[Effectiveness of different physical therapy in conservative treatment of plantar fasciitis: systematic review]

[Article in Spanish]

Free article

Abstract

Background: Plantar fasciitis is the most common disease of non-traumatic pain in the ankle-foot. It is more common in women aged 40-70 years and diffuse progressive start the foot or ankle that gradually worsens preventing progress. The aim of this work is to determine whether different physical therapies used in the conservative treatment of plantar fasciitis of at least one month duration in adults are effective individually and / or in combination.

Methods: A systematic review databases in The Cochrane Library, Medline, Lilacs, IBECS, IME, PEDro and ENFISPO no date restriction, in Spanish and English languages. Randomized controlled trials were included of adult patients diagnosed with plantar fasciitis, intervention studies, prospective and systematic reviews. Assessment of study eligibility was developed by two reviewers independently and unblinded standardized. To classify, we used the PEDro scale critical, form of methodological quality plus a critical review of each summary and if this was not conclusive assessment of the full text.

Results: 32 full-text articles were reviewed. Most used techniques are the stretches and shock waves, although the best results are obtained by combining several techniques. Shock waves are effective when other techniques have failed.

Conclusion: Physical therapies used in the various studies have proven effective to varying degrees either to reduce pain or relieve the symptoms of plantar fasciitis.

CORE Physical Therapy in Omaha Explains…

By Dr. Mark Rathjen PT DPT CSCS

17660 Wright St, Suites 9/10

Omaha Nebraska

The conclusion of the article states “Physical therapies used in the various studies have proven effective to varying degrees either to reduce pain or relieve the symptoms of plantar fasciitis.” More than 30 articles were reviewed for the purpose of this literature review and meta analysis in the treatment of plantar fascia pain. This amount of studies would be considered a high degree of power and correlation. Suggesting a very high level of efficacy of treatment over various ages and populations studied.

There are many causes to plantar fascia pain, and treating for symptoms is often a multi layered approach. Various factors must be assessed before treatment begins at CORE Physical Therapy. The addition to dry needling, which is omitted from the Meta analysis above, is also another effective treatment modality.

Common in the active and athletic population, and especially more common in middle age females, we must make sure we do a full mechanical and structural analysis to find the root cause.

From that examination, a full and comprehensive plan of care can be developed for the treatment of the patient. NO other clinic is more thorough than CORE Physical therapy and Sports Performance.

C.O.R.E. Physical Therapy and Sports Performance PC,

17660 Wright St, Suites 9/10

Omaha, NE 68130

402-930-4027

At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. 

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Dr. Mark Rathjen and Dr. Claire Rathjen. 

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