Physiotherapeutic methods in the treatment of heel spurs and inflammation of plantar fasciitis - a review of the literature

Mariola Monika Uczciwek


For aim of this paper and analysis of the treatment methods in question articles from Pumbed basis were used. Pumbed basis, which works under the auspices of US National Library of  Medicine and National Institute of  Health, helped to analyze the treatment methods for chronic condition of heel spur and plantar fascia. The analytical process was based on  bibliographical descript. Results of 1204 numbers were summarized because of specialist criterion. 

Heel spurs are bony growths growing out of the plantar fascia and other soft tissues lining nearby which conduct to the plantar fascia ignition. The occurrence of these is connected with burdensome feeling of pain that can be felt when making first steps after getting up in the morning. It is a serious condition that applies to more and more people. Being overweight, training sports straining feet are the reasons contributing to this condition. Yet, it is not a general rule for the risk group. Treating methods in this sphere give many opportunities for physical therapist and doctors. The best sustainable method is physical therapy supported by medical aids. However, not every case gives intended results. If the sustainable methods are not enough, the surgical treatment should be introduced. There is no doubt that any method of treatment is individually reclaimed by every patient.


calcaneal spur; heel spur; plantar fasciitis; physiotherapy

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Król P. Radialna i zogniskowana fala uderzeniowa w terapii łokcia tenisisty, łokcia golfisty i objawowej ostrogi piętowej, Katowice 2013, s. 14-28.

Benjamin SJ, Toumi H, Ralphs J, Bydder G, Best T, Milz S. Where tendons and ligaments meet bone: attachment sites (‘entheses’) in relation to exercise and/Or mechanical load. J Anat 2006;208:471-80

Łukowicz M, Weber- Rajek M, Ciechanowska K, Włodarkiewicz A. The evaluation of the efficiacy of low laser therapy and phonophoresis in calcanean spur symptoms treatment. - Optica et Informatica Medica 4/2009, vol. 15 s. 340- 343.

Brent- Brotzman S, Wilk KE. Rehabilitacja ortopedyczna. Tom II. Urban & Partner, Wrocław 2008.

Koch M, Chochowska M, Marcinkowski JT. Efficacy of extracorporeal Hygeia Public Health 2014, 49(4): 838-844.

Chia KK, Suresh S, Kuah A, Ong JLJ, Phua JMT, Seah AL. Comparative Trial of the Foot Pressure Patterns between Corrective Orthotics, Formthotics, Bone Spur Pads and Flat Insoles in Patients with Chronic Plantar Fasciitis. Ann Acad Med Singapore 2009;38:869-75.

Straburzyńska- Lupa A, Kornacka A. Ultrasound therapy in the treatment of calcar pedis- own experiences. Ortopedia traumatologia rehabilitacja, Vol. 7, nr 1, 2005, 79-86.

Mikołajewska E. Elementy fizjoterapii. Fizykoterapia dla praktyków, wyd. PZWL, Warszawa 2011, str. 127- 128.

DiGiovanni BF, Nawoczenski DA, Lintal ME, et al. Tissue-specific plantar fascia stretching exercise enhances outcomes in patients with chronic heel pain. J Bone Joint Surg Am. 2003;85(7):1270–1277.

Hyland MR, Webber-Gaffney A, Cohen L, Lichtman SW. Randomized controlled trial of calcaneal taping, Sham taping, and plantar fascia stretching for the sort-term management of plantar heel pain. J Orthop Sports Phys Ther. 2006;36(6):364–371.

Bassiouni M. Incidence of calcaneal spurt In osteo- arthrosis and rheumatoid arthritis, and In control patients. Ann Rheum Dis 1965,24:490-493.

Kiritsi O, Tsitas K, Mallialopoulos N, Mikroulis G. Ultrasonographic evaluation of plantar fasciitis after low-laser theraphy: results of a double- blind, randomized, placebo- controlled trial, Lasers Med. Sci (2010) 25: 275 doi:10.1007/s10103-009-0737-5.

Sieroń A, Pasek J, Mucha R. Lasery w medycynie, Rehabilitacja w praktyce 2/2016, str. 26-30.

Macias MD, Coughlin MJ, Zang K, Stevens FR. Low- level laser therapy At 635 nm for treatment of chronic plantar fasciitis: a placebo- controlled, randomized study, J Foot Ankle Surg, 2015 Sep- Oct; 54(5): 768-772.

Tahririan MA, Motififard M, Tahmasebi MN, Siavashi B. Plantar fasciitis. Journal of Research In Medical Sciences 2012:17(8):799-804.

Lee WC, Wong WY, Kung E, Leung AK. Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis. J Rehabil Res Dev. 2012;49(10):1557-64.

Boerner E, Toruń-Kotarska E, Kuciel-Lewandowska J. The comparison of the efficiency of ultrasounds therapy of calcanean spur depending on therapeutic dose, Acta Bio- Optica et Informatica Medica 3/2009, vol. 15, str. 330-333.

Yalcin E, Keskin Akca A, Selcuk B, Kurtaran A, Akyuz M. Effects of extracorporal shock wave therapy on symptomatic heel spurs: a correlation between clinical outcome and radiologic changes. J Phys Ther Sci. 2014 Oct; 26(10): 1641-1647.

Tornese D, Mattei E, Lucchessi G, Bandi M, Melegati G. Comparison of two extracorporeal shock wave therapy techniques for the treatmnt of painful subcalcaneal spur. A randomized controlled study. Clinic Rehabil. 2008 Sep;22(9):780-7.

Krukowska J, Wrona J, Sienkiewicz M, Czericki J. A comparative analysis of analgesic efficacy of ultrasound and shock wave therapy in the treatment of patients with inflammation of the attachment of the plantar fascia in the course of calcaneal spurs. Arch Orthop Trauma Surg, 2016 Sep;136(9): 1289-96.

Roxas M. Plantar Fasciitis: Diagnosis and Therapeutic Cosiderations. Altern Med. Rev 2005;10(2):83-93.

Puttaswamaiah R, Chandran P. Degenerative plantar fasciitis: A review of current concepts. Foot 2007;17:3-9.



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