Podcasts about Fasciitis

Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Jason Ingraham, an adult living with eosinophilic fasciitis (EF), and Dr. Catherine Sims, a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital. They discuss Jason's experiences living with EF and Dr. Sims's experience treating EF. They share Jason's journey to diagnosis and the importance of working with a group of specialists. They share tips on medication and physical therapy, how to communicate with your medical team, and manage your activity and mindset. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:50] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:14] Holly introduces today's topic, eosinophilic fasciitis, with guests, Jason Ingraham and Dr. Catherine Sims.   [1:25] Jason is an adult living with eosinophilic fasciitis (EF). Dr. Sims is a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital.   [1:52] Dr. Sims explains what EF is. Patients may present with symptoms of large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.   [2:42] EF, as with most eosinophilic disorders, doesn't follow the textbook. Some people will present with one symptom and some with multiple symptoms. There is a disconnect between how we diagnose conditions like EF and how patients present.   [3:01] There are major and minor criteria for the diagnosis. As in Jason's case, it takes time for the symptoms to present. Things develop over time. It took multiple specialists to diagnose Jason.   [3:38] Eosinophilic conditions are incredibly different from each other. When Dr. Sims sees a patient with high eosinophils, she thinks of three major buckets: infection, autoimmune diseases, and cancer.   [4:12] Patients will often see many different specialists. In Jason's case, they had done a skin biopsy that wasn't as helpful as they hoped. That led him to get a deep muscle biopsy to collect the lining of the muscle.   [4:47] Fasciitis is the inflammation of the muscle lining or fascia. A sample of the fascia can demonstrate under the microscope if there is a thickening, swelling, or inflammation of the lining of the muscle.   [5:24] Dr. Sims as a rheumatologist treats a number of rare diseases. Eosinophilic fasciitis is an ultra-rare disease.    [5:43] Jason had a local primary care doctor and a rheumatologist who both did a really good job and referred him to Dr. Sims. She had the benefit of their hard work to guide her next steps. Because EF is so rare, she has pitched Jason's case twice in rheumatology grand rounds sessions.   [6:18] During one of these sessions, Dr. Sims was advised to get the fascial biopsy that ultimately led to the diagnosis. She benefited from the intelligence and input of dozens of doctors.   [6:59] In the Fall of 2022, while hiking on vacation with his wife, Jason was extremely fatigued, and his forearms and lower legs swelled. His socks left deep impressions. It was difficult to reach his feet to put socks on. He spent a lot of time uncharacteristically resting.   [8:09] Jason's primary care doctor ran lots of blood tests. He thought it might be a tick bite. Jason started seeing specialists, having tests and hospital visits.   [8:57] Jason worked with a rheumatologist in Wilmington, an infectious disease doctor, and a hematologist/oncologist who reached out to a Duke expert. He also saw a pulmonologist and a dermatologist. He got the referral to Dr. Sims for March of 2023.   [9:57] The first diagnosis Jason received was after his first hospital stay in January of 2023, when he had bone marrow biopsies, CT scans, ultrasound, and other tests. He was deemed to have idiopathic hypereosinophilic syndrome (IHES).   [10:30] It was only a few weeks before his local rheumatologist said his panels were back and one tipped it from an IHES diagnosis to eosinophilic granulomatosis with polyangiitis (EGPA). He joined the Vasculitis Foundation and researched EGPA.   [11:03] Dr. Sims told Jason that EGPA was a working diagnosis but he didn't check all the boxes. There was the underlying thought that maybe it was something else. He had a second flare when he came off of prednisone in June of 2023.   [11:48] Dr. Sims scheduled Jason for a muscle biopsy while he was off steroids. That's how he got the diagnosis of eosinophilic fasciitis (EF). Jason says the disorder is hard for him to pronounce and he can barely spell the words.   [12:52] Jason's wife Michelle encouraged Jason to track his symptoms and medications and keep track of data. Going from specialist to specialist, the first thing he did was give the history.   [13:31] Jason found it helpful to create a spreadsheet of data with blood test results, meds, how he was feeling each day, his weight, and even notes about when he had difficulty putting his socks on. Jason is an advocate of owning your continuity of care as you see different doctors.   [14:42] Jason says the doctors at Duke talk very well between themselves.   [14:49] Jason likes to look back at that spreadsheet and see how far he's come, looking at the dosage he was on during and after flares and the dosage he's on now, or zero, on some of the medications. That's a little bit of a victory.   [15:16] Holly works at a private hospital without Epic or CareEverywhere so she gives physical notes to her patients to give to their doctors. She comments that a great PCP, like the one Jason had, can make all the difference in the world.   [16:18] Jason's PCP, Dr. Cosgrove, referred Jason to Duke for a second opinion. That was where he met Dr. Sims. He's glad to have both Dr. Sims and his PCP accessible.   [17:35] Jason says the number of questions you have with this type of thing is immense. When you look up EF, you find very little and the literature isn't easily digestible by patients. Being able to reach out to your doctors for a quick question is super helpful. [17:56] Jason has been able to do telehealth follow-ups and not always have to travel or take off work, which has been extremely helpful. He has been at Duke a good handful of times for various things but remote follow-ups are helpful.   [18:52] Dr. Sims says people just don't know about EF as it is an ultra-rare diagnosis. Even physicians don't understand what causes it. It's lumped in with all other eosinophilic conditions but these disorders don't all present the same way.   [19:19] EoE doesn't look like EF, even though they're both driven by the same immune cells. Dr. Sims says the first need is educating providers and patients on what the diagnosis is; awareness in general when a patient is having this swelling of extremities.   [19:44] Dr. Sims says at his baseline, Jason is very active with multi-mile hikes. When Dr. Sims met him, he was off from the baseline of what he was able to do. Being aware of your baseline and changes from that is very informative for doctors.   [20:07] Dr. Sims talks about the patient being a liaison between multiple specialists. Bringing data to your subspecialist always helps facilitate care and come up with a bigger picture of what's happening.   [20:23] Jason first went to Dr. Sims with the diagnosis of EGPA. She said, let's treat the EGPA and see what happens but they kept an open mind. With ultra-rare diseases, sometimes it's difficult for patients not to have a label for their condition.   [20:45] Dr. Sims explains to her patients that sometimes we live in the discomfort of not having a label. She keeps an open mind and doesn't limit herself to just one diagnosis. She seeks feedback from providers who have seen this before and know what works.   [21:07] Just as Jason described, you will go through multiple diagnoses. Is this cancer? Is it a parasitic infection? Where did you travel? You will see many subspecialists. It's extremely anxiety-provoking.   [21:31] When Dr. Sims did her grand rounds, she gave a third of the presentation, and the other two thirds were presented by an infectious disease doctor and a hematologist. In these cases, you need more than one subspecialist to complete the workup.   [22:10] Dr. Sims says there are a lot of misconceptions that the patient will get the diagnosis right away and the right therapy and get better. There are multiple therapies, not just medications. There are lifestyle and work modifications; it's a gradual process.   [22:22] One of Dr. Sims's goals for Jason and Michelle is to get back to doing the things that they enjoy, tennis and hiking. That's a measurement of the quality of life that a patient has.   [22:34] Talking to your doctors about how you're feeling and how you're functioning is huge. It may be that this is your new normal, but it may also be that we can make adjustments to maximize your quality of life.   [23:00] There are misconceptions about the journey of diagnosis and treatment. Have a close relationship with your subspecialist. PCPs have a high burden of expectations. As a rheumatologist who treats rare diseases, it's helpful to take on a part of that burden.   [22:31] If you don't have good communication with your providers and they aren't listening to you, you can always go get another opinion. The provider relationship is life-long.   [23:43] It's important for your provider to take what's important to you into consideration when they make treatment decisions.   [25:00] As a rheumatologist, steroids are a first-line therapy for Dr. Sims. Their role is the quick control of inflammation. The goal is always to get you off of the steroids as soon as possible, in the safest way possible.   [25:17] When Jason came to Dr. Sims, he was on mepolizumab for the working diagnosis of EGPA. Mepolizumab is one of the primary therapies for EGPA. They talked about not making treatment changes as they were navigating what was happening.   [25:40] They didn't want to make a change of medication and then have that be mistaken for disease activity. They didn't want too many variables moving at once.   [25:47] Typically, the first-line therapy is steroids, meant to help with the swelling, pain, and tightness that patients will get lining their muscles and give them a bit more functionality and decreased pain.   [26:00] Long-term, Dr. Sims gives immunosuppressant medication. She prescribed methotrexate for Jason. In EF, the immune system is overly activated, attacking the lining of the muscles and causing the symptoms.   [26:51] If you suppress the immune system activity, that leads to decreased inflammation and symptoms in the patient. Steroid use, over a few months, is detrimental, with low bone density, weight gain, high blood pressure, and diabetes.   [27:14] Dr. Sims starts with prednisone and folds in medications like mycophenolate or methotrexate.   [27:19] Mepolizumab is an interleukin 5 blocker. Interleukin 5 is part of the immune system and is necessary for eosinophils to grow, function, and multiply. The goal of using mepolizumab is to lower the eosinophils that are contributing to the disease symptoms.   [27:48] Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer. We know how to manage those.   [28:08] If there is no response, we may add something like mepolizumab. As Jason was already on mepolizumab, Dr. Sims added methotrexate.   [28:20] IVIG, an infusion of immunoglobulin, has also been used as a quick way to control inflammation. It is used in other autoimmune diseases like myositis, which is inflammation of the muscle itself.   [29:08] With untreated eosinophilic fasciitis, the lining of the muscle may continue to be inflamed and can lead to fibrosis, damage that cannot be reversed. The patient can become very disabled. Contracture is one result of this.   [30:16] Jason says when he tried a new medication, he monitored if it was a good fit and if the side effects were less impactful than the underlying disease. Dr. Sims adjusted his dosages or tried to get off certain medicines as needed.   [30:59] After his muscle biopsy from his left calf, it took about a month to get back to walking easily. He was already in physical therapy, going many times for a variety of things. He had back pain, potentially related to his EF. His physical therapist was great.   [31:56] The stretches alternated between upper and lower body. Jason bought tools to do the stretches at home. When he's not feeling as well, he goes back to some of those same stretches. When he was on steroids, he took long walks to strengthen his bones.   [32:39] Jason started making phone calls to supportive family and friends on his walks and started listening to podcasts related to his condition or medications. Getting back to tennis and hiking is important to Jason. He's happy to be out there.   [33:20] Jason was open with his employer about his condition. Some of the weekly meds can make him not feel well. His employer gives him some flexibility. He has good days that far outnumber the bad days. He doesn't have to think about EF too much now.   [34:33] It's nothing like when he was in a flare, especially when he was in a flare before being diagnosed. What gets him through a bad day is giving himself some grace and understanding while he waits for his meds to catch up. He rests more than he wants to.   [35:33] Low-impact exercises like walking help Jason. He's trying to find a support network that gets EF. That led him to APFED, to find anyone experiencing something like what he was. He saw a conference that included a session on EF.   [36:09] Jason signed up for the conference and there he met Ryan's mother who has EF. They were each the first person the other had met with EF. They decided to connect after the conference. They talked on the phone for about an hour.   [36:39] She told Jason how she got into APFED and talked a lot about her son who had eosinophilic diseases. Soon after, Jason talked to Ryan as a primer for this podcast.    [38:15] Having a community to relate to, even if it's one person, is massive. It can make you feel less isolated.   [38:42] Holly says it's hard having a chronic illness. She thanks both Jason and Dr. Sims for sharing so much information and their journey and she asks for last words.   [38:58] Dr. Sims believes finding a community is critical. She interviews a lot of patients for research and isolation is a frequent theme. Even the doctor doesn't know what it's like to live with the condition you live with daily. As Jason said, give yourself grace.   [39:33] Dr. Sims tells her patients that they're different from the general population because they have to spend so much time and energy managing their condition that they can't do x, y, or z today, and that is OK. She says to stay motivated and positive.   [40:12] Find what works for you. Walking is good for your physical and mental health. Have the goal of getting back to what makes you happy. Take initiative and find non-medication ways to recuperate. You have control over ways you can feel better.   [40:43] Connect with others and share your story, like Jason did today. It may make someone's journey a little easier and make them feel less alone. Utilize your condition for good, for a bigger purpose.   [41:04] Jason had wished he could meet someone who could tell him what EF would be like over the years. He says to stay positive and find out what you have control over. Jason believes the future is bright for being able to do many things for a long time.   [42:26] For our listeners who would like to learn more about eosinophilic fasciitis, please visit APFED.org and check out the links in the shownotes.   [42:33] If you're looking to find a specialist who treats eosinophilic disorders, like Dr. Sims, you can use APFED's Specialist Finder at APFED.org/specialist.   [42:43] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections/.   [42:55] Ryan thanks Jason and Dr. Sims for joining us for this excellent conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Dr. Catherine Sims, rheumatologist Duke University Hospital Durham VA Medical Center   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “EF patients may present with large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.” — Dr. Catherine Sims   “Steroids are … first-line therapy. Their role is the quick control of inflammation. The goal is always to get you off steroids as soon as possible, in the safest way possible.” — Dr. Catherine Sims   “Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer.” — Dr. Catherine Sims   “Stay positive and find out what you have control over. The future is bright for being able to do many things for a long time.” — Jason Ingraham

