Tag: Foot

  • 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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  • Healing Knee Injuries: A Few Helpful Exercises

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    The knee is one of our most crucial body parts. It plays an important part in our overall body fitness. That is the reason Knee injuries are usually of grave concern as knee injuries have the potential to significantly impair an individual’s mobility or put in plain words- ability to walk or run.

    But, knee injuries are not only the culprit that makes the knee inactive or defective. There are various systemic conditions, specifically few bone diseases like arthritis(osteoarthritis) that also significantly affects the knee joint. However, irrespective of the reason causing knee defects/injuries, exercises play a vital role in the healing process. In fact, Exercises play much more important role than medications in fast recovery from the knee injuries and disorders. In this article, though, we will focus on few extremely helpful exercises that facilitates the fast recovery process from knee injuries. But, before diving further deep into the topic, let’s get ourselves acquainted with knee injuries, its types & causes in brief.

    To start with, knee is made up of the following components- bone, ligaments, fluid & cartilage. Muscles & tendons present in the knee joint helps the part to stay mobile. Understandable, when one of these structures get injured/hurt or is affected due to any systemic conditions/diseases, knee defect/injuries occur.

    Knee injuries are characterized by extreme localized or overall pain, swelling, redness and causes severe impairment in walking activities.

    Knee injuries can be caused due to any accidents, sports activities or by simply awkward twisting of any one of the ligaments or tendons present in the knees. Treatment procedures for knee injuries usually contains a blend of medications & physical therapies( which mainly includes exercises), but in few cases surgical interventions ( such as knee replacement surgery) becomes necessary. In those cases, exercise becomes the only route to recover.

    Some of the major knee injuries include but are not limited to-

    a. Anterior cruciate Ligament (ACL) injuries- Very common in people who are very active in sports such as- soccer, basketball. It usually occurs due to the drastic direction change of the knees which in turn injure the ACL which is one of the connecting ligaments between shinbone & thighbone.

    b. Fractures- It is the second most common cause for knee injuries. Apart from injuries, fractures can also be caused due to osteoporosis which gradually weaken the bones.

    c. Torn Meniscus

    d. Knee bursitis

    e. Patellar tendinitis usually affects the avid runners, skiers, cyclers, etc.

    Knee injuries can also be caused by some other body conditions like- excessive body weight which puts pressure on the legs, to be precise on the knees, dislocated kneecap (which can be treated through a knee replacement surgery), gout, rheumatoid arthritis, due to relapse or getting hurt on a previous knee injury site, due to decrease strength and flexibility of the muscles (may be caused by any number of reasons) and last but not the least due to participation in any type of dangerous sports.

    However, irrespective of signs, symptoms & causes, healing from knee exercises with relatively fast and naturally involve exercises. Types & sets of exercises depends on the nature, severity & type of knee injury and must be prescribed and authorized by the caregiver. Additionally, those exercises can only be done under guidance & supervision of a trainer. Here are few example of relatively simple knee exercises, that usually helps in healing knee injuries.

    Exercise 1-Leg straightening & stretching.

    Lie on your back preferably on a hard. Flat surface. Next, bend your one knee and place the foot on the flat surface. Then, straighten the other leg and raise it in air at the level of the bended knee. This makes the quadricep muscles of the thigh work and puts put very little or negligible strain on the knees. To get the best results, the exercise should be repeated daily 10-15 times in two-three sets. It is recommended to start with low frequency initially and gradually increase the frequency and number of sets gradually and slowly.

    Exercise 2- Hamstring exercises

    This exercise is relatively simpler than the other ones and can be done anywhere, anytime. This simple and easy exercise is known to benefit the knee joint b strengthening the hamstring muscles that are present in the back portion of the thigh and are important for proper knee joint functioning.First, stand on a flat surface, preferably on the floor. Then slowly raise heel of one let as close as possible to one’s butt and is required to stay/hold in that position for 25-30 seconds. Later, with practice the duration can be increased to even 1 minute. Then, repeat the same with the other leg. This exercise is also commonly known as “Hamstring curls”.

    This exercise should be done minimum 15-20 times a set for 4-5 sets daily.

    Exercise 3- Squats

    Squat is known to be extremely beneficial exercise for knee injuries. The position required to perform this special exercise, work up the knee muscles and charge them up leading to fast healing from the injuries. This exercise is an advanced form of knee exercise.

    First, one need to stand straight against a wall or a sturdy, flat and hard surface. Secondly, after standing, one needs to spread their legs apart in line with their shoulder-width. Next, bend very lowly keeping your back straight against the wall/surface. Hold on to that position for 15-20 seconds. But, if one feels uncomfortable, it is recommended to immediately stop doing the exercise.

    It is usually good for the knees if done regularly 10-12 times in 3-4 sets/daily.

    Exercise 4- Calf raising exercise

    Stand with back facing to a chair / sturdy table. One can also stand in front of a wall. Get your hands on the wall surface if needed for supporting your body weight without straining the knees. Then, slowly raise your heels as high as possible by you. Hold on to the raised heel position for 10-15 seconds and then slowly, very slowly lower your heels in the normal position.

    Repeat the exercise daily 10-15 times for at least 3 sets.This exercise helps the knee to get in better shape and help to recover fast from injuries.

    Exercise 5- Step ups exercise

    Very common and extremely helpful exercise for knee injuries.

