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

2016; Elsevier BV; Volume: 15; Issue: 4 Linguagem: Inglês

10.1016/j.jcm.2016.08.001

1556-3715

Bruno dos Santos, Letícia Amaral Corrêa, Luciano Teixeira dos Santos, Ney Meziat‐Filho, Thiago Lemos, Leandro Alberto Calazans Nogueira,

Shoulder Injury and Treatment

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.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.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).The combination of hip strengthening and MT improved foot pain in a patient with a clinical diagnosis of plantar fasciitis.