Podcasts about metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 8Olááá! No oitavo, e último, episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior falo sobre o uso de órteses e palmilhas ortopédicas, que foram peças-chave no meu tratamento. Ademais, compartilho minhas experiências com modelos personalizados e opções mais acessíveis.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 7Olááá! No sétimo episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior compartilho como a escolha de sapatos, meias de compressão e tênis mais largos ajudou a aliviar minhas dores e melhorar meu desempenho.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 6Episódio 6 - Exercícios para lesões na corridaOlááá! Neste episódio, mostro os exercícios de fortalecimento e alongamento que fizeram parte do meu tratamento. Eles foram essenciais para corrigir desequilíbrios e prevenir novas lesões.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Send us a textWe tackle three common orthopedic questions submitted through YouTube, Facebook, and podcast emails. From diagnostic challenges to treatment options, these Q&As provide practical guidance for patients experiencing hip, foot, and knee conditions.• Young adults with hip pain that mimics arthritis might actually have labral tears or femoral acetabular impingement requiring MR arthrogram for diagnosis • Morton's neuroma and metatarsalgia can coexist because they share common causes like calf tightness and forefoot pressure• Metatarsalgia encompasses several diagnoses including sesamoiditis, capsulitis, and plantar plate tears• Morton's neuroma typically causes paresthesia in the third/fourth toes with sharp, shocking pain• Treatment for foot conditions includes orthotics, stretching, metatarsal pads and intrinsic strengthening• ACL tears won't heal themselves, but some patients can function well without surgical repair• Secondary restraints (menisci, capsule, muscles) significantly influence knee stability after ACL injury• Non-athletes and those avoiding cutting/pivoting sports are better candidates for non-surgical ACL management

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 5Olááá! No quinto episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior compartilho como usei escalda pés, moxabustão e argila verde para relaxar e aliviar as dores nos pés. Ademais, também explico os benefícios dos óleos essenciais usados nesses tratamentos.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 4Olááá! No quarto episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior conto como venci a dor com a ajuda da acupuntura. Ademais, compartilho minha experiência com as sessões e como essa técnica tradicional chinesa foi decisiva para aliviar os sintomas.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Contato dos profissionais do vídeo:Terapeuta Fátima dos AnjosInstagram: https://www.instagram.com/fatimadosanjos.oficial/Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 3Olááá! No terceiro episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior, mostro como a fisioterapia, as massagens e a liberação miofascial foram fundamentais para minha recuperação. Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Contato dos profissionais do vídeo:Massoterapeuta Allan Dourado: (21) 96773-4351Instagram: https://www.instagram.com/massoterapia_douradostudio/Osteopata Raphael Caliman: (21) 99272-1722Instagram: https://www.instagram.com/osteopataraphaelcaliman/Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 2Olááá! No segundo episódio, compartilho como foi o início do tratamento com remédios para aliviar as dores causadas pela metatarsalgia e pela tendinite. Vou contar o que funcionou para mim e por que é tão importante buscar orientação médica para escolher o medicamento ideal.Importante ressaltar que NÃO indico nenhum medicamento no vídeo, ok? Afinal, não sou médica e não vou exercer a profissão ilegalmente.No entanto, converso sobre a importância de encontrar o melhor remédio para o seu tratamento.Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Lesões na corrida: a metatarsalgia e a tendinite na minha vida de corredora - Episódio 1Olááá! No primeiro episódio da série sobre lesões na corrida, especificamente sobre a metatarsalgia e a tendinite do tibial posterior compartilho como tudo começou. Portanto, vou contar os detalhes sobre os primeiros sintomas da metatarsalgia e como essa dor impactou minha vida de corredora. Além disso, falo sobre a descoberta da tendinite do tibial posterior durante os treinos para a Ultra Maratona dos Anjos.Se você também sofre com dores nos pés ou está enfrentando problemas semelhantes, esse vídeo é para você!Não se esqueça de conferir o artigo completo no Viajar correndo com ainda mais informações e detalhes: Metatarsalgia

Today's episode, "Treating Various Causes of Metatarsalgia" is a continuation of last week's episode.  This week I talk about...-The importance of proper shoe ware-What type of stretching is most beneficial-When orthotics are indicated, what type to use and so much more!(Video) Proper metatarsal pad placement(Video) Claw toes, Hammer toes and met pad placement(Video) Metatarsalgia and Morton's NeuromaMeet our new sponsor: Tread Labs!!

