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ORIGINAL ARTICLE
Year : 2015  |  Volume : 50  |  Issue : 4  |  Page : 215-222

Effectiveness of Achilles tendon stretching for the treatment of chronic plantar fasciitis


Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, El-Minia University, Minia, Egypt

Correspondence Address:
Hesham A Mohamed
Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, El-Minia University, Mohamed Badawy Street, Borg el Sobky, Minia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1148.182305

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Background Plantar fasciitis is a common cause of heel pain. Its characteristic features are pain and tenderness on the medial aspect of the heel. The purpose of this study was to evaluate the outcome of the Achilles tendon-stretching protocol for patients with chronic plantar fasciitis. Patients and methods A total of 24 patients who had chronic proximal fasciitis for a duration of at least 6 months participated in this study. The patients received instructions for an Achilles tendon-stretching program. Pain and functional limitations were evaluated with the Foot Functional Index pain subscale and the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale. The patients were re-evaluated after 6 months. Results The mean Foot Functional Index baseline scoring was 7.69, whereas its mean scoring at follow-up was 1.44. The American Orthopedic Foot and Ankle Society Scale outcome measures also revealed significant improvement for 22 (91%) patients who practiced the Achilles tendon-stretching exercises regularly. Only two (9%) patients reported little improvement, as they were not compliant with the daily stretching routine. Conclusion This study provides an effective, inexpensive, and straightforward treatment protocol for the chronic plantar fasciitis. In addition, compliance may have affected the results if the patients did not perform their exercises regularly.


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