A 38-year-old retail worker reported persistent heel pain in the right foot for two months. The patient described sharp pain during the first steps in the morning and after prolonged standing at work.
The symptoms gradually worsened over time.
Clinical Assessment
Subjective Findings
The patient reported:
- Morning heel pain
- Pain after prolonged standing
- Increased discomfort during walking
- Relief after short periods of rest
These symptoms suggested plantar fascia irritation.
Objective Findings
Physical examination revealed:
- Tenderness near the medial heel
- Tight calf muscles
- Reduced ankle dorsiflexion
- Pain during plantar fascia stretch
These findings confirmed a diagnosis of plantar fasciitis.
Physiotherapy Management
The treatment plan included multiple rehabilitation strategies.
Stretching Program
Calf stretching and plantar fascia stretching were prescribed to reduce tissue tension.
Strengthening Exercises
Intrinsic foot muscle strengthening improved arch stability and reduced mechanical stress.
Manual Therapy
Soft tissue techniques were used to release tight calf muscles.
Footwear Advice
The patient was advised to use supportive footwear with proper arch support.
Outcome
After six weeks of physiotherapy, the patient reported significant improvement in pain and walking ability. Morning stiffness reduced considerably, and the patient returned to normal work activities.
Conclusion
Plantar fasciitis physiotherapy rehabilitation focuses on reducing tissue stress, improving flexibility, and strengthening the foot arch. Early intervention and consistent exercise help patients recover effectively.