Manual therapy for plantar heel pain

Pollack, Yosefa; Shashua, Anat; Kalichman, Leonid

doi:10.1016/j.foot.2017.08.001

Cited by 23 publications

(17 citation statements)

References 14 publications

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“…Foot sole massage for both feet was recommended to relax plantar fascia and tense sole muscles. 22 Exercises to increase the range of motion in the first metatarsal and ankle joints were recommended. 23 – 25 Participants were given a leaflet with the information to remind them what must be done at home.…”

Section: Methodsmentioning

confidence: 99%

The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial

Naruševičiūtė

Kubilius

2020

Clin Rehabil

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Objectives: To evaluate and compare the efficacy of high-intensity laser therapy (HILT) and low-level laser therapy (LLLT) for plantar fasciitis. Design: A participant blind randomized controlled trial with parallel group design and an active comparator with follow-up at four weeks. Settings: Outpatient, University hospital. Subjects: Unilateral plantar fasciitis participants ( n = 102) were randomly assigned into two groups. Recruitment period was from January 2017 to April 2019. Interventions: Interventions included eight sessions of laser therapy over three weeks and single session of patient education. The HILT group ( n = 51) received HILT and the LLLT group ( n = 51) received LLLT. Main measures: Primary outcomes: visual analogue scale; secondary outcomes: pressure algometry, sonography of plantar fascia thickness (time frame: baseline to three-week and four-week follow-up) and numeric rating scale (0%–100%) for opinion of participants on effect of treatment (time frame: three weeks). Data presented: mean (SD) or n (%). Results: There was no statistically significant difference between the groups according to visual analogue scale (pain in general reduction in three weeks: 2.57(3.45) vs. 2.88(3.28) cm), pressure algometry (pain threshold difference between healthy and affected heel reduction in three weeks: 1.80(6.39) vs. 1.77(2.85) kg) and sonography measurements (plantar fascia thickness difference between healthy and affected heel reduction in three weeks: 0.19(0.56) vs. 0.30(0.57) mm). There was a statistically significant difference between the groups in participants’ opinion in favor to HILT group (efficacy of treatment better than 50%: 26(51%) vs. 37(73%)). Conclusion: No statistically significant difference between groups was observed.

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Section: Methodsmentioning

confidence: 99%

The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial

Naruševičiūtė

Kubilius

2020

Clin Rehabil

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“…The main roles of the plantarflexion muscles are to prevent excessive loading on the plantar fascia and to maintain the longitudinal arch. [7,21,22] Therefore, weakness of the plantarflexion muscles can increase the load on the plantar fascia. [12,23] In this patient, the muscle performance test showed plantarflexion muscle weakness, and increased calf muscle spasms were observed during walking, which indicated that plantarflexion muscle weakness was one cause of the aggravated heel pain.…”

Section: Discussionmentioning

confidence: 99%

“…[2] However, recent studies have reported that PF was not directly related to limited ankle ROM. [6,7]…”

Section: Introductionmentioning

confidence: 99%

The effects of hip strengthening exercises in a patient with plantar fasciitis

2019

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Rationale: Plantar fasciitis is a common cause of foot pain presenting with morning stiffness and plantar area pain. This case study is to optimize the management in patient with plantar fasciitis accompanied by apparent high-arch foot. Patient concerns: A 55-year-old women presented with plantar fasciitis accompanied by apparent high-arch foot. The pain presents for the heel and pelvic areas with long-distance walking. Diagnoses: She was diagnosed with plantar fasciitis accompanied by apparent high-arch foot for physical examination and plain radiographs. In muscle performance and dynamic postural stability tests, indicated the muscle weakness and postural instability. Interventions: The patient was treated with manual therapy such as joint and soft tissue mobilization interventions including plantar fascia and gastrocnemius stretching, but the heel and pelvic pain were aggravated during long-distance walking. After hip strengthening exercises, the heel and pelvic pain significantly improved. Outcomes: The 3-month follow-up revealed that the heel and pelvic pain did not occur in the long-distance walking, and there was no pain and discomfort at one year follow-up. Lessons: To optimize the management in patient with plantar fasciitis accompanied by apparent high-arch deformity, clinicians should try to identify the hip abductor muscles weakness, and therapists should consider incorporating hip strengthening exercises.

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“…Gelenkmobilisationen waren weniger effektiv. Plantarer Fersenschmerz kann manuell erfolgreich behandelt werden, wenn der funktionell zusammenhängende Bereich der Wadenmuskulatur und ihrer Faszie zusammen mit der Plantarfaszie durch eine manuelle Druckbehandlung entspannt wird („fasziale Release-Technik“, [ 30 ]).…”

Section: Behandelte Störungen Und Krankheitenunclassified

Manuelle Medizin, manuelle Therapie

Locher

2021

Unfallchirurg

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ZusammenfassungManuelle Medizin ist die medizinische Disziplin, die sich umfassend mit Diagnose, Therapie und Prävention reversibler Funktionsstörungen am Bewegungsorgan und anderen damit verbundenen Organsystemen befasst. Der Beitrag beleuchtet neuroanatomische und -physiologische Grundelemente der Wirkungsweisen manualmedizinischer Diagnostik und Therapie. Anhand neuester Literatur und Betrachtung verschiedener wissenschaftlicher Leitlinien wird die evidenzbasierte Wirksamkeit manualmedizinischer Verfahren dargestellt, im Einzelnen: akute und chronische Lumbalgie, zervikogener Kopfschmerz, Schulter- und Nackenschmerzen, radikulärer Armschmerz, dysfunktionelle thorakale Schmerzsyndrome, Erkrankungen der Rotatorenmanschette, Karpaltunnelsyndrom und Plantarfasziitis. Fallbeispiele veranschaulichen die klinische Vorgehensweise. Die Begrifflichkeit, die Provenienz und die klinische Präsenz der „Osteopathie“ werden ausführlich gewürdigt, und die nationalen und internationalen Vereinigungen und Gesellschaften der manuellen Medizin (Deutsche Gesellschaft für Manuelle Medizin [DGMM], European Scientific Society of Manual Medicine [ESSOMM], Fédération Internationale de Medicine Manuelle [FIMM]) werden lexikalisch dargestellt. Abschließend finden sich Kontraindikationen und ein Ausblick auf die Erfordernisse und Möglichkeiten der wissenschaftlichen Schmerzanalyse, wie sie in der Präambel der Leitlinie „Spezifischer Kreuzschmerz“ der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC) postuliert werden.

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Manual therapy for plantar heel pain

Cited by 23 publications

References 14 publications

The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial

The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial

The effects of hip strengthening exercises in a patient with plantar fasciitis

Manuelle Medizin, manuelle Therapie

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