Acta Scientific Orthopaedics (ASOR)(ISSN: 2581-8635)

Review Article Volume 4 Issue 7

Current Concepts in Rehabilitation of Plantar Fasciitis

Monica Chhabra1* and Karan Bir Singh2

1Senior Physiotherapist, Department of Physical Medicine and Rehabilitation, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2CEO, Deep Artificial Limb Center, Chandigarh, India

*Corresponding Author:Monica Chhabra, Senior Physiotherapist, Department of Physical Medicine and Rehabilitation, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Received: June 18, 2021; Published: June 29, 2021

Abstract

Plantar Fasciitis is the most common cause of heel pain treated mostly conservatively and physical therapy significantly contributes to alleviate the symptoms using both exercise therapy and electrotherapeutic modalities. attributes to 8% of all running related sports injuries, 15% of all reported foot complaints and 7% of all the reported complaints of tenderness of heel in patients above 65 years. An understanding of the fasciitis’ pathomechanics and a comprehensive knowledge of these modalities, their mechanism of action, and the evidence of their efficacy can help in swift and accurate clinical decision making, helping the patients and the healthcare system alike.

Keywords: Plantar Fasciitis; Heel Pain; Rehabilitation; Physical Therapy; Pathomechanics

Abbreviations

PF: Plantar Fasciitis; SI: Steroid Injection; ESWT: Extracorporeal Shock Wave Therapy; HILT: High Intensity LASER Therapy; LLLT: Low Level LASER Therapy; APTA: American Physical Therapy Association

Introduction

  Plantar Fasciitis (PF) or Fasciosis or Fasciopathy is a chronic debilitating condition which adversely affects our basic activities of daily living [1]. The thick fibrous band of plantar aponeurosis that not only maintains the arch in quiet standing [2] but also provides proprioception [3] and acts like a spring and conserves energy for propulsion during walking [4]; sustains chronic repetitive injury due to mechanical overload. This excessive loading may be due to obesity/increased body mass index [5-10], occupations involving excessive walking or long hours of standing, running with poorly cushioned footwear [11] or biomechanical anomalies like pes planus or pes cavus [12]. The injury exceeds the body’s capacity to heal [13-16] and leads to the development of pain and inflammation of plantar fascia and perifascial structures [12].

  This culminates into a chronic pain in the medial heel, pain during first steps in the morning with an underlying degenerative process characterized by the failed healing response and an absence of histopathological signs of inflammation [16,17]. The management of plantar fasciitis is mostly conservative [9] and physical therapy is most commonly recommended along with other rehabilitation interventions like orthotic support, and pharmacological management like NSAIDs and corticosteroid injections etc (Table 1). The field of physical therapy is dynamic and ever emerging and new interventions like Extracorporeal Shock Wave Therapy (ESWT), Dry Needling, Myofascial Release etc. backed with considerable research are being used to treat the plantar fasciitis. The aim of this paper was to present a comprehensive overview of the interventions and their mechanism of action and reported efficacy for the ease of clinical decision making and treatment planning.

Physical therapy

Orthotic Devices

Injections and other Alternate treatment strategies

Electrotherapy

Extra Corporeal Shock wave Therapy

Dry Needling

LASER/Photobiomodulation

Iontophoresis

Ultrasound

Pre-Fabricated/over the counter

 

Corticosteroid injections

Exercise Therapy

1. Manual Therapy

2. Manipulation/ Strain Counter strain

3. Stretching

Custom-made orthoses

Autologous Whole Blood or Platelet Rich Plasma

 

Low Dye Taping and Kinesiotaping

Night splints

Botulinum toxin Injection

 

 

Dehydrated amniotic membrane injection

 

 

Low Dose radiotherapy

Table 1: Principal rehabilitation strategies for management of planter fasciitis.

Pathomechanics of plantar fasciitis

  Biomechanically, it has been documented that, those persons with a hyper mobile foot or hyper pronated foot develop planter fasciitis [18]. The normal foot pronates maximally at foot flat phase of the gait but the hyper pronated feet, continue pronating and are unable to supinate during mid stance. The propulsion needs a rigid (supinated) foot and these overpronated feet do not achieve the rigid, locked position due to inadequate supination. This leads to abnormal force absorption and distribution. Adult foot deformities like Convex pes valgus (vertical talus), tarsal coalitions, and congenital metatarsus varus; developmental deformities like talipes calcaneovalgus, talipes calcaneovarus, postural metatarsus adductus and forefoot varus, ligament laxity, tight Achilles tendon, weak intrinsic foot musculature-all lead to a overpronated foot [19].