    One can use staircase for this one or can also use a raised but flat platform. Keeping one’s pelvic level steady, put one foot on the raised level and then slowly bend your knee and then raise your knee. Next, repeat this exercise with the other foot.

    Recommended daily 10-15 times for 4 – 5 sets. Once comfortable and well-practiced, one can raise/increase the height of the platform gradually. The above mentioned are few very easy and simple exercises that are known to benefits knees recovering/healing from injuries. But, one should always remember that of doing any of knee exercises makes you uncomfortable or increases pain, swelling of the knees, then stop exercising immediately and consult your doctor/trainer/care provider without further delay. Staying alert and cautious are the keys.

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    Source by Gagan Deep

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  • The Risk/ Reward Approach, To Better Health: 4 Scenarios

    The Risk/ Reward Approach, To Better Health: 4 Scenarios

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    Doesn’t it, make sense, to be more willing to use, more extreme approaches, possibilities, and approaches, if there is a serious, and/ or, life – threatening, treatment, than, when, this doesn’t exist? Several years ago, I remember watching a television advertisement, for a prescription drug, for treating, foot – nail fungus. This product, perhaps, effectively treated its desired ailment, yet, when the contra – indications, etc, were listed, which included causing cancer, liver ailments, etc, I wondered, why, anyone, would use this, for a seemingly, less – than, life – threatening ailment. With that, and similar issues, considered, this article will attempt to, briefly, consider, examine, review, and discuss, 4 possible scenarios, and, whether, they are warranted, using the risk/ reward approach, and mindset.

    1. Chronic ailments: Many of us, suffer, from one, or more, chronic ailments, especially, as we age. Some people learn to live, with the discomfort, and/ or, address it, by using some safe alternative remedy, and/ or approach. Others, either, are so uncomfortable, have such a low pain/ discomfort threshold, etc, they seek more aggressive treatments, and modalities. A chronic ailment, is one, which lingers, on an ongoing basis, either, consistently, or on a sporadic time – frame.

    2. Acute ailments: Acute ailments are those, which come on, rather suddenly, and may, come from known, or unknown causes. Known causes may include injuries, due to falls, strains, etc, while, unknown ones, often, come from something, we may not even recall happening. The smart approach is to, first, recognize, and consider, the reasons, and causes for the discomfort/ ailment/ pains/ aches, etc, and, then, evaluate the possible remedies. It is always wise, to contact, and consult, a trusted, health professional, as soon as possible, in order to ensure, nothing is overlooked! Once, more serious ailments, and/ or, causes, have been ruled out, it is often wise, to consider alternatives, which may be safe, effective approaches.

    3. Life – threatening illnesses: Obviously, if you are diagnosed with a life – threatening disease, such as cancer, etc, it makes sense to consider using a more aggressive treatment, with potential severe side – effects, than it is, for lesser ailments. If, without the treatment, your chances are somewhat poor, your risk is limited, and reward enhanced!

    4. Options/ alternatives: If you don’t pay keen attention to taking care of yourself, no one else will! Examine your true needs, medical causes of your discomfort, and your options and alternatives. The lesser, the danger of the ailment, it is wise, to take fewer risks/ chances, and vice versa!

    Take care of your health needs, by using the risk/ reward approach, and consideration! Doesn’t that make sense?

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    Source by Richard Brody

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  • Entrepreneurship Knowledge Services

    Entrepreneurship Knowledge Services

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    When an entrepreneur is starting a business he or she is faced with the requirement of several functions in which they might not be experts. They may know, for example, all there is to know about wholesale distribution but have no idea how to build a website.

    Since most companies are started with very limited funds, many entrepreneurs are reluctant to set money aside to pay for consulting services to fill in their knowledge gaps. For example, many create a website from the many templates available. Some are even free.

    Where the company website is concerned I feel that the use of existing templates is a false economy. The website functions as an online calling card and needs to put your best foot forward. For site visitors, seeing a format that they have seen before can reflect badly on you.

    The amount of time required for the entrepreneur to become proficient enough to develop a quality website takes time away from tending to functions relating to product knowledge, operations and management. Contracting with a website development company could be the solution.

    Websites, to be noticed, must go through the Search Engine Optimization (SEO) process. The purpose of SEO is to improve your website’s chances of ranking high in a search. The mechanism for doing this is complex and dynamic. This again is a very specialized function that is often beyond the capability of the business owner.

    There are functions which may be grouped under the heading Entrepreneurship Knowledge Services that will present the company at its best. In addition to the website and SEO examples these can include Business Strategy Planning and Business Valuation Services.

    Entrepreneurship Knowledge Services is a rich term covering what one needs to know to be a successful entrepreneur. There are other issues to be considered besides knowledge however. Do you have the right temperament? Do you have enough tolerance for risk? Can you acquire the funds to be a success?

    My recent experience is that the cost of business services for the self-employed is going down. One of the reasons is the quality and economy of services from Indian consultants. My experience with two firms in India has been positive. This is simply my experience, and yours can be vastly different, but I got a substantial amount of website design for about $4,000 and SEO for about $2,000.

    Your reaction may be that adding $6,000 to your startup expenses is prohibitive, but by farming this out the entrepreneur should find a quicker path to profitability.

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    Source by John Vinturella

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