Scott is editor of Physiospot so expect to see his work popping up frequently. Away from the keyboard he is AHP Workforce Development Lead at the Royal United Hospital in Bath as well as an Advanced Practice Physio in Frailty/Geriatrics with a special interest in osteoporosis and sarcopenia.
It’s time to step up your knowledge of plantar heel pain.
Plantar heel pain syndrome is a tricky condition to manage as there are many different structures and mechanisms at play. The intricate nature of the foot and numerous bony and soft tissue structures are often a source of anxiety and confusion for clinicians.
In this brand new extensive programme of courses, Bernice Saban will take you through the evidence base, anatomy, assessment and treatment of plantar heel pain syndrome immediately removing any anxiety from your clinical practice.
Bernice Saban is an experienced physiotherapist working with musculoskeletal problems, specialising in heel pain syndrome and trigger finger
Bernice works in an outpatient orthopaedic clinic at Maccabi Healthcare Services, Israel. The treatment and assessment of plantar heel pain syndrome have interested her for many years and she has published 3 papers based on her research. Bernice is also a clinical tutor and a certified practitioner in Mechanical Diagnosis and Therapy (McKenzie Institute).
A 9 Course Programme To Transform Your Understanding of Heel Pain
Bernice has put together a comprehensive programme of courses for you to get to grips with the basics in the literature and take you through to how to apply this knowledge in practice. Head to the course via the link below to get started today.
Plantar Heel Pain an Overview Plantar heel pain (PHP) is one of the most common foot pain conditions treated by clinicians. A range of terms have been used over the last 300 years to describe pain experienced under the plantar aspect of the heel. These terms all focus on specific pathologies even though the underlying pathology of PHP remains largely unknown. In this course, the first in a series of courses on Plantar Heel Pain Syndrome, Bernice Saban discusses the various terms used to describe PHP before exploring the prevalence, location and behaviour of PHP.
Below we have broken the programme down into individual courses for you to do independently of the others. As always we recommend doing the programme start to finish but if there is a specific area you want to learn more about then check them out below!
Risk Factors of Heel Pain Plantar heel pain (PHP) is a complex, multifaceted condition, which affects numerous adults globally. Despite its prevalence and debilitating impact, its aetiology is still not well understood. Numerous risk factors for PHP have been proposed. However, studies are often of poor quality and yield conflicting results, which hampers effective, evidence-based management of PHP.
Assessment of Heel Pain The diagnosis of plantar heel pain syndrome (PHPS) is mainly based on a patient’s symptoms and manual palpation of the painful heel. Validation of this diagnosis through a reliable clinical test is, however, still elusive. Although various tests have been proposed for the assessment and diagnosis of PHPS, no test has been accepted as the “gold standard”. A thorough analysis of the available research regarding the assessment tools for PHPS is, therefore, warranted to identify tests that could accurately establish the status of the patient and measure changes in their symptoms following treatment.
Treatments of Heel Pain Plantar heel pain (PHP) is generally considered a self-limiting condition for most individuals. However, up to 20 percent of individuals continue to experience PHP for more than a year. Because the aetiology of PHP is still not well understood, there is uncertainty about how to manage this condition effectively. Various interventions have been proposed for PHP, but they lack the support of high-quality evidence. Clinicians are, therefore, left with a variety of treatment options, but no clear guidance on the optimal management of plantar heel pain syndrome (PHPS). This course is the final literature review in the series on PHPS, and it discusses the evidence for various PHPS treatments.
A New Protocol for Plantar Heel Pain
There is a lack of evidence for any of the commonly used evaluation and treatment tools for plantar heel pain (PHP). However, in this course, Bernice Saban uses supporting evidence to discuss a new protocol for the optimal assessment and management of PHP. The purpose of this course is to introduce a new protocol to help clinicians assess and treat PHP.
Anatomy and Relevant Structures in Plantar Heel Pain Plantar heel pain syndrome (PHPS) is a poorly understood, complex condition. In order to optimally manage PHPS, it is necessary to examine the underlying anatomical structures and establish the relationship between plantar heel pain (PHP) and the tissues involved. This lecture will explore the muscular, nervous and fascial structures underlying the foot and ankle in relation to the most common theories on PHPS (including plantar fasciitis and calcaneal spurs) and the “new protocol” for the management of PHPS introduced in the previous course.
The Theory and Practice of Massage and Exercise for Plantar Heel Pain Manual therapy is commonly used by physiotherapists to improve mobility and reduce pain. Myofascial restrictions of the posterior calf muscles have been implicated in the development of plantar heel pain (PHP) as they interfere with both the extensibility and the contractibility of the muscles and fascia, thus impeding optimal functioning. This course investigates manual therapy – the practical component of the treatment of plantar heel pain syndrome (PHPS) – as described in the “new protocol” for the management of PHPS.
Application of the New Protocol for Plantar Heel Pain Enhancing your management of patients with plantar heel pain starts with an understanding of the “new protocol” for Plantar Heel Pain Syndrome (PHPS). This course explains how to put this knowledge into practice with a step-by-step approach to the assessment and treatment of the patient. The initial focus is on the interview and physical examination to ensure that the important information is gathered from the patient. Following this, the planning of the initial session, as well as the treatment series as a whole, are discussed, thus providing a framework for the optimal management of patients with PHPS.
Plantar Heel Pain Summary and Practical Demonstrations Plantar heel pain (PHP) is a complex and multifactorial condition with many factors proposed to be associated with it. With the aetiology of PHP still poorly understood, it is shrouded in uncertainty regarding its optimal management. Subsequently, many questions arose during this series on PHP, which can now be answered based on the literature discussed during this series. This final course in the programme on PHP will answer the questions raised while also providing practical demonstrations on the assessment and treatment techniques described in the “new protocol”.