In 2006, Digiovanni, et. al., conducted study about Chronic plantar fasciitis, which is a persistent and painful condition affecting the foot’s sole, has been a subject of medical investigation. A prior study engaged eighty-two patients with long-standing proximal plantar fasciitis in a randomized clinical trial, comparing a plantar fascia-stretching regimen to an Achilles tendon-stretching routine. Initial results after eight weeks favored the plantar fascia-stretching group. This study delves into the extended two-year outcomes of the plantar fascia-specific stretching protocol for patients grappling with chronic plantar fasciitis.

The first phase of the clinical trial concluded at the eight-week mark, where all participants were introduced to the plantar fascia-stretching routine. The two-year follow-up encompassed a comprehensive questionnaire, featuring the pain subscale of the Foot Function Index and a survey gauging pain, functionality, and contentment with the treatment. This survey was dispatched to the initial eighty-two participants. Statistical analysis utilized mixed-model analysis of covariance for each relevant outcome.

Sixty-six participants contributed complete datasets for analysis. Remarkable enhancement in outcomes was observed for all patients post-incorporation of the plantar fascia-stretching exercises. Particularly noteworthy was the substantial progress within the subset originally subjected to the Achilles tendon-stretching protocol. Interestingly, unlike the eight-week findings, the two-year results showed no significant disparity between groups concerning the severity of worst pain or pain experienced during the initial morning steps. An overview of the data demonstrated that 92% (sixty-one) of the participants expressed complete satisfaction or satisfaction with minor reservations. Furthermore, a notable 77% (fifty-one) reported unhindered engagement in recreational activities, while 94% (sixty-two) experienced a reduction in pain. A mere sixteen out of sixty-six patients necessitated consultation with a healthcare professional.

This study underscores the efficacy of the plantar fascia-stretching protocol tailored to the specific tissue for treating chronic plantar fasciitis. Sustained benefits of this stretching regimen encompass substantial pain alleviation, improved functionality, and high patient satisfaction rates. This strategy equips healthcare practitioners with an uncomplicated, cost-effective, and efficacious treatment plan, promising significant relief for individuals grappling with chronic plantar fasciitis over the long term.

Reference: Digiovanni, B. F., Nawoczenski, D. A., Malay, D. P., Graci, P. A., Williams, T. T., Wilding, G. E., & Baumhauer, J. F. (2006). Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis: a prospective clinical trial with two-year follow-up. JBJS, 88(8), 1775-1781.