Abstract
A 44 year old obese female housewife had plantar fasciitis due to long-term standing and frequent high-heel use. Conservative management options for this condition are many but there is no strong evidence supporting effectiveness of any single option. This paper focused on evidence based physiotherapy treatment of a patient with plantar fasciitis. The treatment strategy included ultrasound at 1.5 watts/cm2 for 4 minutes, iontophoresis with acetic acid, taping, stretching of the plantar fascia and Achilles tendon, intrinsic foot muscle strengthening, manual therapy of myofascial chains and use of heel pads. Home exercises included myofascial release with tennis ball and tin, standing stretches to triceps surae and strengthening of intrinsic foot muscles on towel. Dietary consideration included vitamin C (1-3 g/day) and glucosamine sulphate (500mg three for times/day). The patient recovered after 6 weeks of evidence-based physiotherapy treatment.
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