Goals |
Therapeutic Interventions |
Patient education for the condition and the intervention |
Give the importance of compliance with the prescribed interventions. Emphasise the role of lifestyle modifications in preventing future episodes. |
To alleviate and prevent plantar fasciitis pain, enhancing patients’ mobility and overall well-being. |
Rest: Giving your feet adequate rest is important. Avoid activities that exacerbate the pain and try to minimise weight-bearing on the affected foot. |
Ice: Apply ice to the painful site for 15-20 minutes. Advise to do it several times a day. |
Ultrasound (Figure 3): At the medial calcaneus tuberosity with eight minutes of duration with a frequency of 1 megahertz and therapeutic intensity of 1.8 watts per square centimetre. |
Stretching exercises: Specific stretching helps to alleviate tension on the plantar fascia, which includes calf stretches, Achilles tendon stretches, etc. |
Orthotics: Custom or over-the-counter shoe inserts (orthotics) can provide support. They can improve foot alignment, and kinesio taping (Figure 4) was done to decrease strain and pain on the plantar fascia. |
To improve the range of motion and flexibility of the dorsiflexors |
Calf stretch: Put hands against a wall while facing it. Keep one foot back with a straight knee, and bend the front knee. Lean forward on the wall while keeping the back heel on the ground. Maintain position for 15 to 30 seconds and relax. Repeat two or three sets on each day. |
Towel stretch: Anchor a towel around the ball of the foot. Gently pull the towel and hold the stretch for the next 30 seconds, and repeat on each foot. |
Plantar fascia stretch: With one limb placed over the other knee, take a seat in a chair. To stretch the plantar fascia, gradually bring the toes back towards the shin of the tibia. After 30 seconds of stretch, switch to the other foot. |
Eccentric calf raises: Raise your toes with both feet. Lower one foot slowly while keeping the other foot elevated. Then, push up with both feet again. Ten to fifteen sets per day. Ankle range of motion exercises to increase dorsiflexion. |
To improve the strength of the plantar and dorsiflexors |
Intrinsic muscle strengthening: Sit or stand and try to lift the arches of your feet, spreading your toes apart, performing ball roll (Figure 5A) and towel curls (Figure 5B). Perform two to three sets of ten repetitions. |
Resistance band exercises: Loop a resistance band around the foot to improve plantar flexors and to improve the dorsiflexor's strength and resistance apply in the opposite direction. Perform ten to fifteen repetitions. |
To improve balance and stability |
Balance exercises: Practice standing on one leg to improve balance and stability. Ankle proprioceptive neuromuscular facilitation for plantarflexion and inversion are shown in Figure 6A. Dorsiflexion and eversion are shown in Figure 6B. |
Proprioceptive training: A wobbleboard (Figure 7A) creates an unstable surface, forcing the foot and ankle muscles to work harder to maintain balance. Bilateral calf raises (Figure 7B) help to improve balance and stability. |
Incorporating uneven surfaces: Walking or performing exercises on uneven surfaces, such as grass or sand, can challenge the proprioceptive system and improve stability. |
Alphabet exercises: Draw the alphabet with toes in the air to promote ankle mobility and strengthen the muscles around the ankle joint. |
Joint position sense training: Perform exercises that focus on joint position sense, such as standing with eyes closed to rely more on proprioception. |
Progressive loading: Gradually increase the difficulty and intensity of proprioceptive exercises as the strength and stability improve. |