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@work and providing An effective pain relief. method for Managing addressing the static and the superficial distributed loads posterior on all these compartment structures is (gastrocnemius essential for and soleus) is reducing chronic to have the overload and client actively debilitating foot plantarflex and pain. Massage dorsiflex the therapy is a foot. During treatment that dorsiflexion, naturally focuses as the muscles on numerous are elongating, Deep stripping techniques are applied to the tibialis posterior and other connections perform a deep deep compartment muscles as the foot is pulled into dorsiflexion. between different and specific regions of the stripping body. It is a technique on highly beneficial approach that should be integrated those posterior compartment muscles (Image 3). into any treatment plan for plantar fasciitis. You can enhance the effectiveness of this technique by adding additional resistance to the muscle as you perform the stripping technique. Resistance Notes 1. H. Lemont et al., "Plantar Fasciitis: A Degenerative Process is added in a way that has the muscle working (Fasciosis) Without Inflammation," Journal of the American eccentrically and elongating as the stripping Podiatric Medicine Association 93, no. 3 (2003): 234–7. technique is performed. Use one hand on the bottom surface of the client's foot to push the foot into 2. Y. Z. Tatli and S. Kapasi, "The Real Risks of Steroid Injection for Plantar Fasciitis, with a Review of Conservative Therapies," Current dorsiflexion, while the other hand applies a long Reviews in Musculoskeletal Medicine 2, no. 1 (2009): 3–9. stripping technique to the posterior calf muscles. A similar approach can be used in addressing 3. G. Ingram and R. McClanahan, "Treatment of Plantar the deep posterior compartment muscles: tibialis Fasciosis," Naturopathic Doctor News and Review (March 2007): 8–9; accessed June 2013, http://quoindesign. posterior, flexor hallucis longus, and flexor com/nwfootankle/FasciosisTreatment.pdf. digitorum longus (Image 4). You can use the same methods of adding eccentric resistance to 4. Northwest Foot and Ankle, "Plantar Fasciosis," the muscle by pressing on the plantar surface of accessed June 2013, https://nwfootankle.com/foothealth/drill/3-Problems/31-Plantar%20Fasciosis. the foot as you slowly push the client's foot into dorsiflexion (while the client slowly resists that 5. T. Myers, Anatomy Trains (Edinburgh: Churchill Livingstone, 2001). movement). Apply a deep stripping technique along the posterior tibial border during this movement to Whitney Lowe is the author of Orthopedic Assessment reach the deep posterior compartment muscles. in Massage Therapy (Daviau-Scott, 2006) and Orthopedic While it appears that massage focused solely on Massage: Theory and Technique (Mosby, 2009). He teaches the plantar fascia has limited effectiveness, plantar advanced clinical massage in seminars, online courses, foot work should not be completely ignored. As books, and DVDs. You can find more plantar fascia treatment mentioned earlier, the abductor hallucis muscle ideas in Lowe's next free enewsletter—and his books, course may play a prominent role in reducing tightness, offerings, and DVDs—at www.omeri.com. and deep longitudinal stripping methods applied along the medial surface of the foot may be very beneficial. In addition, general treatment of the foot may be beneficial for encouraging blood flow, helping to reduce tightness in the intrinsic foot muscles 4 www.abmp.com. See what benefits await you. 105