In today's episode called "Causes of Metatarsalgia" we will be discussing...-Anatomy related to the ball of the foot-The various causes of metatarsalgia-Contributors to some of these diagnoses and so much more!Meet our new sponsor: Tread Labs!!

-What does it mean if I pass the bear hug test but not the lift-off test?-Will a proximal biceps rupture heal itself?-Do you make the orthotic the same for a Morton's neuroma as you do for  Metatarsalgia?-I had severe back pain which lasted for 2 weeks and suddenly the back pain got better and I developed tingling and pain down my left leg. “Is that normal?”Last episode for 2023. “Thank you” to all who listen to the ortho eval pal podcast. So greatly appreciated.

Nuevo programa dedicado a la podología deportiva, con Albert Casas, de Clinik Podología, en Terrassa (Barcelona).En esta ocasión hablamos de las lesiones más comunes en los pies, en relación al tipo del calzado.Albert Casas nos explica qué son:-las metatarsalgias-los neuromas de Morton-la fascitis-la tendinitis de AquilesPuedes contactar con Albert y su equipo en:https://clinikpodologia.com/Me puedes encontrar en:juan@ellaboratoriodejuan.com

Today's episode comes from one of the Doc On The Run YouTube viewers.   Casey wrote in and he said,  “This year I suffered from this problem after switching to zero drop running shoes and I was finally running pain free. The zero drop running shoes made me into a forefoot runner instead of a heel striker. I was doing great but then I started having pain in the ball of my foot from a callus. I then started having this pain and I did exactly what you said to do in this video and it worked great and specifically this video showing how to remove a callus in a specific way with a specific technique.” He also said, “Great information here, everything I was researching kept saying it was metatarsalgia but my pain was different. Thank you for the great video.” Many runners get unfairly stuck with a metatarsalgia diagnosis.  What is the intractable dubious metatarsalgia diagnosis?  Well, that's what we're talking about today but the Doc On The Run Podcast. 

Today's question comes from one of the YouTube viewers. Tasnim, wrote in and wanted to know whether or not "stress reaction" is the same terminology that is used in the UK for the term "metatarsalgia".    This question points out how confusing these two terms can be when you have forefoot pain that might be a stress fracture, might be a plantar plate sprain, or could even be a neuroma.    Are stress "reaction" and "metatarsalgia" the same terms?    Well, that's what we're talking about today on the Doc On The Run Podcast. 

Desde la consulta de Albert Casas, de Clinik Podología (Terrasa, Barcelona), hablamos de varios de los conceptos que más preocupan a los corredores, en este caso, las dudas a las que da respuesta Albert, son las siguientes:-Los pies planos, ¿son una "desventaja" para correr, qué zapatilla puede utilizar este tipo de corredor?-¿Qué es la metatarsalgia? ¿Qué drop es el más aconsejable para esa patología?-Esguinces: cómo prevenirlos, y qué características han de reunir las zapatillas más apropiadas.Clinik Podología. Carrer Gaileu, 305. 08224 Terrassa (Barcelona). Tlf.: 93 854 40 84Mail: info@clinikpodologia.comPara contactarme:juan@ellaboratoriodejuan.com

I do a regular segment over on the Backcountry Hunting Podcast called “Backcountry Fitness and Nutrition.” This was a recent edition and I’m sharing it here because forefoot pain known as metatarsalgia is such a commonly occurring problem for many Lifetime Athletes. This podcast was brought to you by The Lifetime Athlete Coaching and Training Services. Our focus is helping…

Today we answer your questions:1. How do you differentiate between tarsal tunnel syndrome, Morton's neuroma and metatarsalgia?2. Can a rotator cuff tear cause forearm, wrist and hand pain?3. What kind of shoe would you recommend for sesamoiditis which led to lateral foot pain?4. Do all meniscus tears need to be surgically fixed?5. Is it better to stretch a frozen shoulder aggressively or lightly?(Video) Tarsal Tunnel Eval(Video) Morton's Neuroma and Metatarsalgia explained(Video) Sesamoiditis (Video) Frozen Shoulder demo(Video) Meniscus Tear EvalWant to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 460+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#mortonsneuroma #metatarsalgia #tarsaltunnelsyndrome #meniscustears #frozenshoulder #rotatorcuff #sesamoiditis  #OrthoEvalPal #SpecialTests #Orthopedics #physicaltherapy #physicaltherapytests #athletictrainingSupport the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

