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Plantar Fasciosis and Graston Technique®: Evidence-Based Treatment

presented by Mike Ploski and Jacqueline Shakar

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Disclosure Statement:

Financial: Jacqueline Shakar and Mike Ploski are employed as a clinical advisors and lead instructors for Graston Technique, LLC. As such, they have permission to use trademark- protected Graston Technique® therapy in the demonstrations in this course.

Non-Financial: Jacqueline Shakar and Mike Ploski have no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 66 Minutes, Learning Assessments: 20 Minutes

Plantar heel pain can be a highly challenging condition to treat for a clinician and a highly debilitating condition that interferes with normal gait and exercise for a patient or athlete. In this course, assessment and treatment strategies will be explored in light of current evidence regarding the most effective strategies to alleviate plantar heel pain due to fasciosis. Manual therapy strategies will highlight the application of the Graston Technique® as it is applied dynamically and under load. Therapeutic exercises will be included that target the posterior fascial chain of connective tissue, taking into account current evidence regarding tendinosis exercise progressions. The 4x4 matrix will be utilized to guide exercise selection, position, and load.

Meet Your Instructors

Mike Ploski, PT, ATC, OCS, GTS

Mike Ploski has been a certified athletic trainer since 1986, a physical therapist since 1988, and board certified in orthopedics since 1998. He is a clinical advisor and instructor for Graston Technique, LLC. Trained by David Graston in 1996, he is one of the original Graston Technique® providers and original instructors. He is the former…

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Jacqueline Shakar, DPT, MS, PT, OCS, LAT, GTS

Jackie has been a licensed physical therapist and athletic trainer for more than 36 years. She currently works in an outpatient facility, and her clinical focuses include a wide spectrum of patients, including geriatrics, endurance athletes, and those experiencing persistent pain. She received her master's degree in physical therapy from Boston University in 1983 and…

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Chapters & Learning Objectives

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1. Pathophysiology and Differential Diagnosis of Plantar Heel Pain

The etiology and biomechanical factors that cause plantar fasciosis will be covered in this chapter. Evidence-based evaluative techniques and the differential diagnosis of plantar heel pain based on available research are included.

2. Manual Therapy Highlighting the Use of Graston Technique®

The physiological effects and benefits of manual therapy for the treatment of plantar heel pain that has been identified in the literature will be explored in this chapter. Video demonstrations of the Graston Technique in an applied static and dynamic maneuvers and under progressive load are included.

3. Therapeutic Exercise Interventions for Plantar Fasciosis

This chapter will review the evidence-based guidelines for treating tendinopathies such as plantar fasciosis. Video demonstrations of typical exercise progressions are highlighted. Exercises that are included will follow the guidelines for progressive loading as specified in current literature and be applied according to a 4x4 matrix of developmental postures with assistance, load, and resistance.

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