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.
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.
If you want summaries of the latest running research sent to your inbox, sign up here: mailchi.mp/runsmarter/e-mail-list-sign-up
1 year ago | [YT] | 7