Bioscience Biotechnology Research Communications

An International  Peer Reviewed Refereed Open Access Journal

P-ISSN: 0974-6455 E-ISSN: 2321-4007

Bioscience Biotechnology Research Communications

An Open Access International Journal

Renuka Dhole, Neha Chitale and Pratik Phansopkar*

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College,
Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.

Corresponding author email: drpratik77@gmail.com

Article Publishing History

Received: 30/03/2021

Accepted After Revision: 25/05/2021

ABSTRACT:

Plantar fasciitis is one of the major cause of heel pain(1). Plantar fasciitis is known as an overuse condition as it progresses over time and is a result of prolonged distress that surpasses the innate ability of the body to heal and respond, inevitably leading to failure of the muscles, bones, and ligaments. The indications of plantar fasciitis in the very first steps of the morning are like stabbing discomfort. The pain generally gets easier once the foot is on the move and walking. This pain is however, likely to come back from prolonged duration of standing or getting up from a sitting position. Rehabilitation techniques like Kaltenborn mobilization, Ultrasound, Kinesio taping and stretching have been used to reduce planter fasciitis. The case study elaborates on interventions for plantar fasciitis in diabetic patient. This 36 year old diabetic female reported with pain and swelling in left heel since 6 months along with bilateral knee pain.

Pain aggravated with activity and reduced with rest. The patient was mesomorphic in body type. Based on the combination of standard physical therapy assessment techniques the clinical impression was formulated as plantar fasciitis. The patient was diabetic for last 5 years. Physiotherapy Intervention included- Lateral side step action for 5 sets of 15 crossovers, Standing on 1-legged balancing exercise, Ankle inversion and eversion exercise, Kaltenborn mobilisation for subtalar joint, Tissue-specific plantar fascia stretchand Kinesio-Taping. After 12 weeks of treatment and follow up, pain was reduce and muscle strength was increased. Normal gait pattern was achieved. Timely continual physical therapy and patient participation are critical factors for the successful recovery from plantar fasciitis.

KEYWORDS:

Plantar Fasciitis, Diabetes Mellitus, Physiotherapy, Ankle Inversion And Eversion Exercise, Kaltenborn Mobilisation.

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