Articles

How to Cite

Frequency of Heel Pain and Its Association with Quality of Life Among Hair Dressers in Lahore. (2025). Link Medical Journal, 3(2), 1-9. https://doi.org/10.61919/0jgftx87

Most read articles by the same author(s)

Similar Articles

1-10 of 92

You may also start an advanced similarity search for this article.