  Pes cavus, pes cavovarus and pes equinovarus all have abnormal supination of the foot. These Individuals also tend to develop planter fasciitis. A neutral foot at heel strike pronates immediately to absorb shock of contact. The abnormally supinated feet either stay supinated throughout stance or pronate late i.e. in the propulsive phase where supination is required. According to Root., et al. pronation during push off makes the heel unstable and causes trauma [19]. Forces generated during both pronation and supination increase the planter fascial tension, too much or too little of either motion at wrong time of gait cycle leads to inefficient foot function and potential dysfunction [12].

  Chandler and Kibler [20] and Kwong., et al. [21] suggested that it’s not merely from the abnormal motion; but the duration of motion is also a very significant factor in the development of planter fasciitis. Cornwall [22] suggested that when the joints of foot function continuously beyond a normal end range, medial joint capsule and ligamentous structures experience greater stress and, posterior tibialis get excessively fatigued to control abnormal motion [23]. This leads to pain, discomfort and inflammation of the fascia. An increase in weight-bearing activities like running, jogging cause micro trauma to the fascia and, repetitive micro trauma without allowing the body to recover also leads to planter fasciitis. The other causes may be neurological, arthritic, due to tumor etc [24].

Treatment options

  The understanding of biomechanics and pathomechanics helps in determining treatment options for the condition. The medical treatment comprises of use of non-steroidal anti-inflammatory drugs, Corticosteroid Injections, Botulinum toxin or Platelet Rich Plasma, Extracorporeal Shock Wave therapy. Surgical management includes sectioning of planter Fascia, Release of lateral planter nerve, Endoscopic planter release. The rehabilitation interventions aim at restoring normal muscle strength, improving muscle flexibility, and normalizing biomechanical influences by use of modalities and techniques to increase and maintain extensibility, reduce pain and maintain the foot in proper position. Manual therapy, stretching, strengthening, taping, orthosis, osteopathic manipulation, dry needling Laser, phonophoresis etc. are most commonly recommended.

Rehabilitation-Current concepts

  Extra corporeal shockwave therapy: ESWT is a non-invasive short duration, high- pressure amplitude, pulsed Sound wave that produces controlled micro trauma to stimulate a healing response and microneovascularisation [25]. The American College of Foot and Ankle Surgeons in 2010, have recommended ESWT as a treatment of choice for plantar fasciitis with or without a plantar spur when nonoperative treatment has failed [24].

  Mechanism of action: The efficacy of ESWT is being widely reported yet the mechanism of action remains unclear. It is speculated, that the effect comes from reflexive analgesic effect by destroying the unmyelinated sensory fibers and inducing excitability of the axon or suppression of inflammatory process by inducing production of nitric oxide [25]. The probable effects of ESWT have been summarized into 4 phases-Physical, Physiochemical, Chemical and Biological which take place through cavitation, mechanotransduction, increasing the permeability of the cell membrane and causing the release of biomolecules through stimulation. ESWT can induce neovascularization at the junction of the tendon-bone; it stimulates collagen synthesis and release of growth factors such as VEGF (vascular endothelial growth factor), PCNA (proliferating cell nuclear antigen) and eNOS (endothelial nitric oxide synthase). Subsequently, these factors lead to the improvement of the blood supply and to an increase in cell proliferation and ultimately to the tissue regeneration of tendons and bones for tissue repair [26]. The functional proteins released due to the procedure not only promote wound and bone healing, they are Anti-Inflammatory, chondroprotective and stimulate nerve regeneration [27].

  Efficacy: A meta-analysis [25] of 9 RCTs involving 658 cases was conducted to ascertain the efficacy of ESWT and it was reported that within 3 months, the success rates and pain relief in the high intensity ESWT group were higher as compared to Corticosteroid injection treatment. The lowest was noted in the low intensity ESWT group [25]. A recent meta-analysis [28] compared the efficacy of shock wave and corticosteroid injections and found that both were successful in causing pain relief and improving self-reported function at 3 months post treatment. They recommended Shock wave to be a better treatment option as the VAS scores showed larger improvement in that group compared to the corticosteroid group.

  Recent studies [29-32] have found ESWT to be an effective modality in alleviating pain in plantar Fasciitis patients. Akinogulu., et al. [33] found additional benefits of increased proprioception and improvement in Static and Dynamic Balance by means of Single leg Standing and Functional Reach test. Takla MKN., et al. [34], Cinar E., et al. [35] compared ESWT to laser and found significant improvement in both groups and while Takla MKN [34] found ESWT to be better, Cinar E., et al.’s [35] recommendations were opposite. A recent study by Ulusouy., et al. [36] found comparable evidence for both. Several authors [27-44] have also compared ESWT to Steroid injections, Botox A, Autologous CP and Surgical release. The results show that ESWT is equally effective and has longer, lasting treatment effects than injections. On comparing ESWT with plantar release, Radwan., et al. [42] and Saxena., et al. [44] produce contrasting evidence. Radwan., et al. [42] found both to be equally effective and Saxena., et al.’s [44] results favor surgical release; yet he states that ESWT should be preferred over surgical release as it allows the athlete to stay active between treatments. Overall, it seems safe to say that the ESWT can be opted for before proceeding for invasive interventions.