Got ball of foot pain? DocJen & Dr. Dom have got you covered in the anatomy related to Metatarsalgia and causes that may be contributing to your symptoms. Then, they discuss how the walk or run cycle may affect the risk of Metatarsalgia or how having ball of foot pain may change your mechanics, as well as steps to consider to rehabilitate Metatarsalgia. Let's dive in! Preventative foot health! We're sharing discount codes, 'OPTIMAL' for VivoBarefoot Shoes and Naboso. Grab your Naboso toe splay and insoles to increase the feedback and your connection to your feet and insert them into your VivoBareffot shoes. This could not be the most optimal combination for foot health and longevity! Grab your ViivoBarefoot shoes & Naboso items! What You Will Learn PT Pearl: 02:50 - What is it? 03:30 - Primary vs Secondary metatarsalgia 04:37 - Major symptoms 05:03 - Potential cause 09:21 - Step to rehabilitate metatarsalgia 21:28 - Assessing your shoes Watch Episode 240 on Youtube For research and full show notes, visit the full website at: https://www.docjenfit.com/podcast/episode240/ Thank you so much for checking out this episode of The Optimal Body Podcast. If you haven't done so already, please take a minute to subscribe and leave a quick rating and review of the show! --- Send in a voice message: https://anchor.fm/tobpodcast/message

In this episode of PodMD, Australian trained orthopaedic surgeon Dr Gayle Silveira will be discussing the topic of Forefoot pain or metatarsalgia, including what metatarsalgia is, what GPs should do before referring, the management of the condition and more.

Hey everyone! Paul here with episode 153: Orthotics and Insoles- Corrective, Accomodative and Intelligent!  Soooooo many insoles and orthotics to choose from that it's overwhelming and confusing. Well, today I will try to bring you tidbits of information about the following:-Differences between all the above.-When one insole is indicated over the other.-Deceptive packaging.-Most commonly treated diagnoses with each insole and much more!!!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.WE HAVE A NEW WEBSITE!! Click HERE to check it outAre you looking for One on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 380+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!Interested in our Sponsor Products? Click EZ Glider Socks or Fresh Rest Bedding or EZ SlantWant to start your own podcast? I use Buzzsprout. Sooo easy to use and the customer service is outstanding!!#CustomOrthotics #OrthoEvalPal #OrthopedicEvaluations #Insoles #FixFootPainSupport the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

Ever wonder why ankle dorsiflexion is so important? Today I will briefly review some foot and ankle biomechanics, talk about injuries caused by loss of dorsiflexion, maximizing dorsiflexion to increase function and performance and more! I will also talk about my favorite ways to gain ankle dorsiflexion and why.WE HAVE A NEW WEBSITE!! Click HERE to check it outAsk me your ortho evaluation questions: paul@orthoevalpal.comBe sure to check out our 330+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval PalIf you are serious about Ortho Eval Pal content, click HERE and ask to join our closed Facebook page.#Equinus#CalfTightness#OrthoEvalPal#SquatBetterSupport the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

In this latest Clinical Conditions from Shawn Eno of Xtreme Footwerks (Ep. 66) talks about Metatarsalgia. This condition can be tough as it has a lot of general pain which can make it hard to diagnose. Along with that, it makes for difficult treatment through trying to address the underlying issue that is causing the pain. Shawn breaks down all the information on the anatomy and offers some practical treatments to try for resolving it. For more information or if you have questions about interventions check out their website at www.xtremefootwerks.com www.clinicallypressed.com #complicatedsimple #progressive #openminded #PBE #EBP #noagenda #performance #training #nutrition #health #wellness #athlete #athletictraining #science #chiropractic #rehab #prevention #clinicallypressed #footpain #tendonititis #shoes #footwear #ankle #MET #metatarsal #metatarsalgia #foot #pain #flatfeet #flatfoot

