Tag: Athletes

  • The Rise of High School Drug Testing

    The Rise of High School Drug Testing

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    School districts, much like employers, have begun to implement drug-testing policies. Many school officials cite statistics related to school performance and safety among drug users. Whether the drug testing acts as a method of screening students or as a method of deterrence from drug use, the popularity of this practice has increased significantly in many school systems.

    Supporters of high school drug testing often cite governmental statistics. These numbers show a steadily growing number of teenage drug users each year. Those in favor of mandatory drug testing suggest that such measures may be effective in keeping teenagers from using drugs. Fear of facing expulsion from school or punishment from their parents may be a good deterrent for high school students.

    Although some officials would like to see a policy of mandatory testing of every student, most drug screenings require parental consent. Most schools require that there be probable cause or reasonable suspicion before requesting a drug test. If a teacher notices a student who appears aloof or has red and glassy eyes, he or she may request a drug test.

    More common than random or suspicion-based high school drug testing is the testing of high school athletes. In nearly every school district, students who wish to compete in school sports must sign a release for a drug screening. This has become common in schools because of statistics showing that male high school athletes have a greater risk of drug abuse. These facts, accompanied by the fear of injury during competitions, have fueled the debate and existence of drug testing among athletes.

    Opponents of drug testing claim that it is a violation of privacy to require students to take drug tests. Privacy advocates suggest that with requests for mandatory drug screenings comes the potential for abuse. A few cases have existed in which a student was randomly searched and found to be in possession of drug paraphernalia. In these cases, the students were either suspended from school or sent to drug rehabilitation centers; it is often the case that these students were productive in school and were not necessarily considered to be problem students. Regardless of these isolated cases, many school districts defend the benefits of drug testing. Although formal statistics do not prove the theory, many educational experts believe that high school drug testing deters students from using or abusing illegal drugs.

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    Source by Damian Sofsian

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  • What You Need To Know About Passing A Drug Test

    What You Need To Know About Passing A Drug Test

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    Most professional athletes live with the reality that they can be required to take random drug tests to rule out the presence of prohibited substances. Testing also occurs in the workplace as employers try to ensure that their employees are complying with the rules. If you work in an environment where random tests are carried out, it helps to have some information on how to pass. The fact is that most people get into situations that can sometimes get them into trouble.

    Dealing with Random Tests

    If you know in advance that drug testing is scheduled, there are things that you can do to make sure that you come up clean. The problem comes up if you do not have prior notice. When you are notified that you are about to be examined, it may be necessary to take some remedial action. Trying to accomplish this without arousing suspicion can be difficult and it leaves you with limited options. Random examinations have led to people trying to come up with different ideas on how to pass one.

    Blood and Saliva Testing

    It is important to know the different methods that are often administered in the workplace and sporting events. The most common ones are Blood Testing, where blood is drawn before being sent to the lab to test for certain drugs and Saliva Drug Test, where the saliva is examined. The saliva test involves swabbing the inside cheek using a cotton swab and its simplicity makes it a favorite in the work environment. The testing can detect drug usage in the past few days.

    Urine and Hair Testing

    Urine drug testing or urinalysis involves the collection of urine that is then examined for temperature and creatinine levels. The urine test is usually validity or first screen check and it is often followed by additional procedure using a new sample. A Hair Follicle Drug Test involves examining strands of hair to determine if drugs are present in the body. Hair follicle testing is hard to fool because any signs of toxins remain in the hair for months due to slow hair growth.

    Detoxifying the system

    People try different methods to pass such tests and these include urine substitution and dilution. These methods are difficult to get away with especially when the procedure is random. One option that can work is the process of detoxifying the system. This will depend on how much time you have but it is the most reliable solution. If you have a small window of opportunity, there are detox products in the market that can prove to be very effective.

    There are different products that claim to be able to remove traces of drugs from the system. Research the options and get as much information as you can before using any products.

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    Source by Sila Rodney

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  • Sports Medicine

    Sports Medicine

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    Despite what the name implies, sports medicine is not confined to the athletic field. The branch of orthopedics consists of the treatment of injuries resulting from physical activity. These injuries can occur due to overuse, over-exertion, traumatic collision, or over-extension of the ligaments and cartilage of joints. Sports injuries can occur to any part of the body; however, the majority of sports injuries occur in the major joints, including the shoulder, hip, knee, and ankle.