Will Middlebrooks is BACK! He and Danny Vietti make their MLB free agent predictions. Plus, Will details the fun behind being an ESPN broadcaster during the MLB playoffs. Juan Soto stays in New York. Willy Adames to Los Angeles? Seattle lands an All-Star hitter! (1:38) Radio broadcasting on ESPN ... (8:48) Fasciitis injuries ... (11:37) Angels have already added 5 players ... (17:58) Juan Soto stays in New York, but which one? ... (22:24) Could the Rays be the mystery team? ... (25:48) Detroit Tigers a sleeping giant? ... (30:35) Giants find their next shortstop ... (34:08) Gleyber Torres to Seattle ... (41:21) Anthony Santander stays in AL East ... (47:20) Pete Alonso vs. Christian Walker ... (50:50) Tyler O'Neill better numbers than Alex Bregman

PodChatLive 132: Calf raise testing, Blood flow & heel pain, and necrotising fasciitis. Email us on getinvolved@podchatlive.com Links from this episode: Samsung launches ‘sneakers of the future' that can control your cell phone A randomised crossover trial on the effects of foot starting position on calf raise test outcomes Posterior Tibial Artery Blood Flow Velocity Is Increased in Patients with Plantar Heel Pain

Dr. Mindy talks about her New Youtube Channel "The Dr. Mindy Experiment" and then she answers questions about stress cortisol levels, weight loss, leg cramps, eye-lid twitches, gas station cake, what's up with Heather's weight-loss, the ulnar nerve, Zepbound, Semaglutide compound, Fasciitis, are your pants too tight?, trying to get pregnant, Lexapro, allergy meds, sick kiddos and heavy cycles.  See omnystudio.com/listener for privacy information.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠Nodular Fasciitis⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Pathology section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

Join us in this week's episode, where Dr Rohi Shah walks us through the diagnostic uncertainty that is Necrotising fasciitis vs cellulitis. 

Ross Millichamp worked for New Zealand Fish and Game for 25 years and is a very well known and respected author on all things hunting and fishing. In 2008 he fell sick with Necrotising Fasciitis (flesh eating disease) but after many tough months and years recovering is now back hunting, fishing, and flying his own aircraft. 0:00 Introduction 2:46 Early Life and Salmon in NZ 9:28 Salmon Life Cycle 16:32 Current State of NZ Salmon Fishery 28:20 Brown Trout Fishery & Water Management 42:41 Blue Cod Fishery 47:03 Fish & Game Career 1:01:06 Necrotising Fasciitis Illness 1:53:52 Being in the Outdoors 1:59:01 Learning to Fly 2:09:51 Writing & Photography

In this episode we had the distinct pleasure to talk to Mr. Zaki Arshad and Mr. Maneesh Bhatia on their recent paper entitled “Gastrocnemius Release in the Management of Chronic Plantar Fasciitis: A Systematic Review” published in Foot and Ankle International.We ended up covering a wide range of therapeutic approaches to plantar fasciitis. We hope you enjoy this session as much as we did!

Christopher McDougal's 2009 book, Born to Run, brought minimal footwear and the importance of healthy feet to the forefront of fitness conversations internationally. At the time, there were just a couple minimal-style shoe companies in existence, today there are dozens. If you're like most people, you've likely been squishing your feet into narrow toe box shoes with arch support and an elevated heel for most of your life. The result? Plantar fasciitis, bunions, hammertoe, and overlapping toes are just a handful of the many problems that can arise from this modern foot binding practice. The good news is that there are solutions and this week's guest is here to talk you through them. Listen and learn Why your toes should be the widest part of your foot What “zero drop” means and why it's important How to decide between surgical or natural interventions for foot problems The importance of strong, limber feet Learn More Chris' Site ABOUT OUR GUEST Christopher Ioannou is a sports scientist who specializes in foot health, minimal shoes, and fixing feet. He has a great YouTube channel called “Exercising Health”. Like the Show? Leave us a review Check out our YouTube channel Visit www.yogabody.com

Dr. Shari Welch discusses various methods to improve ED performance.  From engaging leadership to metrics, Shari gives helpful tips to implement which help with emergency department  efficiency. This episode comes from our Innovations in ED Management  Course. Learn more at https://courses.ccme.org/course/innovationsined

Our monthly focus on 'The Foot & Ankle' continues, and in this episode we turn our attention to the extremely common and yet notoriously tricky to treat condition known as 'Plantar Fasciitis', and how other conditions of the foot, ankle and indeed whole body need to also be considered when presented with common symptoms. Joining us in this episode are Sports Podiatrists Maddie Tait of mtpodiatry.co.uk and Ian Griffiths of sportspodiatryinfo.co.uk. Maddie Tait and Ian Griffiths both have a huge amount of experience working with complex foot & ankle injuries. Maddie works closely with Foot and Ankle Consultants, Sports Medicine Doctors and Physiotherapists and has represented England in Hockey. Ian has spoken worldwide on the topics of lower limb biomechanics and foot orthoses, and is also a visiting lecturer at Queen Mary University of London, leading the biomechanics module on the MSc in Sports & Exercise Medicine. Topics discussed in this episode include: 'Plantar Fasciitis', 'Plantar Fasciopathy' or 'Persistent Heel Pain' - does the label we use matter?  The importance of a thorough subjective assessment.     Recognising red flags.      Tests that could highlight when further investigation is needed.         Calcaneal squeeze test for potential stress fracture. Having the confidence to refer out.      The relevance of lower back pain.   Plantar fibromas. Statins and heel pain.   Rheumatoid arthritis and other systemic disease. Fatty pad degeneration & gait adjustments  Reminder of risk assessments for Covid-19  Useful Links   Maddie Tate Website: https://www.mtpodiatry.co.uk/  Ian Griffiths Website: https://sportspodiatryinfo.co.uk/ Our sincere thanks to Maddie Tate and Ian Griffiths for giving up their time to be guests on the Sports Therapy Association Podcast. Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk

Plantar Fasciitis Shockwave TherapyPlantar Fasciitis New Treatment Using Shockwave TherapyShockwave treatment for Plantar Fasciitis, additionally called jogger's foot utilizes acoustic waves to separate mini attachments that develop in the muscle mass as well as ligaments of the reduced leg as well as foot. Attachments are quite like mark cells. When the mark cells appears it interrupts the typical matrix of muscle mass cells. This develops an excruciating problem additionally called Runner's Foot. Muscular tissue fibers indicated to relocate openly are currently limited as well as acquired. Over a long term time, the muscular tissue fibers end up being topsy-turvy including even more discomfort and also limitation of typical movement.Shockwave Plantar Fasciitis just how it functionsThe shockwave is acoustical in nature. The waveform developed sends out harmed Plantar Fasciitis muscle mass focused power to deal with severe as well as persistent foot and also heel discomfort triggered by Plantar Fasciitis. The discomfort is eased by numerous systems;Angiogenesis- the development of new members vesselsImproved Collagen manufacturing to reinforce connective cellsMobile Response to microtrauma creates raised ATP manufacturingLiquifies agonizing attachments in the fasciaUrges stem cell manufacturing (this has actually not been confirmed by FDA).What is Plantar Fasciitis?Plantar Fasciitis discomfort results from the swollen fascia under of the foot. It additionally entails numerous muscular tissues frequently called Tom, Dick, and also Harry. It generally impacts 1 out of 10 individuals eventually in their life. The cautious focus must be paid to the Tibialis Posterior, Flexor Hallicus Longus, and also Flexor Digitorum Longus. These are described as Tom, Dick, and also Harry muscle mass. This is an anacronym of the extensive provided names. These couple of muscular tissues link to nearly every bone in the foot. When these muscular tissues are attended to in enhancement to the plantar surface area of the foot, shockwave therapy for plantar fasciitis is a lot a lot more reliable.Why Core Health Darien for Plantar Fasciitis Shockwave?Dr. Mc Kay has actually examined the biomechanical marvel called the foot for over 20 years. He is among just a handful of chiropractic physicians learned to readjust the feet. By rearranging several of the 27 bones in the foot we can offer even more security to the longitudinal as well as median arcs of the foot. When dealing with Runner's Foot, the duty of muscle mass, as well as ligaments that add to plantar fasciitis, needs to be taken into consideration as well. By resolving the discomfort from a biomechanical strategy as well as incorporating that with shockwave treatment Core Health Darien can provide a quicker resolution of discomfort related to Plantar Fasciitis. We generally see outcomes within 8-12 therapies.

