The Effect of Kinesio-tape and Shock Wave Therapy on Plantar Fasciitis
The Effect of Kinesio-tape and Shock Wave Therapy on Plantar Fasciitis
Foot problems are common in society. Accordingly, loss of workforce, quality of life and
 mental health deterioration can be observed in employees and hardship in daily life
 activities, balance-walking problems and fall risk increase in older adults. The presence of
 athletic and sedentary populations causes a large number of patients to apply to outpatient
 clinics with the complaint of heel pain every year. Plantar fasciitis (plantar heel pain),
 although multifactorial origin, obesity, overload bearing and ankle joint motion reduction
 factors are thought to play an active role in the emergence of discomfort.

 Foot orthoses are a common treatment used for plantar heel pain, but a period of several
 weeks is usually required between the diagnosis and transportation to the orthosis due to the
 production process. Therefore, short-term therapies such as supportive banding are used to
 alleviate the symptoms of this intermediate period. The low-dye taping technique is the most
 commonly used banding technique and has been found to be effective in randomized controlled
 trials. In addition, there is a rare study in the literature showing the efficacy of Kinesio
 taping method. Although both were found to be useful in the treatment of plantar fasciitis,
 no randomized controlled trial was studied in this patient population of the low-dye method
 with Kinesio taping. In the studies, the early period of banding therapy is mentioned and
 studies on relatively longer treatment response are still required. Our hypothesis is that
 low-dye Kinesio-banding treatment added to ESWT treatment for patients diagnosed with plantar
 fasciitis will be effective on foot functionality by reducing the pain of the patient both in
 the early and later period.
One of the most common musculoskeletal pathologies of the foot and pain is plantar heel pain.
 In the studies, it was stated that the feeling of foot pain and stiffness was between 18% and
 63%. The plantar fascia is the most common cause of heel pain in adult age. Due to overuse,
 such as standing for a long time or running, it is assumed that it occurs as a result of
 micro-injury on the surface of the plantar fascia. It has been reported that 10% of the
 general population will be encountered throughout life. Although the exact cause is not
 known, middle age, obesity, excessive foot pronation, pes cavus, running, pes planus and
 long-term standing are among the reasons that facilitate. Patients experience severe pain in
 the first step they take after sitting for a long time or when they get up in the morning and
 start to walk and the pain is triggered by the tension of the plantar fascia and overlapping
 weight onto the foot. A large number of conservative methods have been used in the treatment
 of plantar fasciitis. Anti-inflammatory agents (Non-steroidal anti-inflammatory drugs,
 steroid injections), physical therapy modalities (iontophoresis, ultrasound, extracorporeal
 shock wave therapy, electrical stimulation, cryotherapy, and whirlpool), manual therapy,
 stretching therapy and external support (orthosis and banding) treatment most of these
 methods. Orthosis and taping aim to correct poor biomechanics in the foot while most of the
 other treatment programs are suppressing symptoms. Extracorporeal shock wave therapy (ESWT),
 which is another treatment modality that is used effectively in treatment, is currently
 preferred in delayed and nonunion fractures, calcified tendinitis of the shoulder, lateral
 epicondylitis, plantar fasciitis, patellar tendinitis, and calcaneal spur. In a recent
 prospective study, ESWT treatment was not superior to Kinesio-taping, and both treatments
 were found to be similar in both pain reduction and increased functionality.
Inclusion Criteria:

 -  Pain when the plantar fascia is palpated,

 -  Imaging of calcaneal spur radiographically,

 -  Description of the first step pain, after prolonged resting or awakening in the
 morning

 -  Continue with pain despite other conservative methods (NSAI, exercise, etc.)

 Exclusion Criteria:

 -  History of steroid injection in the heel region for the same diagnosis in the last
 three months,

 -  Rheumatic disease,

 -  Coagulopathy, thrombophlebitis, neoplasia, systemic inflammatory diseases,

 -  Foot and or lumbar surgery, symptoms of lumbar radiculopathy