Plantar Fascia
The
Plantar fascia is the connective tissue that supports the arch on the bottom of the foot.
It runs from the tuberosity of the calcaneus forward to the heads of the metatarsal bones.
What is Plantar Fasciitis?
Plantar fasciitis is a painful foot condition caused by inflammation of the insertion of the plantar fascia on the medial process of the calcaneal tuberosity.
This is Associated with
Pain
Swelling
Warmth of the affected area
Redness of the adjacent skin
Risk Factor
Foot arch
Obesity or sudden weight gain
Tight Achilles tendon
Shoes with poor arch support or soft soles
Treatment
1. Electrotherapy
Ultrasound
Phonophoresis
Iontophoresis
Contrast Bath
2. Manual therapy
Talocrural joint posterior glide
Subtalar Joint lateral glide
Anterior and Posterior glides of 1st tarsometatarsal joint
Subtalar joint distraction manipulation.
3. Stretching
CALF MUSCLE STRETCH
Calf muscle stretching can be either 3 times or 2 times a day, sustained or intermittent (20 sec)
PLANTAR FASCIA-SPECIFIC STRETCH
Performed in sitting, with the patient placing the fingers of one hand across the toes of the involved foot. Then pulling the toes back.
TAPING
Calcaneal taping or low dye taping is used for short-term pain relief. Taping does cause improvement in function.
ORTHOPEDIC DEVICES
Heel cuffs
Viscous elastic heel pad
Accommodative inlays
