Effectiveness of Myofascial Release and High Load Strength Training in Chronic Plantar Fasciitis: A Randomized Controlled Trial

Background: Plantar fasciitis is one of the most common causes of heel pain, affecting millions of individuals worldwide. It commonly presents with sharp pain in the heel, particularly with the first steps in the morning or after prolonged periods of rest. This study aimed to evaluate the effectiveness of myofascial release (MFR) and high load strength training (HLST) in reducing pain and improving function in individuals with chronic plantar fasciitis. Materials and Methods: Forty participants were randomly assigned to either the Group A [MFR group (n=20)] or the Group B [HLST group (n=20)]. The protocol consisted of twenty sessions, 5 days a week for four weeks. Outcome measures included the Visual Analog Scale (VAS) for pain assessment and the Foot Function Index (FFI) for functional impairment and the readings were taken on first session (pre-intervention) and on twentieth (post-intervention). Results: Both interventions were found to significantly reduce pain and improve function compared to baseline (p < 0.05). When the mean changes between the groups are compared there is more improvement in Group A in compared to Group B. Conclusion: From the study, we conclude that both Group A (MFR) and Group B (HLST) when combined with ultrasound therapy are effective interventions for plantar fasciitis, but MFR group showed a superior hand over HLST group.