Heel Pain – Plantar Fasciitis: Revision 2023
Members do not see these Ads. Sign Up.
Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from the Academy of Orthopaedic Physical Therapy and American Academy of Sports Physical Therapy of the American Physical Therapy Association
Summary of Recommendations
INTERVENTIONS – MANUAL THERAPY
Clinicians should use manual therapy directed at the joints and soft tissue structures of the lower extremity to address relevant joint and flexibility restrictions, decrease pain, and improve function in individuals with plantar heel pain/plantar fasciitis.
INTERVENTIONS – STRETCHING
Clinicians should use plantar fascia-specific and gastrocnemius/soleus stretching to provide short- and long-term pain reduction, as well as to improve short- and long-term function and disability.
INTERVENTIONS – TAPING
Clinicians should use foot taping techniques, either rigid or elastic, in conjunction with other physical therapy treatments for short-term improvements in pain and function in individuals with plantar fasciitis.
INTERVENTIONS – FOOT ORTHOSES
Clinicians should not use orthoses, either prefabricated or custom fabricated/fitted, as an isolated treatment for short-term pain relief in individuals with plantar fasciitis.
Clinicians may use orthoses, either prefabricated or custom fabricated/fitted, when combined with other treatments in individuals with heel pain/plantar fasciitis to reduce pain and improve function.
INTERVENTIONS – NIGHT SPLINTS
Clinicians should prescribe a 1- to 3-month program of night splints for individuals with heel pain/plantar fasciitis who consistently have pain with the first step in the morning.
INTERVENTIONS – PHYSICAL AGENTS – ULTRASOUND
Clinicians should not use ultrasound to enhance the benefits of stretching treatment in those with plantar fasciitis.
INTERVENTIONS – PHYSICAL AGENTS – LOW-LEVEL LASER THERAPY
Clinicians should use low-level laser therapy as part of a rehabilitation program in those with acute or chronic plantar fasciitis to decrease pain in the short term.
INTERVENTIONS – PHYSICAL AGENTS – PHONOPHORESIS
Clinicians may use phonophoresis with ketoprofen gel to reduce pain in individuals with heel pain/plantar fasciitis.
INTERVENTIONS – PHYSICAL AGENTS – ELECTROTHERAPY
Clinicians may use manual therapy, stretching, and foot orthoses instead of electrotherapeutic modalities to promote shot-term and long-term improvements in clinical outcomes for individuals with heel pain/plantar fasciitis. Clinicians may use iontophoresis or premodulated interferential current electrical stimulation as a second line of treatment.
INTERVENTIONS – EDUCATION AND COUNSELING FOR WEIGHT LOSS
Clinicians may provide education and counseling on exercise strategies to gain or maintain optimal lean body mass for individuals with heel pain/plantar fasciitis. Clinicians may also refer individuals to an appropriate health care practitioner to address nutrition issues.
INTERVENTIONS – THERAPEUTIC EXERCISE AND NEUROMUSCULAR RE-EDUCATION
Clinicians should prescribe therapeutic exercise that includes resistance training for the musculature of the foot and ankle.
INTERVENTIONS – DRY NEEDLING
Clinicians should use dry needling to MTrP in the gastrocnemius, soles, and plantar muscles of the foot for short- and long-term pain reduction, as well as long-term improvements in function and disability.
Loading...
- Similar Threads - Treating plantar fasciitis
-
- Replies:
- 49
- Views:
- 4,794
-
- Replies:
- 9
- Views:
- 10,048
-
- Replies:
- 0
- Views:
- 5,713
-
- Replies:
- 3
- Views:
- 2,224
-
- Replies:
- 18
- Views:
- 10,249
-
- Replies:
- 0
- Views:
- 470
-
- Replies:
- 0
- Views:
- 334