Achilles Tendon Pain

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Nearly everyone has at some point experienced the discomfort and pain of aching feet. Generally, this is not a condition that requires treatment, and can easily be addressed by soaking the feet or simply resting them. When more serious conditions begin to be more than bothersome however, it is time to seek professional care in the way of a qualified specialist, namely a podiatrist.

A podiatrist is a physician who is licensed and specially trained in treating ailments and afflictions of the feet, ankles and lower portion of the legs. He or she can diagnose and treat these conditions and typically is qualified to perform surgery as well. When the patient has developed certain conditions that are not being relieved by home treatments and remedies, the practice of podiatry is there to help.

There are many ailments affecting the feet which can make life uncomfortable or even be debilitating if not properly treated. From minor ailments to major dysfunctions, the podiatrist is trained to recognize the cause and help find a cure. Most commonly seen are bunions and corns. These are typically minor problems, however if left untreated they can escalate into a more complicated issue, causing pain and inflammation.

Plantar warts of the feet is generally caused by a virus which enters through a break in the skin. If left untreated, the wart can harden and make it difficult to walk. A podiatrist can treat this and prescribe medications that will help to soften and eventually remove these warts. In less common instances, laser surgery to remove the wart might be indicated.

Podiatrists treat ingrown toenails that affects all age groups. Treatment of an infected nail is generally painless and easily rectified by the foot doctor. Fungal infections of the toenail is another common condition that podiatrists are seen for.

Inflammation of the ankle or heel is frequently diagnosed by a podiatrist as being tendinitis. This condition is often seen in runners or those who participate in sports which require standing or walking for long periods of time. The area of the foot that tendinitis generally affects is the Achilles tendon.

Another painful condition which brings patients to the podiatrist’s office is a heel spur. This is when an overgrowth of bony substance settles at the base of the heel bone, making it difficult to walk. A podiatrist can usually diagnose this through a simple x-ray. This can be treated by a cortisone injection, but typically the physician will prescribe an anti-inflammatory medication to treat this.

A common occurrence for children and adults alike, sometimes requiring a visit to the podiatrist, is a sprained ankle. While this injury can usually be treated at home without the need for a doctor, occasionally the sprain might result in torn ligaments. This will typically require further treatment, and the podiatrist can recommend a course of action, such as compression and ice, or painkillers if warranted.

Foot pain is nothing to be taken lightly, as it can interfere with daily activities and work duties. When discomfort or pain cannot be resolved by home treatment, a podiatrist can help. Finding a qualified specialist is as simple as contacting the American Podiatric Medical Association, asking for a reference from a primary care physician, or searching the internet.

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Sprains and strains are common injuries often used interchangeably but with different types of injuries. In a basketball game, it has been a typical scenario to see a player trying to make a much needed lay-up shot only to be blocked by an opponent that will cause them to land on each other, usually crushing the other player’s leg.  When a young turk working out in a gym for the first time would start doing the bench press, arm curls, crunches, and bent-over rowing — all without consulting his trainer or instructor, he would most likely have a sore feeling all over his body after the workout.

In the first scenario, the player with the crushed leg may suffer from leg sprain such as ankle or knee sprain. Ankle sprain is the most common basketball injury which often occurs when a player lands on another player’s foot or the ankle rolls too far outward.  

Sprain  is a stretching or tearing of ligaments or joint capsules that connect one bone to another in order to stabilize joints and prevent excessive movement. More often, sprains occur when a joint is forced from its normal range of motion, by rapid changes in direction or by a collision. Common locations for sprains are your ankles, wrists and knees. On the other hand, the newbie gym buff may suffer from muscle or tendon strain for overdoing his work out program.

A strain  is a stretching or tearing of muscle which often occurs when muscles suddenly and powerfully contract – or when a muscle stretches unusually far. This is called an acute strain. Overuse of certain muscles can lead to a chronic strain. The most common strains are hamstring and back injuries.  Some people commonly call muscle strains “pulled” muscles.

Muscle relaxants work quite well for relieving muscle pain due to injuries, but are not effective for other types of pain. Muscle relaxants do not heal the injuries, but they do relax muscles and help ease discomfort and stop muscle spasms.

