Effectiveness of Strengthening Exercise Program Compare With Foot Orthoses in Patients With Plantar Heel Pain

Launched by MAHIDOL UNIVERSITY · Sep 23, 2021

Keywords

ClinConnect Summary

This clinical trial is studying the effectiveness of a home-based strengthening exercise program compared to custom foot orthoses (special shoe inserts) for treating plantar heel pain, commonly known as plantar fasciitis. This condition causes discomfort and pain in the heel, especially when standing or walking, and affects a significant number of people. The researchers want to see which approach helps reduce pain, improve foot function, and support better walking mechanics.

To participate in this trial, individuals should be between 18 and 75 years old and have been experiencing heel pain for at least six weeks. They should have specific symptoms, such as pain in the bottom of the foot, especially with the first steps in the morning or after sitting for a while. However, those with certain conditions, like obesity, previous leg injuries, or other serious health issues, may not be eligible. Participants can expect to engage in either the exercise program or receive custom orthoses, and their progress will be monitored throughout the study. This research aims to find the best way to relieve plantar heel pain and improve daily activities for those affected.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Reaching the specific criteria of PHP including (15)
• • A complaint of tenderness from the palpation of the medial calcaneal tubercle and the medial aspect of the proximal portion of the plantar fascia, or pain along the plantar fascia at medial longitudinal arch side
• • The presence of heel pain immediately during the first few steps of walking in the morning or after prolonged period of inactivity; and gradually decreased throughout the day with ordinary walking; and worsened with prolonged activity
• • Having the symptom of heel pain for at least 6 weeks, indicating the chronic condition (29)
• • Having maximum level of pain intensity during last week using visual analog scale (VAS) ranging from 3 to 6 mm
• Exclusion Criteria:
• • Having BMI more than 30 kg/m2 (40)
• • Having leg length difference more than 1 cm (30)
• • Unable to perform the exercise program
• • Having positive sciatica test, indicating the L5-S1 nerve root irritation
• • Having history of lower extremity fracture
• • Having history of lower extremity surgery
• • Having been diagnosed with gout, diabetic neuropathy, rheumatoid arthritis, systemic lupus erythematosus (SLE), cancer, infection disease and tumor