In this episode, we review the high-yield topic of Nodular Fasciitis from the Pathology section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message

Dr. Tim DiFrancesco is the president and founder of TD Athletes Edge. He's the former Head Strength & Conditioning Coach of the Los Angeles Lakers. TD Athletes Edge is renowned for its scientific approach to training, nutrition, and recovery for athletes and fitness enthusiastsTim's Incredible Instagram https://www.instagram.com/tdathletesedge/Basketball Strong Podcasthttps://www.basketballstrongpodcast.com/Why Plantar Fasciitis is often misdiagnosedSolutionsLoad / strengthen w/ a towel Fasciitis fighter toolhttps://www.fasciitisfighter.com.au/Working through discomfort is necessaryShoot for 5 out of 10 on a pain scaleHeel raises and variations are key exercisesWhy Dr's default to ‘stop' healing vs prescribing ‘recovery' based activitiesWhy you need to look @ 10 - 12 weeks when it comes to recoveryThe dangers of ‘1 size fits all classes'Tim's ‘Galvanizing' moment that sparked his passionsTim goes full steam ahead after finishing PT school in an effort to be able to help people throughout the recovery journeyThe call that led to jumping to Bakersfield, CA which leads to the Six seasons with the LA Lakers TD Athletes Edge  has 10 - 15 Employees committed to TD's Mission is to “Help athletes to get strong and stay strong for the long run”Lower Back painExtension or inflection based? Look for movement that does not exacerbate the problemE.g. step up and step down for 10 minutes…@ 42:00  Spending time with Kobe BryantKobe tears his Achilles, but refused to give inDuring late rehab “I feel incredible” Tim's desire to ‘empower' individuals to thriveCollagen protein benefitsOffset Arthritis by loading joints and supplementing collagen“Deep Nutrition” book recommends bone brothHeat seeking compounds that target your jointsTim's quick tip for energySleep hygiene Wind down routineHydrationAdvice on Shin Splints

01/28/22 - Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) begins with Doug asking Dr. Ken the best way to have immunity to Omicron. Are mask mandates still necessary? Next, Dr. Ken explains why there is a shortage of hospital beds. As more and more children are diagnosed with Omicron, the first signs seem to come on as a bad cold. Dr. Ken is still optimistic that COVID will start fall dramatically in March. A new treatment for Plantar fasciitis involves taking fat cells from our own bodies, and inject them into our heels. Finally, ZOOM has had a major influence in plastic surgeries soaring and over $1 Billion Dollars being spent on Botox in the past year.

For the full interview and access to the entire Plantar Fasciitis Summit, go to: plantarfasciitissummit.com

Necrotising fasciitis is a scary disease for even the most experienced of emergency physicians. Dr Michael Gleenberg is an emergency physician and Residency Director at the Assuta Ashdod University Hospital in Israel, and he joins Todd to discuss the identification and management of this important disease process See omnystudio.com/listener for privacy information.

For the full interview and access to the entire Plantar Fasciitis Summit, go to: plantarfasciitissummit.comCheck out 3 Key Elements at: 3keyelements.com

For the Full Interview and more go to: plantarfasciitissummit.com

Interview with Plantar Fasciitis Summit guest Gary Ward. Gary is an expert in human movement and biomechanics and speaks about pronation and supination and how that affects plantar fasciitis.

In this episode, we cover that scary presentation where your patient goes from seemingly well, to skin melting off and in multi organ failure. Come take a listen for all things clinical presentation, anti-toxin antibiotics regimes, skin cut downs and surgical debridement.

For the full interview and access to the Plantar Fasciitis Summit, go to:plantarfasciitissummit.com

Register for free for the Plantar Fasciitis Summit:plantarfasciitissummit.com

For the full interview and access to The Plantar Fasciitis Summit go to: plantarfasciitissummit.com

In The RACK Podcast...Powered by ProForm Physical Therapy.In this Episode Chad and Nick are switching it up. Today we are talking about the good ‘ol dx of plantar fasciitis...But is this actually what we should be calling it?Fasciitis means inflammation. Through research of plantar pain, inflammation does not seem to be a big factor if any at all! Fasciosis (meaning an abnormal state or condition) or fasciopathy (meaning a disease or disorder) are much more accurate terms to describe pain surrounding the plantar fascia region. In this episode we dive into what the plantar fascia is and how the biomechanics of the body can greatly impact the stress of this tissue.We discuss the reoccurrence rate of plantar fasciopathy and what is contributing to this increasing rate.Stay tuned for the end of this episode as we also discuss quality treatment strategies for plantar fasciotopathy as well as introduce our next guest speaker for the upcoming episode. __________________________For more episodes, make sure to subscribe and tune in to our podcast. For other resources on our training, physical therapy and health/wellness tips, check out our Website, YouTube Channel, Instagram and of course our Facebook Page!Make sure to subscribe to our Newsletter to get all the updates about what we got going on here at ProForm.

Check out the Plantar Fasciitis Summit here:plantarfasciitissummit.com  

In this episode Farai and Efosa discuss key points around a case of necrotising fasciitis seen by Farai during his time as an intern.

Get expert advice and gain knowledge about plantar fasciitis so you can recover more quickly from the Plantar Fasciitis Summit, the largest online event for plantar fasciitis ever! Go to plantarfasciitissummit.com 

”Dine smerter skyldes slidgigt”. ”Der er inflammation”. ”Din ryg er ustabil, og derfor har du ondt”. ”Svangsenen i din fod er overbelastet og fortykket”. ”Din achillessene er for kort”. ”Lær at leve med smerterne”. Disse er alle forklaringer, som Morten på 55 år, der gæster denne episode af Smerteuniverset, havde fået og accepteret som værende gode forklaringer på hans smerter. Alle søger en forklaring på deres smerter. Det er helt naturligt, da vi som udgangspunkt tænker, at en forklaring vil vise os, hvordan behandlingen skal se ud. Vi tænker, at et specifikt problem må være lig med en specifik behandling.  Da behandlingerne gentagne gange slog fejl skabte det en nederlagsfølelse og frygt for smerterne i Mortens tilfælde. Dette udviklede sig for ham til en intensiv jagt på en forklaring. Han blev også gradvist mere begrænset og endte med ikke at kunne løfte mere en højst 10 kg og gik med krykker dagligt i to år for at undgå at belaste sin fod mere end højest nødvendigt. Du kan i del 1 lære, hvordan den logiske jagt på både forklaring og behandling blev en del af Mortens onde cirkel. I del 2 kan du høre, hvordan Morten gennem et behandlingssamarbejde med Smertevidenskab.dk langt om længe fik mulighed for at få en opdateret forklaring på sine smerter.  Forklaringen gav ham magten tilbage og dermed muligheden for med øget tryghed og forståelse at kunne bidrage til behandlingsforløbet. Forståelsen for de mange faktorer, der kan bidrage til smerter, medvirkede til, at han gradvist fik det bedre igen og genfandt optimismen og troen på, at han igen kunne leve et frit og ubegrænset liv.   Hovedpointer; - Er vores typiske logiske forklaringer på smerter nu også i tråd med opdateret viden om smerters kompleksitet? - Betyder slidgigt, at man er skadet eller skrøbelig? - Desperation og frustration, når eksperter på området ikke kan hjælpe. - Er inflammation i kroppen godt eller skidt? - Fasciitis plantaris - gør det foden skrøbelig? - Krykker som den logiske løsning, der aldrig bringer én i mål. - Smertevidenskab gav Morten magten tilbage, smertefrihed, håb og optimisme for fremtiden. God fornøjelse.

”Dine smerter skyldes slidgigt”. ”Der er inflammation”. ”Din ryg er ustabil, og derfor har du ondt”. ”Svangsenen i din fod er overbelastet og fortykket”. ”Din achillessene er for kort”. ”Lær at leve med smerterne”. Disse er alle forklaringer, som Morten på 55 år, der gæster denne episode af Smerteuniverset, havde fået og accepteret som værende gode forklaringer på hans smerter. Alle søger en forklaring på deres smerter. Det er helt naturligt, da vi som udgangspunkt tænker, at en forklaring vil vise os, hvordan behandlingen skal se ud. Vi tænker, at et specifikt problem må være lig med en specifik behandling.  Da behandlingerne gentagne gange slog fejl skabte det en nederlagsfølelse og frygt for smerterne i Mortens tilfælde. Dette udviklede sig for ham til en intensiv jagt på en forklaring. Han blev også gradvist mere begrænset og endte med ikke at kunne løfte mere en højst 10 kg og gik med krykker dagligt i to år for at undgå at belaste sin fod mere end højest nødvendigt. Du kan i del 1 lære, hvordan den logiske jagt på både forklaring og behandling blev en del af Mortens onde cirkel. I del 2 kan du høre, hvordan Morten gennem et behandlingssamarbejde med Smertevidenskab.dk langt om længe fik mulighed for at få en opdateret forklaring på sine smerter.  Forklaringen gav ham magten tilbage og dermed muligheden for med øget tryghed og forståelse at kunne bidrage til behandlingsforløbet. Forståelsen for de mange faktorer, der kan bidrage til smerter, medvirkede til, at han gradvist fik det bedre igen og genfandt optimismen og troen på, at han igen kunne leve et frit og ubegrænset liv.   Hovedpointer; - Er vores typiske logiske forklaringer på smerter nu også i tråd med opdateret viden om smerters kompleksitet? - Betyder slidgigt, at man er skadet eller skrøbelig? - Desperation og frustration, når eksperter på området ikke kan hjælpe. - Er inflammation i kroppen godt eller skidt? - Fasciitis plantaris - gør det foden skrøbelig? - Krykker som den logiske løsning, der aldrig bringer én i mål. - Smertevidenskab gav Morten magten tilbage, smertefrihed, håb og optimisme for fremtiden.   God fornøjelse.