    Minimally Invasive Rotator Cuff Surgery

    A common sports-associated injury of the shoulder is a rotator cuff tear. Composed of a group of four different muscles and tendons, the rotator cuff coordinates the movement of the arm at the shoulder. A tear of these muscles due to a traumatic impact, repetitive motion, or a strong pull may result in serious pain and the loss of mobility in the shoulder.

    Based on severity of the injury, a rotator cuff tear can be repaired through surgical or non-surgical methods. If pain is not relieved through non-surgical efforts and surgery is required, rotator cuff tears can be repaired through arthroscopic techniques. A minimally invasive procedure, arthroscopic surgery involves two small incisions for the insertion of a fiber-optic camera and specialized operating tools. Arthroscopic surgery usually results in the successful repair of the rotator cuff and an abbreviated and less painful recovery time.

    ACL Repair Surgery for Knee Pain

    A commonly performed sports medicine procedure is the repair of the anterior cruciate ligament (ACL) located within the knee. The ACL provides rotational stability to the knee and tears to the ligament occur due to over rotation, sudden changes in direction, landing incorrectly, or traumatic collision. Symptoms of an ACL tear include a 'popping' noise and the inability to put weight on the knee joint, followed by pain and swelling.
    Non-surgical treatment options are available after an ACL tear; however, a torn ACL will not heal on its own and surgery is necessary to return to an active lifestyle. Advances in knee surgery techniques now allow a torn ACL to be repaired through an arthroscopic procedure. Arthroscopic surgery techniques allow for a faster recovery time, although an athlete will require at least six months before returning to sports.

    Torn Meniscus Surgery for Knee Pain

    The meniscus consists of two pieces of cartilage located between the thigh bone and the shinbone that act as cushioning and 'shock absorbers' between the two bones. Sports-related meniscal tears result from excess stress on the knee joint from traumatic collision, squatting, or over rotation, and often accompanies other knee injuries, such as an ACL tear.

    Walking is still possible after a meniscal tear and athletes may continue to play through the injury. However, the knee will gradually become more stiff and swollen over a period of a few days. Non-surgical approaches to treatment include the RICE protocol of Rest, Ice, Compression, and Elevation. If the severity of the injury necessitates surgery, arthroscopic techniques utilizing a fiber-optic camera and miniature instruments will allow for the minimally invasive repair of the meniscus.

    Shin Splint Repair

    Shin splints are a common sports-related injury, as the condition results due to exercise-related overuse. Shin splints, or medial tibial stress syndrome, develop as repetitive, excessive physical activity causes muscle fatigue leading to extra force to be applied to the tissue attaching muscles to the shinbone.
    Shin splints are treated with rest and a refrain from physical activity. Rarely do shin splints require surgery; however, persistent pain may indicate the development of multiple microfractures in the tibia. Microfractures are severe and may require the evaluation of a physician.

    Achilles Tendon Repair Surgery

    The Achilles tendon is the largest tendon in the body and connects the muscles in the back of the lower leg to the heel bone. The Achilles tendon is essential to mobility as it is used to walk, run, and jump. Tears can occur when the Achilles tendon is overstretched and cannot withstand the large forces exerted on it during physical activity. Pain and swelling accompany an Achilles tendon tear, as well as the inability to bend the foot downward.

    Surgery is likely the only option to repair a completely torn Achilles tendon for patients who wish to return to sports. Surgically repaired Achilles tendons are more likely to return to near normal performance and less likely to be re-injured.

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    Source by Blake Nonweiler

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  • Top Reasons Why Athletes Should See a Sports Medicine Doctor

    Top Reasons Why Athletes Should See a Sports Medicine Doctor

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    The life of professional athletes isn’t easy. They have to participate in intensive exercises and training activities constantly to deliver maximum performance in front of an audience.

    While these activities are crucial for athletes to stay in shape, they can also damage their body.

    Sports medicine is a growing healthcare field dedicated for treatment of injuries related to sports and exercise like fractures, dislocations, sprains and strains, tendonitis, overtraining syndrome and degenerative diseases.

    Besides injury treatment, it also focuses on helping the athletes improve their performance prevent future injuries.

    Despite being a relatively new medical specialty, it has become essential for athletes thanks to its ability to address their specific needs and concerns.

