THE EFFECTS OF EXTREMITY MANIPULATION ON PLANTAR FASCIA PAIN: A CASE REPORT
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Objective: To document the observed effects of a single intervention of extremity manipulation on a patient with plantar fascia-related pain.
Clinical Features: A 32-year-old athlete had sharp pain and stiffness around the inferior/medial portion of his left heel and midfoot.
Intervention and Outcomes: An extremity manipulation was performed, aimed at the midfoot across the tarsals. Following the manipulation, there was an immediate reduction of pain, an improvement in range of motion and perceived gait biomechanics, and a decreased sensitivity to manual palpation. He received no additional intervention. A follow-up was conducted over the course of 3 weeks at 1-week intervals. He reported no pain or stiffness at each follow-up.
Conclusion: Those suffering from heel pain, specifically plantar fasciosis, may be strong candidates for extremity manipulation. More research is needed to establish a stronger association between extremity manipulation and plantar fasciosis.
2. Williams B. The plantar fascia (personal image). 2023.
3. Chen D, Li B, Aubeeluck A, Yang Y, Huang Y, Zhou J et al. anatomy and biomechanical properties of the plantar aponeurosis: a cadaveric study. PLoS ONE 2014;9(1):e84347
4. Lemont H, Ammirati KM, Usen N. Plantar fasciitis. J Am Podiatric Med Assoc 2003;93(3):234–237
5. Riddle DL, Schappert SM. The volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Intern 2004;25(5):303–310
6. Williams B. An investigation into the impact spinal manipulation may have on the performance of strength athletes: a research survey. Int J Res Applied Sci Engineering Tech 2022;10:1284–1291 https://doi.org/10.22214/ijraset.2022.45442.
7. Haavik H, Kumari N, Holt K et al. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. European Applied Physiol 2021;12(5)
8. Williams BS. The clinical and subjective outcomes associated with spinal manipulation: a case study. J Med Res Innovation 2022;6:19–21
9. Williams B, Woodbury M. The improvement of balance, coordination & proprioception following an MPI cervico-thoracic junction seated adjustment: a case report. Int J Res Applied Sci Engineering Tech 2022;10(9):1339–1342
10. Gyer G, Michael J, Inklebarger J, Tedla JS. Spinal manipulation therapy: is it all about the brain? A current review of the neurophysiological effects of manipulation. J Integrative Med 2019 Sep [cited 2019 Oct 27];17(5):328–37. https://www.omttaining.co.uk/wp-content/uploads/2019/09/OMT-Training-Research-Journal-Published.pdf
11. Vicenzino B, Cleland JA, Bisset L. Joint manipulation in the management of lateral epicondylalgia: a clinical commentary. J Manual Manipulative Therap 2007;15(1):50–6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565595/
12. Whitney K. Plantar fasciosis - musculoskeletal and connective tissue disorders [Internet]. MSD Manual Professional Edition. 2023. https://www.msdmanuals.com/en-nz/professional/musculoskeletal-and-connective-tissue-disorders/foot-and-ankle-disorders/plantar-fasciosis
13. Jacobs JL, Ridge ST, Bruening DA et al. Passive hallux adduction decreases lateral plantar artery blood flow: a preliminary study of the potential influence of narrow toe box shoes. J Foot Ankle Res 2019;12(1)
14. Vanbeek C. Cortisone Injections: worth the stick? 2005 https://www.stamfordhealth.org/healthflash-blog/orthopedic-spine-sports-medicine/cocortisone-injections/
15. Kennedy B. Plantar fasciitis. Physiopedia 2013. https://www.physio-pedia.com/Plantar_Fasciitis