Figure 1: Extra corporeal shock wave therapy.

  Photobiomodulation or laser: The low-level laser therapy (LLLT) is the application of light to promote tissue metabolism, healing and regeneration. APTA [45] recommends the use of low-level laser therapy (LLLT) to reduce pain and improve the level of activity in individuals with heel pain/plantar fasciitis.

  Mechanism of action: LLLT is applied between the low power range of 1 to 500 mW and the spectral width falls near the red or near infra-red spectrum (600 nm - 1000 nm) which helps in better penetration of the Laser into the skin. It is said to affect cellular metabolism, protein synthesis and wound healing and helps in reducing pain [2,46]. The photochemical effect of the Laser causes stimulation of mitochondria, increases the ATP, RNA and protein synthesis, which causes increased cellular metabolism, accelerates the inflammatory response and facilitates healing [47,48].

  Efficacy: LLLT has been studied by various authors [34,36,49-52] and they have all claimed the treatment to be effective in reduction of pain and improvement of function in plantar fasciitis. Kiritsi., et al. [51], Macias., et al. [52], Akinogulu., et al. [33] have reported reduction of Plantar Fascia thickness by Ultrasonographic measurement and Takla., et al. [34] have reported improved pressure point threshold following LASER in PF. Oradhan [49] compared High Intensity Laser Therapy (HILT) with LLLT and found greater effectiveness of HILT. LLLT also shows greater effectiveness when used in conjunction with ESWT than either alone. A recent systematic review by Wang., et al. [53] concluded that the LLLT was not only significantly effective in relieving the heel pain in PF patients, it was also effective up to 3 months post treatment.

Figure 2: Photobiomodulation or LASER.

  Dry needling: Though the earlier evidence is speckled with negative recommendations as by The APTA [9] guidelines (based on publications before 2013); the recent RCTs point towards its efficacy.

  Mechanism of action: Dry needling is said to reduce pain by affecting the concentration of neuropeptides- substance P and Calcitonin Gene Related Peptide and increasing endorphin levels in local tissue and serum [54]. The increased blood flow may also be responsible in removing substances responsible for nociception. The dry needling is said to affect the areas of brain responsible for sensory, cognitive and affective dimensions of pain [54].

  Efficacy: Rastegar., et al. [55] compared dry needling with steroid injections (SI) concluded that the steroid injections give faster pain relief but dry needling can provide more satisfactory results in the long term. Uygur., et al. [56] reported comparable efficacy of dry needling as compared to corticosteroid injection at 3m and while the SI lost its efficacy at 6m, the dry needling did not. Cochett., et al. [54] compared dry needling with sham needling and found lesser pain and improved function in the treatment. Eftekharsadat., et al. [57] performed dry needling on trigger points in gastrocnemius and the reduced pain was reported even 4 weeks. after withdrawing intervention. They concluded that Dry needling is effective in improving the pain and may be used as a treatment option before using any invasive treatment options. Despite some reports of adverse effects of pain and bleeding from site post intervention, Uygar., et al. [56] state that none of the patients discontinued their sessions.

Manual therapy, stretching and strengthening

  Manual therapy: Manual therapy in conjunction with exercises has been found to be effective in significantly improving the symptoms of planter fasciitis not only in the short term but also at 6 month follow up. The manual techniques for mobilizing the soft tissue are recommended by APTA [9].

  Mechanism of action: Joint mobilization techniques can improve first ray and subtalar joint mobility in a cavus foot. Increased extensibility of soft tissues and improved mobility of joints can improve the biomechanics of foot [11]. Improved mobility, joint play and flexibility of ankle following a week of Strain- Counter strain technique of manual therapy have been reported [58].

  Efficacy: Ajimsha., et al. [59] studied the effects of Myofascial release and provided sham ultrasound to the control group. There was improvement in foot function index scores and pain pressure threshold. Renan-Ordine., et al. [60] have found that the trigger point manual therapy is effective and when combined with self-stretching outcomes are even better. Celik., et al. [61] and Johannsen., et al. [62] have compared manual therapy with steroid injections (SI). Their reports show that the effectiveness of manual therapy is comparable to SI and though, these deliver a quicker relief, the joint mobilization and strengthening group maintains the effects of treatment for longer [61]. Johannsen., et al. [62] suggest that a combination of SI and manual therapy will be most effective than either alone. Saban., et al. [63] and Shashua., et al. [64] compared manual therapy with Ultrasound and found similar effects in both groups. Kamoneski., et al. [65] and Rathleff., et al. [66] provided rigorous strength training to their patients and reported improvement in pain and function.