Callum and Jame finish off their discussion of Skin & Soft Tissue infection by going over the assessment and management of Necrotising Fasciitis. 

SDRIFE from acetaminophen – Eosinophilic fasciitis from drugs – Natural products for AD (part 3) – Cupping and ancient coins – Physician attire Luke and Michelle report no conflicts of interest. http://www.dermaspherepodcast.com/

There are a few causes of plantar fasciitis but the most common cause is poor range of motion in the foot and ankle joint. Repetitive motion such as running will cause this joint to wear down and result in pain and inflammation in the heel.

Hear Dr. Stacie Bell, Chief Scientific and Medical Officer at the NPF discuss palmoplantar psoriasis, dactylitis, enthesitis, plantar faciitis and more with podiatrist and foot and ankle surgeon Dr. Matthew Paden from Rocky Mountain Foot and Ankle Center in Wheat Ridge, CO. Disclosures/credit: https://www.eeds.com/em/2872. This program is supported by educational grants from Lilly, Bristol Myers Squibb, Novartis and Ortho Dermatologics. 

Hear Dr. Stacie Bell, Chief Scientific and Medical Officer at the NPF discuss palmoplantar psoriasis, dactylitis, enthesitis, plantar faciitis and more with podiatrist and foot and ankle surgeon Dr. Matthew Paden from Rocky Mountain Foot and Ankle Center in Wheat Ridge, CO. Disclosures/credit: https://www.eeds.com/em/2872. This program is supported by educational grants from Lilly, Bristol Myers Squibb, Novartis and Ortho Dermatologics. 

Plantar Fasciitis Resource Page:heelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Page:heelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Page:heelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Radial extracorporeal shock wave therapy (rESWT) is a non-invasive procedure that was shown to stimulate regeneration and angiogenesis in treated tissues. It is a highly effective treatment modality for myofascial pain syndromes. Myofascial Pain Syndrome causes disability in daily life activities and despite all efforts, it continues to be a challenge, perpetuating suffering, overloading services, and medical costs.Core Health Darien has been using Radial extracorporeal shock wave therapy to treat shoulder pain, plantar fasciitis, tennis elbow, and knee pain as an integral part of treating these conditions along with Trigenics. What makes Radial EXtracorporeal Shockwave so important is its ability to stimulate angiogenesis. Angiogenesis is the creation of blood vessels. Simply put more blood flow, even in the capillary beds allow for faster healing.Patients may feel slight pain or discomfort in the treatment sites. Most people say it feels like small pulses against the skin and may experience some reddening of the treatment site. The results stand for themselves. Our patients are quite happy with the results they see by using Radial extracorporeal shock wave therapy.If you have chronic myofascial pain like plantar fasciitis, tennis elbow, and knee pain you might benefit from treatment at Core Health Darien, There is a link to schedule on the home page. Click here to set up a time that works for you. And if you have questions feel free to call us at 203-656-3636

heelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

heelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Dr. Diane Birnbaumer breaks down ED cases in which patients present common complaints, initially appearing benign, which mask serious illnesses. This episode comes from our Advanced EM Boot Camp Course which focuses on in-depth topics that will help you become a master practitioner.   Take the Advanced EM Boot Camp course online or live in Las Vegas — both versions are fully CME accredited and are guaranteed to help you provide the best care for your patients.   Learn more at https://courses.ccme.org/course/advancedbootcamp

Welcome back to the tasty morsels of critical care podcast. Continuing along a theme of words with with too many i's in them, (see TM 007 for more) today we look at necrotising fasciitis or “nec fasc” to its friends. ... Read More »

Plantar Fasciitis Summit - Learn from 21 Experts! https://plantarfasciitissummit.com/get-your-free-ticket Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Let's start with what exactly is plantar fasciitis? Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes. Symptoms include stabbing pain near the heel. Pain might be worst in the morning, after standing for long periods of time and exercise. The pain can be quite intense. I have found that NSAIDs and ice to be mildly helpful. What I have found to be helpful is to address 3 muscles that start in the lower leg. They are the Tibialis poster, flexor hallicus longus, and the flexor digitorurum longus. We have found that EPAT Extracorporeal Pulse Activation Technology, is a form of extracorporeal shock wave therapy. It is an evidence-based technology platform that utilizes a unique set of acoustic pressure waves to stimulate the metabolism, enhance blood circulation, and accelerate the healing process. Simply put it works to release adhesions that form at stress points in the fascia that can cause severe sharp heel pain normally associated with plantar fasciitis. Besides EPAT, we recommend and use cold laser to help produce more energy to allow the tissue to heal faster. This is accomplished by producing more ATP which is a cellular fuel source. The laser much like photosynthesis helps promote growth using light energy. Sometimes we need to use orthotics to support the arches of the foot by reducing tension on the tendons of the Tibialis Posterior, flexor hallicus longus, and flexor digitorum longus. So what do you do if you think you have plantar fasciitis? Call us at 203-656-3636 and come in for an evaluation.

Plantar Fasciitis Summit - Learn from 21 Experts! https://plantarfasciitissummit.com/get-your-free-ticket Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Summit - Learn from 21 Experts! https://plantarfasciitissummit.com/get-your-free-ticket Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis is the most common form of foot pain. I've had it. You've probably had it. Beowulf has had it...it's an epidemic. In this episode I'll talk about how to treat plantar fasciitis and hopefully prevent you from getting it in the future.

Plantar Fasciitis Summit - Learn from 21 Experts! https://plantarfasciitissummit.com/get-your-free-ticket Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Summit (Free for a limited time) https://plantarfasciitissummit.com/get-your-free-ticket Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page The Heel Strong Systemcode-red-weight-loss-toolkit1595629982936 Plantar Fasciitis Summit (Free for a limited time) https://plantarfasciitissummit.com/get-your-free-ticket Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Plantar Fasciitis Resource Pageheelstrongsystem.com/plantar-fasciitis-resources-page The Heel Strong Systemcode-red-weight-loss-toolkit1595629982936 Plantar Fasciitis Summit (Free for a limited time) https://plantarfasciitissummit.com/get-your-free-ticket Heel Strong on Instagram instagram.com/heelstrong/ Heel Strong on Facebook facebook.com/Heel-Strong-System-by-Stronglife-Physiotherapy-101310427932766

Runchatlive Ep47: 'Plantar Fasciitis Special' Guest: Hamish VickermanRunchatlive Ep.47 brings you a 'Plantar Fasciitis Special' with guest Hamish Vickerman, creator of 'The Fasciitis Fighter.' As per last month , this episode was dual-streamed LIVE to Facebook Group 'The Running Community' www.facebook.com/TheRunningCommunity as well as our facebook page at www.facebook.com/MattPhillipsRCL .Hamish Vickerman created The Fasciitis Fighter in reaction to research published by Michael Rathleff in 2014: 'High-load strength training improves outcome in patients with plantar fasciitis'. In this episode, we discuss how the Rathleff paper revolutionised the way Plantar Fasciitis (PF) should be treated, and in doing so we cast a critical eye on many of the traditional ways that runners & non runners deal with PF, often following advice handed out by therapists & GPs who are clearly not up to date with the evidence. It's an eye opening episode which we hope you enjoy and take on board, whether you are a therapist or a runner. As always feel free to leave comments and questions in the comment section.-------------------This episode of Runchatlive was recorded LIVE as always at www.Facebook.com/MattPhillipsRCL and then uploaded to YouTube and all popular podcast apps. By joining us live at Facebook you are able to ask the guests questions and be part of the moment! Join us for the next one!RCL INTERNATIONAL RUNNING CONFERENCEGiven the current COVID-19 climate, we cannot yet guarantee whether the RCL International Running Conference 2020 on the 29th & 30th October 2020 will be face-to-face & virtual (in Brighton UK) or 100% virtual. What we CAN GUARANTEE is that it WILL be happening one way or the other. Full details of all 10 speakers & presentations can be seen at www.RCL2020.eventbrite.co.uk .HELP US OUT?The success of a podcast ultimately boils down to how much Apple advertises it, which is heavily based on ratings & reviews. A huge thanks to those of you who have left ratings and reviews! If you'd like to help us, do please take two minutes to leave a rating & review on Apple Podcasts or iTunes. iPhone users can do it from the app on your phone, android users need to go to iTunes on a laptop/pc. Thanks in advance! https://podcasts.apple.com/za/podcast/runchatlive/id1446286174

This week on the Exercise Is Health podcast, Julie and Charlie discuss plantar fasciitis and why what is often claimed to be one of the most common foot ailments may not actually be a foot issue at all. They discuss what other culprits may be contributing to this foot symptom and how to go about addressing these underlying issues. Check out all of the details in this week's episode! If you would like to find a MAT® practitioner in your area, click here. If you would like to learn more about MAT®, click here. If you would like to learn more about how we use resistance training to help our clients function better with all kinds of orthopedic complaints, click here.

What is Canine necrotising fasciitis? Canine necrotising fasciitis (NF) is an uncommon, deep-seated destructive infection of the skin, subcutaneous, and superficial fascia. Rarely, the process also can occur in the muscle, when it is termed necrotising myositis (NM). Both of these conditions can be associated with another syndrome called toxic shock syndrome (TSS).   Read more.

In this episode, I interview expert podiatrist Damian Gough, and he dives deep into the common hiking problem of plantar fasciitis. Inside he explains what it actually is, and the proven ways a hiker can overcome it.   Plantar fasciitis is the bane of many hikers existence. We have all experienced it. And it is terrible.    All too often I see hikers reaching out for help with this issue, but getting some incredibly poor information in return.    So with this in mind, I invited Damian Gough, an experienced hiker and expert podiatrist on the show,to have a detailed exploration of the common issue of plantar foot pain for hikers.    So if you are currently suffering from some type of plantar foot pain, if you have dealt with it in the past or even if you want to be prepared for it in the future, this episode will be a fantastic resource for you.    You will learn:   A clear explanation and breakdown of over 25 commonly recommended 'solutions' to plantar fasciitis What hikers should look for in recovery footwear when dealing with plantar heel pain One of the most important areas to look for in regards to preventing any type of foot pain The 'green light' approaches which are proven to work for reducing plantar heel pain Some great tips to ensure you get the right fit for you when buying boots   Mentioned in the episode: Archies thongs  Scholl orthaheel  Vionic  Fasciitis fighter Low-Dye strapping You can find Damien and Umina Podiatry here: https://uminapodiatry.com.au/yourfootpain/ === Need some help getting pain-free for the trail? Check out the Pain-Free Hiker Series: https://www.summitstrength.com.au/online-training.html

Back with our hero Curt Young and his new friend planter fasciitis! Curt fills us in on some upcoming fundraisers and events, along with his future goals, some kind and generous donations and the price he will pay for it LMAO!!!! donate to:  heroes.stjude.org/Alpha_curtisyoung and support the podcast at Patreon.com/wesuck  Thanks for listening!!!

