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JR physio 13 Plantar fasciitis (1)

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JR Physio #13
Plantar fasciitis
Werachart jaiaree
Physiotherapist
Founder and Owner of JR Physio Clinic
NKT level 3 Certified Practitioner and NKT
Study group leader in Asia, DNS Clinical A
certified, MAT, P-DTR, FMS, FCS, PRI,
ScoliMethod, Lymphatic Mojo
Muscle review
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Muscle review
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Muscle review
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Muscle review
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Muscle review
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Muscle review
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Muscle review
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Muscle review
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Plantar fasciitis
• Prevalence : 10 % of population
• Pathoanatomical feature
inflammation of plantar fascia (enthesis)
of central band of plantar aponeurosis and
medial plantar tubercle of calcareous
Plantar fasciitis
• Risk factors
- Ankle DF limitation and tightness gastrocnemius → early heel lift
- Prolong standing and walking
- BMI > 30
• Common caused by repetitive force such as long distance running,
jumping
Plantar fasciitis
• Long plantar ligament
Plantar fasciitis
• Contributing factors:
- Excessive rear foot pronation
- Weak peroneal muscles
- Pes cavas (high arch)
- Tightness of gastrosoleus
Plantar fasciitis
• Physical examination
- AROM ankle
- Windlass test in non WB and WB
- Longitudinal arch angle
- Foot and ankle ability measure (FAAM)
Plantar fasciitis
- AROM ankle
Plantar fasciitis
- Windlass test in non WB and WB
Plantar fasciitis
Plantar fasciitis
- Longitudinal arch angle
Plantar fasciitis
- Foot and ankle ability measure (FAAM)
Plantar fasciitis
Management Plantar fasciitis
- RICE (in acute)
- Ultrasound therapy
- Low level laser therapy
- Interferential current
- Shockwave therapy
- Shoe modification, shoe pad heel cup
- Cast walkers
Plantar fasciitis Exercise
Plantar fasciitis Stretching exercise
Plantar fasciitis
• Taping
Kinematic linkage
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Plantar fasciitis
Deep longitudinal subsystem
Plantar fasciitis
Plantar fasciitis
Plantar fasciitis
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Peripheral Nerve Entrapment Integration
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Physiotherapist
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Founder and Owner of JR Physio Clinic
level 3 Certified Practitioner and NKT Study group
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