    Who is a Sports Medicine Doctor?

    A sports medicine doctor is a licensed and trained individual who focuses on the diagnosis, treatment and prevention of injuries related to athletic activities.

    These specialists treat their patients using physical therapy, orthopedic surgery, massage therapy, exercises, and other techniques so that they can return to their desired activity level quickly, safely and successfully.

    They also teach the athletes on nutrition to help them maintain an optimal level of health and fitness and achieve their sports performance goals.

    The sports medicine team includes sports physiotherapists, sports massage therapists, sports orthopaedic surgeons, sports podiatrists, athletic trainers, sports dieticians, exercise physiologists and sports biomechanists.

    Common Sports Injuries:

    Some common sports injuries athletes suffer on the filed include ankle sprain, groin pull, hamstring strain, knee injury, tennis elbow, Achilles tendinitis, concussion, shoulder injury, hip bursitis, quadriceps strain and shin splints.

    They can also experience the exacerbation of pre-existing health problems like diabetes, asthma, allergies and arthritis.

    Reasons to Visit a Sports Medicine Doctor:

    There are many reasons for an athlete to see a sports physician.

    Let’s take a look at some of them.

    (1) Customized Care:

    Sports medicine doctors are specially trained healthcare professionals who have an in-depth understanding of what could be the impacts of an exercise on their patient’s body. They collaborate with physical therapists and orthopedic surgeons to develop a customized treatment for their patient.

    (2) Injury Prevention:

    Sports physicians can provide the athletes with expert advice on the how to prevent injuries during the practice or play and how to reduce the likelihood of resurfacing a previous injury. They also conduct pre-participation physical exams of their patients to determine whether they are fit enough to resume sports activities.

    (3) Pain Management:

    Sports injuries may lead to several orthopedic issues that often cause chronic pain, making it difficult for the athletes to return to the game and carry out their activities.

    While the primary aim of sports physicians is always to diagnose, treat and resolve the injury, they also use pain management therapies like electrical stimulation, spinal decompression, prescription medications and injected medications, to help their patients prevent or defer the need for surgery and continue their daily activities without any hindrance.

    (4) Rehabilitation:

    For an athlete, a return from an injury can be a complicated and lengthy process. If you find yourself sidelined by an injury, a sports physician can help you restore your movement and function and return to same or higher level of fitness quickly.

    (5) Improving Athletic Performance:

    Sports physicians diagnose and treat uncomfortable conditions to help you deliver your maximum performance, both on and off the field.

    They also suggest you exercises and techniques to improve your strength and balance that contribute to your success as an athlete.

    (6) Improving overall Fitness:

    Sports physicians help athletes prevent muscle sprains, strains and tears to keep their bodies in shape.

    They also conduct full body and musculoskeletal examinations to help them maintain their overall fitness.

    (7) Non-Surgical Treatment:

    Sports physicians try to avoid surgery in less severe cases and instead focus on treating injuries with non-surgical methods like physical therapy and acupuncture.

    These treatments are often non-invasive and require shorter recovery time.

    (8) State-of-the-Art Surgical Treatment:

    In the cases where surgery is indispensable, sports physicians use advanced surgical procedures, like arthroscopic ACL repair, platelet-rich plasma (PRP) therapy, hip arthroscopy, stem cell therapy and rotator cuff repair to restore the function of injured areas.

    (9) Education & Nutrition:

    Sports medicine doctors teach you how to fuel your body properly to deliver greater performance consistency.They also focus on each athlete’s dietary needs depending on his/her general health and athletic goals.

    (10) Rehabilitated Mobility:

    Sports injuries can impair your mobility and flexibility, thus preventing you from conducting your athletic activities. Sports physicians help you restore function, increase strength and flexibility, improve range of motion, and prevent injuries from occurring.

    (11) Improving Confidence:

    An athlete fights with different type of injuries on the field that could make him/her self-conscious. Sports physicians address their specific needs, thus helping them regain their confidence and enjoy their game.

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    Source by Jexy Rodriguez

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  • Tokyo Games delayed to 2021

    Tokyo Games delayed to 2021

    Tokyo Games delayed to 2021 1

    TOKYO: The Tokyo Olympics were postponed today into 2021, the first such delay in the Games’ 124-year modern history, as the coronavirus crisis wrecked the last international sporting showpiece still standing this year.

