- Physical therapy (PT) added to usual podiatric care for plantar heel pain (PHP) yielded no improvement in foot and ankle ability after 6 months.
- Patients who completed treatment did report decreased pain at 6 weeks and 1 year after treatment.
Why this matters
- There is no consensus on the most effective treatment regimen for PHP, and whether PT might improve outcomes was unknown.
- Parallel-group, randomized pragmatic clinical trial on patients with PHP:
- Intention-to-treat analysis (ITT): n=95.
- Per protocol analysis (PP): n=79.
- Treatment groups:
- Usual podiatric care (uPOD): n=41.
- Usual podiatric care plus physical therapy treatment (uPOD+PT): n=38.
- Funding: Orthopaedic Section, American Physical Therapy Association; others.
- At 6 months, the change in foot and ankle ability measure scores was significant (P<.001 in: style="list-style-type:circle;">
- ITT: uPOD+PT, 25.7 vs uPOD, 85.2.
- PP: uPOD+PT, 30.1 vs uPOD, 85.1.
- 6 weeks: 0.9 (P=.003).
- 1 year: 1.5 (P=.001).
- 6 weeks: 0.9 (P=.008).
- 6 months: 1.3 (P=.001).
- 1 year: 1.3 (P=.001).
- Limited generalizability.
Coauthored with Chitra Ravi, MPharm