Figure 3: Stretching of a. Great toe b. plantar fascia c. and d. Gastrosoleus stretching.

  Strengthening: Strengthening should incorporate all muscles that are involved with controlling pronation and facilitating the windlass mechanism. The program should strengthen the posterior tibialis, ankle plantar flexors, and peroneus longus muscles as well as the proximal hip and knee musculature [11].

  An impairment- specific approach should be used to target the muscle groups for strengthening. In case of overpronation due to decreased intrinsic ankle pronation control, Bolgla., et al. [67] suggest strengthening of posterior tibial musculature. The pronated foot may be due to decreased intrinsic ankle supination control and ankle plantar-flexor strengthening and intrinsic foot musculature strengthening is recommended. Improvement in proximal hip and knee muscle strength is recommended if there is decreased extrinsic pronation control [67].

  Stretching: Gastrocnemius and soleus muscle stretching to improve the dorsiflexion range of motion should be included in the exercise prescription for both the high and low arched feet [68]. Pfeffer., et al. [69] reported a 72% improvement in subjects participating in an 8-week stretching program. This study showed that improved Achilles’ tendon flexibility decreases the tension applied directly to the plantar fascia. According to a systematic review [70] regarding the efficacy of stretching, evidence points towards plantar fascia stretching being more effective than Achilles’ tendon stretching alone. The exercise progression can be from a non-weight-bearing position to a weight-bearing position. Use of contract - relax method of proprioceptive neuromuscular facilitation technique is found to be effective [71].

Orthosis and taping

  Orthosis: The orthosis support and cushion the foot. They absorb the shock at heel strike and stabilize/support the foot during propulsion, hence minimizing the pain and discomfort that accompanies every step of a biomechanically compromised foot. These are available as over-the-counter prescriptions or pre-fabricated devices and comprise of insoles, heel pads, heel cups, medial arch supports [72]. Turlik., et al. [73] studied the role of prefabricated and custom-made orthosis and found both to give significant relief though the custom-made orthosis were superior to pre-fabricated orthosis. Custom made orthosis are a better option than the pre-fabricated ones [74-76] and Total Contact insoles are an effective first line of treatment [77,78]. Yucel., et al. [78] have found the improvements in foot function and pain and reduction of thickness of planter fascia, post use of total contact insoles to be comparable to ultrasound guided corticosteroid injections.

  The customized orthoses have a more patient specific approach and comprise of rigid or semi rigid devices like as supramalleolar orthosis or University of California and Biomechanics Laboratory (UCBL) foot insert [11]. Chethan., et al. [79] compared the effectiveness of various foot orthosis and found that the UCBL insert provided significant pain relief. The effects lasted up to 6 months. A combination of custom orthosis with stretching exercises have reported more effectiveness than either alone [80,81].

  Wedging: Wedging in a shoe tends to take the strain off the planter aponeurosis. The medial wedging has been widely documented as a possible shoe modification that reduces the excessive pronation and relieves the person of pain [21,73] though evidence for lateral wedging also exists. Kogler., et al. [82] support lateral wedging as they reported greatest (planter aponeurosis) strain reduction, when a 60 wedge was placed under the lateral aspect of the forefoot.

  Night splints: Plantarflexion is the resting position of the foot and is also the position not conducive for a patient with inflamed planter fascia. When the foot stays in this position over night, it causes stretching of the inflamed tissue thus producing pain with the first morning steps. Night splinting in dorsiflexed position has been recommended to improve flexibility [83,84]. Wheeler., et al. [85], in contrast, report no added benefit of a tension night splint when given in conjunction with a home exercise program.

  Taping: The taping of the arch during the waking hours helps support the foot, reduces strain on the planter fascia and optimizes ligament and muscle function [11]. Low-dye taping helps support the foot to optimize ligament and muscle function that can help decrease the tensile forces placed on the plantar fascia [86]. According to the clinical practice guidelines issued by APTA in 2014 [45], the use of anti-pronation taping for immediate (up to 3 weeks) pain reduction and improved function for individuals with heel pain/plantar fasciitis is recommended. Elastic therapeutic taping of gastrocnemius muscle and plantar fascia is recommended for short term pain relief. Podolsky., et al. [87] and Radford., et al. [88] have reported reduction in pain following low-dye taping. Abd el salam., et al. [89] and Tsai CT., et al. [90] have also found taping to be effective for alleviating pain due to planter fasciitis, the latter more so, as their study also reported reduction in planter fascia thickness post Kinesiotaping.