    Though a huge blow to Japan, the decision was a relief to thousands of athletes fretting over how to train as the world headed into lockdown over the disease that has claimed more than 16,500 lives.

    Pressure had been building on the International Olympic Committee (IOC) and its powerful president Thomas Bach, with some athletes and sporting bodies critical of the time taken to make an inevitable decision.

    After a call with Bach, Japan’s Prime Minister Shinzo Abe said the July 24 – Aug 9 competition would be rescheduled for the summer of 2021 at the latest as proof of victory over the virus.

    “We asked President Bach to consider postponement of about one year to make it possible for athletes to play in the best condition,“ Abe said.

    “President Bach said he is in agreement 100%.”

    The IOC confirmed that.

    Athletes were disappointed but broadly endorsed the delay, given health risks and disruption to their training as gyms, stadia and swimming pools shut down around the world.

    US skateboarder and gold medal hopeful Nyjah Huston was frustrated, though, especially given his sport was scheduled to make its debut at the Tokyo.

    “When skating finally makes it in the Olympics then it gets postponed,“ the 25-year-old wrote on Instagram, after a delay had begun to look inevitable. “I was feelin (sic) ready too … now I’m going to have to be a year older for this!”

    Despite their disappointment, not to mention the logistical headaches and financial losses coming, a poll showed about 70% of Japanese agreed with a delay.

    Tokyo Governor Yuriko Koike told reporters the delayed Games would still be branded “Tokyo 2020”.

    It was not yet clear whether the 57 percent of athletes who had already secured spots in Tokyo would need to qualify again for the re-arranged Olympics.

    The torch relay was being cancelled. – Reuters

    Tokyo Games delayed to 2021
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    https://www.thesundaily.my/sport/tokyo-games-delayed-to-2021-IB2175857

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  • Fukushima hotspots make headlines before Olympics, but what’s the risk?

    Fukushima hotspots make headlines before Olympics, but what’s the risk?

    Warnings of radiation hotspots in parts of Fukushima that will host the Olympic torch relay and several sporting events have made headlines, but what is the risk for athletes and spectators?

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  • Heavy hitters: Obesity rate soars among professional baseball players

    Heavy hitters: Obesity rate soars among professional baseball players

    Major League Baseball players have become overwhelmingly overweight and obese during the last quarter century, say health researchers.

    David E. Conroy, Penn State professor of kinesiology, and colleagues looked at 145 years of data on professional baseball players’ body mass. The researchers found that the athletes’ weight held steady for over 100 years, with the majority of them weighing in at what is considered “normal,” – i.e., with a body mass index (BMI) between 18.5 and 24.9.

    However, around 1991 the average player’s BMI began to rise, and over the last 25 years nearly 80 percent of players fall into the overweight or obese category with a BMI above 25. Obesity in the general U.S. population began to rise in the mid-1970s, according to the Centers for Disease Control and Prevention.

    “Research exists that shows how having extra weight can help with certain aspects of baseball,” said Conroy, also professor of human development and family studies. “The more force a batter can put into the ball, the further it will travel.”

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  • Taekwondo Drug Testing

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    Every athlete which will participate in any athletic events including Taekwondo tournaments are sanctioned to undergo drug testing which is to be performed solely by their respective Anti-Doping Agency which practices the Protocol for Olympic Movement Testing.

    In the past, there were already several athletes who have been sanctioned by the board and were not allowed to participate in Taekwondo tournament because they failed this drug test. So it is a must that every Taekwondo athlete should never refer to the use of drugs just to enhance your potentials.

    History of Drug Tests amongst Athletes:

    The history of drug test amongst athletes originated during the Summer Olympic Games which involves Carl Lewis and Ben Johnson in their 100m dash competition. Ben Johnson crossed the finish line in a remarkable finish which made him the fastest man alive but this was soon disregarded after he was positively diagnosed to have anabolic steroids in his system a week after the competition.

    This revelation prompted the Olympic Game organizers to have urine drug screens on its participants so as to guarantee that fairness and equality will remain in the competition. Drugs which are prohibited to be used by these athletes include stimulant drugs, beta blockers, masking agents and anabolic androgenic steroids. These drugs are known to help increase and enhance the athletic performance of athletes after they are taken but will also result to several negative side effects which are detrimental to the athletes’ health in the long run.

    How is the drug test performed?

