Graston Technique - Injury Treatment and RehabilitationSimple Technology Improving Injury Treatment & Rehabilitation
 

As published in
BioMechanics

August 2007

Plantar Fasciitis Treatment
by Mike Ploski, PT, ATC, OCS
© 2007 BioMechanics


Plantar fasciitis is an inflammatory condition of the plantar fascia characterized by pain at the heel and the medial arch of the foot. Clinical findings often reveal limited range of motion with ankle dorsiflexion and first metatarsophalangeal joint extension, an abnormal gait pattern, decreased foot strength, or abnormal posturing of the subtalar joint.

     Conservative treatment approaches are often successful in managing this condition and revolve around reducing pain, promoting healing, restoring ROM and strength, and limiting those biomechanical deviations caused by structural abnormalities.

 

     Soft tissue mobilization techniques can restore functional mobility to the plantar flexors and plantar fascia. They can be performed manually or with instruments. These procedures also can be used to promote tissue healing in chronic stages of soft tissue dysfunction.

     The Graston Technique is a form of manual therapy that uses patented stainless steel instruments to restore soft tissue motion. The tools help the clinician to detect and then break up fascial restrictions (scar tissue). This procedure has been shown to be highly effective in the management of both acute and chronic cases of plantar fasciitis.

     

Along the gastrocnemius muscle: The rough, granular feel of fascial restrictions will be palpable as the Graston tool is drawn across dysfunctional tissue.
 Figure 1  
At the 1st MTP joint: Once lesions are found, the clinician can use smaller instruments to manipulate the soft tissue and break them up.
   Figure 2
  At the medial calcaneal tuberosity: When friction-type motion is applied at the origin of the plantar fascia on the medial calcaneal tuberosity, blood flow to the area is stimulated.  This can result in new collagen production that in turn can accelerate the healing process.
 Figure 3  

© 2007 BioMechanics

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