Over 75% of us will experience foot problems in our lives. It's no wonder, considering that our feet endure 5 TONS of pressure every year. In this episode, discover: --How your back, neck, or knee pain may be connected to problems in your feet. --How chiropractic care should be your first option in treating foot problems (such as Plantar Fasciitis, Metatarsalgia, Morton's Neuroma, Hallux Valgus (bunions), Shin Splints, & Iliotibial Band Syndrome). --The computerized analysis that can diagnose one of 45 abnormal motions in the feet. --The treatment that Dr. Prather days has "almost 100% results" in improving circulation and has even helped patients avoid amputation of toes and feet. --Why oncologists refer patients to Dr. Prather to help with the neuropathy that comes as a side-effect of chemotherapy. --How custom orthotics retrain and rehabilitate the function of feet. --The mineral that Dr Prather "has not had an exception" in eliminating foot odor. --How neuropathy and nutrition are linked. --Why women have more feet problems than men (and why flip-flops and baby shoes can harm feet). www.TheVoiceOfHealthRadio.com  

Do you have pain in the ball of your foot??

In Episode 32 I talk about what healthcare providers need to know about orthotics! When to request them, who is the right candidate for orthotics, different diagnoses treated with orthotics and much more! There are many different types of orthotics to go on many different foot types. I'll help you sort through this so…WE HAVE A NEW WEBSITE!! Click HERE to check it outJoin our email list: Hit SUBSCRIBE on our WebsiteOne on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 330+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval PalIf you are serious about Ortho Eval Pal content, click HERE and ask to join our closed Facebook page.#OrthoEvalPal#PaulMarquis#CustomOrthotics#FootPain#physicaltherapyThe post Episode 32-Orthotics for healthcare providers! appeared first on Ortho Eval Pal.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

In today's episode I talk about how to recognize metatarsalgia and Morton's Neuroma. They can look alike but are very different. Here are a few pearls to go by when evaluating the forefoot. Metatarsalgia is most common between the 2nd and 3rd distal metatarsal heads. Loss of plantar fat pad can contribute to metatarsalgia A...Video of patient with MetatarsalgiaWE HAVE A NEW WEBSITE!! Click HERE to check it outJoin our email list: Hit SUBSCRIBE on our WebsiteOne on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 330+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval PalIf you are serious about Ortho Eval Pal content, click HERE and ask to join our closed Facebook page.#OrthoEvalPal#PaulMarquis#ForefootPain#Metatarsalgia#physicaltherapyThe post Episode 30-Metatarsalgia and Morton's Neuoroma appeared first on Ortho Eval Pal.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

Metatarsalgia is a catch all term for forefoot pain, but there are many causes and the treatment will be different for each one, so it is important to get the right diagnosis to speed your recovery. Apologies for the short delay in the recording until the podcast begins

Learn about possible foot injuries due to overuse.We spend a lot of time on our feet. Foot injuries are fairly common. Forefoot Injuries Bunions - big toe angled inward at an unusual angle. Sesamoiditis - pain under the big toe joint, especially in runners and kickers. Morton's neuroma - pain and numbness between the third and fourth toes caused by a nerve entrapment. Metatarsalgia - pain under the ball of the foot. Arch Injuries Plantar fascia strain - pain along the inside of the arch. Stress fractures - frequently appearing in athletes and those with C-curved feet. Heel Injuries Heel spur - irregular bone formation resulting from arthritic change. Tendonitis is also common throughout the foot from overuse. Shoes are the base of support for your entire body. Stilettos don't have the infrastructure to support you. Stilettos also shorten the calf muscle and Achilles tendon. Ballet flats can also be troublesome because the support isn't there. It's best to wear a running shoe for exercise, even if you're just walking. Running shoes are more supportive. You might need insoles to provide extra support. Stretch your feet by sitting with your legs in front of use. Use a towel or band to gently pull the top of your feet toward you. Lie back, bend the knee and gently pull your foot back again. Extend the leg and use the band with each foot to stretch your leg muscles. Stand with your back to the wall and lift your toes a few times. Turn around and raise your heels for a few repetitions. Listen as Dr. Jeffrey Ross joins Melanie Cole, MS, to discuss overuse injuries to the feet.