    The drug test will take place at any time during the competition. The athlete is unaware when it will take place but a Doping Control representative will notify the athlete if the time for his or her drug testing has been scheduled. He or she will then be required to comply with the policies and arrive at the Doping Control Station so he or she can proceed with the drug test procedure.

    The Doping Control Representative allows him or her to bring a chaperone but the athlete should remain in the sight of the DC representative all throughout the drug testing procedure.

    What will happen if the athlete refuses to take the random doping test?

    Any athlete who refuses to take the random doping test will be duly sanctioned by the Organization in charge of the event and may receive an athletic suspension of two years such as what has happened to Park Hyo Ji, a South Korean Taekwondo athlete.

    How to pass the required drug test for Taekwondo athletes?

    There is no safer way to pass the urine test for Taekwondo athletes than to do practice a clean and healthy lifestyle. In the end you will be the sole benefactor of your healthy living. Do not fool yourself because honour and prestige which is earned through hard work is always sweeter compared to something acquired through deception. If in doubt, consult the list of banned substances and supplements which are available in all area agencies. Again always cover yourself, if you are taking something that isn’t on the accepted list, that doesn’t mean it has no performance enhancing properties. Write to your Governing Doping Agency to get the all clear prior to starting a new or unknown supplement.

    Keep in mind the Five Tenets of Taekwondo. Be true to your oath as a student and live the principles of you were taught.

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    Source by Brendan Mark Smith

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  • How To Heal Jock Itch Easily

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    Jock itch can be attributed to a lot of causes. A lot of athletes and men actually have this because of the activities that they do most of the time. Friction and fungus can be the main risk factors for a person to have this kind of infection. Fungi can grow well in damp and warm environment and cause a full blown infection. Obesity is also being associated with this infection. A lot of people have experienced it and a lot of treatments have been formulated also. You can now even heal jock itch while at home. It is important that you will be able to get rid of this discomfort as it will just distract your focus on your work. You need some tips on how to heal jock itch easily so you need to remember them always.

    POWDER AND CORNSTARCH

    As much as possible, you have to keep the affected areas in your groin, genitals and thigh dry all the time. Moisture will just aggravate the discomfort. One thing that you can do to keep it dry and heal it fast is to apply powder or cornstarch. You may sprinkle talcum powder to absorb moisture in your skin. It can also help in reducing the friction as it will make the skin much smoother.

    OINTMENTS

    There are a lot of ointments that you can purchase over the counter. Anti fungal creams are available in the nearest pharmacy. Look for those that contain miconazole or clotrimazole. These are known to be very effective in treating jock itch. Before you apply the ointments, you must read the instructions first to see the contraindications. Make sure that you will wash and dry up the affected areas first before you apply the ointment.

    COLD APPLICATION

    Apply cold compress on affected areas so that you will be able to find some relief. The itchiness that it will cause will surely become disturbing even if you want to sleep already. One thing that you can do is to place some ice cubes inside a clean cloth. This must be applied on the affected areas for no more than 20 minutes to avoid skin damage. Also, you have to make sure that you will not apply the ice cubes directly on the affected areas. Dry up the affected areas after applying cold compress.

    CLEANSING AND RELAXATION

    You have to make sure that you will clean your groin area regularly. Wash it with water and mild soap and dry it up immediately after. Also, you need to relax and avoid much physical activities as it will just aggravate jock itch. Relax to avoid providing moisture in the groin area which can be very favorable for this infection.

    Jock itch is indeed very disturbing and dreadful. You have to do your best to heal and treat it the fast way. You need to get rid of it as soon as possible. To do it, you have to follow some tips. These will help you to do the best thing.

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    Source by Jane Chaster

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  • Alternative Medicine Treatment of Plantar Fasciitis

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    Plantar fasciitis (PF) affects approximately two-million people in the US, of both athletic and non-athletic populations. This condition can be debilitating and significantly affect one’s quality of life in a very negative way. There are few high quality studies on this condition and the most successful treatments. Treatments range from chiropractic care, physical therapy, injections and surgeries. Fortunately this condition can typically be resolved with conservative treatment and lifestyle modifications that can prevent going under the knife. Simply put, plantar fasciitis is a strain with subsequent inflammation of the thick tissue (plantar fascia) and muscles on the bottom of the foot causing heel pain. Plantar fasciitis (PF) is characterized by biting heel/mid arch pain when first bearing weight in the morning, or after long periods of rest. The pain typically subsides within 5 minutes of walking or running, then worsens with long term activity or weight bearing. It is also associated with tired, achy feet at the end of the day and foot cramps. PF is seen in both active and inactive people, and is rarely the result of an acute injury. PF can be the result of several different factors: repetitive overuse injuries, poor fitting footwear, overtraining, structural abnormalities of the foot and improper gait mechanics. PF often becomes a chronic and/or recurring problem if not given the appropriate treatment and follow up care.

