Plantar Fasciitis

Kayla Brockway*, Dennis Sitzmann †

Georgia College & State University*, Milledgeville GA

Morgan County High School , Madison GA
†

Objective: Treatment: Uniqueness:

• To present the case of a high school football and basketball Phase 1 (Days 1-5)
player that experienced plantar fasciitis in his right foot due Therapeutic Exercises
to rigid pes planus and lack of ROM from built up scar tissue. • Bike for 10 minutes
• 4 way ankle with theraband
Patient Background: •  Calf stretch on slant board
• 6’4”, 240 lbs African American multisport athlete • Core exercises
• Mesomorph body composition
• Past medical history includes surgery in January 2017 due
to a grade III syndesmotic ankle sprain and surgery again in
July 2017 to remove ossification found in interosseous
membrane Phase 2 (Days 7-21)
Differential Diagnoses: Therapeutic Exercises
• Bike for 10 minutes
• Dx: Plantar Fasciitis • Plantar fascia stretching
• DDx: Calcaneal Apophysitis (Sever’s Disease) • Calf stretch on slant board
• Heel raises
• Marble pick ups
• Towel scrunches
• Bosu Ball Balance
• Single leg balance
• Gait training
• Core exercises
Phase 1 (Days 1-5)
Therapeutic Modalities
•  Grade I and II joint
mobilizations on talocrular and
MTP joints
•  Myofascial trigger point release
•  Ultrasound therapy at a
frequency of 3.3 MHz and
wavelength of 1.1w/cm2 for 4
minutes
•  Ice massage for 7 minutes
Phase 2 (Days 7-21)
Therapeutic Modalities
•  Grade III joint mobilizations on
talocrular and MTP joints
•  Myofascial trigger point release
if needed
•  Ultrasound therapy at a
frequency of 3.3 MHz and
wavelength of 1.1w/cm2 for 4
minutes
• Patient was susceptible to plantar fasciitis before his
surgeries due to his rigid pes planus
• Patient’s dorsiflexion started at 8 degrees
• Patient’s psychological state was better than ever before
because plantar fasciitis rehabilitation was easy in comparison
to what he had been through after two surgeries within seven
months
• Rehabilitation has helped this patient with pain and
discomfort, but he is aware that he will need to continue
stretching and ROM exercises in order to avoid eliciting
inflammation of the plantar fascia
Conclusions:
• Diagnosis: Plantar Fasciitis
• Athlete will need to continue plantar fasciitis rehabilitation
in order to avoid flare ups in the future
• Athlete is able to continue preparing for collegiate football
as long as his pain is tolerable

Phase 3 (Days 22+) Phase 3 (Days 22+)

Therapeutic Exercises
• Treadmill for 10 minutes
• Plantar fascia stretching
• Calf stretch on slant board
• Single Leg ball toss
• Side steps with theraband
• Agility Ladder
• Cone drills
• Core exercises
X-ray portraying ossification in interosseous membrane
Therapeutic Modalities
•  Grade IV joint mobilizations on
talocrular and MTP joints
•  Myofascial trigger point release
if needed
•  Ultrasound therapy at a
frequency of 3.3 MHz and
wavelength of 1.1w/cm2 for 4
minutes