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Combination of Hip Strengthening and Manipulative Therapy for the Treatment of Plantar Fasciitis: A Case Report.

Authors :
Santos BD
CorrĂȘa LA
Teixeira Santos L
Filho NA
Lemos T
Nogueira LA
Source :
Journal of chiropractic medicine [J Chiropr Med] 2016 Dec; Vol. 15 (4), pp. 310-313. Date of Electronic Publication: 2016 Sep 15.
Publication Year :
2016

Abstract

Objective: The purpose of this case report is to describe the management of using a combination of hip strengthening and manipulative therapy (MT) for a patient with plantar fasciitis.<br />Clinical Features: A 44-year-old patient reported heel pain for approximately 1 year before treatment. The patient reported plantar heel pain and tenderness at the calcaneal tuberosity. The pain was most noticeable in the morning but was reduced after a 30-minute walk. A diagnosis of plantar fasciitis was made at the initial assessment.<br />Intervention and Outcomes: Initially, a clinical evaluation was performed to measure pain intensity (Numeric Pain Rating Scale), pressure-pain threshold (algometry), and perceived exertion (OMNI Resistance Exercise Scale). The patient then underwent 10 sessions of hip strengthening and MT over a period of 3 months. After the treatment, the intensity of pain and the pressure-pain threshold was reevaluated. The patient reported an improvement in pain intensity (baseline score = 6 vs final score = 1) and an increase in the pressure-pain threshold (initial score = 2.6 vs final score = 7.1). Perceived exertion was also improved after hip muscle strength training (initial score = 10 vs final score = 8).<br />Conclusion: The combination of hip strengthening and MT improved foot pain in a patient with a clinical diagnosis of plantar fasciitis.

Details

Language :
English
ISSN :
1556-3707
Volume :
15
Issue :
4
Database :
MEDLINE
Journal :
Journal of chiropractic medicine
Publication Type :
Report
Accession number :
27857640
Full Text :
https://doi.org/10.1016/j.jcm.2016.08.001