Others
  • Iontophoresis: According to the guidelines by APTA [45], Clinicians may or may not use iontophoresis with dexamethasone or acetic acid to provide short-term (2 - 4 weeks) pain relief and improved function. Iontophoresis following Icing and ultrasound was found to be beneficial in a study by Clealand., et al [91].
  • Phonophoresis: The use phonophoresis with ketoprofen gel is recommended [45] to reduce pain in individuals with heel pain/plantar fasciitis. In a study by Jasiak-Tyrkalska., et al. [92], a three weeks treatment with phonophoresis with ketoprofen gel (along with strengthening, stretching and orthosis) showed significant improvement in pain.
  • Ultrasound: The effectiveness of ultrasound in planter fasciitis has been questioned by the APTA guidelines [9]. There were no high-quality studies assessing the efficacy of Ultrasound as a primary modality, yet, studies by Shashua., et al. [35], Saban., et al. [39] and Dunning., et al. [93] reported improvement in patient related outcomes post application of Ultrasound. The effects were significant though lesser than the modality being examined.

Figure 4: Ultrasound therapy.

Conclusion

  There is a positive body of evidence for the efficacy of ESWT, Dry Needling, and LASER and the use of these modalities before trying invasive therapies has been recommended. Manual therapy Taping have been found effective in combination with other modalities or alone and the effects have been reported to be comparable with Steroid Injections. More high-quality studies with rigorous methodology may establish their efficacy further. Night Splinting and Ultrasound may be beneficial when used in conjunction with other modalities or exercises. The study has culminated last 10 years of evidence regarding the rehabilitation options for treatment of planter fasciitis and the evidence has weighed heavily in favor of using non-invasive modalities before going for the more invasive options.

Source of Funding

No intra-mural or extra-mural funding source was used for this project.

Conflict of Interest Statement

None of the authors have any financial or personal relationships that would be deemed a conflict of interest.

