Update on Evidence‐Based Treatments for Plantar Fasciopathy

Abstract

Plantar fasciopathy, a common, painful condition of the foot, is often diagnosed by a musculoskeletal physiatrist in an outpatient practice setting. This focused review examines the most recent recommendations for the management of plantar fasciopathy in acute, subacute, and chronic phases. The evidence for treatment with various interventions is discussed, and suggestions for clinical care (along with the respective rationales for those therapies) are provided. The purpose of this review is to enable clinicians to make informed evidence-based decisions about the best available treatments for patients with any phase of plantar fasciopathy. Emerging technologies for the treatment of the condition are also addressed.

Нефармакологічні Методи Лікування Остеоартрозу Колінних Суглобів

“…One of the most actively studied methods of modern physiotherapy, that is widely used in diseases of the musculoskeletal system of traumatic and inflammatory genesis with the therapeutic and prophylactic [25] goal, is extracorporeal shock wave therapy (ECHT). The perspective and high efficiency of EWT are noted by many authors [2,8,13]. The method is based on the transformation of electromagnetic oscillations into acoustic waves of the infrasonic spectrum.…”

Plantar heel pain

“…A drawback with rigid sports taping is that it is temporary, and with each strapping occasion it is advisable that the strapping should be removed before 24 hours have elapsed (McNeill and Pedersen, 2016). There can be skin breakdown issues (Berbrayer and Fredericson, 2014) although in the authors opinion these may possibly be less common in the foot than in other areas.…”

“…Research suggests that an orthotic has short, medium and long term effects on reducing plantar fasciopathy pain and dysfunction, however different types of orthoses have also been shown to be effective including silicon pads and heel cups (Lee et al, 2009). Berbrayer and Fredericson (2014) summarises opinion, 'Good evidence exists that foot orthotics may be useful as a treatment for plantar fasciopathy. A prefabricated shoe insert is recommended for acute and subacute phases of that condition and customised Fig.…”

“…Multiple studies support the efficacy of stretching the calf muscles in plantar fasciopathies. (Berbrayer and Fredericson, 2014;Martin et al, 2014;Kamonseki et al, 2015). Some studies have included intermittent stretch and sustained stretch but no particular method seems to be more beneficial (Berbrayer and Fredericson, 2014;McPoil et al, 2008).…”

“…Heel pain can also present following an increase in weight bearing activity. (McPoil et al, 2008;Martin et al, 2014;Berbrayer and Fredericson, 2014). The diagnosis of Plantar fasciopathies is made by assessing the clinical picture as there is no gold standard test for the condition (Beeson, 2014).…”