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Management of plantar heel pain: a best practice guide

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Mar 30, 2021.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values
    Dylan Morrissey et al
    British Journal of Sports Medicine Published Online First: 30 March 2021.
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Loading program/"rehab" did not make the cut!
     
  3. scotfoot

    scotfoot Well-Known Member

    "Loading program/"rehab" did not make the cut!"

    Hi Craig
    As far as I can make out, rehab of any strength deficits that might be caused by PHP /plantar fasciitis ,was not considered by the authors at all .
    Happy to be corrected if I am wrong .
     
  4. scotfoot

    scotfoot Well-Known Member

    I get that they are saying that there was no level 1 evidence that rehab reduced pain .

    What I am still not clear on however ,is, did the clinicians/researchers consider evidence around whether strength deficits were generally associated with PHP, and, if so, did they concluded if there was sufficient evidence to strongly link chronic PHP with intrinsic muscle weakness atrophy or not .
     
    Last edited: May 21, 2021
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis
    Hye Chang Rhim et al
    Life (Basel). 2021 Nov 24;11(12):1287
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effects of therapeutic interventions on pain due to plantar fasciitis: A systematic review and meta-analysis
    Janice de S. Guimarães et al
    Source
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physiotherapeutic Interventions for Individuals
    Suffering From Plantar Fasciitis: A Systematic
    Review

    Manali A. Boob Jr. , Pratik Phansopkar , Kamya J. Somaiya
    Cureus 15(7): e42740. DOI 10.7759/cureus.42740
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Efficacy of pharmacological and non-pharmacological therapies on pain intensity and disability for plantar fasciitis: a systematic review and meta-analysis
    Bianca Martins Lourenço et al
    Br J Sports Med. 2023 Aug 24
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does the self-limiting condition of plantar fasciitis
    necessitate intrusive management techniques?

    Abhishek Kumar Mishra et al
    PAMJ-CM - 13(1). 01 Sep 2023
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Efficacy of pharmacological and non-pharmacological therapies on pain intensity and disability for plantar fasciitis: a systematic review and meta-analysis
    Bianca Martins Lourenço et al
    British Journal of Sports Medicine 2023;57:1516-1521
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Plantar Fasciitis: An Updated Review
    Wen-Che Tseng et al
    J Med Ultrasound. 2023 Oct 6;31(4):268-274
     
  12. Brian A. Rothbart

    Brian A. Rothbart Well-Known Member

    Plantar heel pain (Plantar Fasciitis) is a symptom. In order to eliminate this symptom, you must isolate and treat the cause. Otherwise, just treating the symptom will result in short term and disappointing results.

    Assuming the heel pain is not due to trauma or inflammation, If the patient demonstrates gravity drive pronation, determine the cause of that abnormal pronation and the heel pain will most likely abate.
     
  13. Brian A. Rothbart

    Brian A. Rothbart Well-Known Member

  14. scotfoot

    scotfoot Well-Known Member

    Has Morrissey et al 2021 author published retraction?

    Ian Griffiths seems to be a popular figure in podiatry circles but gave me a hard time when I suggested Morrissey et al 2021 had gotten it wrong when they did not recommend foot strengthening for plantar fasciitis patients. It would appear he now agrees completely with my reasoning and point of view . Basically, when dealing with PF, include foot strengthening . It's unfortunate that this paper was published in the BJSM and had such resonance.

    However, it takes character to admit you were wrong, so we move on.


    Ian now says - " Despite this we know strengthening programmes/exercises are often being used in this cohort of patients. Regardless of the dearth of evidence to support this practice, perhaps it still actually sensible; there is data which suggests reduced muscle function, strength and size is associated with people with plantar heel pain compared to people without and improving muscle strength has been shown to be beneficial for other lower limb pathology" I wonder if Ian's fellow authors agree with his new point of view?

    Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values
    Dylan Morrissey et al
    British Journal of Sports Medicine Published Online First: 30 March 2021.
     
  15. scotfoot

    scotfoot Well-Known Member



    Strengthening Program for Planter Heel Pain

    [​IMG]


    "Video accompanying Ian Griffith's review in the February 2024 issue of the Physio Network Research Reviews. The reviews are your shortcut to keeping up to date. Learn more here - https://www.physio-network.com/resear..."

    I'm not sure if the 3 exercises illustrated in the video are the ones Ian uses for his plantar heel pain patients . The short foot exercise will certainly strengthen the foot but done to strict form it is -
    1 difficult to learn
    2 does not involve the plantar intrinsics which are all toe flexors

    Calf raises have been found not to strengthen the intrinsics of the lesser toes and to make very little difference to the hallux strength even with a ramp ,a lot of load and a lot of effort.

    If you want to strengthen muscles ,especially in older age groups ,then fatiguing them with progressive resistance exercise is, by far, the best option.
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparison of Clinical Practices and Treatment Preferences by Physical Therapists for Patients of Plantar Fasciitis
    Aqsa Faiz et al
    Source
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Consensus statements and guideline for the diagnosis and management of plantar fasciitis in Singapore
    Victor Aik Khien Tan et al
    Ann Acad Med Singap. 2024 Feb 28;53(2):101-112
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    EFFICACY OF PHARMACOLOGICAL AND NON-PHARMACOLOGICAL THERAPIES ON PAIN AND DISABILITY IN PLANTAR FASCIITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS
    Bianca Martins Lourenço et al
    Brazilian Journal of Physical Therapy; Volume 28, Supplement 1, April 2024, 100656

     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Controversies of the Plantar Fasciitis
    Andre Triadi Desnantyo
    Source
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical Study of a Four-Step Program for the Treatment of Plantar Fasciitis with Bone Spurs
    Lu Jiang et al
    Orthop Surg. 2024 Jun;16(6):1374-1380
     
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