Effectiveness of Myofascial Release Technique Versus Active Stretching Along With Gluteal Medius Muscle Strengthening on Pain and ADL in Unilateral Plantar Fasciitis

Plantar fasciitis is a common foot condition causing heel pain, especially in adults aged 25–65 with BMI above 25 kg/m². It results from inflammation and microtears in the plantar fascia—a connective tissue supporting the foot arch. Pain is typically worse during the first steps in the morning or after rest• Tight fascia around the lower leg and foot can pull stress on the plantar fascia, causing microtears and pain. Myofascial release (MFR) reduces this tension by applying gentle pressure, improving mobility and relieving heel pain• Active stretching, which involves engaging muscles during stretching, is effective in improving flexibility and reducing stiffness, especially in the plantar fascia and calf muscles.• Alongside myofascial tightness, muscle imbalances and altered biomechanics—particularly due to weak hip abductors like the gluteus medius—can disrupt gait patterns and load distribution. Reduced pelvic stability from proximal muscle weakness leads to increased stress on the lower limbs and plantar fascia, potentially aggravating plantar fasciitis symptoms over time• Effective management of plantar fasciitis targets both local tissue issues and proximal muscle weaknesses. Combining myofascial release, active stretching ( plantar fascia, gastrocnemius, and soleus muscles), and gluteus medius strengthening helps reduce pain, enhance flexibility, and improve biomechanics. This comprehensive approach offers better and longer-lasting relief for patients