Graston Instrument Soft Tissue Mobilization and Home Stretching for the Management of Plantar Heel Pain: A Case Series

2011 ◽  
Vol 34 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Brian Looney ◽  
Terry Srokose ◽  
César Fernández-de-las-Peñas ◽  
Joshua A. Cleland
Keyword(s):  
Soft Tissue ◽  
Case Series ◽  
Heel Pain ◽  
Plantar Heel Pain ◽  
Soft Tissue Mobilization

Instrument-Assisted Soft-Tissue Mobilization for the Management of Chronic Plantar Heel Pain: A Pilot Study

2019 ◽  
Vol 109 (3) ◽  
pp. 193-200
Author(s):  
Edward R. Jones ◽  
Margaret A. Finley ◽  
Stacie J. Fruth ◽  
Thomas G. McPoil
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Sample Size ◽  
Heel Pain ◽  
Effect Sizes ◽  
Graston Technique ◽  
Plantar Heel Pain ◽  
Final Treatment ◽  
And Function ◽  
Soft Tissue Mobilization

Background: The purpose of this study was to determine feasibility of further investigation of treatment with instrument-assisted soft-tissue mobilization (IASTM), using the Graston technique, compared with conservative care for treatment of chronic plantar heel pain (CPHP). Methods: Eleven participants with plantar heel pain lasting 6 weeks to 1 year were randomly assigned to one of two groups, with each group receiving up to eight physical therapy visits. Both groups received the same stretching, exercise, and home program, but the experimental group also received IASTM using the Graston technique. Outcome measures of pain and function were recorded at baseline, after final treatment, and 90 days later. Feasibility of a larger study was determined considering recruitment and retention rates, compliance, successful application of the protocol and estimates of the treatment effect. Results: Both groups demonstrated improvements in current pain (pain at time of survey), pain with the first step in the morning, and function after final treatment and at 90-day follow up. Medium-to-large effect sizes between groups were noted, and sample size estimates demonstrated a need for at least 42 participants to realize a group difference. A larger-scale study was determined to be feasible with modifications including a larger sample size and higher recruitment rate. Conclusions: This pilot study demonstrates that inclusion of IASTM using the Graston technique for CPHP lasting longer than 6 weeks is a feasible intervention warranting further study. Clinically important changes in the IASTM group and moderate-to-large between-group effect sizes suggest that further research is warranted to determine whether these trends are meaningful.

Efficacy of Instrument Assisted Soft-Tissue Mobilization in patients with heel pain: An Experimental study.

2021 ◽  
Author(s):  
Shivani Bhurchandi ◽  
Rakesh K Sinha ◽  
Pratik Phansopkar
Keyword(s):  
Soft Tissue ◽  
Rating Scale ◽  
Exercise Program ◽  
Heel Pain ◽  
Home Exercise ◽  
Long Term Effects ◽  
Home Exercise Program ◽  
Group B ◽  
The Impact ◽  
Soft Tissue Mobilization

Abstract Background: ‘Heel pain’ is one of the commonest ailments of foot affecting 10% of population and having visible effects on lifestyle of these patients , affecting both younger and elder population. This study’s purpose is to determine the efficacy of Instrument Assisted Soft Tissue Mobilization in people affected with heel pain and the resultant effect on their lifestyle.Method: Seventy participants(n=70) with heel pain (lasting from 6 weeks to 1 year) will be selected and divided in 2 groups . Each group receiving 8 treatment sessions. Group A will receive IASTM + Home exercise program and Group B will receive Therapeutic Ultrasound + Home exercise program . Outcome measures will be recorded i.e. Pre-test and Post-test , by using Numerical Pain Rating Scale and Foot & Ankle Ability Measure scale.The study’s purpose is to assess the impact (i.e. immediate and long term effects) of IASTM on heel pain. The Central Trial Registry of India (CTRI) registration number for this trial is CTRI/2021/06/044018.

Soft-tissue disorders

2019 ◽  
pp. 135-158
Author(s):  
Karl B. Landorf ◽  
Anne-Maree Keenan ◽  
Rebecca Kearney
Keyword(s):  
Soft Tissue ◽  
Achilles Tendinopathy ◽  
Heel Pain ◽  
Tibialis Posterior ◽  
Tarsal Tunnel ◽  
Ankle Sprains ◽  
Common Occurrence ◽  
Tarsal Tunnel Syndrome ◽  
Plantar Heel Pain ◽  
Tunnel Syndrome

This chapter covers soft-tissue disorders, a common occurrence in rheumatology. There is a brief overview of 10 of the most common soft-tissue disorders of the foot in rheumatology, including Achilles tendinopathy, ankle sprains, retrocalcaneal bursitis, tarsal tunnel syndrome, peroneal tendinopathy, tibialis posterior tendinopathy, plantar heel pain, and more. For each disorder, presentation, signs, and management are discussed.

scholarly journals Reduction in Plantar Heel Pain and a Return to Sport After a Barefoot Running Intervention in a Female Triathlete With Plantar Fasciitis

2017 ◽  
Vol 22 (5) ◽  
pp. 26-32 ◽  
Author(s):  
Peter Francis ◽  
Cassie Oddy ◽  
Mark I. Johnson
Keyword(s):  
Conservative Treatment ◽  
Plantar Fasciitis ◽  
Case Series ◽  
Return To Sport ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Barefoot Running ◽  
Plantar Heel Pain ◽  
First Case

In a 27-year-old female triathlete, magnetic resonance imaging revealed mild thickening and edema at the calcaneal insertion of the plantar fascia, in keeping with a degree of plantar fasciitis. After 6 weeks of conservative treatment failed to elicit a return to sport, the patient engaged in six sessions of barefoot running (15–30 min) on a soft grass surface, without further conservative treatment. After two sessions of barefoot running, the patient was asymptomatic before, during, and after running. This outcome was maintained at the 6-week follow-up period. This is the first case report to use barefoot running as a treatment strategy for chronic heel pain. Barefoot running has the potential to reduce the load on the plantar fascia and warrants further investigation using a case series.

