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Items filtered by date: August 2014
Treating Heel Pain with Shockwave Therapy
Heel pain shockwave therapy is a treatment option that helps to treat plantar fascia, which is a type of heel and foot inflammation that causes pain to the heel area. This type of injury is often caused by overworking and overusing the feet, and normally happens to people that exercise often such as runners, athletes, obese and overweight individuals, and individuals whose profession requires them to stand for long periods of time.
Since heel pain can be caused by a number of problems including poorly fitting shoes, exercise routines, work hazards, and many more, most plantar fascia treatments include very conservative techniques. Simple things like new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet can treat the problem. However, for the worst cases, using shockwave therapy is often the best treatment option.
For patients that have tried conventional treatment options, and failed at them, and who have been having heel pains for over six months, Shockwave treatment is often the next option. The concept behind this treatment is simple; shockwaves are generated from a device that delivers shockwaves to the outside of the patients body, and the shockwaves will cause the bodies repair mechanisms to work more efficiently and effectively, and in the end, start repairing the damage done to the heel area.
The goal of shockwave therapy is to eliminate the pain in the heel area, and this should happen because shockwaves trigger the body’s natural repair mechanisms. Basically, this therapy speeds up normal tissue healing in the body, and will also lead to a reduction in pain for the patient by working the pain transmission nerves located in the heel area.
The reason this treatment is gaining popularity is because it is less invasive than surgery, and eliminates the risk factors associated with surgery, such as anesthetic usage. Since this technique also works by helping the body to improve using natural healing techniques, the recovery time should be shorter than surgical processes.
This does not mean that there are not some discomfort issues that can arise out of this treatment for patients. Short term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. These side effects of shockwave therapy should be gone in a few days, giving the patient a fast recovery time which makes it easy to return to the routines of their daily life .
Like most types of treatments, surgeries, and medications, there are certain people that should not have shockwave therapy procedures performed on them. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would also be ineligible for this treatment option. And lastly, children and pregnant women should avoid this as well.
Overall, shockwave therapy could be a great option for heel pain because it is less invasive than surgery, helps to trigger the natural healing mechanisms of the body, and should be considered by people who have had long bouts of heel pain, who have tried conventional treatment options that failed, and who have the money to afford such a procedure.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body causing an interference with the biological structure and focuses on the movement of the ankle, the foot and the forces that interact with them.
At some time in our lives we will all experience foot problems, regardless of our lifestyle or age, and we all take our mobility for granted until we are in pain. Twists or turns can cause problems and apply stress to the feet, and that pain will spread from the foot structure to the surrounding tissues. The pain will concentrate in the foot and ankle, but may eventually spread up into the knees, hips and back.
The history of biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded. Afterwards, during the first century AD, corns on feet were recorded as specifically growing on feet and toes. In 1974 biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections of conditions could be implemented to gain strength and coordination to the area. His basic principles of thermoplastic foot orthotics are still in use throughout the industry today.
Modern technology improvements are based on past theories and therapeutic processes providing a better understanding of podiatry concepts for biomechanics. Computers provide accurate determinations about the forces, movements and patterns of the foot and lower legs with the most important information captured. Today’s knowledge of detailed measurement of external and internal forces in the foot is critical to the individual’s treatment. Like most health industries, precise determinations assist the practitioner in diagnosing and prescribing the best treatment for health improving results.
Advances in materials and more awareness of biomechanics have developed enhanced corrective methods, offering further options for foot-related injuries. Shoe orthotics options have expanded to treat walking inability, helping to realign the posture deviations caused by hip or back health occurrences. Attention to posture and foot mechanics uses individual insoles to position the foot, aligning the ankle and leg. The corrected positioning comforts the pressure and helps to ease the pain. Understanding foot biomechanics can help improve and eliminate pain, stopping further stress to the foot. However, these results can only happen if one seeks a podiatrist who specializes in biomechanics.
What Are Ankle/Foot Orthotics?
