Heel pain is one of the most common painful conditions seen in an arthritis clinic. This article discusses the various types of problems that cause heel pain and what can be done to make the situation better.
It's estimated that more than 1 million persons in the United States suffer from heel pain at any given time.
When a patient complains of heel pain, it must be clarified by history whether the pain is in the bottom of the heel or the back of the heel because the diagnosis and treatment are very different.
Pain in the bottom of the heel is often due to plantar fasciitis (PF). The plantar fascia is a tough band of tissue that begins at the medial (inside) part of the bottom of the heel and extends forward to attach at the ball of the foot. The fascia is responsible for maintaining the normal arch. When an excessive load is placed on the fascia, pain can develop at the origin (the heel) as well as the mid-portion (arch) of the fascia.
PF can develop in anyone but is more common in certain groups such as athletes, people older than 30 years of age, and obese individuals.
PF must be distinguished from other causes of bottom of the heel pain such as nerve entrapment, atrophy of the normal heel fat pad, stress fracture of the calcaneus (heel bone), rupture of the plantar fascia, bone cyst, bone tumor, and bone infection.
The history typically describes a gradual onset of symptoms with no prior trauma. The most telling symptom is severe pain in the bottom of the heel when taking the first morning step. Patients may report difficulty walking to the bath room. The pain tends to lessen with more walking. This "first step" pain is also present during the day if the patient has been sitting for awhile, then getting up to walk.
On exam, pain is noted with pressure applied to the medial bottom of the heel. Tenderness is worsened by pointing the toes and ankle toward the head. This is because the plantar fascia is being stretched. Pain in the arch may also be present.
One in older patients should be ruled out and that is heel pad atrophy. Normally the heel has a thick feeling to it. In older patients the heel pad may lose this thickness and flatten out. The pain is located more centrally.
Another "fooler" is entrapment of the lateral plantar nerve. Pain is felt in the medial heel but may be present at rest as well. There may be weakness spreading the toes.
Fracture of the calcaneus (heelbone) causes pain at rest that is worsened with walking. Tenderness is present along the sides of the heel. Magnetic resonance imaging (MRI) can confirm the presence if fracture.
But what about "bone spurs"? The presence of a bone spur by itself means nothing. They are very common and by themselves are not a cause of pain. Some patients with inflammatory forms of arthritis such as psoriatic arthritis, ankylosing spondylitis, or Reiter's disease have a specific type of spur that should prompt further evaluation looking for systemic forms of arthritis.
Diagnostic studies such as ultrasound and magnetic resonance imaging can be used to confirm the presence of plantar fasciitis. Electromyography (EMG) may be needed to rule out lateral plantar nerve entrapment.
So how is this condition treated?
The first thing is to institute a stretching regimen. Most people with PF also have a shortened Achilles tendon and the ability to dorsiflex (point the toes up) is limited. The plantar fascia is continuous with the Achilles fascia. Stretching the plantar fascia and the Achilles decreases the tension in the plantar fascia and helps relieve inflammation.
A temporary reduction in activity is important in athletes, particularly runners. Cross training with swimming and cycling can help maintain cardiovascular fitness while sparing the plantar fascia from pounding. Runners should avoid hills and make sure that any foot abnormality be corrected with custom orthotics.
Ice massage with ice cubes applied to the plantar fascia can also be helpful.
Shoes with soft heels and inner soles can relieve discomfort. Rigid heel cups and arch supports are generally not recommended. The patient may gradually resume normal activities over an eight week period of time. Rushing rehabilitation is not advised.
If there is no improvement, a night splint which holds the ankle in 10 degrees of dorsiflexion prevents the shortening of the plantar fascia.
If the night splint fails or the pain does not lessen, injection of glucocorticoid (cortisone) using ultrasound guidance is recommended. Injections should be limited to a maximum of two given over four weeks.
Patients who do not get better need to be reevaluated for systemic disease or other conditions causing heel pain.
Surgery is the last resort. Transverse release of the plantar fascia is the procedure of choice. This can be done using arthroscopic guidance.
Pain in the back of the heel is an entirely different condition.
The major structure here is the Achilles tendon which extends down from the gastrocnemius muscle to attach at the rear of the calcaneus.
Inflammation of the Achilles tendon can occur, usually in athletes or in people in engage in overxuberant physical activity involving running or jumping. Patient who are overweight are also at risk. The pain is usually described as a soreness. There is localized swelling and tenderness. Ultrasound can be used to differentiate an inflamed Achilles tendon from one that is partially or fully torn. The treatment involves anti-inflammatory medicines, physical therapy, and stretching exercises. Glucocorticoid injection is not recommended because of the danger of weakening the Achilles tendon leading to rupture. Using a foam rubber lift to elevate the heel in a shoe can help with symptoms.
