Effect of Graston Technique on Planter Thickness in Patients With Planter Fasciitis

Effect of Graston Technique on Planter Thickness in Patients With Planter Fasciitis

this study will be conducted to investigate the effect of Graston Technique on Planter Thickness in Patients With Planter Fasciitis

Plantar fasciitis (PF), generally a self-limiting condition, is identified as one of the most common causes of heel pain in adults. It affects both sedentary and athletic populations .

It may be considered that PF emerges due to excessive and prolonged standing or running, which causes an acute inflammation or micro-tears, and degenerative changes plantar fascia. The persistence of these risk factors inhibits the regular repair process thus collagen degeneration occurs, causing the structural changes of the plantar fascia. Numerous interventions have been described for treatment of PF, which include: Stretching calf or plantar region which is performed with the patient stands with staggered legs facing toward a wall, with both hands stretched out .The Graston technique can break up scar tissue and restore soft tissue. The Graston technique is a type of manual therapy in which patented stainless-steel instruments are used to restore soft tissue motion by breaking up scar tissue. fifty patients with planter fasciitis will be assigned randomly to two equal groups; first one will receive graston technique in addition to exercise program, the second one will receive exercise program only for six weeks

Inclusion Criteria:

• patients that Clinically diagnosed cases of plantar fasciitis not less than 6 weeks.
• patients willing to precipitate in the study and take treatment for 6 successive weeks.
• Heel pain felt maximally over the plantar aspect of heel
• Pain in the heel on the first step in the morning
• No history of rest pain in the heel

Exclusion Criteria:

• Subjects with clinical disorders where therapeutic ultrasound is contraindicated such as infective conditions of foot, tumor, calcaneal fracture, metal implant around ankle.
• Subjects with a clinical disorder where myofascial release is contraindicated as dermatitis.
• Subjects with impaired circulation to lower extremities
• Subjects with referred pain due to sciatica and other neurological disorders.
• Arthritis
• Corticosteroids injection in heel preceding 3 months