A Comparative Study of Two Dry Needling Interventions for Plantar Heel Pain

Inclusion Criteria: * Clinical diagnosis of PHP in accordance with the Clinical Guidelines linked to the International Classification of Function, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association * Age greater than 21 years according to the Kuwaiti law. * History of plantar heel pain for greater than one month. * Walking 50 meters without any support * Having MTPs on initial physical examination on plantar and calf muscles * Accepting to be treated by a male physiotherapist. * Capacity to understand the study and the informed consent, as well as having signed the document. Exclusion Criteria: * \- Needle phobia * Allergy from needles or hypersensitivity to metals * Presence of coagulopathy or use of anticoagulants * Presence of peripheral arterial vascular disease * Pregnancy * Dermatological disease with the dry needling area * The presence of a chronic medical condition that might preclude participation in the study such as malignancy, systemic inflammatory disorders (e.g. psoriatic arthritis, ankylosing spondylitis, septic arthritis), neurological diseases, polyneuropathy, mononeuropathy. * Treatment of plantar heel pain with needling or acupuncture during last 4 weeks. * A history of injection therapy in the heel in the previous three months. * Previous history of foot surgery or fracture.