RT Book, Section
A1 Jobst, Erin E.
A1 Panus, Peter C.
A1 Kruidering-Hall, Marieke
SR Print(0)
ID 1192817177
T1 Corticosteroids and Corticosteroid Antagonists
T2 Pharmacology for the Physical Therapist, 2e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259862229
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1192817177
RD 2024/04/25
AB CASE  STUDYThe  patient  is  a  20-year-old  cross-country  runner  in  her  junior  year  of  college  with  complaints  of  right  heel  pain  for  the  past  few  months.  The  team  physician  diagnosed  her  with  plantar  fasciitis.  He  prescribed  meloxicam,  a  nonsteroidal  anti-inflammatory  drug  (NSAID),  to  take  on  an  “as  needed”  basis  to  decrease  pain  and  inflammation  and  referred  her  to  physical  therapy.  The  patient  has  no  other  significant  medical  problems.  Upon  examination,  the  physical  therapist  noted  that  the  patient  had  pain  with  palpation  of  the  right  calcaneal  plantar  fascia  insertion,  decreased  active  and  passive  talocrural  joint  dorsiflexion,  and  decreased  passive  ankle  dorsiflexion  with  the  knee  extended  (indicating  decreased  flexibility  of  the  gastrocnemius-soleus  complex).  Finally,  the  therapist  noted  that  the  patient’s  running  shoes  provided  little  pronation  support  and  were  worn  beyond  their  functional  life  span.