Priority 7 from the Foot Health PSP

UNCERTAINTY: What are the most effective therapies for treating musculoskeletal foot problems, OTHER THAN foot orthoses? (JLA PSP Priority 7)
Overall ranking 7
JLA question ID 0092/7
Explanatory note Understanding the range of interventions that are most clincally and cost-effective in managing musculoskeletal foot problems is an important component in offering people a choice of interventions that have a strong evidence base, other than the use of Foot Orthoses. The evdence base in this area of foot health management is not strong and needs higher quality studies in order to support the use of a range of interventions for such pathologies

CD001256 - Yeung et al (2011). Interventions for the reduction of lower limb soft tissue running injuries. Overall weak evidence for the use of stretching/varying type of running shoe/strength and conditioning exercises/gradual increase in training intensity for novice runners.   CD010960 – Kearney et al (2015). Injection therapy for Achilles tendinopathy. Insufficient evidence to support the use of injection therapies for the treatment of Achilles tendinopathy.  Huffer D, Hing W, Newton R, Clair M. Strength training for plantar fasciitis and the intrinsic foot musculature: A systematic review. Phys Ther Sport. 2017 Mar;24:44-52. doi: 10.1016/j.ptsp.2016.08.008. Epub 2016 Aug 18.Review. PubMed PMID: 27692740. Some indications it may aid pain reduction and improve function. More research required to assess intrinsic foot muscle strength and plantar fasciitis symptoms.     

Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples How effective are strength exercises for the foot ankle and lower limb in the management of MSK related pathology? ~      Any long term solutions rather than just insoles and physio that manage but don't sort or get rid of the pain or problem?
Submitted by Healthcare Professional x 4, Patient x 6
PSP information
PSP unique ID 0092
PSP name Foot Health
Total number of uncertainties identified by this PSP. 30  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 26 September 2019