Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial

Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial

This study is a randomized controlled trial and the purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis: a randomized control trial.

The purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis Outcomes variables of Pain , Ankle ROM, gait parameters and activities of daily living in adults (age : 40-60 years ) will be determined using:

1. Numeric pain rating scale
2. Goniometer
3. 30 meter walk test
4. foot and ankle ability measure FAAM Data will be before and after the intervention protocol for each participant. Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Inclusion criteria:

• Age 40-60 years
• Both genders
• Plantar heel pain for longer than 3 months
• Pain score at least or less than 8 on the numeric pain (NPRS)
• Clinical diagnosis of unilateral PF in accordance with the clinical practice guidelines from the Orthopaedic Section of the American Physical Therapy Association APTA:
• Plantar medial heel pain: most noticeable with initial steps after a period of inactivity but also worse following prolonged weight bearing
• Heel pain precipitated by a recent increase in weight bearing activity
• Pain with palpation of the proximal insertion of the plantar fascia
• Positive windlass test
• Negative tarsal tunnel tests
• Limited active and passive talocrural joint dorsiflexion range of motion
• Abnormal foot posture index score
• High body mass index in nonathletic individuals

Exclusion criteria:

• Positive ankle drawer tests
• Pregnant womwn, mental illness, immune suppressed patients, thrombocytopenia, anti-coagulant therapy patients and post-mastectomy
• Congenital abnormalities of foot
• A history of surgery to the ankle, foot or lower leg
• Other causes of heel pain (including tarsal tunnel syndrome, calcaneal fracture, ankle or foot instability, arthritis of the foot or ankle, rheumatoid arthritis, spondyloarthropathy, gout,peripheral neuropathy )
• Presented with 2 or more positive neurologic signs consistent with nerve root compression