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Questions and Answers
What is the purpose of Positional Release Therapy (PRT)?
What is metatarsalgia?
What are the common signs and symptoms of metatarsalgia?
What are the clinician interventions for metatarsalgia?
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What are the patient self-treatment interventions for metatarsalgia?
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What is Plantar Fasciitis?
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What is the PRT approach to treating Plantar Fasciitis?
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What are the clinician therapeutic interventions for Plantar Fasciitis?
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What are the patient self-treatment interventions for Plantar Fasciitis?
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What is the purpose of Positional Release Therapy (PRT)?
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What are some common plantar structures that can be treated using PRT?
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What are some common signs and symptoms of metatarsalgia?
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What are some clinician interventions for metatarsalgia?
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What is the PRT approach for treating plantar fasciitis?
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What are some common signs and symptoms of plantar fasciitis?
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What are some clinician therapeutic interventions for plantar fasciitis?
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What should be done after PRT for plantar fasciitis?
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What is the recommended approach for strengthening muscles during plantar fasciitis rehabilitation?
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Study Notes
Positional Release Therapy for Plantar Structures and Common Injury Conditions
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Plantar structures such as flexor hallucis brevis, abductor hallucis, and abductor digiti minimi can be treated using Positional Release Therapy (PRT).
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PRT involves placing the foot in a specific position and applying pressure to release tension in the targeted muscles.
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The plantar interossei and lumbricals are deep intrinsic muscles that lie on the plantar surface of the metatarsals and can also be treated with PRT.
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Metatarsalgia, or forefoot pain, is a common symptom of another condition in the foot and can be caused by overload of the plantar foot structures.
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Common signs and symptoms of metatarsalgia include pain at and between the metatarsal heads and decreased ability to bear weight on the affected structures.
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Clinician interventions for metatarsalgia include determining the root cause of the condition, treating the structures in a specific order using PRT, implementing strengthening and stretching exercises, and addressing any other contributing factors.
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Patient self-treatment interventions for metatarsalgia include performing self-release techniques and PNF stretching of the plantar foot structures.
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PRT can also be used to treat corollary tissues such as the plantar fascia, quadratus plantae, flexor digitorum brevis and longus, flexor hallucis longus, and lumbricals.
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To perform PRT on the flexor hallucis brevis, the toes and forefoot are placed in the sulcus of the hip, the ankle is placed in marked plantar flexion, and calcaneal caudal traction is applied while the first metatarsal is placed into plantar flexion with inward rotation.
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To perform PRT on the abductor hallucis, the ankle is placed in marked plantar flexion and a valgus force is applied at the midfoot while the heel is grasped with one hand and the forefoot is adducted with the other hand.
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To perform PRT on the abductor digiti minimi, the ankle is placed in slight plantar flexion and the metatarsal shafts are compressed together while toe flexion is applied.
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PRT can be followed by thermal ultrasound or laser, joint and/or neural mobilization, and myofascial massage for further therapeutic intervention.Positional Release Therapy for Plantar Fasciitis
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Plantar Fasciitis is a condition where the arch is irritated, causing strain on the plantar tissues.
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The PRT approach is to release tissue lesions prior to stretching and to avoid causing pain with any therapeutic intervention.
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Common signs and symptoms of plantar fasciitis include pain at the medial heel or within the arch, particularly upon waking ambulation.
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Clinician therapeutic interventions include determining the root of the patient's condition, performing a biomechanical analysis, and treating structures in a specific order.
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Treatment points and sequencing for plantar fasciitis include releasing the plantar aponeurosis, flexor hallucis brevis, and other structures in a specific order.
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PRT should be followed by thermal ultrasound, PNF stretching, and myofascial massage of the plantar fascia.
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Patient self-treatment interventions include performing self-release, using a supportive sandal or shoe upon waking, and performing self-massage.
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Ice-massage the plantar fascia on a stretch when irritated, and if greater relief occurs with heat, apply heat.
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Do not stretch if it produces pain because doing so may result in additional tissue lesions.
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Using KT Tape or arch taping in the initial stage of rehabilitation helps to reduce pain in some patients.
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Open- and closed-chain strengthening for the intrinsic foot, pretibial, hip, and core muscles is important, with a focus on controlling eccentric internal rotation during ambulation.
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Slowly progress the patient to dynamic physical activity.
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Description
Test your knowledge of Positional Release Therapy for Plantar Structures and Common Injury Conditions with this quiz! Learn about the targeted muscles, techniques, and interventions commonly used to treat metatarsalgia and plantar fasciitis. Discover how to perform PRT on specific structures, as well as the proper sequencing and follow-up interventions. This quiz is perfect for healthcare professionals and those interested in learning more about PRT for foot injuries.
