Comparison of Transverse Friction Massage and Instrument- Assisted Soft-Tissue Mobilization in Plantar Fasciitis

Inclusion Criteria: * Age (adults 19 - 44 years). * Male and female both are included. * Pain in plantar heel lasting more than 3 months. * Clinically diagnosed plantar fasciitis patients in compliance with the American physical therapy association's (APTA) Orthopedic Section clinical practice guidelines. * Positive windlass test; * Negative tarsal tunnel tests; * Limited active and passive talocrural joint dorsiflexion range of motion; * Plantar medial heel pain; most noticeable with initial steps after a period of inactivity but also worse after prolonged weight bearing. Exclusion Criteria: * Previous surgical intervention for plantar fasciitis. * Congenital abnormalities of foot. * Lower extremities affected by systemic disorders, such as rheumatoid arthritis, diabetes or peripheral neuropathy. * The presence of additional foot disorders, such as stress fractures, Achilles tendinopathy, or nerve entrapment syndromes. * Any contraindications to Instrument-Assisted Soft-Tissue Mobilization such as open wounds, skin infections, acute inflammation or intolerance to mechanical pressure. * Not willing or not capable of adhering to the study procedure and completing follow- up examinations. * Pregnant women, mental illness, immune suppressed patients, patients with peripheral vascular disease, thrombocytopenia patients, anti-coagulant therapy patients and post mastectomy.