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Physical Therapy in Plantarfacitis PowerPoint Presentation

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Description : plantar facitis treatment

Tags : physical therapy,therapy,plantarfacitis

Published on : Aug 26, 2023 | Views : 624 | Downloads : 0

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Slide 1-

Plantar fasciitis Physical therapy Dr S.Nafissi Doctorate of physical therapy (DPT)
Slide 2-

Physical therapy Ice Ice massage Ice bath Ice pack Ultra sound Iontophrosis (B) Phosphate buffered saline Dexamethasone 0.4% Acid acetic 5% Dr Nafissi DPT
Slide 3-

Physical therapy Manual therapy (C) Mobilization: Talocuraral joint posterior glide Subtalar joint lateral glides Subtalar joint distraction First tarsometatarsal joint anterior/posterior glides Passive nerve mobilization Trigger point pressure release Counter strain technique Dr Nafissi DPT
Slide 4-

Physical therapy Stretching exercise (A) Calf stretch Plantar fascia specific stretch The dosage of calf stretching: 3 times a day or 2 times a day utilizing either a sustained (3 minutes) or intermittent (20 seconds) Dr Nafissi DPT
Slide 5-

Calf stretch Wall stretch step stretch towel stretch Dr Nafissi DPT
Slide 6-

Plantar fascia specific stretch Dr Nafissi DPT
Slide 7-

Strengthening exercise Towel curls Marble (or coin) pickups Toe taps Dr Nafissi DPT
Slide 8-

Physical therapy Taping (C) low-dye taping Calcaneal taping Dr Nafissi DPT
Slide 9-

Physical therapy Exteracorporeal shockwave therapy (A) Focused shockwave Electrohydraulic Piezoelcteric Electromagnetic Radial shockwave Dr Nafissi DPT
Slide 10-

Physiological Effects and Mechanisms of Action stimulate blood flow for a beneficial immune response Increase in cellular activity – release of substance P, prostaglandin E2, NO, TGF β, VEGF, and almost certainly other inflammatory cytokines shut down the neuronal pain pathways through the pulses hitting the affected nerves. Dr Nafissi DPT
Slide 11-

Exteracorporeal shockwave therapy General contraindications and/or precautions include: Cortisone injections within one month prior to Shockwave Therapy Blood thinning medications such as warfarin or Heparin Heart or circulatory problems Cancer in or around the treatment area Pregnancy Lung tissue Dr Nafissi DPT
Slide 12-

Exteracorporeal shockwave therapy Continue…. Epiphysis regions Hemophiliac Metal implants Infection in the local area Joint replacements Acute inflammation with pain Osteoporosis Application over the back Dr Nafissi DPT
Slide 13-

Orthotic devices Prefabricated or custom foot orthoses (A) can be used to provide short-term (3 months) reduction in pain and improvement in function Shoe inserts Dr Nafissi DPT
Slide 14-

Orthotic devices Night splint (B) Dr Nafissi DPT
Slide 15-

Non operATIVE TREATMENT Anti iflamatory agents NSAIDs (C) Steroid injection (A) Butulinum toxin A (B) Dr Nafissi DPT
Slide 16-

Patient education Rest Activity modifacation Replacing worn-out shoes and selecting appropriate shoes Runners who overpronate and who have pes planus should select motion-control shoes Runners who have pes cavus should select shoes that have greater cushioning properties Replacing worn-out shoes every 250-500 miles (400-800 km) Dr Nafissi DPT
Slide 17-

prevention warm up sufficiently before initiating activity continue stretching programs cool down after activity Alternating between 2 pairs of shoes Adequate padding, proper sole stiffness, and appropriate arch support Dr Nafissi DPT
Slide 18-

Evidence-based treatment for plantar fasciitis 2017 Dr Nafissi DPT
Slide 19-

از توجه شما سپاسگزارم Dr Nafissi DPT