Question about the stretching bullet point. I hope to prevent plantar fascia injury. I occasionally stretch my toes up against a wall and feel the stretch on the bottom of my foot. Also regularly do calf stretches. Is that sufficient? If not then what stretches did these studies find to be actually effective?
1 year ago (edited) | 0
Run Smarter with Brodie Sharpe | Physio
This systematic review by Dylan Morrissey, Ian Griffiths & colleagues complied 51 studies (4351 participants) along with 14 experts being interviewed. Their goal, 'to develop a best practice guide for managing people with plantar heel pain'. Here is what they came up with.
The 'Must Dos':
1.) Education: an individualised education approach would involve a discussion with a health professional about the diagnosis, causes, symptoms, expectations etc and having clarity about this condition.
2.) Stretching: Daily stretching of the plantar fascia should be administered for 4-6 weeks before layering on other treatment methods.
3.) Taping: Low-dye taping should be administered to determine effectiveness.
The 'DECIDE' list: based on an individual assessment, a therapist may choose to implement:
1.) Load management: Understand and self-manage a stepped approach to load increase with guidance, weight loss and other contributors to load management.
2.) Pain education: teaching patients the parameters required to self-monitor the pain response to activity and how to interpret pain with respect to tissue damage in order to allay fears of long-term consequences.
3.) Address related conditions: support to address comorbidities such as type 2 diabetes and encourage weight-loss.
4.) Footwear: Footwear advice to ensure comfort in shoes that allow a small rearfoot to forefoot drop while also considering social acceptability to improve adherence.
Patients who do not optimally improve within 4-6 weeks when implementing to the 'Must Dos' and other 'Decided' approaches within 4-6 weeks may be offered shockwave therapy, followed by custom orthoses.
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1 year ago | [YT] | 7