title: Combination of Hip Strengthening and Manipulative Therapy for the Treatment of Plantar Fasciitis: A Case Report.
abstract: OBJECTIVE
  The purpose of this case report is to describe the management of using a combination of hip strengthening and manipulative therapy (MT) for a patient with plantar fasciitis.
  
  
  METHODS
  A 44-year-old patient reported heel pain for approximately 1 year before treatment. The patient reported plantar heel pain and tenderness at the calcaneal tuberosity. The pain was most noticeable in the morning but was reduced after a 30-minute walk. A diagnosis of plantar fasciitis was made at the initial assessment.
  
  
  RESULTS
  Initially, a clinical evaluation was performed to measure pain intensity (Numeric Pain Rating Scale), pressure-pain threshold (algometry), and perceived exertion (OMNI Resistance Exercise Scale). The patient then underwent 10 sessions of hip strengthening and MT over a period of 3 months. After the treatment, the intensity of pain and the pressure-pain threshold was reevaluated. The patient reported an improvement in pain intensity (baseline score = 6 vs final score = 1) and an increase in the pressure-pain threshold (initial score = 2.6 vs final score = 7.1). Perceived exertion was also improved after hip muscle strength training (initial score = 10 vs final score = 8).
  
  
  CONCLUSIONS
  The combination of hip strengthening and MT improved foot pain in a patient with a clinical diagnosis of plantar fasciitis.
authors.affiliation: Postgraduation Progam, Reabilitation Science of Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.
authors.forename: Bruno Dos
authors.initials: BD
authors.lastname: Santos
authors.affiliation: Instituto Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Leticia Amaral
authors.initials: LA
authors.lastname: Corrêa
authors.affiliation: Postgraduation Progam, Reabilitation Science of Centro Universitário Augusto Motta, Rio de Janeiro, Brazil; Instituto Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Luciano
authors.initials: L
authors.lastname: Teixeira Santos
authors.affiliation: Postgraduation Progam, Reabilitation Science of Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.
authors.forename: Ney Armando Meziat
authors.initials: NA
authors.lastname: Filho
authors.affiliation: Postgraduation Progam, Reabilitation Science of Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.
authors.forename: Thiago
authors.initials: T
authors.lastname: Lemos
authors.affiliation: Postgraduation Progam, Reabilitation Science of Centro Universitário Augusto Motta, Rio de Janeiro, Brazil; Instituto Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Leandro Alberto Calazans
authors.initials: LA
authors.lastname: Nogueira
keywords: Hip; Manual Therapy; Muscle Strength; Musculoskeletal Pain; Plantar Fasciitis