Since sprains and strains vary in severity, its treatment depends on the severity of the injury. To treat sprain, keep the joint still by a short period of immobilization so the ligaments can heal. Then try some special exercises to strengthen the muscles that help hold your ankle in place. If your muscles and ligaments are not strong enough to prevent re-injury, you might need surgery to repair the damage and restore its function.

For a strain, seek medical help immediately if the area quickly becomes swollen and is intensely painful, or if you suspect a ruptured muscle or broken bone.  Mild sprains and strains usually heal quickly with rest, ice, compression, and elevation (R.I.C.E.). Another key to speedy recovery is an early evaluation by a medical professional. Once the injury has been determined, a treatment plan can be developed. With proper care, most sprains and strains will heal without long-term side effects.

Oftentimes, self-care measures and over-the-counter pain medications, such as muscle relaxants, are all that you’ll need. Muscle relaxants are usually prescribed along with rest, exercise, physical therapy, or other treatments. Although the drugs may provide relief, they should never be considered a substitute for these other forms of treatment. These drugs may make the injury feel so much better that one is tempted to go back to normal activity, but doing too much too soon can actually make the injury worse.

Extracorporeal shock wave therapy (ESWT) is a groundbreaking non-invasive method of treating localized musculoskeletal pains such as tendonitis and heel spur. Sonorex shockwave treatment is an extremely safe method of combating pain and is believed to be used before drugs or steroid injections are recommended to the patient.

History of Sonorex

Early 1990’s saw German investigators doing research on the use of shockwaves to treat painful musculoskeletal disorders. To begin with, modified kidney stone lithotripters were used for treatment of these disorders but proved cumbersome because the devices were not designed to treat multiple areas of the body. In addition, it also delivered high-energy shock waves resulting in severe pain that required regional or general anesthesia. Having determined that treatment with lower energy shock waves was more effective, chronic pain associated with tendonitis of the shoulder, knee, elbow, and foot was first treated. This gave birth to Sonocur, a low energy shock wave machine by Siemens Medical Systems.

Tendonopathy Treatment through Sonorex Sonocur

Sonocur® basic of sonorex has been successful in treating the following disorders with several clinics posting 70 – 90% success rate among the patients.

* tendinitis of the knee known as patellar tendinitis
* tendinitis of the foot known as Achilles tendinitis
* tendinitis of the shoulder
* heel spur called plantar fasciitis
* golfer’s or tennis elbow also referred to as lateral or medial epicondylitis

The treatment usually involves three weekly shock wave sessions and each session typically lasts for 15-20 minutes during which the shock wave is concentrated on the affected area. It is important to complete the entire recommended course of treatment. Some patients may notice reddened skin at the treatment area while some will have pinpoint bleeding sites on the skin both of which will resolve in due course after the final treatment.

Treatment Procedure with Sonocur

* You can eat and drink normally before undergoing treatment.
* It is imperative that you indicate to the treatment technician, the exact location where you are experiencing maximum pain.
* The technician will then apply a gel to the skin of the affected spot to transmit the shock wave.
* After applying the gel, the technician will place the sonocur treatment head on that point of tenderness and adjust the shock wave penetration depth.
* Initially the shock wave application will be at a lower level. It is important that you do not move the body part that being treated.
* Since energy levels and the depth of penetration are based on the treatment site and the thickness of the tissues overlying the tendons, the technician will ascertain the optimum energy level required for treatment.
* You will feel a mild tingling sensation during the treatment. Notify the technician if this becomes uncomfortable so the energy levels can be duly adjusted.
* Mild discomfort after the treatment for a short time is natural.

Shockwave Effects on Chronic Pain

The action of shockwaves on chronic pain remains a mystery till date but these following explanations have been put forth by experts:

Hyperstimulation analgesia – the low energy shock waves offer adequate stimulation to the nerves through a complex pathway which in turn hampers the pain sensation transmission.

Shock wave induced neovascularization – the shock waves promote an increase in blood supply to the affected region causing reduction in inflammation and pain.

Chemical alteration – the low energy shock waves alter or stimulate the formation of chemical compounds in the affected areas thereby alleviating the pain.

Sonorex treatment is neither a ‘miracle cure’ nor a substitute for other conventional methods of treatment. It works best in conjunction with other normal course of treatments.