Learn about possible foot injuries due to overuse.We spend a lot of time on our feet. Foot injuries are fairly common. Forefoot Injuries Bunions - big toe angled inward at an unusual angle. Sesamoiditis - pain under the big toe joint, especially in runners and kickers. Morton’s neuroma - pain and numbness between the third and fourth toes caused by a nerve entrapment. Metatarsalgia - pain under the ball of the foot. Arch Injuries Plantar fascia strain - pain along the inside of the arch. Stress fractures - frequently appearing in athletes and those with C-curved feet. Heel Injuries Heel spur - irregular bone formation resulting from arthritic change. Tendonitis is also common throughout the foot from overuse. Shoes are the base of support for your entire body. Stilettos don’t have the infrastructure to support you. Stilettos also shorten the calf muscle and Achilles tendon. Ballet flats can also be troublesome because the support isn’t there. It’s best to wear a running shoe for exercise, even if you’re just walking. Running shoes are more supportive. You might need insoles to provide extra support. Stretch your feet by sitting with your legs in front of use. Use a towel or band to gently pull the top of your feet toward you. Lie back, bend the knee and gently pull your foot back again. Extend the leg and use the band with each foot to stretch your leg muscles. Stand with your back to the wall and lift your toes a few times. Turn around and raise your heels for a few repetitions. Listen as Dr. Jeffrey Ross joins Melanie Cole, MS, to discuss overuse injuries to the feet.

If you are a runner and you start having pain in the ball of your foot, you might be worried that you have a stress fracture. So you have a couple of choices. One option is to go see your local orthopedist or sports medicine podiatrist. The second option is to stop running and see if the pain gets better. ​​​​​​​If you’re listening to this podcast right now you are likely not very interested in option number two. After all, most runners want to run. So you might try to figure out a third option such as trying to treat the problem yourself. Although I believe it is truly possible and reasonable for most runners to figure out the problem and attempt to address it themselves, this episode is going to discuss what happens when you actually go to a doctor with pain in the ball of your foot and you are diagnosed with a condition called “metatarsalgia.”

Over 75% of us will experience foot problems in our lives. It's no wonder, considering that our feet endure 5 TONS of pressure every year. In this episode, discover: --How your back, neck, or knee pain may be connected to problems in your feet. --How chiropractic care should be your first option in treating foot problems (such as Plantar Fasciitis, Metatarsalgia, Morton's Neuroma, Hallux Valgus (bunions), Shin Splints, & Iliotibial Band Syndrome). --The computerized analysis that can diagnose one of 45 abnormal motions in the feet. --The treatment that Dr. Prather days has "almost 100% results" in improving circulation and has even helped patients avoid amputation of toes and feet. --Why oncologists refer patients to Dr. Prather to help with the neuropathy that comes as a side-effect of chemotherapy. --How custom orthotics retrain and rehabilitate the function of feet. --The mineral that Dr Prather "has not had an exception" in eliminating foot odor. --How neuropathy and nutrition are linked. --Why women have more feet problems than men (and why flip-flops and baby shoes can harm feet). www.TheVoiceOfHealthRadio.com  

Over 75% of us will experience foot problems in our lives. It's no wonder, considering that our feet endure 5 TONS of pressure every year. In this episode, discover:--How your back, neck, or knee pain may be connected to problems in your feet.--How chiropractic care should be your first option in treating foot problems (such as Plantar Fasciitis, Metatarsalgia, Morton's Neuroma, Hallux Valgus (bunions), Shin Splints, Iliotibial Band Syndrome).--The computerized analysis that can diagnose one of 45 abnormal motions in the feet.--The treatment that Dr. Prather says has "almost 100% results" in improving circulation and has even helped patients avoid amputation of toes and feet.--Why oncologists refer patients to Dr. Prather to help with the neuropathy that comes as a side-effect of chemotherapy.--How custom orthotics retrain and rehabilitate the function of feet.--The mineral that Dr Prather "has not had an exception" in eliminating foot odor.--How neuropathy and nutrition are linked.--Why women have more feet problems than men (and why flip-flops and baby shoes can harm feet).www.TheVoiceOfHealthRadio.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

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