Achilles rupture is handled surgically and requires a long recuperation.
Haglund's syndrome, which is a condition where a spur develops at the back of the calcaneus and is often associated with localized Achilles tendonitis can also cause pain in the back of the heel. Ill-fitting shoes are the most common cause. Typically a bump develops at the back of the heel. Because of its association with ill-fitting shoes, this is sometimes referred to as a "pump bump." Physical therapy, anti-inflammatory medicines, and stretching can often be of benefit. Glucocorticoid injection should be sparingly employed because of the danger of Achilles rupture. Wearing proper fitting shoes are an obvious adjunctive treatment.
Bursitis involving the retrocalcaneal bursa (the small sack that lies between the Achilles tendon and the calcaneus is a cause of pain behind the heel. Treatment involves the use of physical therapy modalities such as ultrasound. Sometimes glucocorticoid injection may be needed. It is important to limit the injection to one because of the danger of possible weakening of the Achilles tendon leading to rupture. Ultrasound needle guidance is advised to ensure proper localization of the injection.
The diagnosis is made by history and physical examination. Both MRI and ultrasound can be used for confirmation.
Read more: http://nathanwei.articlesbase.com/medicine-articles/my-heel-is-killing-me-it-hurts-so-much-what-is-it-188558.html#ixzz1X53RK67g
Alternative medicine blog, with information, reports, news, everything related on alternative medicine remedies, health conditions, alternative therapies and herbs and supplements vitamins and naturopathy and clean colon.
2011/09/05
A Burning Headache And Some Of Its Causes
Many people suffer from this common nuisance called burning headache every day, in some cases which can even last for days. Burning headache is not a medically recognized term if you were to look around in medical journals and clinical documents, but it's pretty much commonly used. There are many different causes of burning headache, and different people have different parts of the head which aches. Besides, there are also many different causes of this headache, some of which we will be looking at today.
Different Parts of the Head
In many instances, burning headache is related to sinusitis. In that case, the pain is usually on the frontal part of the head, on the forehead, upper cheeks, and sometimes can even travel around the whole face. In other cases, this burning headache can be caused by fever. In this, the pain is usually on both sides of the forehead, which are the weakest points of sensitivity in our head.
Causes
As we have already known, the common reasons for burning headache would be fever, flu, and sinusitis. In these cases, the pain is constant, and can be stinging and tingling, and not to mention burning. It can originate from any side of the head, but usually after a while it will travel to other areas as well.
Some people tend to get thrusts of extreme pains. Although medically there is no proof as to what causes this sudden uprising in the burning headache symptoms, it is believed to be caused by pulsating nerves due to tension.
Burning headache can also be caused by certain other reasons besides the above listed. These are more serious cases such as tumors or growth in the head. In such cases, the pain is not constant like the ones listed above, but comes on and off. The pain is usually violent, far stronger than the ones you get for fever, and not to forget; it pulsates often.
It is also believed that toxins and chemicals can also cause acute or burning headache. This is pretty common to many people, especially those who are not so favorable of newly painted houses, chemical labs, and so on. On top of these, even certain edible toxins and foods can cause burning headache, such as alcohol, caffeine, and so on.
Alcohol and caffeine especially, are believed to be causes of many serious headaches that can cause the whole head to ache severely, with the nerves being extremely tensed.
Read more: http://annmarier.articlesbase.com/medicine-articles/a-burning-headache-and-some-of-its-causes-138084.html#ixzz1X52m5cQT
Different Parts of the Head
In many instances, burning headache is related to sinusitis. In that case, the pain is usually on the frontal part of the head, on the forehead, upper cheeks, and sometimes can even travel around the whole face. In other cases, this burning headache can be caused by fever. In this, the pain is usually on both sides of the forehead, which are the weakest points of sensitivity in our head.
Causes
As we have already known, the common reasons for burning headache would be fever, flu, and sinusitis. In these cases, the pain is constant, and can be stinging and tingling, and not to mention burning. It can originate from any side of the head, but usually after a while it will travel to other areas as well.
Some people tend to get thrusts of extreme pains. Although medically there is no proof as to what causes this sudden uprising in the burning headache symptoms, it is believed to be caused by pulsating nerves due to tension.
Burning headache can also be caused by certain other reasons besides the above listed. These are more serious cases such as tumors or growth in the head. In such cases, the pain is not constant like the ones listed above, but comes on and off. The pain is usually violent, far stronger than the ones you get for fever, and not to forget; it pulsates often.
