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OtherPractice

Stubborn heel pain

Treatment of plantar fasciitis using high-load strength training

Robert Caratun, Nicole Anna Rutkowski and Hillel M. Finestone
Canadian Family Physician January 2018, 64 (1) 44-46;
Robert Caratun
Medical student at the University of Ottawa in Ontario.
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Nicole Anna Rutkowski
Research assistant at Élisabeth Bruyère Hospital in Ottawa, Ont.
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Hillel M. Finestone
Director of Stroke Rehabilitation Research at the Élisabeth Bruyère Hospital and Professor in the Division of Physical Medicine and Rehabilitation in the Department of Medicine at the University of Ottawa.
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    Figure 1.

    Calcaneal enthesis, typical site of injury in plantar fasciitis

    AT—Achilles tendon, Ca—calcaneal enthesis, Mt—metatarsus, PF—plantar fascia, Ph—phalanges, Ta—talus.

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    Figure 2.

    Loading of the Achilles tendon in conjunction with dorsal flexion of the metatarsophalangeal joints (windlass mechanism) can be used to synergistically cause high-load tensile forces across the plantar fascia

    AT—Achilles tendon, Ca—calcaneal enthesis, Mt—metatarsus, PF—plantar fascia, Ph—phalanges, Ta—talus.

  • Figure 3.
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    Figure 3.

    Muscle-strengthening program to treat plantar fasciitis: Patient instructions.

    RM—repetition maximum.

    *Remember that it will hurt to do the exercises. “Good pain” occurs when it hurts to do the exercise but the next day the pain is not worse. “Bad pain” is pain that increases the day after treatment. If you experience “bad pain,” you might have to cut back on the number of repetitions or the amount of weight used.

    †Use the progress sheet as a resource to record your heel-raise exercises.

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    Figure 4.

    Unilateral heel raises with a rolled-up T-shirt

Additional Files

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    This data supplement contains Figure 3 and a progress sheet.

    Files in this Data Supplement:

    • Adobe PDF - Praxis_Fig3.pdf
    • Adobe PDF - Progress_Sheet.pdf
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Canadian Family Physician: 64 (1)
Canadian Family Physician
Vol. 64, Issue 1
1 Jan 2018
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Stubborn heel pain
Robert Caratun, Nicole Anna Rutkowski, Hillel M. Finestone
Canadian Family Physician Jan 2018, 64 (1) 44-46;

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Robert Caratun, Nicole Anna Rutkowski, Hillel M. Finestone
Canadian Family Physician Jan 2018, 64 (1) 44-46;
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