Plantar Fasciitis Case Study

* Osteopathy is also said to help relieve pain that individuals experience for a number of different reasons, this is done by improving mobility and reducing inflammation by using gentle, manual osteopathic techniques. (Hoddesdon osteopathic & sports injury clinic , 2016)

Procedure: The study was a case series, therefore a single group was used that included all participants receiving the same program. The intervention included progessive eccentric heel-drop exercises of the symptomatic tendon for a total of 12 weeks. Participants progressed from 1 to 3 sets twice a day based on whether or not the exercises could be completed pain free.

This study was designed as a descriptive case series as it follows the progress of ten participants undergoing the same treatment with no control group. As this is a

An analysis of Case of Plantar Fasciitis & Heel Pain considering the Clinical Practice Guidelines.

Factors that may increase your risk of developing plantar fasciitis include: age; Plantar Fasciitis is most common in people between the ages of 40 and 60. Weight; obese people have increased stress on the plantar fascia due to the excess pounds they are carrying around. Abnormal foot mechanics or anatomy can cause Plantar Fasciitis. A person that is flat-footed or has a high arch, one who has an abnormal pattern of walking can adversely affect the way weight is distributed, thus adding stress to the plantar fascia. Also people with tighter calf muscles are unable to flex their foot appropriately (decreased dorsiflexion). Occupations; people who work on their feet for long periods of time on hard surfaces are at higher risk, again due to the

The physical therapy plan is to pursue the following: First, manage the pain and the other inflammatory signs through using RICE, gait aids if necessary, and using some electrotherapy modalities. Second, facilitate and accelerate the repair and remodeling stages by using low intensity pulsed ultrasound, electrical stimulation and avoid using any NSAIDs. Third, modified the rest by maintain the fitness level of the player (cycling, gentle stepping), underwater walking, and muscle strength. Finally, try to prepare the player to gradual sport

Luckily, concerned individuals have discovered orthotics as a simple yet effective way to deal with and treat plantar fasciitis in the process.

The pain and limited mobility caused by ankle arthritis can make daily life challenging; thus, negatively affecting an individual’s overall quality of life. In addition, this limited mobility and frequent pain often leads to anxiety and depression. At Nilssen Orthopedics Ankle and Foot Center, we are dedicated to improving our patients’ quality of life by addressing their symptoms using conservative treatments and, when necessary, surgical intervention.

1698). In the article, “Effectiveness of Exercise Therapy in Treatment of Patients with Patellofemoral Pain Syndrome: Systematic Review and Meta-Analysis”, researchers looked at the available data to see if therapeutic exercise is an effective intervention for decreasing pain caused by patellofemoral dysfunction. Researchers combined data from 15 different studies, with a total of 748 participants, in an effort to summarize the data and develop a strong conclusion regarding the effectiveness of exercise in pain reduction. According to this meta-analysis, or systematic combining of data, the authors determined that significant reductions in pain levels were noted in PFPS patients who performed therapeutic exercises. The authors concluded, “based on the results of the present study, exercise therapy appears to be an important strategy to achieve pain and patient reported measures of activity limitations and participation restriction relief in patients with PFPS” (6,

Generally, a physician will take a patient's history and will conduct a physical examination to determine if plantar fasciitis is the cause of heel pain. The doctor may recommend splints that are worn at night and/or physical therapy to stretch the plantar fascia or strengthen surrounding muscles. The physician may also recommend orthotics, which are custom fitted supports that help distribute pressure more evenly. If these conservative measures don't alleviate the pain, the doctor may recommend steroid shots. Chronic sufferers of plantar fasciitis may be required to undergo extracorporeal shock wave therapy or even surgery to detach the fascia from the bone, but these treatments aren't standard for most people suffering from plantar fasciitis.

• Returning to full activity gradually. The timing will depend on the severity of your condition and your response to treatment.

Plantar fasciitis is more likely to occur in middle aged obese women or in those who are on their feet most of the day.[2] Colie C, Seto C and Gazewood J states that Due to the cumulative overload stress to the origin of plantar fascia results in acute or chronic injury that may cause pain.[3] As highlighted by S Cutts, N Obi, C Paspula, et.al. Ankylosing spondylitis, Reiter’s syndrome and osteoarthritis can all produce symptoms of PF and can be marked as differential diagnoses for PF.Top-notch interpretation of plantar fasciitis is a clinical one. Most day-to-day investigation is plain x-ray. Technetium bone scintigraphy is positive in plantar fasciitis.[4] As highlighted by Author, PF is considered a self-limiting condition. But 6-18 months is a typical resolving period of PF. Of many treatments alternatives available for PF rest and avoidance of aggravating activities one of the most essential and most effective self-treatment that provides significant relief. Other treatment options for PF are proper foot wear, foot orthotic, leaning wall stretch, curb or stair stretches, toe curls, and toe taps. Surgery for PF should be contemplate choice only after all other forms of treatment have failed.

Physical therapy implication: Physical therapy assessment is vital to before providing a proper treatment to our patients by finding the location of pain or tightness of the body part, as well as the sign and symptoms of arthritis or any disease. These will help to address the condition earlier and prevent an increased damage to the embedded tissue (Goodman & Fuller, 2015). Treatment of RA patients is very sensitive by touch and neds an extra care when handling them. Gentle stretching exercise of a range of motion exercise needs to be very cautious to prevent fracture, other soft tissue injury and other musculoskeletal condition. Frequently monitoring skin condition when applying a splint to prevent contracture resulting from RA. Observe

According to the article, patients with both surgery treatment and functional treatment had recovered their pre-injury activity level and reported that they could walk and run normally. The prevalence of re-injury was one of fifteen in the surgical group and seven of eighteen in the functional treatment group. The mean ankle score did not differ significantly between the groups (mean difference: 8.3 points). Stress radiographs revealed no difference between groups with regard to the mean anterior drawer or mean tilt angle. At the time of the primary injury, none of the patients in either group had signs of osteoarthritis visible on radiographs. However, at the final follow up examinations, grade-II osteoarthritis was observed on magnetic resonance

Trigger point dry needling (TDN) is a treatment in which practitioners insert thin, sterile filiform needles into patients for the purpose of pain relief by stimulating underlying myofascial trigger points, muscles, tendons, and connective tissues. This technique is not only used for the management of neuromuscular pain relief, but it is also used to treat movement impairments and dysfunctions in skeletal muscle, fascia, and connective tissue. Dry needling is also implemented in clinical practice for the purpose of reducing and eventually restoring impairments of body structure and function (American Physical Therapy Association [APTA], 2013). These purposes for dry needling eventually lead to improved activity and function