Initial Assessment Phase

Pain Evaluation

• Document first-step pain using Visual Analogue Scale (VAS)
• Assess plantar fascia thickness via ultrasound
• Evaluate biomechanical risk factors and gait patterns[1]

Core Treatment Protocol (0-6 Weeks)

1. Patient Education

• Explain biomechanical etiology to enhance compliance
• Activity modification to minimize loading stress
• Footwear guidance emphasizing proper arch support[1]

2. Stretching Protocol (Grade A evidence)

• Plantar fascia-specific stretch: Superior to other interventions after 2-4 months[1]
• Calf/Achilles stretches: Both straight-knee and bent-knee variations
• Frequency: 3 sets of 30-second holds, twice daily
• Clinical data: Significant pain reduction demonstrated after 4 weeks[1][4]

3. Low-Dye Taping

• Short-term efficacy: SMD 0.47 (95% CI 0.05 to 0.88)[4]
• Apply daily, replace every 2-3 days
• Demonstrated superior outcomes compared to other initial interventions[1]