References

  1. Ogden John A., et al. “Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis”. Foot and Ankle International4 (2002): 301-308.
  2. Sharkey NA., et al. “Biomechanical consequences of plantar fascial release or rupture during gait: part I--disruptions in longitudinal arch conformation”. Foot and Ankle International12 (1998): 812-820.
  3. Benjamin Mike. “The fascia of the limbs and back--a review”. Journal of Anatomy1 (2009): 1-18.
  4. Gefen Amit. “The in vivo elastic properties of the plantar fascia during the contact phase of walking”. Foot and Ankle International3 (2003): 238-244.
  5. Riddle Daniel L., et al. “Risk factors for Plantar fasciitis: a matched case-control study”. The Journal of Bone and Joint Surgery American5 (2003): 872-877.
  6. Rome K. “Anthropometric and biomechanical risk factors in the development of plantar heel pain—a review of the literature”. Physical Therapy Reviews 2 (1997): 123-134.
  7. Irving Damien B., et al. “Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study”. BMC Musculoskeletal Disorders41 (2007).
  8. Rano JA., et al. “Correlation of heel pain with body mass index and other characteristics of heel pain”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons6 (2001): 351-356.
  9. McPoil Thomas G., et al. “Heel pain--plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association”. The Journal of Orthopaedic and Sports Physical Therapy4 (2008): A1-A18.
  10. Van Leeuwen KDB., et al. “Higher body mass index is associated with plantar fasciopathy/'plantar fasciitis': systematic review and meta-analysis of various clinical and imaging risk factors”. British Journal of Sports Medicine16 (2016): 972-981.
  11. Agyekum Edward Kwame and Kaiyu Ma. “Heel pain: A systematic review”. Chinese Journal of Traumatology=Zhonghua Chuang Shang Za Zhi3 (2015): 164-169.
  12. Bolgla Lori A and Terry R Malone. “Plantar fasciitis and the windlass mechanism: a biomechanical link to clinical practice”. Journal of Athletic Training1 (2004): 77-82.
  13. Woelffer KE., et al. “Five-year follow-up results of instep plantar fasciotomy for chronic heel pain”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons4 (2000): 218-223.
  14. Sammarco GJ and RB Helfrey. “Surgical treatment of recalcitrant plantar fasciitis”. Foot and Ankle International9 (1996): 520-526.
  15. Rompe Jan D., et al. “Shock wave therapy for chronic plantar fasciopathy”. British Medical Bulletin82 (2007): 183-208.
  16. Lemont Harvey., et al. “Plantar fasciitis: a degenerative process (fasciosis) without inflammation”. Journal of the American Podiatric Medical Association3 (2003): 234-237.
  17. Rompe Jan D. “Plantar fasciopathy”. Sports Medicine and Arthroscopy Review2 (2009): 100-104.
  18. Young CC., et al. “Treatment of plantar fasciitis”. American Family Physician3 (2001): 467-474.
  19. Donatelli RA. “Abnormal biomechanics of the foot and ankle”. The Journal of Orthopaedic and Sports Physical Therapy1 (1987): 11-16.
  20. Chandler TJ and W B Kibler. “A biomechanical approach to the prevention, treatment and rehabilitation of plantar fasciitis”. Sports Medicine5 (1993): 344-352.
  21. Kwong PK., et al. “Plantar fasciitis. Mechanics and pathomechanics of treatment”. Clinics in Sports Medicine1 (1988): 119-126.
  22. Cornwall Mark W. "Common Pathomechanics of the Foot". Athletic Therapy Today1 (2000): 10-16.
  23. League Alan C. “Current concepts review: plantar fasciitis”. Foot and Ankle International3 (2008): 358-366.
  24. Thomas James L., et al. “The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons3 (2010): S1-19.
  25. Li Shuxiang., et al. “Clinical effects of extracorporeal shock-wave therapy and ultrasound-guided local corticosteroid injections for plantar fasciitis in adults: A meta-analysis of randomized controlled trials”. Medicine50 (2018): e13687.
  26. Dedes Vasileios., et al. “Radial Extra Corporeal Shockwave Therapy Versus Ultrasound Therapy in the Treatment of Plantar Fasciitis”. Acta Informatica Medica: AIM: Journal of the Society for Medical Informatics of Bosnia and Herzegovina: Casopis Drustva za Medicinsku Informatiku BiH 1 (2019): 45-49.
  27. Moya Daniel., et al. “The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders”. The Journal of Bone and Joint Surgery American 3 (2018): 251-263.
  28. Xiong Yuan., et al. “Comparison of efficacy of shock-wave therapy versus corticosteroids in plantar fasciitis: a meta-analysis of randomized controlled trials”. Archives of Orthopaedic and Trauma Surgery4 (2019): 529-536.
  29. Ibrahim Mahmoud I., et al. “Long-term results of radial extracorporeal shock wave treatment for chronic plantar fasciopathy: A prospective, randomized, placebo-controlled trial with two years follow-up”. Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society7 (2017): 1532-1538.
  30. Gollwitzer Hans., et al. “Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study”. The Journal of Bone and Joint Surgery American9 (2015): 701-708.
  31. Grecco Marcus Vinicius., et al. “One-year treatment follow-up of plantar fasciitis: radial shockwaves vs. conventional physiotherapy”. Clinics8 (2013): 1089-1095.
  32. Lohrer Heinz., et al. “Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures”. Foot and Ankle International1 (2010): 1-9.
  33. Akinoglu Bihter., et al. “Comparison of the Acute Effect of Radial Shock Wave Therapy and Ultrasound Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Study”. Pain Medicine12 (2017): 2443-2452.
  34. Takla Mary Kamal Nassif and Soheir Shethata Rezk-Allah Rezk. “Clinical effectiveness of multi-wavelength photobiomodulation therapy as an adjunct to extracorporeal shock wave therapy in the management of plantar fasciitis: a randomized controlled trial”. Lasers in Medical Science3 (2019): 583-593.