In this episode we break down: - What is plantar fasciitis or plantar heel pain - What treatments are supported and what aren't in research - How to educate patients about it and much more! If you'd like to subscribe to MASS Research review, check out this link - http://bit.ly/E3MASS  Our sponsor, Physio Network, has offered a free trial for their monthly research, which you can find at this link - http://bit.ly/PhysioNetworkE3R For future episodes, please subscribe to our podcast and watch for episodes discussing a range of topics from injury prevention to spinal traction. If you'd like to see written form content that goes into full detail on each topic, check out our website E3Rehab.com  Disclosure: we are sponsored by Physio Network and an affiliate for them and MASS. We do believe in their products and stand by them!

This week on the Exercise Is Health podcast, Julie and Charlie are discussing feet and the importance of maintaining healthy foot muscle function.  Your feet are the foundation of your body, and if your foot muscles are dysfunctional, there will likely be dysfunction throughout your body. Julie and Charlie discuss why it is so important to keep your foot muscles strong and functioning well, as well as what you can do at home to help improve the strength and function of your feet. Check out this week's episode for all of the details! Links referenced in this week's episode can be found below: E67 - How Stiff & Supportive Shoes Are Affecting You In More Ways Than You Think Flat Feet - Why Your Feet MUST Flatten List of certified Muscle Activation Techniques® specialists

Hamish Vickerman, the Founder of Fasciitis Fighter, takes us into the process of how wellness equipment are produced and distributed. He shares some insights on designing a product, creating a prototype, sourcing for manufacturers and suppliers, marketing, and also shares how they were able to come up with their product and how they were able to overcome the problems they encountered throughout the production and distribution process.Check out the full episode to learn more!SHOW NOTES[0:01:23.7] Rapid-fire questions: mentors, current activities, etc.[0:05:08.7] How Hamish got interested in Physio[0:07:47.6] What inspired Hamish to start Fasciitis Fighter[0:08:36.3] About plantar fasciopathy[0:10:08.0] Product conception phase[0:12:37.5] Biggest lessons learned in developing a product prototype[0:14:20.7] Learn more about Fasciitis Fighter[0:16:27.3] How to source for manufacturers, suppliers, etc. for your product[0:18:42.3] Sourcing internationally vs. locally[0:20:49.3] The difference between running a product-based business and running a clinic[0:24:01.4] How much work can you expect when you’re running a product-based business?[0:25:10.2] How Hamish interacts with referral partners[0:25:43.9] Will there be more products soon?[0:27:26.1] A word of advice for the listeners[0:28:38.5] Connect with Hamish!MENTIONSFasciitis Fighter (site)Fasciitis Fighter (IG)CONNECT WITH HAMISHFacebookLinkedIn If you like this episode of the Grow My Clinic podcast, please don't forget to like, share, comment, and give us your ratings on iTunes and Stitcher.We appreciate your support and feedback!

Chris Johnson is a highly regarded and esteemed Physical Therapist based in Seattle, USA. Chris is an avid endurance triathlete, a two time Kona Hawaii Ironman qualifier and a Certified Triathlon Coach. Chris is also extensively published in medical literature and has a monthly column on Ironman. In addition to that Chris has a fantastic YouTube Channel and is the co-host of the Runners Zone, a great podcast on all things clinical for practitioners and runners alike and it is this great mix of personal endurance based sports and knowledge and his distinct gift for treating endurance athlete runners that made Chris a fitting  guest to explore this Expert Expedition on all things bone stress injuries.  During this expert edition we discuss all things bone stress injuries, including the diagnosis and assessment of them, concepts such as hitting peak bone mass through the developmental years, how and why runners including myself succumb at times to runners stupidity syndrome, why it is important to tinker with only one variable at a time with return to run programs, debunking some common myths around bones and running and loading. SUBSCRIBE NOW! This episode is sponsored by Fasciitis Fighter Fasciitis Fighter feet are happy feet! The Fasciitis Fighter is a unique exercise device designed by an Australian Physiotherapist which replaces the hassle of the rolled up towel in the evidence based High-load strength training protocol for persistent plantar Fasciitis. Used by thousands of health practitioners around the world as well as professional sports team including teams in the AFL, NFL and NBA to name a few. The Fasciitis Fighter is fast becoming a go to product in the management of plantar fasciitis. Find out more at www.fasciitisfighter.com.au or follow them on Instagram and FB on the handle @fasciitisfighter.  _____ If you enjoyed this episode of The Physical Performance Show please hit SUBSCRIBE for to ensure you are one of the first to future episodes. Jump over to POGO Physio - www.pogophysio.com.au for more details Follow @Brad_Beer Instagram, Twitter, and Snapchat Please direct any questions, comments, and feedback to the above social media handles.

If you have foot pain or heel pain, what many people call plantar fasciitis, the treatments that you probably will hear about could be the worst thing you could ever do, to not only get rid of that problem, but for foot health in general. We're going to find out more about that on today's episode of The MOVEMENT Movement podcast, the podcast for people who want to know the truth about how to move efficiently, effectively, enjoyably and to run, to play, to dance, to do all those things their bodies are meant to do. Join me as I interview Dr. Stephen Gangemi, known as the sock-doc, Dr. Gangemi is a doctor who uses various holistic methods to help return a person to health. You can learn more about Dr. Gangemi at https://sock-doc.com, https://www.drgangemi.com and https://systemshealthcare.net. Thank you for being part of this episode of The MOVEMENT Movement podcast. If you want to hear the other episodes, head over to jointhemovementmovement.com. If you have any questions or comments or somebody you want to recommend for being on the show, a drop an email to move@jointhemovement ovement.com. If you want to be part of the tribe, please subscribe. Always a pleasure to have you here and as always, live life feet first. Take care.

Have you ever had an idea that could change the Podiatry profession? Dr Michael Graham has had a lot of ideas, and instead of just sitting back and wondering 'what if', he has taken action and turned them into reality. He is a serial entrepreneur.  He is an innovator and implementor in the field of foot and ankle medicine and surgery. He has taken a concept and transformed it into the standard of care globally. Dr Graham is the founder of GraMedica and the inventor of the HyProCure Sinus Tarsi Stent. HyProCure®, an Extra-Osseous TaloTarsal Stabilization (EOTTS) Device.   GraMedica is a global orthopedic company specialising in foot and ankle products. Michael Graham has published numerous scientific papers, authored chapters in surgical textbooks, and lectures throughout the world on extra-osseous talotarsal stabilisation and is the author of a new book titled, The Myths of Plantar Fasciitis.  "No matter how good your orthotic is, it cannot Realign the talus and prevent all the STJ instability".    If you want to learn more, attend an event or connect with Dr Michael Graham, here are his other website: Alignmyfeet.com, hyprocuredoctors.com and Graham International Implant Institute. His direct email is Mg@gramedica.com   If you have any questions about the podcast episode, please send me an email at tf@tysonfranklin.com. If you want to know more about my upcoming Marketing Workshops in Australia and overseas, please visit my EVENTS page.   And if you enjoy this podcast series, please tell your podiatry friends. Thank you!

This week on the Exercise Is Health podcast, Julie and Charlie answer a listener-submitted question about the relationship between the function of the feet and how the rest of the body might be feeling. If you have heard any of the previous Exercise Is Health episodes on foot function, this episode is a fantastic follow-up. And if you are concerned about the health and function of your feet, or anywhere else in your body, then you need to give this episode a listen to hear how interrelated your body is. Check out all of the details in this week's episode! Links to references made in this episode can be found below: List of certified Muscle Activation Techniques® practitioners How your shoes could be contributing to your aches and pains E31 - If You Don't Use It, You Will Lose It E54 - Feet - The most overlooked part of your body E67 - How Stiff & Supportive Shoes Are Affecting You In More Ways Than You Think E76 - How Flip-Flops Are Stressing Your Body Compesation - How Your Feet Can Be Creating Back Issues Flat Feet - Why Your Feet MUST Flatten

Dr. Howard Finkelstein, podiatrist at Foot & Ankle Associates of Florida, discusses plantar fasciitis, including causes, treatment options and weird home remedies.

When your patient has heel pain with their first few steps in the morning, after sitting for a while or at the start of a run, a diagnosis of plantar heel pain (PHP) or plantar fasciopathy might jump straight to the top of your list. How will you treat your patients with PHP? How long will it take? How can you explain PHP, the rehab and recovery to your patients? In this podcast with Henrik Riel (Physiotherapist, researcher and PhD candidate at Aalborg University) we take a deep dive into PHP, and how you can treat it, including: How to describe plantar heel pain to your patients How to explain to your patient why they developed PHP, recovery timeframes and rehab Plantar fasciitis, plantar fasciopathy, plantar heel pain? What's the most appropriate terminology? Differential diagnosis for PHP including Neuropathic pain Fat pad irritation, contusion or atrophy Calcaneal stress fracture Other diagnoses How to systematically perform an objective assessment and diagnose PHP Assessment tests to identify factors contributing to your patients pain Whether your patients require imaging How long PHP takes to recover What factors affect your patients prognosis and recovery times How to differentiate your treatment for active or sedentary patients Whether your patients can continue to run with PHP Factors that may hinder the recovery of your sedentary patients, and how to address these Whether your patients should include stretching in their rehab Types of strengthening to include in your rehab - isometric, isotonic or otherwise How many sets and reps should your patients perform of their strengthening exercises Whether orthotics are useful Corticosteroid injections - do they help or increase the risk of plantar fascia rupture? Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Improve your confidence and plantar fasciopathy results with a free trial Clinical Edge membership, and get access to the 3 part webinar series on PHP with Henrik Riel Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Twitter - @Henrik_Riel Research Gate - Henrik Riel Articles associated with this episode: Alshami et al. 2008. A review of plantar heel pain of neural origin: differential diagnosis and management. Chimutengwende-Gordon et al. 2010. Magnetic resonance imaging in plantar heel pain. Dakin et al. 2018. Chronic inflammation is a feature of Achilles tendinopathy and rupture. David et al. 2017. Injected corticosteroids for treating plantar heel pain in adults. Digiovanni et al. 2006. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. Hansen et al. 2018. Long-Term Prognosis of Plantar Fasciitis: A 5- to 15-Year Follow-up Study of 174 Patients With Ultrasound Examination. Lemont et al. 2003. Plantar fasciitis: a degenerative process (fasciosis) without inflammation. Rathleff et al. 2015. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Riel et al. 2017. Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on. Riel et al. 2018. The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized crossover trial. Riel et al. 2019. Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial. Other Episodes of Interest: PE 062 - How to treat plantar fasciopathy in runners with Tom Goom PE 061 - How to assess and diagnose plantar fasciopathy in runners with Tom Goom PE 060 - Plantar fasciopathy in runners with Tom Goom PE 038 - Plantar fasciopathy loading programs with Michael Rathleff PE 012 - Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright

Dr. Michael King, podiatrist and medical director, discusses heel pain, plantar fasciitis and heel spurs. We also debunk the myth of vinegar as a cure for toenail fungus.