Is There a Role for MRI in Plantar Heel Pain

2017 ◽  
Vol 11 (3) ◽  
pp. 242-245 ◽  
Author(s):  
Muhammad Ali Fazal ◽  
Demetris Tsekes ◽  
Irshad Baloch
Keyword(s):  
Plantar Fasciitis ◽  
Case Series ◽  
Heel Pain ◽  
Retrospective Case ◽  
Mri Scan ◽  
Plantar Heel Pain ◽  
Mri Features ◽  
Mri Scans ◽  
Male Patients ◽  
Magnetic Resonance Imaging Mri

Introduction. There is an increasing trend to investigate plantar heel pain with magnetic resonance imaging (MRI) scan though plantar fasciitis is the most common cause. The purpose of our study was to evaluate the role of MRI in patients presenting with plantar heel pain. Methods. Case notes and MRI scans of 141 patients with a clinical diagnosis of plantar fasciitis were reviewed retrospectively. There were 98 females and 43 males patients. Fourteen patients had bilateral symptoms. Average age for male patients was 51 years (range = 26-78 years), and for female patients the average age was 52 years (range = 29-76 years). Results. A total of 121 feet had MRI features suggestive of plantar fasciitis. MRI was normal in 32 feet. There was one case of stress fracture of calcaneus and another of a heel fibroma diagnosed on MRI scan. Conclusions. In our study, MRI scan was normal in 20.7% of the cases; 1.3% had a diagnosis other than plantar fasciitis but no sinister pathology. We therefore conclude that MRI scan is not routinely indicated and key is careful clinical assessment. Levels of Evidence: Therapeutic, Level IV: Retrospective, Case series.

scholarly journals Rationales and Treatment Approaches Underpinning the Use of Acupuncture and Related Techniques for Plantar Heel Pain: A Critical Interpretive Synthesis

2017 ◽  
Vol 35 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Maria T Clark ◽  
Richard J Clark ◽  
Shane Toohey ◽  
Caroline Bradbury-Jones
Keyword(s):  
Case Reports ◽  
Case Series ◽  
Heel Pain ◽  
Global Perspective ◽  
Future Research ◽  
Plantar Heel Pain ◽  
Critical Interpretive Synthesis ◽  
Diverse Field ◽  
Data Heterogeneity ◽  
Multiple Treatments

Background Acupuncture shows promise as a treatment for plantar heel pain (PHP) or plantar fasciitis (PF), but data heterogeneity has undermined demonstration of efficacy. Recognising that acupuncture is a diverse field of practice, the aim of this study was to gain a broader, global perspective on the different approaches and rationales used in the application of acupuncture in PHP. Methods We built upon an earlier systematic review (which was limited by the necessity of a methodological focus on efficacy) using the critical interpretive synthesis (CIS) method to draw upon a wider international sample of 25 clinical sources, including case reports and case series. Multiple tracks of analysis led to an emergent synthesis. Results Findings are presented at three levels: primary (summarised data); secondary (patterns observed); and tertiary (emergent synthesis). Multiple treatments and rationales were documented but no single approach dominated. Notable contradictions emerged such as the application of moxibustion by some authors and ice by others. Synthesis of findings revealed a ‘patchwork’ of factors influencing the approaches taken. Conclusions The complexity of the field of acupuncture was illustrated through the ‘lens’ of PHP. The ‘patchwork’ metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of ‘real world’ practice by acupuncturists addressing the problem of PHP.

Imaging Features of Primary Tumors of the Hand

2020 ◽  
Vol 16 ◽  
Author(s):  
Filippo Boriani ◽  
Edoardo Raposio ◽  
Costantino Errani
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Epithelioid Sarcoma ◽  
Case Series ◽  
Malignant Neoplasm ◽  
Benign Tumors ◽  
Imaging Features ◽  
Primary Tumors ◽  
Therapeutic Decisions ◽  
Tumors Of The Hand

: Musculoskeletal tumors of the hand are a rare entity and are divided into skeletal and soft tissue tumors. Either category comprises benign and malignant or even intermediate tumors. Basic radiology allows an optimal resolution of bone and related soft tissue areas, ultrasound and more sophisticated radiologic tools such as scintigraphy, CT and MRI allow a more accurate evaluation of tumor extent. Enchondroma is the most common benign tumor affecting bone, whereas chondrosarcoma is the most commonly represented malignant neoplasm localized to hand bones. In the soft tissues ganglions are the most common benign tumors and epithelioid sarcoma is the most frequently represented malignant tumor targeting hand soft tissues. The knowledge regarding diagnostic and therapeutic management of these tumors is often deriving from small case series, retrospective studies or even case reports. Evidences from prospective studies or controlled trials are limited and for this lack of clear and supported evidences data from the medical literature on the topic are controversial, in terms of demographics, clinical presentation, diagnosis prognosis and therapy.The correct recognition of the specific subtype and extension of the tumor through first line and second line radiology is essential for the surgeon, in order to effectively direct the therapeutic decisions.

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