I have been experiencing heel pain in both my feet for the past 6 weeks. I used to run regularly, but since the pain started I switched to bike riding to lessen the pounding on my feet, but I still have pain. I’ve also tried different footwear and insoles without much success. When I wake up in the morning my feet and ankles feel sore and tight, particularly in the achilles tendon area. Any ideas?

Shin splints are often caused as a result of a poorly functioning foot. Our experts at the footfunction Centre use their expertise and experience to identify problems and devise a foot pain treatment that’s right for you.

Problems in the foot can cause all sorts of problems throughout the whole body, from issues of balance to pain found in the lower back and hips. Shin splints, tendon and muscle pulls can all be caused by abnormalities in the foot’s movement and in most cases the foot orthotics prescribed by the footfunction Centre can alleviate the pain associated with all of these problems.

Our advanced technology Footscan systems allow us to track the detailed movements of your feet when in motion or spot problems when standing. By analysing the pressure/force put through your feet and combining this with gait analysis and balance study we can create custom made shoe insoles that will readdress any imbalances in your foot.

Our foot orthotics come in a range of densities and are built to support the entire foot giving you help were you need it. These insoles are easily transferred from shoe to shoe and even fit inside sports shoes. Each pair of insoles is made to fit into the individuals daily activity requirements, so if you need an additional pair for regular sports, just let us know.

Contact the footfunction Centre today to book a consultation, and take the first step toward long lasting pain relief. To get great relief and let the pain go from your feet contact us as early as possible.

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The proper functioning of the knee is essential to our most basic activities. Knee pain is common and can become chronic. Though most knee pain does not need surgery, it can be just as disabling as those requiring surgery. Chronic knee pain can be divided into those causes occurring outside the knee joint space and those causes within the joint space.

Chronic pain within the joint can be caused by:

Arthritis, whichcauses the joint to swell and deteriorate. Arthritis pain is caused by the lining of the knee being inflamed.
An anterior cruciate ligament or ACL injury. This is a tear in the main knee ligament that joins the upper leg bone with the lower leg bone. The ACL helps greatly to keep the knee stable, with pain, knee joint swelling and unsteadiness being symptoms of this injury. Surgery is required for serious athletes or tears that don’t respond to treatment.
A meniscus tear. The meniscus is a rubbery disc that cushions your knee joint. Each knee has two of these discs, and they balance and cushion your weight across the knee. A meniscus tear can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily. A torn meniscus almost always causes pain and swelling of the knee. As in ACL tears, surgery is required only for serious athletes, or tears that don’t respond to treatment.

Chronic pain outside the knee joint can be caused by:

Tendonitis, pain which occurs because the tendons controlling the knee joint’s movement are chronically inflamed. This result of overuse, misuse or injury, comprises a significant number of chronic knee pain cases. Pain after prolonged activity is the most common complaint.
Torn ligaments. The ligaments supporting the knee from the inside of the joint and outside of the joint can be torn in a fall, playing sports, or in an accident. The most common symptom is pain directly over the ligament. Swelling over the torn ligament may appear, and bruising is common 1 to 2 days after the injury. In more severe injuries, patients may complain that the knee feels unstable, or as though their knee may ‘give out’.
Knee Bursitis, a common cause of swelling and pain on top of the kneecap. This condition is associated with individuals whose work requires kneeling for extended periods of time. Knee bursitis is common in professions such as carpet layers and hobbies such as gardening. The symptoms of knee bursitis include swelling over the kneecap, and limited, painful movement of the knee.

When considering treatment, the Feldenkrais practitioner recognizes the knee is a complicated hinge joint:

the knee hinge is dependent on proper hip function as it shares the same long bone
the long bone of the hip must sit on the knee in a way which prevents wear and tear
the ankle/foot also share long bones with the knee
the knee hinge is therefore also dependent on stable foot and ankle function

Relief can occur even if the ligaments or cartilage in your knee have been torn. Relief is the result of improving key relationships within the entire leg, and optimizing the function of the knee as it relates to hip and foot. The goal of your treatment is to relieve pain and prevent your knee from being reinjured. At The Feldenkrais Center, our approach to treating the causes of your chronic knee pain allows for a quick and effective treatment course. Most patients are substantially improved in less than a month.