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March 27 2015

karren46

What Causes Heel Serious Pain

Overview

Heel Discomfort

Heel pain is a common symptom that has many possible causes. Although Heel Pain sometimes is caused by a systemic (body-wide) illness, such as rheumatoid arthritis or gout, it usually is a local condition that affects only the foot.

Causes

In the majority of cases, heel pain has a mechanical cause. It may also be caused by arthritis, infection, an autoimmune problem trauma, a neurological problem, or some other systemic condition (condition that affects the whole body).

Symptoms

Usually worse with the first few steps in the morning or at the initial point of activity. The latter usually gets better with continued activity (squeaky hinge analogy). Walking, running, sprinting, hill running and jumping will increase the pain. Often, the natural response is to walk on the outside of the foot - in supination - to lessen the stress on the plantar fascia - resulting in new problems.

Diagnosis

After you have described your foot symptoms, your doctor will want to know more details about your pain, your medical history and lifestyle, including. Whether your pain is worse at specific times of the day or after specific activities. Any recent injury to the area. Your medical and orthopedic history, especially any history of diabetes, arthritis or injury to your foot or leg. Your age and occupation. Your recreational activities, including sports and exercise programs. The type of shoes you usually wear, how well they fit, and how frequently you buy a new pair. Your doctor will examine you, including. An evaluation of your gait. While you are barefoot, your doctor will ask you to stand still and to walk in order to evaluate how your foot moves as you walk. An examination of your feet. Your doctor may compare your feet for any differences between them. Then your doctor may examine your painful foot for signs of tenderness, swelling, discoloration, muscle weakness and decreased range of motion. A neurological examination. The nerves and muscles may be evaluated by checking strength, sensation and reflexes. In addition to examining you, your health care professional may want to examine your shoes. Signs of excessive wear in certain parts of a shoe can provide valuable clues to problems in the way you walk and poor bone alignment. Depending on the results of your physical examination, you may need foot X-rays or other diagnostic tests.

Non Surgical Treatment

Shoes, orthoses, splinting and/or immobilization form the cornerstone for successful functional management of plantar fasciitis.When you take the overuse nature of plantar fasciitis into account and attempt to re-establish the windlass mechanism of the foot, there is an enhanced potential for success. Unfortunately, too little attention has been directed to appropriately managing the shoes worn during treatment for plantar fasciitis. Emphasising motion control and stability type athletic shoes (that provide a firm heel cup, instep rigidity, longitudinal integrity and a well-integrated shoe upper) can help decrease excess eccentric tissue strain. The shoe also serves as a vital and functional link between an orthotic and the foot. Orthoses have long been considered to be a reliable method for treating plantar fasciitis. Considerable debate has been waged over the benefits of over-the-counter (OTC), prefabricated and prescription foot and/or ankle orthoses. Heel cushions, heel cups and cushioning pads appear to provide immediate pain relief for many people who have plantar fasciitis.This relief is frequently short-lived and requires other treatment modalities for success.Neutral position taping and strapping of the foot provides temporary symptomatic relief of pain caused by plantar fasciitis. Although the functional benefits are temporary and likely do not last longer than 10 minutes with exercise, the soft tissue compression and symptomatic relief afforded by the strapping can last for nearly a week.

Surgical Treatment

Surgery is a last resort in the treatment of heel pain. Physicians have developed many procedures in the last 100 years to try to cure heel pain. Most procedures that are commonly used today focus on several areas, remove the bone spur (if one is present), release the plantar fascia (plantar fasciotomy), release pressure on the small nerves in the area. Usually the procedure is done through a small incision on the inside edge of the foot, although some surgeons now perform this type of surgery using an endoscope. An endoscope is a tiny TV camera that can be inserted into a joint or under the skin to allow the surgeon to see the structures involved in the surgery. By using the endoscope, a surgeon can complete the surgery with a smaller incision and presumably less damage to normal tissues. It is unclear whether an endoscopic procedure for this condition is better than the traditional small incision. Surgery usually involves identifying the area where the plantar fascia attaches to the heel and releasing the fascia partially from the bone. If a small spur is present this is removed. The small nerves that travel under the plantar fascia are identified and released from anything that seems to be causing pressure on the nerves. This surgery can usually be done on an outpatient basis. This means you can leave the hospital the same day.