Benn Boshell is from the UK and works at Hatt Health & Movement Clinic, and today we talk about finding your passion within the podiatry profession and that it's okay if your thinking changes over time.   Initially, Benn Boshell was going to be a Podiatric Surgeon, there was no question about this, but after completing his Masters in Podiatric Surgery, he decided to head down a different path.    On this episode we discuss: Why he decided to make a pivot in his podiatry career path.  The benefits of doing his Masters in Podiatric Surgery  His podcast The Heel Pain Expert  His book The Plantar Fasciitis Bible Becoming a personal brand and future proofing yourself  Contributing back to the profession  The benefits of being a well-rounded podiatrist The power of maintaining a creative mindset Why you need to follow what interests you the most in podiatry, but it's okay if your passions change The benefits of CPD Final Tip:   If you feel you're in a rut with your career, take a step back and ask, what am I most passionate about? When you have the answer, you'll know which direction you should head and what changes you need to make.  If you have any questions about this podcast episode, please email me at tf@tysonfranklin.com, or you can connect with Benn Boshell at Hatt Health & Movement Clinic or on Twitter @HeelExpert If you enjoyed this episode you might also enjoy: Episode 04: Simon Bartold Developing A Career in Biomechanics & Footwear Click Subscribe If you enjoy listening to the Podiatry Legends Podcast, please click SUBSCRIBE on your podcast player, so you do not miss an episode and tell all your podiatry friends. If you enjoy it a lot, it will put a HUGE smile on my face if you left a REVIEW on iTunes, or wherever you like to listen to podcasts.  Subscribe To My Newsletter If you'd like to be kept up to date with my speaking engagements, EVENTS and other activities, please sign up to my NEWSLETTER, and I promise not to spam you with daily emails telling you how awesome I am.  You may also want to check out my other podcast It's No Secret with Dr T., which is a small business and marketing podcast.  Order My Book It's No Secret There's Money In Podiatry. In Australia, you can order directly from my website, but if you live overseas, I would suggest Amazon or the Book Depository.   

Have you ever had really unpleasant heel pain and then gone to a medical professional who told you that you had Plantar Fasciitis and then gave you an orthotic or an insole or a boot or something to wear to immobilize your foot to treat that? If so, you may have been misled twice. And we're going to find out more including a natural way to address plantar fasciitis on today's episode of the Movement Movement, the podcast for people who want to have happy, healthy, strong bodies. And if you want to find out more, go to: www.jointhemovementmovement.com where you'll find all the previous episodes and all the places that you can find this podcast, both an audio and video and transcription form. Links Mentioned in Podcast: https://xeroshoes.com/barefoot-walking/plantar-fasciitis-and-walking-barefoot https://xeroshoes.com/barefoot-running-tips/i-woke-up-with-plantar-fasciitis-or-did-i https://xeroshoes.com/barefoot-running-tips/can-cure-plantar-fasciitis-barefoot-running https://xeroshoes.com/huaraches/orthotics-vs-barefoot-running https://xeroshoes.com/foot-health/no-support-support https://xeroshoes.com/barefoot-running-humor/brand-new-feet Ebook - How to Treat Plantar Fasciitis Naturally: https://jointhemovementmovement.com/wp-content/uploads/2019/06/How-To-Treat-Plantar-Fasciitis-Naturally.pdf

This week on the Exercise Is Health podcast, Julie and Charlie sit down to discuss the most popular footwear of the season - flip-flops - and how it is stressing out your body.  From bunions, to plantar fasciitis, to knee, hip, and back issues, wearing flip-flops for extended periods of time may create more issues than you can imagine for your joints.  Check out all of the details, as well as what to do about this, in this week's episode! The following resources were discussed during this week's episode: E54 - Feet - The most overlooked part of your body E67 - How Stiff & Supportive Shoes Are Affecting You In More Ways Than You Think 'Tis The (Flip-Flops) Season List of certified MAT® Specialists

This week on the Exercise Is Health podcast, Julie and Charlie discuss a common issue not only in the U.S., but throughout most developed countries - the many effects of stiff and supportive shoes.  Often times, it is thought that stiff and supportive shoes are necessary because they can help to alleviate symptoms such as plantar fasciitis.  However, stiff and supportive shoes can, at times, cause more harm than good.  In this week's episode, Julie and Charlie discuss why you need to proceed with caution when wearing stiff and supportive shoes, as well as what you can do to help your feet - and the rest of your body - feel and function better.  Check out all of the details in this week's episode! Links discussed in this week's episode can be found below: E54 - Feet - The most overlooked part of your body Directory of certified Muscle Activation Techniques® Specialists Free eBook on Muscle Activation Techniques® 5 Exercises You Can Do Anywhere To Strengthen Your Feet

In this episode of #shoptalk, Mike and Nick discuss plantar fasciitis. When it comes to feet, this is a big one. It's a common issue a lot of people encounter and we really wanted to simplify it and help people understand how such a common problem is actually completely preventable and very simple to address when you actually understand what causes it and what you can modify in your life to avoid those causes. They go over what it is, the major variables that cause it, how it's currently treated, what you can do to restore pain-free feet and also to avoid ever having the problem again once getting rid of it. Enjoy!

This week on the Exercise Is Health podcast, Julie and Charlie discuss what is, in their opinion, the most overlooked part of the body - the feet.  The feet are comprised of 28 bones each, 30 if you count the bones of the ankle, and have 50 muscles that are directly responsible for controlling them.  Not only that, but foot issues are diagnosed more that twice as often as type 2 diabetes, making foot issues a HUGE issue.  Check out this week's episode to learn more about why your feet are so important, where the conventional foot approaches get it wrong, and what you can do to help improve the function of your feet! A blog post that is discussed in this episode can be found here: 5 Exercises You Can Do Anywhere To Strengthen Your Feet Also, on May 18, 2019, the Schaumburg Health Summit is coming to the Fairfiled Inn & Suites! Check out everything that is happening and purchase your tickets online here!

Ian Sharman, Joe Uhan and Matt Laye return to Trail Runner Nation to discuss some interesting topics including: Ultrarunning is unhealthy Running by time is better than running by distance Hyperberic treatment vs hypoxic treatment Bottle are better than bladders stretching is good for PF Visit College of Idaho with Assistant Professor, Matt Laye Sharman Ultra - Endurance Coaching Uhan Performance

This week on the Exercise Is Health podcast, Julie and Charlie answer a listener-submitted question about how to exercise if you have plantar fasciitis or are experiencing platar fasciitis symptoms.  They break down the three things you need to keep in mind when you exercise and give you tips to help you keep exercising whether you are symptomatic or not.  As always, make sure to consult with your physician prior to beginning any kind of exercise program, as this information is not intended to treat rehabilitate what you may be experiencing.

This is a discussion with Dr. Kenneth Bernard, an emergency physician working on a Native American reservation in Arizona. We discuss the First Annual Native America and Rural Emergency Medicine Conference. We also discuss a case of necrotizing fasciitis and a minimally invasive procedure that can aid in the diagnosis of this condition.

Welcome to Episode 45 of The Secret Stacks, your podcast about name brand footwear and knockoff drinkware. April Fool’s on Thomas and Kristin - opposite temperature extremes! It’s okay, though - Kristin can escape to the comfy halls and adjoining hotel of C2E2 while Thomas takes a nap on his back, the common cure for plantar fasciitis #GraphicMedicine. Movements regarding spoilers, a new Puerto Rico comics anthology, and 30 Days of Autistic Art are all discussed, plus fresh picks as always.

If you are going to walk a mile in another man's shoes, make sure they provide the right support. In this extended episode, we interview Dr. Sharrona Williams, an orthopedic surgeon who specializes in foot and ankle disorders. We review causes and treatments of many types of foot pain including the very common plantar fasciitis, and others like tarsal tunnel syndrome, metatarsalgia, and Morton's neuroma to name a few. Should we walk barefoot? Is everybody from Texas bowlegged? Is a steroid shot going to help or hurt you?  These are a few of the many questions we ask our expert. Subscribe to our show so you don't miss all the latest in health and medicine! We hope you join us as we dive deep into medicine so you don't have to. You stay safe (and informed) swimming in the shallows. We present the best studies and research in easy to understand and entertaining ways. We gladly accept show topics and ideas from our listeners.

Chronic low back or knee pain keeping you from all the epic things you want to do? Can't seem to keep your hamstrings from tightening up on you during workouts? Shin splints keeping you from running? Your feet are your shock absorbers and the propulsion engines that keep you walking, running, and jumping. Are you taking care of them like you should? Too many of us focus on only the parts of our body that hurt and forget about the crucial role of the feet in our overall health. In this episode Doc J talks about how taking care of your feet is critical to prevent pain, enhance your athletic abilities and keep you spry well into your 100's.

