Short term effectiveness of extra corporeal shock wave therapy for plantar fasciitis: A systemic review and meta analysis
Plantar Fasciitis is a common foot disorder in which symptoms may become chronic and functionally disabling [1] About 10% of people experience Plantar Fasciitis during globally their life, and 20% 30% of cases have a bilateral involvement [2] The Plantar fascia is a thick ibrous tissue on the bottom of the foot that protects sensitive plantar structures such as nerves, vessels, muscles and tendons, and in addition, is responsible for maintaining the plantar arch[3] Plantar Fasciitis usually diagnosed clinically based on the history of morning heel pain made worse with ambulation on hard surfaces and by the physical indings of pain over the medial aspect of the plantar fascia [4] There is maximal tenderness at the Plantar fascial origin on the medial process of the calcaneal tuberosity, and pain increases with passive stretching of the plantar fascia [5] A Calcaneal spur may be present in 50% of patients with painful heel [6] The conservative treatment approach to the plantar fasciitis is focused at decreasing the pain and improving the foot function and easy weight bearing with different treatment strategies from prescribing NonSteroidal anti in lammatory drugs to the orthotic support to correct the foot wear and maintain good arch support, Physical therapy which has a major role in management of PF is considered to be a cost effective option throughout the world which includes different modalities and prescribing remedial exercises to stretch the tightened fascia and improve joint mobility and function. The results from such treatment Abstract