Resolution of Plantar Fasciitis Following Adjustment of Spinal & Extremity Subluxations
Jonathan Murphy, BS, Rod Floyd, DC, Christopher Varnum, DC, Joel Alcantara, DC
Annals of Vertebral Subluxation Research ~ October 6, 2014 ~ Pages 169-176
Objective: To describe the chiropractic and multi-modal approach for a patient with bilateral heel pain, medically diagnosed as plantar fasciitis.
Clinical Features: The patient was a 23-year-old female presenting for care with medically diagnosed plantar fasciitis. Previous medical care consisted of orthotics, daily stretching of the feet and daily ingestion of Ibuprofen. These efforts were unsuccessful.
Intervention and Outcome: The patient was managed with high-velocity, low amplitude (HVLA) type adjustments to spinal and lower extremity subluxations along with adjunctive therapies consisting of ultrasound therapy, rock taping of the foot, and neuromuscular re-education. The patient was cared for in this manner over a four month period consisting of 10 visits. Improvements were observed based on subjective outcome measures (i.e., improved activities of daily living), NRS for heel pain and the use of the Lower Extremity Functionality Scale.
Conclusion: This study adds to the evidence on the salutary effects of chiropractic care vis-a-vis HVLA adjustments to spinal and extra-spinal structures along with adjunctive therapies for patients presenting with heel pain.
Key Words: Chiropractic, plantar fasciitis, subluxation, adjustment, manipulation