01:03:05 clean edge,running,recovery,david,michael,morning,pain,pope,treatment,trial,strengthening,clinical,loading,orthotics,plantar,physio,heel,fasciitis,physiotherapy,rct,fasciopathy,rathleff info@clinicaledge.com.au (Physio Edge)Physio EdgeInspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical pr

Kateri nació en un pueblo cerca de Auriesville, Nueva York en el año 1656 y era hija de un luchador de la tribu Mohawk. Ella tenía cuatro años cuando su madre murió de rubéola. Esta enfermedad también atacó a Kateri y desfiguró su rostro. Luego de este evento que marcó toda su vida Kateri fue adoptada por sus dos tías y su tío. Kateri se convirtió al catolicismo durante su adolescencia. Ella fue bautizada a los veinte años y esto ocasionó una gran hostilidad hacia ella por parte de su tribu. Aunque tuvo que sufrir grandemente por su fe, ella se mantuvo firme en sus creencias. Después de un tiempo Kateri se fue a una nueva colonia indígena en Canadá. Allí, ella vivió una vida dedicada a la oración, a la penitencia y al cuidado de los enfermos y ancianos. Cada mañana, aun durante los inviernos más fuertes, ella se instalaba frente a la puerta de la capilla hasta que la abriesen, a las cuatro de la mañana, y se mantenía ahí hasta la ultima misa del día. Kateri era muy devota a la Eucaristía y a Jesús Crucificado. Murió el 7 de Abril de 1680 a la edad de 24 años y es conocida como la Flor de Pascua de los Mohawks. A la devoción de Kateri se le atribuye el establecimiento de ministerios para las tribus indígenas en las Iglesias católicas de los Estados Unidos. Kateri fue declarada venerable por la Iglesia Católica en 1943 y fue beatificada en 1980. Miles de personas han visitado sus santuarios, erguidos en San Francisco Javier y en Caughnawage, lugar natal en Auriesville, Nueva York. Hoy en día siguen habiendo grandes peregrinaciones a estos lugares históricos y de gran importancia espiritual. Fue beatificada el 22 de junio de 1980. Santa Kateri Tekakwitha es la primera Indígena Americana declarada beata. Su festividad se celebra el 14 de julio en los Estados Unidos, el martirologio la recuerda el 17 de abril. Ella es considerada patrona de la naturaleza y de la ecología tal como San Francisco de Asís. Aprobado milagro para su canonización No sucedió en un lugar remoto, en circunstancias confusas, ni hace cientos de años... pasó en 2006, en Estados Unidos, en el país mejor comunicado del mundo, en el Hospital Infantil de Seattle y la cámara hiperbárica del centro médico Virginia Mason, bajo la supervisión de un equipo pediatra e interdisciplinar. Su protagonista, Jake Finkbonner, tenía cinco años y estuvo a punto de morir, pero milagrosamente vive... y si no pasa nada extraño vivirá muchos años, y contará su testimonio bien adentrado el siglo XXI. El milagro sucedió en 2006 y hace tiempo que se conocía, pero solo este lunes 19 de diciembre de 2011 el vicepostulador de la causa de Kateri Tekakwitha confirmó que éste es el milagro aceptado en la Congregación de la Causa de los Santos para canonizar a la joven india. Los expertos médicos del proceso de canonización y los que atendieron a Jake, según parece probado, no saben por qué se curó el niño. Todo empezó cuando Jake tenía cinco años y, jugando al baloncesto en su ciudad de Sandy Point, se cayó al suelo y se hizo una herida en la boca. Por esa herida entró la bacteria Fasciitis necrocitante, también llamada Strep A, y, de forma más popular, la "bacteria devoradora de carne". En realidad no come la carne pero genera toxinas que disuelven los tejidos a gran velocidad y a menudo la única forma de salvarse es cortar con rapidez el miembro infectado; así perdió su pierna en 1994 el antiguo primer ministro de Quebec, Lucien Bouchard, o quedó sin brazo en 2004 el Nobel de física Eric Allin Cornell. La madre de Jake, Elsa Finkbonner, lo explica con claridad: "lo normal es que la gente adquiera esta enfermedad en una extremidad, y la solución más simple es amputar. Pero no podías hacer eso por Jake, porque la infección estaba en su cara". Cada día los doctores del Hospital Infantil de Seattle cortaban más y más trozos de piel y tejidos, pero la enfermedad avanzaba. Cada día llevaban al niño a la cercana cámara hiperbárica del centro Virginia Mason: el oxígeno debía ayudar a ralentizar el proceso. Pero la enfermedad no se detenía. Se extendió por el cuello y por los hombros. Cada día los médicos pensaban que el niño iba a morir, pero seguían actuando contra toda esperanza. Mientras tanto, Elsa y su marido Donny rezaban por su hijo. Donny es miembro de la nación india lummi, también llamada Lhaq´temish, de los que quedan unos 5.000, y que son católicos en su mayoría desde que fueron evangelizados por los oblatos en el siglo XIX. Muchos viven en una pequeña península en la costa pacífica, cerca de la frontera de Canadá, y sus ancestros controlaban en esas costas e islas, un pueblo de mar y canoas. Fueron los médicos los que recomendaron a los Finkbonner que llamaran a su sacerdote. El padre Tim Sauer atendía la parroquia de la reserva lummi y dos parroquias más. El padre Sauer llamó al capellán del hospital, conocido suyo, que le dijo "bien, padre, es muy posible que Jake ya no esté aquí mañana". Así entendió que Jake podía morir en cualquier momento. El padre Sauer pensó en la beata Kateri Tekakwitha, hija de un indio mohawk y una india algonquina raptada, cuyo rostro había quedado marcado por la viruela en su infancia, y que dedicó toda su juventud a orar y cuidar enfermos. Se dice que cuando murió, las marcas de su rostro desaparecieron, y todos los enfermos que había estado cuidando se curaron milagrosamente en el día de su funeral. Kateri es patrona de los indios, así que Tim Sauer animó a los padres a rezar pidiendo su intercesión. Lo mismo hicieron en sus tres parroquias, incluyendo la de la nación lummi, y mucha otra gente alertada por los parroquianos. Y la enfermedad remitió. Se detuvo la corrupción de tejidos y desapareció el peligro de muerte. Quedaron las cicatrices y el rostro deformado. Todavía no circulan declaraciones públicas del equipo médico sobre lo que pasó, pero sí ha hablado el vicepostulador de la causa, Paul A. Lenz: "ellos [los médicos de Seattle y los de la comisión del Vaticano] no creen que su habilidad médica fuese la cura; cada noche pensaban que Jake iba a morir". Hoy Jake estudia en Bellingham, en la Assumption Catholic School, y le atrae ser cirujano plástico, pero también arquitecto. Su madre dice que "le emocionará ver al Papa, sería la guinda del pastel para él". Sigue jugando a baloncesto y le gustan los videojuegos. Y tiene un consejo para los que sufren enfermedades que pueden ser mortales. "No os asustéis en absoluto. En cualquier caso, será algo bueno. Si vais al Cielo, estaréis en un lugar mejor. Si vivís, volveréis con vuestra familia", asegura con tranquilidad. Fuente: catholic.net Los videos se encuentran en www.magnificat.tv Otros canales de comunicación de Magnificat TV de los Franciscanos de María: Podcast:http://goo.gl/FRhNmS Youtube : http://goo.gl/slj8LL Twitter: https://twitter.com/MagnificatTV Facebook: https://www.facebook.com/Magnificattv

Physical therapist and founder of Tri Mobile PT (http://trimobilept.com/) Megan Lewis reviews common triathlete injuries. Also, Liz tells her latest injury story and gives tips for plantar fasciitis from sports podiatrist Dr. Dave Hannaford. How to tape for plantar fasciitis: https://www.youtube.com/watch?v=tr11SEWgd6U Night Train Mile swim from Angel Island to Tiburon: http://www.nighttrainmile.com/

Plantar fasciotomy. This is the cutting of the plantar fascia. This can be done either through an open incision in which the plantar fascia is exposed during the cutting process or endoscopically, using small fiberoptic instruments. The effect is the same. It is effective. Most clinical studies cite an 80-95% success rate. His treatment has never set well with me. For all the reasons that I have listed above, the plantar fascia is a very important structure and cutting it can have dire consequences. And when plantar fasciotomies go wrong, they can go very wrong. Some of the most unhappy, painful patient’s that I have seen have been people with failed plantar fasciotomies. The loss of this guidewire to the arch can lead to pain in the joints along the outside of the foot, stress fractures, and I believe, eventually, arthritis within the middle portion of the foot. There have been other methods that have come and gone. Over the last 15 years, I have seen many of them. Orthotripsy or extracorporeal shock wave treatment is the application of repeated high energy shockwave is generated in a water bladder using a spark plug and concentrated onto the heel. This was approved by the FDA in 2000. There was a lot of initial enthusiasm for it. The initial studies showed a 65% success rate with one treatment and an 85% success rate with 2 treatments. However, a later study published in the Journal of the American Medical Association (JAMA) seemed to place the send out. Then, one of the companies most active in manufacturing the machines used for this treatment became embroiled in a false advertising lawsuit. Even though many articles seemed to continue to support this form of treatment, it has become very difficult to get it approved by insurance and to get the machines to do the treatment. Platelet rich plasma is perhaps the one that is most up in the air. During this procedure, blood was taken from the body and spun in a centrifuge. This separates the blood into components. There is the watery plasma which contains soluble proteins and electrolytes. There is the red blood cells which settle to the bottom. Finally, there is the in between layer, which contains platelets, full of growth factors. The problem is that the type and concentration of these growth factors varies from person to person and from technique to technique. Not all of these growth factors are likely to be helpful. So a “soup” of growth factors is used, but it is impossible to tell whether it is the best combination. Some encouraging clinical studies have been published, but a number of them have been discouraging. Botulism toxin is made by bacteria. When it is injected in small doses, it has been used to paralyze muscles in the face, to give a more youthful, wrinkle free appearance. Injection of doses of this protein have been shown to give relief of the plantar fasciitis pain. It is unclear whether this is because it has paralyzed key muscles or because it has some direct pain relieving effect. The dosages that are used can be quite expensive ($2000 or more) Coblation is the burning of small areas of tissue using a radiofrequency probe that has a lower temperature than standard cautery techniques in the operating room. This is passed through the damaged tissue several times. Some good results have been published, but despite the fact that the technique has been around for over 10 years it has not met with widespread acceptance. My own experience with this technique has been somewhat unpredictable. The FAST procedure has been recently introduced. FAST stands for “focused aspiration of scar tissue”, but I’m sure that this abbreviation is used to imply that the technique has a quick recovery. It uses an ultrasound probe to liquefy the damaged tissue within the plantar fascia. Certainly the manufacturer’s and doctor’s in vault in its development have been enthusiastic about its results. Personally, I am still waiting for published results of this procedure. The problem with all of these procedures is that they focus on the scar tissue within the plantar fascia and not the underlying problem, the weakness in the arch muscles. To some extent, without addressing the underlying problem, the procedure may be doomed to fail. In practice, these procedures work a surprisingly large percent of the time. However, often their hype does not live up to the results. In conclusion, the plantar fascia is a key structure in the foot. The foot in turn is an amazing and delicate mechanism. Plantar fasciitis itself is a sign of a weak foot, a condition that is, in place given our shoewear choices, Western lifestyle with its obesity, diabetes, and other medical problems, and increased lifespan. Current surgical management is not adequate, but in the worst cases may be all that we have. Fortunately, in practice, it seems to be largely successful. Unfortunately, they’re too many situations in which it does not give adequate pain control or leads to complications that are worse than the initial problem. Hopefully, new treatments are on the horizon which will give better results and fewer complications. http://www.wholefoot.com/plantar-fasciitis-surgery/feed/ 0

