Chelsey Clark

Date of Award

Spring 2023

Document Type

Scholarly Project

Degree Name

Master of Physician Assistant Studies (MPAS)

Department

Physician Assistant Studies

First Advisor

Kauffman, Russell

Keywords

plantar fasciitis, alternative treatments, plantar fasciitis therapy/treatment

Abstract

Plantar Fasciitis is a common and frequent condition in adult patients. The purpose of this literature review is to determine whether evidence exists for alternative treatments in the regimen of plantar fasciitis that has not been resolved with the standard treatment. The review was done using Pubmed, CINAHL and SportDiscus. Research was included on the following alternative treatments of PF: corticosteroid injections, extracorporeal shockwave, dry needling, Platelet-Rich Plasma (PRP), Autologous Blood Injection (ABI), cupping, custom insoles, and ultrasound therapy. A total of 12 research articles were included in this review. The alternative treatments considered within this literature review had some promising statistically significant results that will require further investigation. This included positive results in ultrasounds, extracorporeal shockwave, PRP and steroid injections, insole use, dry needling, and ABI. Nothing definitive can be drawn from the results of the studies. Some of the studies omitted blinding, which makes results questionable. Further research in all areas will help draw definitive conclusions. Blinding of both participants and researchers in all studies would solidify the data. Currently, there is no one definitive alternative approach to add to a patient’s traditional regimen in treatment of PF. Keep in mind that some treatments are more affordable and less invasive than others. Providers should educate patients on the risks, both financial and physical, associated with the alternative treatment.

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