    Some contributing factors to the development of plantar fasciitis:

    Structural abnormalities: Plantar fasciitis is very commonly seen with pes planus (pictured left), or flat footed individuals. As you can see, this individual’s medial arch is almost flush with the ground. This can create strain on the plantar fascia. Severe injuries resulting in the need for surgical fusion of the foot can also create strain on the plantar fascia. In these cases of severe structural abnormalities, orthotics are typically indicated. Rehabilitation including foot strengthening exercises, chiropractic manipulation and soft tissue techniques can relieve pain and help to alleviate strain on the tissues and resolve flair ups. We use custom orthotics from Foot Levelers in our office. Using a 3-D scanner, we can have custom orthotics made to support the full structure of your foot.

    Poorly fitting footwear: Wearing improper footwear over time can lead to PF. If a shoe doesn’t fit your foot properly, your gait is altered during any weight bearing activity. This has an effect on the entire kinetic chain and can ultimately cause strain on the plantar fascia. The strength and flexibility of your foot will determine your best type of footwear.

    Overtraining: Can be a huge contributor to PF. What many athletes, weekend warriors and the like tend to overlook is the importance of recovery in their training regimens. If your tissues don’t have optimal nutrition, rest and repair time they start DEgenerate rather than REgenerate. Especially when it comes to long distance running, or quick sprints, the feet have a lot of demand.

    Nerve Impingement: Plantar fasciitis can be a symptom of sciatic nerve impingement. The sciatic nerve is the thickest nerve in your body. It originates from your lumbosacral plexus of nerves typically L4-S1/S2 with some individual anatomical variation. Although this nerve is commonly blamed for all radiating leg pain, it is only responsible for pain along its trajectory down the posterior aspect of the leg and foot. In some impingement cases, the pain can skip the back of the leg altogether and go straight to the foot. Impingement along any portion of the nerve can result in pain, but it doesn’t have to be in the leg. If there is enough impingement along this nerve, any added pressure, say forced dorsiflexion of the foot when standing or walking, can be just the right tension to create exquisite foot pain. Our bodies are always trying to protect our nervous system; reflexively the muscles surrounding the nerve will tighten in an attempt to avoid any further stretch or tension of the nerve. Ultimately, this leads to inflammation of the plantar fascia and the surrounding muscles.

    Other Factors:

    Systemic Inflammation: Though general systemic inflammation is typically not the cause of plantar fasciitis, it will increase your symptoms. For this reason we strongly encourage our patients to eat an anti-inflammatory diet specific to their needs. We also understand no one is perfect or eats perfect all the time, which is why we encourage an 80/20 approach; eat clean 80% of the time and use the other 20% to indulge. Curcuminoids, like those found in turmeric are great to help blot down inflammation in acute cases of plantar fasciitis.

    Alternatives to conservative care:

    Cortisone or steroid injections are very commonly given for Plantar fasciitis. In some really tough cases this can absolutely be necessary to “put out the fire” that is the inflammatory cascade, to get you out of pain initially. We never recommend looking at this option as a cure. Cortisone is a very powerful anti-inflammatory that alleviates pain without correcting the underlying issue, potentiating further injury and recurrent episodes. Another option is surgical intervention. In some cases, surgery is the best option for a particular case. We prefer to exhaust conservative treatment options before travelling down this avenue. A study on an overweight and obese population (43 total) suffering with plantar fasciitis for an average of 34.8 months, were given decompressive surgery to the nerve to the abductor digiti minimi with partial plantar fascia release and tracked over a 4-year period. It was found that 75.6% of patients were in deed pain-free or had only mild pain post-surgery (pain decreased from an 8.5/10 to a 2.5/10). However patient satisfaction post-surgery was only 48%.

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    Source by Ann Barter

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