Hello, everyone; we are here to share the Challenge for the 5th week of the Steemit Learning Challenge season 27. I am grateful to all the users who participated in the previous season and supported my previous course, and thankful to the Steemit team for this opportunity again. I invite all users to share their unique participation and strive to earn good grades to be selected as the winner of the Steemit Learning Challenge, Season 27, Week 5.

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Case Study

This week, I will share a case study in which we will discuss a disease, its symptoms, causes, and the physiotherapy protocol to cure it. But your challenge would be to find another disease and diagnose that. After that, you have to share the further details like symptoms, causes, and treatment protocol.

Case

A 42-year-old housewife presented with a 5-month history of heel pain, especially in the early morning and prolonged standing. The patient also complains of tightness or sometimes swelling in the sole of the foot that aggravates with activities. Patient's symptoms are relieved after taking rest and medication.

Symptoms

So, if we wrote the symptoms of the patient are as follows:

• Patient feels pain and tightness in the heel and sole of the foot especially medially.
• There is more pain and tightness in the morning, and after prolonged standing or sitting.
• Patient pain decreases with activity and rest.
• On assessment, we find a symptom of tenderness or pain on the sole of the foot and heel region.
• Sometimes trigger points are present as well.

Causes

The common causes of plantar fasciitis:

• Overusing the fascia of the foot, namely the plantar fascia.
• Not using good or medicated footwear like heels, flat shoes, etc.
• Sometimes, suddenly doing a different work or activity while performing activities.
• Bone spur formation

Assessment

First, we have to assess the symptoms and causes, then thoroughly assess the heel, the sole of the foot and the tendons of the ankles. Then, after finding at least 4 symptoms, we can confirm the diagnosis and it's plantar fasciitis.

Also assess the gait of the patient while walking and the ankle range of motion. Check the muscle strength by performing resistive exercise and then focus on strengthening the foot muscles.

Physical Therapy Intervention