  35. Cinar Eda., et al. “Low-level laser therapy in the management of plantar fasciitis: a randomized controlled trial”. Lasers in Medical Science5 (2018): 949-958.
  36. Ulusoy Aslihan., et al. “Magnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis: A Randomized Controlled Trial”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons4 (2017): 762-767.
  37. Eslamian Fariba., et al. “Extra Corporeal Shock Wave Therapy Versus Local Corticosteroid Injection in the Treatment of Chronic Plantar Fasciitis, a Single Blinded Randomized Clinical Trial”. Pain Medicine9 (2016): 1722-1731.
  38. Roca Bernardino., et al. “Comparison of extracorporeal shock wave therapy with botulinum toxin type A in the treatment of plantar fasciitis”. Disability and Rehabilitation21 (2016): 2114-2121.
  39. Mardani-Kivi Mohsen., et al. “Treatment Outcomes of Corticosteroid Injection and Extracorporeal Shock Wave Therapy as Two Primary Therapeutic Methods for Acute Plantar Fasciitis: A Prospective Randomized Clinical Trial”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons6 (2015): 1047-1052.
  40. Rompe Jan D., et al. “Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue-specific plantar fascia-stretching in patients with chronic plantar heel pain”. International Journal of Surgery 24 (2015): 135-142.
  41. Chew Kelvin Tai Loon., et al. “Comparison of autologous conditioned plasma injection, extracorporeal shockwave therapy, and conventional treatment for plantar fasciitis: a randomized trial”. PM and R: the Journal of Injury, Function, and Rehabilitation12 (2013): 1035-1043.
  42. Radwan Yasser A., et al. “Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release”. International Orthopaedics10 (2012): 2147-2156.
  43. Rompe Jan D., et al. “Plantar fascia-specific stretching versus radial shock-wave therapy as initial treatment of plantar fasciopathy”. The Journal of Bone and Joint Surgery American15 (2010): 2514-2522.
  44. Saxena Amol., et al. “Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete”. Muscles, Ligaments and Tendons Journal4 (2013): 312-316.
  45. Martin Robroy L., et al. “Heel pain-plantar fasciitis: revision 2014”. The Journal of Orthopaedic and Sports Physical Therapy11 (2014): A1-33.
  46. Farivar Shirin., et al. “Biological effects of low level laser therapy”. Journal of Lasers in Medical Sciences2 (2014): 58-62.
  47. Leal Junior., et al. “Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to postexercise recovery”. The Journal of Orthopaedic and Sports Physical Therapy8 (2010): 524-532.
  48. Huang Ying-Ying., et al. “Biphasic dose response in low level light therapy”. Dose-Response: A Publication of International Hormesis Society 4 (2009): 358-383.
  49. Ordahan Banu., et al. “The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: a randomized clinical trial”. Lasers in Medical Science 6 (2018): 1363-1369.
  50. Cinar Eda., et al. “Combination Therapy Versus Exercise and Orthotic Support in the Management of Pain in Plantar Fasciitis: A Randomized Controlled Trial”. Foot and Ankle International 4 (2018): 406-414.
  51. Kiritsi Olga., et al. “Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial”. Lasers in Medical Science 2 (2010): 275-81.
  52. Macias David M., et al. “Low-Level Laser Therapy at 635 nm for Treatment of Chronic Plantar Fasciitis: A Placebo-Controlled, Randomized Study”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons 5 (2015): 768-772.
  53. Wang Wei., et al. “Clinical efficacy of low-level laser therapy in plantar fasciitis: A systematic review and meta-analysis”. Medicine3 (2019): e14088.
  54. Cotchett Matthew P., et al. “Effectiveness of trigger point dry needling for plantar heel pain: a randomized controlled trial”. Physical Therapy 8 (2014): 1083-1094.
  55. Rastegar Shirvan., et al. “Comparison of dry needling and steroid injection in the treatment of plantar fasciitis: a single-blind randomized clinical trial”. International Orthopaedics 1 (2018): 109-116.
  56. Uygur Esat., et al. “Preliminary Report on the Role of Dry Needling Versus Corticosteroid Injection, an Effective Treatment Method for Plantar Fasciitis: A Randomized Controlled Trial”. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons 2 (2019): 301-305.
  57. Eftekharsadat Bina., et al. “Dry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial”. Medical Journal of the Islamic Republic of Iran 30 (2016): 401.
  58. Pawar Pournima R., et al. “A study on effect of strain- counterstrain in plantar fasciitis”. International Journal of Advances in Medicine 4 (2017): 551-555.
  59. Ajimsha MS., et al. “Effectiveness of myofascial release in the management of plantar heel pain: a randomized controlled trial”. Foot 2 (2014): 66-71.
  60. Renan-Ordine Rômulo., et al. “Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: a randomized controlled trial”. The Journal of Orthopaedic and Sports Physical Therapy2 (2011): 43-50.
  61. Celik Derya., et al. “Joint Mobilization and Stretching Exercise vs Steroid Injection in the Treatment of Plantar Fasciitis: A Randomized Controlled Study”. Foot and Ankle International2 (2016): 150-156.
  62. Johannsen Finn E., et al. “Corticosteroid injection is the best treatment in plantar fasciitis if combined with controlled training”. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA 1 (2019): 5-12.
  63. Saban Bernice., et al. “Deep massage to posterior calf muscles in combination with neural mobilization exercises as a treatment for heel pain: a pilot randomized clinical trial”. Manual Therapy 2 (2014): 102-108.
