Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial

Inclusion Criteria

• •Age 40-60 years
• •Both genders
• •Plantar heel pain for longer than 3 months
• •Pain score at least or less than 8 on the numeric pain (NPRS)
• •Clinical diagnosis of unilateral PF in accordance with the clinical practice guidelines from the Orthopaedic Section of the American Physical Therapy Association APTA:
• •Plantar medial heel pain: most noticeable with initial steps after a period of inactivity but also worse following prolonged weight bearing
• •Heel pain precipitated by a recent increase in weight bearing activity
• •Pain with palpation of the proximal insertion of the plantar fascia
• •Positive windlass test
• •Negative tarsal tunnel tests
• •Limited active and passive talocrural joint dorsiflexion range of motion
• •Abnormal foot posture index score
• •High body mass index in nonathletic individuals