Plantar Heel Pain Treatment - What Does the Evidence Say?
- RRS Education
Pain in the plantar aspect of the heel can be debilitating for patients and sometimes difficult to manage clinically. It can result from a number of different conditions, including plantar fasciopathy, calcaneal stress fracture, fat pad atrophy, tarsal tunnel syndrome, and more. Risk factors for developing plantar heel pain have been well studied and include: limited ankle dorsiflexion, limited first metatarsophalangeal joint extension, increased age, increased weight in a non-athletic population, and prolonged standing. Limited ankle dorsiflexion has been identified as the greatest risk factor and excessive pronation has been identified as a possible compensatory response to this – both could increase stress on the plantar fascia. Manual therapy is commonly used to improve joint mobility and decrease pain and could be used in conjunction with other common treatments for plantar heel pain, such as heel pads, night splints, orthotics, and modalities. This systematic review (published in the Journal of Manual & Manipulative Therapy - 2017) aimed to evaluate the available evidence on the effects of manual therapy in the treatment of plantar heel pain…LOG IN OR SUBSCRIBE TO ACCESS THIS RESEARCH REVIEW!