الفهرس 
INTRODUCTION AND RATIONALEOnly 14 pages are availabe for public view
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Abstract
Plantar fasciitis is a common disorder that occurs in approximately 11–15% of adults. Typically, patients present with pain on the plantar aspect of the foot at the attachment of the plantar fascia to the medial tubercle of the calcaneal process (Tong &Furia, 2010).
Its etiology is unclear and likely to be multifactorial that include chronic inflammation, degeneration, and microtrauma of the plantar fascia, entrapment of lateral planter nerve, overuse syndrome, heel spurs, heel pad atrophy, and seronegative arthritis-induced inflammation (Handa et al., 2017).
Its histological changes are suggestive of degeneration rather than inflammation. The term plantar fasciitis refers to an inflammatory process to the plantar fascia, but literature review may not totally support this. Plantar fasciitis is a result from repetitive micro trauma to the fascia which leads to degeneration and micro-tears of the plantar fascia, and also periostitis of the medial calcaneal tubercle (Johnson et al., 2014).
This clincical study aimed at comparing the effectiveness of ESWT versus therapeutic ultrasound after CSI in the management of chronic PF, using the VAS, PFPDS, SROM and US at baseline, 4 weeks and 12 weeks after the end of treatment. The study conducted on 50 patients recruited at Rheumatology and Rehabilitation Clinic at the Suez Canal University Hospital after fulfilling the inclusion and exclusion criteria.
In our study each patient in ESWT group received four sessions of ESWT with one-week interval that comprised 2000 shocks at a frequency of 10Hz and intensity of 2.5 bars (BTL-5000 series) while the therapeutic ultrasound after CSI group injected by 40 mg triamcinolone acetonite with 2 ml 1% xylocaine .After the CSI subjects were received 6 session