Patient complaints of pain and morning stiffness in her heel, which is progressive in nature and occur more while walking and Standing.

1. CASE STUDY
Name : Riya
Roll No: 18/FAS/BPT/054
Topic : Plantarfasciitis

2. PLANTARFASCIITIS
Plantarfasciitis or planter aponourosis is a
thick fibrous band of connective tissue that
runs towards from the planter medial aspect of
the calcaneus to blend with ligament attached
to the toe.
When the heel is lifted during takeoff or
running uphill, the angle between the toes and
the metatarsal increases and the aponourosis is
stretched.

3. CASE STUDY
Name of Patient : Reena
Age: 34 years
Gender : Female
Occupation : Housewife
Chief Complaint : Patients complaints of pain and morning
stiffness in left heel since one month
Present History : Patient was apparently alright a month ago.
She developed pain in left heel and which is progressive in
nature while standing and walking.
Past History : NA
Medical History : NA
Surgical History : NA
Family History : NA

4. Pain History
• Onset : Gradual
• Location : Left Heel
• Type of pain : Dull aching
• Severity : VAS Scale During Rest
During Walking and Standing
• Nature / Behaviour of pain: Sub acute / Intermittent
• Aggravating factors : During standing and walking
2
7

5. Relieving factors : Rest and Hot Pack

6. Observations
Built : Mesomorphic
Posture : Normal
Gait : Limping Gait
Swelling : Mild Present
Tenderness : Present Grade II
Motor Assessment
• ROM
Movement Normal Range Active Movement Passive Movement
Ankle Dorsiflexion 0-20° 0-10° 0-20°
Plantar flexion 0-50° 0-40° 0-50°

7. Special Test
Windless Test +ve
Functional Assessment
Difficulty in standing and ADLS hampered
Investigation
X-Ray shows spur formation
Differential Diagnosis
Calcaneal Stress Fracture
Nerve entrapment
Diagnosis
Plantar fasciitis

8. TREATMENT
• GOALS
1. To Relieve Pain
2. To Increase range of motion
3. To Decrease swelling and tenderness
4. To Improve strength of muscles
5. To decrease TA tendon tightness
{0-14 days}
1. TENS for 10 mins (120 Hertz continuous mode).
2. US for 6 minutes (pulse mode).
3. Calf Stretching (10 repetitions with 15-20 secs hold).
4. Ankle Toe Movements
5. Calf Isometrics (10 repetitions with 15-20 secs hold).
6. Toe Standing
7. Contrast Bath (3:1).
8. Shoe Modification.

9. • Home Exercise Program
1. Hot Fermentation
2. Ankle Toe Movement
3. Calf Stretch
4. Toe Raising
5. Rolling Stretch
6. Towel Curls
7. Marble Pick ups
8. Ball Rolling
9. Toe Walking
10. MFR over plantar fascia

10. Thank You