What does plantar fasciitis feel like? Not one of my patients would be in my office if they weren’t experiencing pain. The pain is usually worse for the first couple of steps after getting out of bed or getting up from a seated position. The description attached to this is “The first step is the worst step!”. What is happening is that the muscles in the calf and arch are contracting during rest because of the foot is allowed to relax. The stretching that occurs on the first step increases the force within the plantar fascia and the sensitive plantar fascia becomes painful. This pain often radiates into the calf and forefoot. The location of the pain is very characteristic. It is usually found on the inside and front of the weight-bearing heel. Pain is found in other locations usually have other underlying problems besides plantar fasciitis. This often leads people to conclude that they do not have enough padding under their heel, that they strike heel too hard. This is not the case. When we look at the tissue of plantar fasciitis under a microscope, as we can do after surgery, what we find is both interesting and counterintuitive. First, we do not find inflammation in the tissue. We also don’t see that the tissue damage is located on the spur. What we find is that the damage consists of small tears within the ligament that do not completely heal, leading to blood vessel proliferation and deterioration of the tissue. Who gets it? Certainly, it is more common in people that are overweight. You would expect this because the more that you weigh, more pressure that you are putting on the plantar fascia. People that have restricted ankle range of motion either naturally or after an injury or surgery, also seem to develop it more frequently. So impaired flexibility seems to be an issue. I also see up frequently in athletes and in people with sedentary occupations. So where doesn’t all go wrong? Well, my belief is that plantar fasciitis is rooted in a poorly functioning and weak arch muscles. The weakened muscles fail to protect the plantar fascia, which gradually weakens and tears. The underlying problem is our shoe wear. Our feet were designed without shoes in mind. Our natural state is to walk, shoeless, on rocks, tree roots, and uneven surfaces on the forest floor. In this state, our feet are asked to do a different job than when they are in shoes. When we walk barefoot, our toes are flexing and grasping for purchase in the mud and dirt. This conditions our feet, especially the small arch muscles. In addition, our feet are constantly twisting to adjust to the uneven surfaces. This twisting and torquing of the arch is also a function of the small muscles. When we walk in shoes, the jobs that are feet are asked to do is much more crude. The toes really do nothing. The foot hits the floor as one unit, never allowing the muscles to work much. It would be really much like taking a small child and never allowing them to use her hands without any snug pair of mittens on. By the time that child was an adult, the muscles in their hands may be a capable of grasping and doing fine manipulation of objects. That child’s hand would most likely be permanently impaired from this development. Why would we expect our feet to develop differently? Finally, our sedentary lifestyle contributes by allowing us to be heavier and in worse condition. In many ways, plantar fasciitis can be a sign of overall poor body conditioning. Other contributing factors include the fact that we as a Society are getting older. In some cases, changes in activity and stress to these for structures can precipitate an episode of plantar fasciitis. This is a factor in many forms of tendinitis and stress injury. There was a great man, named Julius Wolff, who came up with a very simple principal that underlies this. Dr. Wolff was one of the first professors of orthopedics in Berlin. He was examining heel bones and noted that this small bony spicules within the bones lined up with the force within the bone. He correctly guessed that the loading of a bone causes it to become stronger over time. However, this remodeling requires time. If the stress overload to the bone, then it can go on to injury before it strengthens. Therefore, training errors during athletics in which a person “overdoes it”, can lead to injury. Other general medical problems can also contribute such as diabetes, atherosclerosis, and inflammatory conditions such as rheumatoid arthritis. So, how do we treat it? Whatever we do, this seems to work 85-90% of the time. Many of the treatments that have been suggested include heat, cold, wrapping with an Ace wrap, taping, therapeutic ultrasound, phonophoresis, deep tissue massage such as using the Graston technique, and soaking in Epsom salts. These methods have many things in common. The first is that they don’t do a darned thing to help cure plantar fasciitis, but they do make it feel better for a while. This may be of some benefit. They also all work the same way. The Gate Theory Of Pain was developed by Melzack and Casey in 1968. It suggests that pain is modified in several areas from the source of the pain, in this case in the foot, to where it is perceived in the brain. The pain nerves are stimulated and conduct their impulses to the spinal cord. If enough impulses stimulate the nerve or gate in the spinal cord, this impulse is relayed to the brain, where we would identify and understand that something painful was occurring. If other nerves such as the nerves that sense cold, heat, pressure, vibration, or light touch are stimulated at the same time, these impulses interfere with the gate in the spinal cord, making it less likely that the pain will be noticed by relaying it to the brain. Placing ice on an injury or rubbing it stimulates these nerves and makes it harder to proceed pain. Another way of treating plantar fasciitis is to reduce the stress on the plantar fascia. Wearing a rigid shoe reduces the motion in the front and middle portions of the foot, reducing stress and hopefully allowing the body to catch up with the injury. Similarly, arch supports can eliminate or reduce motion within the arch, reducing pressure and stress from the plantar fascia. But didn’t you that these were bad for feet? Well, I did say that they were bad for healthy feet. Let’s talk about the stages of healing. Nearly every injury occurs and resolves in a pattern. I use this pattern to help guide my treatment and the degree of activity that is appropriate. Stage I is the acute stage. In this stage, pain is present to the point that it interferes with daily function. During this stage, the injured area should be protected and arrested. Palliation or doing things to simply help with pain is really reasonable. Stretching may be helpful at this stage. Strengthening and conditioning however does not make sense when you can barely make it through the day. To some extent a period of time needs to be allowed to get out of this stage. Hopefully, it will be brief. Stage II is the subacute stage. In this stage, the pain is not functionally limiting. Usually, it is primarily morning pain or pain at the onset of activity. The pain can temporarily increases with activity, but the activity should not aggravate it for any prolonged period of time. It is likely that athletics of any significant intensity may be difficult during this stage. The protection that was begun during the first stage should be gradually removed during this stage. This includes such things as supportive shoes and arch supports. The rehabilitative goals are not only improving flexibility but also beginning strengthening on a gradual basis and conditioning. Stage III is the final stage. The pain has resolved. During this stage, the foot should be gradually exposed to increasing stress to allow it to strengthen. Hopefully, with weight loss, and conditioning, the foot can be strengthened above its preinjury level. At a minimum, rehabilitative exercises should focus on flexibility. As it has been documented scientifically, that tight Achilles tendons and muscles and tight hamstring muscles are associated with the development of plantar fasciitis, improving flexibility of these muscles is a key part of rehabilitation. The stretches focused on the Achilles/gastrocnemius complex, the hamstrings, and the plantar fascia. Strengthening and conditioning exercises focus on the intrinsic muscles. I encourage my patients to do these exercises without shoes. One good exercise is to place the front of the foot on a 2 x 4” and to slowly rotate the heel in a circle, shifting the weight on the forefoot from the inside to the outside during the rotation. Begin by doing this for 30 seconds, 3 repetitions, once a day. Gradually, increase the duration to 5 minutes or more, 3 times a day. Other exercises include balance exercises, such as one leg squats or yoga positioning maneuvers. The intrinsic exercises that I think due to most good involve weight bearing (no towel scrunching or picking up marbles with her toes). As resilience increases, hopping or leaping maneuvers are very helpful and may help you get back to sports. http://www.wholefoot.com/what-does-plantar-fasciitis-feel-like/feed/ 0

http://www.wholefoot.com/plantar-fasciitis-heel-spurs-podcast/feed/ 0

Ask Dr. Ron Radio Show – Dr. Ron Cherubino and cohost Tim Horton discuss acid alkaline nutrition and your health. Related topics include arthritis and plantar fasciitis. www.AskDrRon.com

If you do any type of sports activity then this is the interview for you. Here’s the story: Steve Berkey founded his company, 90 Revolutions, to meet the unique needs of endurance athletes. Injury prevention and performance enhancement are key elements for those training to achieve greater physical outcomes with less pain and more enjoyment. Steve addresses these issues through medical-based bike fits and running analyses that utilize advanced motion software, custom orthotics, and strength and conditioning programs. His physical therapy training coupled with his affinity for running, cycling, and all things outdoors allows him to view training from multiple perspectives: both practical and clinical. 90 Revolutions recently introduced yet another set of aspects and services through the Functional Framework. The Functional Framework is a group of experts that provides services and education in the areas of coaching, nutrition, and sports psychology. Together with Steve’s injury prevention expertise, the team of experts works to meet the complete needs of endurance athletes. Everyone from beginners to experts and weekend warriors to serious, consistent competitors can utilize the services of 90 Revolutions. Visit www.90Revolutions.com to learn more. Sign up for the free biweekly newsletter. Steve welcomes questions and comments through e-mail at steve@90Revolutions.com In this 50 minute interview with Physical Therapist Steve Berkey of 90Revolutions.com discusses many different aspects of injury prevention. Steve describes to you: - what causes shin splints and how to treat them and how to prevent them - when to use ice and heat to treat injuries - the most popular knee pain issues for runners and bicyclists - how to determine if you are using proper running form - what the wear pattern on your shoe can tell you about your form - which type of doctor to see when you are having athletic issues - the most common bicycling stress injuries - how to adjust your bike to prevent injuries like neck and back issues - the best bike seat for both males and females - what is “hot foot” for bicyclists and how to prevent it - what is “turf toe” and what causes it - how to prevent and correct flat feet - plantar fasciitis - what to do for foot blisters - how to prevent your ankle from rolling - which ankle supports are best - Achilles tendonitis and how to treat it - how to strengthen your Achilles to prevent rupture - trigger point therapy - what to do when you first begin to experience pain - when is the best time to stretch - what a physical therapist does