  64. Shashua Anat., et al. “The effect of additional ankle and midfoot mobilizations on plantar fasciitis: a randomized controlled trial”. The Journal of Orthopaedic and Sports Physical Therapy 4 (2015): 265-272.
  65. Kamonseki Danilo H., et al. “Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial”. Manual Therapy 23 (2016): 76-82.
  66. Rathleff MS., et al. “High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up”. Scandinavian Journal of Medicine and Science in Sports 3 (2015): e292-300.
  67. Bolgla LA and Keskula DR. “A biomechanical approach to evaluating and treating lower leg dysfunction”. Athletic Therapy Today 5 (2003): 6-12.
  68. Cornwall MW and TG McPoil. “Plantar fasciitis: etiology and treatment”. The Journal of Orthopaedic and Sports Physical Therapy 12 (1999): 756-760.
  69. Pfeffer G., et al. “Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis”. Foot and Ankle International 4 (1999): 214-221.
  70. Sweeting, David et al. “The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review”. Journal of Foot and Ankle Research19 (2011).
  71. Backstrom KM and Moore A. “Plantar fasciitis”. Physical Therapy Program Case Reports 3 (2000): 154-162.
  72. Anderson Jordan and Justin Stanek. “Effect of foot orthoses as treatment for plantar fasciitis or heel pain”. Journal of Sport Rehabilitation2 (2013): 130-136.
  73. Turlik M., et al. “A comparison of shoe inserts in relieving mechanical heel pain”. The Foot 9 (1999): 84-87.
  74. Bishop C., et al. “Custom foot orthoses improve first-step pain in individuals with unilateral plantar fasciopathy: a pragmatic randomised controlled trial”. BMC Musculoskeletal Disorders222 (2018).
  75. Wrobel James S., et al. “A randomized controlled trial of custom foot orthoses for the treatment of plantar heel pain”. Journal of the American Podiatric Medical Association4 (2015): 281-294.
  76. Xu Rui., et al. “Effect of 3D Printing Individualized Ankle-Foot Orthosis on Plantar Biomechanics and Pain in Patients with Plantar Fasciitis: A Randomized Controlled Trial”. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research 25 (2019): 1392-1400.
  77. Oliveira Hilda Alcântara Veiga., et al. “Effectiveness of total contact insoles in patients with plantar fasciitis”. The Journal of Rheumatology5 (2015): 870-878.
  78. Yucel Ufuk., et al. “Full-length silicone insoles versus ultrasound-guided corticosteroid injection in the management of plantar fasciitis: a randomized clinical trial”. Prosthetics and Orthotics International6 (2013): 471-476.
  79. Chethan C., et al. “Comparison of effectiveness of various foot orthoses in treatment of plantar fasciitis”. Journal of Medical Science and Clinical Research1 (2017): 297-302.
  80. Sallam RAE and El Ghaweet AI. “The effectiveness of combined prescription of ankle–foot orthosis and stretching program for the treatment of recalcitrant plantar fasciitis”. Egyptian Rheumatology and Rehabilitation 43 (2016): 172-177.
  81. Drake Michelle., et al. “The short-term effects of treating plantar fasciitis with a temporary custom foot orthosis and stretching”. The Journal of Orthopaedic and Sports Physical Therapy4 (2011): 221-231.
  82. Kogler GF., et al. “The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis”. The Journal of Bone and Joint Surgery American10 (1999): 1403-1413.
  83. Lee Winson C C., et al. “Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis”. Journal of Rehabilitation Research and Development10 (2012): 1557-1564.
  84. Rodstein Barry and Mooyeon Oh-Park. "Hindfoot pain and plantar fasciitis”. Physical Medicine and Rehabilitation 3 (2001): 477.
  85. Wheeler Patrick C. “The addition of a tension night splint to a structured home rehabilitation programme in patients with chronic plantar fasciitis does not lead to significant additional benefits in either pain, function or flexibility: a single-blinded randomised controlled trial”. BMJ Open Sport and Exercise Medicine 3 (2017): 1e000234.
  86. Lynch DM., et al. “Conservative treatment of plantar fasciitis. A prospective study”. Journal of the American Podiatric Medical Association8 (1998): 375-380.
  87. Podolsky Roman and Leonid Kalichman. “Taping for plantar fasciitis”. Journal of Back and Musculoskeletal Rehabilitation1 (2015): 1-6.
  88. Radford Joel A., et al. “Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial”. BMC Musculoskeletal Disorders64 (2006).
  89. Abd El Salam., et al. “Low-dye taping versus medial arch support in managing pain and pain-related disability in patients with plantar fasciitis”. Foot and Ankle Specialist2 (2011): 86-91.
  90. Tsai Chien-Tsung., et al. “Effects of Short-term Treatment with Kinesiotaping for Plantar Fasciitis”. Journal of Musculoskeletal Pain 18 (2010): 71-80.
  91. Cleland Joshua A., et al. “Manual physical therapy and exercise versus electrophysical agents and exercise in the management of plantar heel pain: a multicenter randomized clinical trial”. The Journal of Orthopaedic and Sports Physical Therapy8 (2009): 573-585.
  92. Jasiak-Tyrkalska B., et al. “To evaluated the efficacy of two physical treatments in comprehensive physiotherapy plantar calcaneal spurs”. Polish Journal of Physiotherapy 7 (2007): 145-154.
  93. Dunning James., et al. “Electrical dry needling as an adjunct to exercise, manual therapy and ultrasound for plantar fasciitis: A multi-center randomized clinical trial”. PloS one 13 (2018): e0205405.

Citation

Citation: Monica Chhabra and Karan Bir Singh. “Current Concepts in Rehabilitation of Plantar Fasciitis". Acta Scientific Orthopaedics 4.7 (2021): 55-65.

Copyright

Copyright: © 2021 Monica Chhabra and Karan Bir Singh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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