Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 3

Comparison of Myofascial Release on Calf Versus Plantar Fascia in the Treatment of Plantar Fasciitis

Suvarna N* and Thomas M

Department of Orthopaedics, India

*Corresponding Author: Suvarna N, Department of Orthopaedics, India.

Received: December 01, 2022; Published: February 11, 2023


Plantar fasciitis is a common cause of heel pain in adults. Plantar fasciitis has been experienced by 10% of the population. Plantar fasciitis leads to prolonged disability and functional limitation and hence needs to be addressed as soon as possible. MFR stimulates fibroblast proliferation leading to collagen synthesis that may promote healing of plantar fascia by replacing degenerated tissue with stronger and more functional tissue. By MFR there is a change in the viscosity of the ground substance to a more fluid state which eliminates the fascia’s excessive pressure on the pain sensitive structure and restores proper alignment. Hence this technique is proposed to act as a catalyst in the resolution of plantar fasciitis.

Objective: To compare the effect of MFR on calf muscle and MFR on plantar fascia for the treatment of plantar fasciitis.

Method: 30 patients, 15 males and 15 females were included in this study and randomized into 2 groups. Group 1 received MFR on calf and group 2 received MFR on plantar fascia. Both the group received therapeutic US and strengthening exercises for foot and ankle. The primary outcome measure was VAS, PFPS and FFI. The obtained data was analyzed using independent t test for between groups and paired t test for within group analysis.

Result: There was a statistically significant difference in within group analysis for VAS, PFPS and FFI. And statistically significant difference in the post VAS scores between the two groups.

Conclusion: The study showed that MFR on calf and MFR on plantar fascia were both equally effective in relieving pain, reducing disability and improving functions in patients with plantar fasciitis.

However MFR on calf showed better improvement in terms of pain relief in lesser number of sessions when compared to MFR on plantar fascia group.

Keywords: Myofascial; Plantar Fascia; Plantar Fasciitis


  1. Craig C Young., et al. “Treatment of plantar fasciitis”. American Family Physician 3 (2011): 467-474.
  2. Harlapur AM., et al. “Comparison of myofascial release and positional release therapy in plantar fasciitis- a clinical trial”. Indian Journal of Physiotherapy and Occupational Therapy4 (2010): 8-11.
  3. Mario Roxas. “Plantar fasciitis diagnosis and therapeutic considerations”. Alternative Medicine Review 2 (20005): 83-93.
  4. MS Ajimsha., et al. “Effectiveness of myofascial release in the management of plantar heel pain: A Randomized controlled trial”. The Foot 24 (2014): 66-71.
  5. Julia Maria D’Andrea Greve., et al. “Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis”. Clinics 64 (2009): 97-103.
  6. Javier Pascual Huerta., et al. “The effect of the gastrocnemius on the plantar fascia”. Foot and Ankle Clinics of North America 19 (2014): 701-718.
  7. Benedict F. DiGiovanni., et al. “Tissue specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain”. The Journal of Bone and Joint Surgery 85 A.7 (2003): 1270-1277.
  8. Craig C. Young., et al. “Treatment of plantar fasciitis”. American Family Physician3 (2001): 467-474.
  9. Carol J Manhein. “The myofascial release manual”. Third edition.
  10. Renan-Ordine., et al. “Effectiveness of myofascial trigger point manual therapy combined with self-stretching protocol for plantar heel pain: A Randomized controlled trial”. Journal of Orthopaedic and Sports Physical Therapy 2 (2011): 43-50.
  11. Koujen N., et al. “A comparison of the effectiveness of radial extracorporeal shockwave therapy and ultrasound therapy in the treatment of chronic plantar fasciitis: a randomized controlled trial”. The journal of Medical Association of Thailand 1 (2015): 49-56.
  12. Danilo H Kamonseki., et al. “Effect of stretching with and without muscle strengthening exercise for the foot and hip in patients with plantar fasciitis: a randomized controlled single blinded trail”. An International Journal of Musculoskeletal Science and Practise (2016).
  13. Birjur PE., et al. “Reliability of the VAS for measurement of acute pain”. Academic Emergency Medicine 12 (2001): 1153-1157.
  14. Buck Willis., et al. “Pain scale or plantar fasciitis”. The Foot and Ankle Online Journal 5 (2009): 3.
  15. Budiman-mak E., et al. “The foot functional index: a measure of foot pain and disability”. Journal of Clinical Epidemiology6 (1991): 561-570.
  16. Goldenberg D. “Fibromyalgia, chronic fatigue syndrome and myofascial pain syndrome”. Current Opinion Rheumatology 5 (1993): 199-208.
  17. Mahmoud I Ibrahim., et al. “Chronic plantar fasciitis treated with two session of radial extracorporeal shockwave therapy”. Foot and Ankle International 10 (2010): 933-939.
  18. Roger J Allen. “Physical agents used in the management of chronic pain by physical therapist”. Physical Medicine and Rehabilitation Clinics of North America 17 (2006): 315-345.


Citation: Suvarna N and Thomas M. “Comparison of Myofascial Release on Calf Versus Plantar Fascia in the Treatment of Plantar Fasciitis”. Acta Scientific Orthopaedics 6.3 (2023): 96-105.


Copyright: © 2023 Suvarna N and Thomas M. 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.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US