ChiroACCESS Clinical Review



Plantar Fasciitis: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

September 1, 2006

Text Size:     
Some authors state plantar fasciitis (PF) is primarily a self-limiting condition that will resolve in 80% of cases within one year with or without treatment (1;2). Whether the condition is self-limiting or not, the patient is usually experiencing pain sufficient to limit activity. It is the physician’s obligation to aid in restoration of function and return to full activity as quickly as possible with whatever safe and effective treatment options are available. When treating a patient with plantar fasciitis (PF) it is important for the physician to know, even when the patients respond well, resolution is often measured in weeks or months, not days (3). It is important for patients to understand the lengthy recovery time.

The reader should note, as with other aspects of PF, there is no treatment option that has clearly demonstrated efficacy through rigorous clinical trials.

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References

1. 

Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med 2004; 350(21):2159-2166.

 [ Full-Text Link ]

2. 

Cole C, Seto C, Gazewood J. Plantar fasciitis: evidence-based review of diagnosis and therapy. Am Fam Physician 2005; 72(11):2237-2242.

 [ Full-Text Link ]

3. 

Roxas M. Plantar fasciitis: diagnosis and therapeutic considerations. Altern Med Rev 2005; 10(2):83-93.

 [ Full-Text Link ]

4. 

Dimou ES, Brantingham JW, Wood T. A randomized, controlled trial (with blinded observer) of chiropractic manipulation and achilles stretching vs. orthotics for the treatment of plantar fasciitis. Journal Of the American Chiropractic Association 2004; 41(9):32-42.



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Speed CA, Nichols D, Wies J, Humphreys H, Richards C, Burnet S et al. Extracorporeal shock wave therapy for plantar fasciitis. A double blind randomised controlled trial. J Orthop Res 2003; 21(5):937-940.



18. 

Haake M, Buch M, Schoellner C, Goebel F, Vogel M, Mueller I et al. Extracorporeal shock wave therapy for plantar fasciitis: randomised controlled multicentre trial. BMJ 2003; 327(7406):75.



19. 

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