European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Plantar fasciitis is a common cause of heel pain with gradual onset from the medial side of the foot.Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle.Planter fascia helps to hold the medial arch of the foot, any injury or biomechanical derangement of plantar fascia may cause further biomechanical changes. Timely management is necessary to avoid any long term biomechanical issue in body. Various rehabilitation techniques including Kaltenborn mobilization, Ultrasound, Kinesiotaping and stretching were used to reduce planter fasciitis. The case study focuses on an individual's interventions for plantar fasciitis. The primary purpose is to enable have a stronger insight of how to handle diabetic patients with heel pain.
Case Description:
The case is of a 36 year old female with left heel pain and swelling since 6 months along with bilateral knee pain. Pain aggravating with activity and reducing with rest. The patient was mesomorphic in body type. Patient is a known case of diabetes type 2 since 5 years.Based on the combination of standard physical therapy assessment techniquesthe clinical impression was formulated as plantar fasciitis. Patient underwent regular physiotherapy treatment. The aim was to reduce pain and swelling and improve gait pattern
Conclusion:
After 12 weeks of treatment and follow up, pain was reduce and muscle strength was increased.Normal gait pattern was achieved.This was feasible since of continual therapy and willingness of patient. The patient participation was also a major factor for the successful recovery.