Hi physio colleagues!

Thanks for adding your valuable replies to a very good discussion. Have a look over these.

Modalities:

Ice

Heat preferably one of the deep heating methods like SWD, Microwave diathermy, ultrasound therapy.

Cold LASER

Iontophoresis, phonophoresis according to you clinical experience and expertise. Regarding phonophoresis, it depends what modality you chose. Well, definitely in the acute phase of inflammation you will have to use the low dosage. This is for the treatment of the site of inflammation in the plantar fascia.

Ionotophoresis choose an electrolyte salt according to your own choice and experience. My experience is to use the diclofenac sodium ointment. Use negative electrode to repel the negatively charged diclofenac within the tissue as sodium is the positively charged particle. There are varieties of electrolytic salts available according to the availability of different countries. You may choose one of them according to your expertise.

Phonophoresis

you may use any good ointment according to you experience.

For more information on iontophoresis and phonophoresis see the following site.

groups.msn.com/physiopak


Neural mobilization is one of the new emerging treatment.



Give attention to

The weak intrinsic muscles of foot due to the disuse atrophy and reduced power in the lower limb anti gravity muscles due to their less use.

Stretching and strengthening

Arch supports & Tapping

Intrinsic and extrinsic risk factors

The poor posture due to the pain and possible limping and deviation in the gait.

And also pathomechnics.

Treat the inflammation along with other predisposing factors are present.

Inflammatory arthropathies