Orthotics is a medical field concerned with the design, manufacture and use of aids used to support weak limbs or direct the proper function of limbs, in this case the foot and ankle. Ankle-foot orthotics, or AFOs, are braces worn at the ankle that encompass some or all of the foot. Diseases that affect the musculature or weaken the affected area require AFOs to strengthen the muscles or train in the proper direction. Tight muscles that need to be lengthened and loosened also benefit from AFOs.
When we think of diseases that affect the musculature we think of the big boys: muscular dystrophy, cerebral palsy, polio and multiple sclerosis. We rarely think that arthritis and stroke can affect the musculature or that there are some who "toe in". But whatever trauma affects that musculature, there is a way to correct it. The orthosis helps to control range of motion, provide support by stabilizing walk, correct deformities and manage pain load. A podiatrist would be consulted for those who "toe in", for instance, or an arthritis sufferer whose ankles suffer through walking on the job or perhaps a victim of stroke whose musculature is wasting away and requires strength.
Before the advent of modern orthotic devices, it wasn’t uncommon to see polio victims wearing metal braces from mid thigh to the bottom of the foot, or children who "toed in" wearing metal braces around their ankle and foot. However, both designs and materials have improved dramatically, allowing for new levels of comfort, functionality, and appearance. Many orthotics are now made from plastics in the shape of an L and designed to fit inside a corrective shoe. These can be rigid, buckling at the calf and extending the length of the foot to support the ankle. This same design except with a hinged ankle provides support while walking by normalizing the gait. In the past boots lined with leather and fiberboard provided the rigidity needed for correction and support. Now corrective shoes are available with built up soles to correct the gait or manage pain by sharing it with another area when the foot spreads during walking.
The podiatrist would prescribe this orthosis in the rigid L shape because the foot moves on a hinge. If the hinge isn't functioning as intended due to an injury or malformation, the muscles tighten up, thus making it difficult to flex the foot. When we walk, the foot flexes and muscles stretch. This brace or AFO would support the ankle and musculature during flexion of the foot, in much the same way a knee brace works. Corrective shoes are for people whose feet hit the ground backward, causing tight muscles and arch problems. Wedges and rocker bars on the heels correct the step to heel first and rock onto the ball of the foot, resulting in relaxed musculature and strengthened ankles.
Appearance also counts when we consider a particular support device, especially if the item is intended for regular, daily wear. The L shaped orthotic is contoured to the calf and flesh-colored, fitting into a sneaker or dress shoe. As present, corrective shoes are more attractive than past models, enabling patients wear such devices with greater comfort and confidence.
Choosing a Podiatrist
A doctor who specializes in treating foot disorders such as warts, bunions, calluses, hammertoes, ingrown toenails, heel pain and corns is called a podiatrist. Most people tend to ignore the feet, which should not be the case as they play just as important a role as other parts of the body.
Choosing a podiatrist should be accorded the same seriousness you would use when choosing any other doctor. Do your homework and make sure you get the kind of podiatrist you need.
Finding a podiatrist shouldn't be difficult. Ask your friends, physician, relatives, the local hospital, insurance companies, surf the Internet, look in the telephone directories and advertisements both on the radio and on newspapers.
Ask around about a podiatrist or do some research online before setting up an appointment. Nurses are good sources of information as they work closely with doctors and understand them. Other avenues you need to consider are the medical boards, as well as referral patients that have been treated by the same doctor. Also, it is a good idea to find out whether the podiatrist you are interested in is involved in and knowledgeable about the latest treatment options and procedures. This is especially important for those with serious foot problems.
So you have found the specialist you like, but are you comfortable enough with him? Your comfort should be given priority, as you will be spending a considerable amount of time with him. The only way to find this out is by booking an appointment with him and observing his attitude toward you, toward other patients, and toward his coworkers. A good podiatrist should be able to put a patient at ease as well as explain problems and procedures. They should be willing to spend as much time as necessary to help a patient understand his or her condition and the options available to them.
The next thing to be considered is cost. Fees should not be exorbitant, but cheap can also be expensive. You may think that you have found the best deal only to make a later discovery that the hospital you settled for is not well equipped and offers substandard treatment. If this is the case, the problem you are being treated for may not be resolved as smoothly as it should. Fees should be reasonable and the receptionist or office manager should be ready to help with any financial concerns you might have.