Can High-Load Strength Training Help Treat Recalcitrant Plantar Fasciitis?
Plantar fasciitis accounts for up to 10 percent of running injuries.1 A recent study by Rathleff and colleagues found that similar to tendinopathy, plantar fasciitis also responds favorably to high-load strength training.2
In a randomized controlled trial of 48 patients with a 12-month follow-up, Rathleff and colleagues found that high-load strength training was superior to plantar specific stretching during the first three months of treatment.2 After six months, there was no difference. Although both treatments were equally effective at six and 12 months, patients would likely opt for a treatment that provides a quicker reduction in pain.
In a guest blog post, Tom Goom of RunningPhysio.com interviewed Dr. Rathleff about his research. In the post, Dr. Rathleff details the protocols and shows images of how patients do the specific stretches and strength training. Here is the link: www.running-physio.com/pf-new-research/ .
References
1. Lopes AD, Hespanhol Jr. LC, Yeung SS, Costa LO. What are the main running-related musculoskeletal injuries? A systematic review. Sports Medicine. 2012; 42(10):891-905.
2. Rathleff MS, Mølgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2014; epub ahead of print.
