Evaluation of the therapeutic potential of isometric exercises with and without diclofenac potassium spray in plantar-fasciitis

The basic purpose of this research will be to compare the effects of isometric exercises with and without diclofenac potassium in patients of planter-fascitis

A concealed, randomized, double-blinded, randomized controlled clinical trial with a parallel group design of 30 patients, enrolled between 01 2021 and 01 2022, and followed for one year

The investigator and participant both were blind. Setting: Muhammad physical therapy clinic and rehabilitation Center, Multan Faiz Hospital, Multan, Pakistan.

Inclusion Criteria 2. Age 25 to 55 years 3. Patients with heel pain >3 months 4. Both genders 5. Heel pain 6. Bone spur Exclusion Criteria 7. Vascular neoplasia 8. Fibromyalgia 9. Rheumatoid arthritis 10. Radiculopathy 11. Neuropathy 12. Tumor 13. Fractures

Group-A group will be treated with isometric exercises and four pumps of diclofenac potassium spray with phonophoresis were also given, we used 4 pumps of diclofenac potassium spray with phonophoresis and performed isometric exercises prior to phonophoresis with a frequency of 0.8MHz, an intensity of 1.5W/CM, and a mode of pulsatile (2:1) The regimen will be done for a 4-week period, 3 times per week, and each session lasted for about 5-7 mins. Group-B: control group will be treated with isometric exercises. The regimen will be done for a 4-week period, 3 times per week, and each session lasted for about 5-7 mins.

Pain,functional activities,ROMs

Allocation concealment occurs and patients will be recruited by using a simple randomization method by using a lottery method. The lottery method is carried out through sealed envelopes. Each participant randomly chooses the sealed envelopes and opens these sealed envelopes.

In a double-blinded study, participants and investigators will be blinded. participants will be unaware of the type of treatment that will receive and the investigator will be unaware of the type of treatment on which group which intervention will be given and for what purpose that will be evaluated after treatment. subjects will choose between two samples. both of the samples are in the same packing. In one sample, isometric exercises with diclofenac potassium spray. In another sample, liquid spray as a conventional treatment for the satisfaction of patients with isometric exercises will be given. subjects and investigators will be completely unaware of the effects of both interventions