Prevention

Feet Pain

Wearing real good, supportive shoes are a great way to avoid heel pain. Usually, New Balance is a good shoe to wear, just for everyday shoe gear. By wearing proper footwear and performing thorough stretches, athletes can help prevent frequent heel pain. If you are starting to get a little discomfort or pain in the feet or heel, know that pain is not normal. So if you are having pain, you should be proactive and visit our office. If you let heel pain get out of control you could run into several other problems. It is always suggested to visit a podiatrist whenever you are experiencing pain.
Tags: Heel Pain

February 17 2014

karren46

Arch, Ball, Heel, And Toe Pain And Discomfort Reasons And Treatments

Calluses and corns are another common cause of foot pain They are actually patches of thickened skin caused by friction or pressure. Calluses appear on the balls of the feet or on the heels while corns will appear on the toes. Calluses are caused by an accumulation of dead skin cells. In severe cases, the callus has a deep seated core called a nucleation. This type of callus is exceptionally painful. Corns are similar to calluses as they are also thickened patches of dead skin cells which have formed as a protective mechanism against pressures on the foot. Corns however are found on the toes.

Metatarsalgia refers to pain felt under the ball of the foot. According to the Merck Manuals, it can be the result of nerve injury, poor circulation or a joint abnormality such as arthritis. The nerves may become irritated from repetitive stress or from the formation of Morton's neuroma, a benign nerve tumor. Nerve injury produces a burning pain in the toes and ball of the foot, followed by loss of sensation. Arthritis can affect any joints in the foot, causing a dull achy pain that is worse upon rising and improves throughout the day. Fracture and Stress Fracture

Most (young) women like to look stylish and wear a shoe with a medium to high heel. The problem with high heels is that your bodyweight is not evenly distributed across the underside of the foot, but rather 80% of your weight pushes down on only one area of the foot, the forefoot area. i.e. the balls of your feet. This is totally unnatural and before long the entire forefoot structure collapses, leading to constant pressure and friction in the ball of the foot. The body reacts and builds up thick layers of callous in this area which in turn leads to a burning sensation under the foot.foot pain heel

Blisters often cause Achilles Pain They form in areas where there has been excessive amounts of pressure and friction. They may be accompanied with redness, swelling, and recurrent pains that keep you from walking normally. Bony growths and prominences may make blisters more likely, and when there is friction and rubbing, the body may even lay down more bone, making the prominence more prominent. This in turn leads to even greater side of foot pain , and is usually a runaway problem '" it just gets worse and worse until it is treated.

There are a variety of symptoms for flat feet, and not everyone will experience all of them. Symptoms might include tired, sore feet (particularly on the bottom); lower back pain; pain in the arch; or tired legs. Your feet probably feel better when you roll your feet toward the outside. To confirm whether you have flat feet, press on the arch at the highest point. If you have weak foot, you will find this fairly painful. Another test is simply to look at your feet. When standing, you pronate; your weight falls toward the inside of your foot, and your arch almost disappears entirely.

With the help of X-Rays the picture of the inner area of the foot take to analyze the foot problem but X-Rays could be harmful for your feet if you are doing it very frequently, once in a while isn't a big issue. X-ray help the doctor check whether any of the foot bone is broken, fractured, or any other joint problem that is causing foot pain If the doctor is unable to understand through X-Ray then MRI machines might use to diagnose the problem, MRI machines have magnets and create images on the computer screen.

If you had been standing all day or had walked around in high heels, then the foot pain that you might be experiencing could be due to overworked foot muscles.The best home remedy for tired and achy feet is to soak them in warm water. Add a tablespoon of Epsom salt and a few drops of peppermint essential oil. The warm water will help in soothing achy feet muscles and it will relax and rejuvenate you. This is one of the best natural remedies for foot pain and is useful for foot pain that is caused due to fatigue.
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