Recent Advances in Physiotherapy Treatment Techniques for Plantar fasciitis- A Narrative Review
Abstract
Background: Plantar fasciitis (PF) is a common musculoskeletal disorder primarily characterized by degeneration rather than inflammation of the heel's plantar fascia, causing localized pain. It affects approximately one in ten individuals during their lifetime, with factors such as reduced ankle dorsiflexion angle and calf muscle stiffness contributing to its development. PF typically presents with severe pain upon initial weight-bearing after rest, improving with movement throughout the day. Diagnosis involves tenderness at the medial calcaneal tubercle and pain upon passive dorsiflexion of the first toe.
Despite its high prevalence, effective and early diagnosis of PF remained challenging. A better understanding of its underlying mechanisms, such as the role of calf muscle stiffness and ankle dorsiflexion limitations, was needed to improve prevention and treatment strategies. Additionally, research into the long-term outcomes of various treatments for PF, particularly conservative methods versus more invasive interventions, was crucial to guide evidence-based clinical practice
Conclusion: Extracorporeal shockwave therapy, Tapping, Local vibration, stretching exercises and Dry needling with electrotherapy shows significant improvement in reducing pain, improving ROM and foot functions among patients with plantar fasciitis.
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