Interventions for treating plantar heel pain

Crawford, Fay; Thomson, Colin E

doi:10.1002/14651858.cd000416

Cited by 238 publications

(130 citation statements)

References 33 publications

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“…29 Therefore, the current study further supports self-stretching of the calf muscles and the plantar fascia as being effective for improving pain and function, at least in the short term, in patients with plantar heel pain, which is in agreement with the conclusions of the Cochrane Review. 11 Future stud- ies should investigate if these benefits of stretching are maintained in the long term. Cleland et al 7 have recently demonstrated that patients with plantar heel pain treated with an impairment-based manual therapy approach experienced better outcomes than those receiving a combination of ultrasound, iontophoresis, and exercise.…”

Section: Discussionmentioning

confidence: 99%

“…26 Clinical practice guidelines 25 and the Cochrane Review 11 have concluded that there has been limited evidence for the effectiveness of corticosteroid therapy, conflicting evidence for low-energy extracorporeal shockwave therapy, and no evidence for therapeutic ultrasound or low-intensity laser, in reducing pain in individuals with plantar heel pain. Among nonsurgical interventions, stretching of the gastrocnemius muscle and the plantar fascia have shown moderate evidence of effectiveness for the management of plantar heel pain, although only in the short term.…”

Section: T T Conclusionmentioning

confidence: 99%

“…Among nonsurgical interventions, stretching of the gastrocnemius muscle and the plantar fascia have shown moderate evidence of effectiveness for the management of plantar heel pain, although only in the short term. 11,25 Clearly, more studies are needed.…”

Section: T T Conclusionmentioning

confidence: 99%

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Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Renan-Ordine¹,

Alburquerque‐Sendín²,

Rodrigues-de-Souza³

et al. 2011

J Orthop Sports Phys Ther

147

149

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Plantar fasciitis or plantar heel pain is the most common foot pain condition treated by healthcare providers. 28 It has been estimated that plantar fasciitis occurs in approximately 2 million Americans annually 10 and affects as much as 10% of the general population over the course of a lifetime. 29 In fact, some authors have reported that plantar fasciitis accounts for between 8% and 15% of foot complaints in nonathletic and athletic populations. 31,37 Plantar heel pain has a negative impact on foot-specific and general health-related quality of life, 20 and shows distinct patterns of disability on different functional domains. 30 To date, there is evidence that this condition may not be characterized by inflammation but, rather, by noninflammatory degenerative changes in the plantar fascia. 21 These findings suggest that this painful T T OBJECTIVE:To investigate the effects of trigger point (TrP) manual therapy combined with a self-stretching program for the management of patients with plantar heel pain. T T BACKGROUND:Previous studies have reported that stretching of the calf musculature and the plantar fascia are effective management strategies for plantar heel pain. However, it is not known if the inclusion of soft tissue therapy can further improve the outcomes in this population. T T METHODS:Sixty patients, 15 men and 45 women (mean  SD age, 44  10 years) with a clinical diagnosis of plantar heel pain were randomly divided into 2 groups: a self-stretching (Str) group who received a stretching protocol, and a self-stretching and soft tissue TrP manual therapy (Str-ST) group who received TrP manual interventions (TrP pressure release and neuromuscular approach) in addition to the same self-stretching protocol. The primary outcomes were physical function and bodily pain domains of the quality of life SF-36 questionnaire. Additionally, pressure pain thresholds (PPT) were assessed over the affected gastrocnemii and soleus muscles, and over the calcaneus, by an assessor blinded to the treatment allocation. Outcomes of interest were captured at baseline and at a 1-month follow-up (end of treatment period). Mixed-model ANOVAs were used to examine the effects of the interventions on each outcome, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction. T T RESULTS:The 2 × 2 mixed-model analysis of variance (ANOVA) revealed a significant groupby-time interaction for the main outcomes of the study: physical function (P = .001) and bodily pain (P = .005); patients receiving a combination of self-stretching and TrP tissue intervention experienced a greater improvement in physical function and a greater reduction in pain, as compared to those receiving the self-stretching protocol. The mixed ANOVA also revealed significant group-by-time interactions for changes in PPT over the gastrocnemii and soleus muscles, and the calcaneus (all P<.001). Patients receiving a combination of self-stretching and TrP tissue intervention showed a gre...

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Section: Discussionmentioning

confidence: 99%

Section: T T Conclusionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Renan-Ordine¹,

Alburquerque‐Sendín²,

Rodrigues-de-Souza³

et al. 2011

J Orthop Sports Phys Ther

147

149

View full text Add to dashboard Cite

show abstract

“…Numerous interventions have been described for the treatment of plantar fasciitis, but few high-quality randomized, controlled trials have been conducted to support these therapies. 12 Although anti-inflammatory agents, including nonsteroidal -cal therapist practice, patients often seek advice from their therapist as to whether or not they should utilize anti-inflammatory agents in the management of plantar fasciitis. While with plantar fasciitis, randomized clinical trials evaluating -tion to provide short-term pain relief.…”

Section: Measurement Propertiesmentioning

confidence: 99%

“…While with plantar fasciitis, randomized clinical trials evaluating -tion to provide short-term pain relief. 12 skin 1 in a retrospective review of 765 patients diagnosed with plantar fasciitis reported that of the 122 patients who had re--was the fact that 50% of the patients who suffered a rupture reported only a fair or poor recovery at a 27-month follow-up. 1 15 perpatients with plantar fasciitis and assessed outcome using ultrasound examination as well as pain intensity at 1 and 6…”

Section: Measurement Propertiesmentioning

confidence: 99%