Bilateral Plantarfasciitis

Case Description: Pt is a 60 y/o female who arrived to physical therapy with bilateral foot pain. She has a job which requires her to spend a lot of time on her feet and reports by the end of the day her pain levels can get to a 9/10. Her biggest complaints/difficulties are prolonged standing and weight bearing, ambulation, and performance of her regular physical activity to manage her lipedema. 

Objective Measures: The patient was seen for physical therapy 10 visits over a course of  10 weeks with a break in care for 4 weeks due to unrelated health issues. 

Tests and Measures	Initial Evaluation	Day of Discharge from Physical Therapy
Numeric pain rating scale	9/10 at worst5/10 at best	5/10 at worst, but able to decrease to 0/10 with home exercise program
Lower extremity functional scale	54/80	74/80
Ankle range of motion	Dorsiflexion:R: 8 deg L: 10 deg	Dorsiflexion: R: 10 deg L: 15 deg
Ankle Strength	Dorsiflexion: R 4+/5  Inversion: L: 4+/5 R: 4/5	Full strength in all previously measured
Functional testing	High levels of fatigue noted with unilateral calf raises and unable to attain full ROM with last 4-5 reps	Able to perform 10 unilateral heel raises without pain and with full ROM
Daily activity performance	High levels of pain throughout work days when required prolonged weight bearing and ambulation	Decreased pain levels following long days on her feet and able to calm down her symptoms quicker with use of HEP

Summary: Patient was discharged from physical therapy due reports of 90% improvement since start of therapy. Her pain intensity has decreased during her work days and she is able to get pain to 0/10, and more quickly, following use of her home exercise program.