It is also believed that toxins and chemicals can also cause acute or burning headache. This is pretty common to many people, especially those who are not so favorable of newly painted houses, chemical labs, and so on. On top of these, even certain edible toxins and foods can cause burning headache, such as alcohol, caffeine, and so on.
Alcohol and caffeine especially, are believed to be causes of many serious headaches that can cause the whole head to ache severely, with the nerves being extremely tensed.
Read more: http://annmarier.articlesbase.com/medicine-articles/a-burning-headache-and-some-of-its-causes-138084.html#ixzz1X52m5cQT
Women Can Get Great Benefits From Whey Protein
Women Can Get Great Benefits From Whey Protein
Are you concerned about taking care of your body before and after strenuous activities or workouts? Do you try to avoid supplements that contain additives and possible side effects? I am very particular about what I am putting into my body at all times. I hate the idea of eating or taking something that I am not sure about what it is suppose to do or what side effects may be caused.
If you are interested in better health and improved physical fitness you have surely heard that bodybuilders and other athletes are turning to a simple, natural supplement called whey protein. Whey is the only supplement I take besides my daily multivitamin that I feel safe taking. So lets cover a few questions or concerns many women have about taking protein.
WHY DO ATHLETES USE WHEY PROTEIN?
Protein levels are depleted through exercise. Muscles require amino acids to prevent deterioration, give endurance and build mass. Proteins supply these amino acids to the muscles which is why athletes use whey protein. If you want to gain muscle you have to make sure you have the building blocks for it. Women need protein the same ways that men do so do not be afraid of it.
WHAT IS WHEY PROTEIN?
Commercial whey protein comes from cow's milk. Whey is the by-product of making cheese and was usually thrown away as a waste product. Now researchers know that whey protein is high quality, natural protein that is rich with amino acids essential for good health and muscle building. It is naturally found in mother's milk and also used in baby formula. It is being considered for use as a fortifier of grain products because of its considerable health benefits and bland flavor.
Although protein is also found in other foods such as meat, soy and vegetables, whey protein is proven to have the highest absorption (digestion) levels in comparison to all others.
WHO SHOULD CONSIDER USING WHEY PROTEIN?
Whey protein has many health benefits including immune support, bone health, sports health, weight management and overall well being. And as women, we need all the help we can get to keep out bones strong and supportive. Plus overall health is not a bad thing either. The better nutrition you have in your life the less likely that the flu or other bugs will come knocking on your door.
Because amino acids are 'building blocks' for the human body it is sometimes used by patients to speed up the healing of wounds or burns.
The high quality protein that comes from whey makes it a recommended choice for those who need optimal benefits from restricted diets including diabetics, those on weight management diets and even ill patients not able to consume enough protein in their diet to assist with healing.
CAN WHEY PROTEIN BE DANGEROUS?
Whey protein is a food and so it does not have have the risks associated with other supplements. That said, too much of anything carries risks. Extremely high use of whey protein can overload the liver which can cause serious problems. Moderation is always recommended.
If you are lactose intolerant you might try whey protein isolate which has less than 1% lactose and should be tolerable for most users.
Whey protein is a natural and healthy way to bring protein into your diet and increase well being.
WILL WHEY BULK ME UP?
No, women lack the hormones that men have that allow them to get those large bulky muscles. Women will get an overall toned appearance without looking like the Hulk. Those women you see in body building competitions more often than not achieve their unusual frame by injecting additional hormones or supplements into their body. But no, with the use of whey you will not look like these women.
SOME TRICKS WITH WHEY
If you buy the powder you will be able to do a lot more than just simple shakes. But for shakes be create.
Mix the whey with milk and maybe add some strawberries or blueberries to make the best shakes around!
When you bake cookies scoop some whey in for a power cookie
If you drink coffee but some chocolate whey in to make a great mocha
The possibilities are endless, get your creative juices going!
Read more: http://taylorryan.articlesbase.com/nutrition-articles/women-can-get-great-benefits-from-whey-protein-261295.html#ixzz1X52u7dga
http://www.articlesbase.com/diseases-and-conditions-articles/skin-lightening-secrets-for-hyperpigmentation-229333.html
Are you concerned about taking care of your body before and after strenuous activities or workouts? Do you try to avoid supplements that contain additives and possible side effects? I am very particular about what I am putting into my body at all times. I hate the idea of eating or taking something that I am not sure about what it is suppose to do or what side effects may be caused.
If you are interested in better health and improved physical fitness you have surely heard that bodybuilders and other athletes are turning to a simple, natural supplement called whey protein. Whey is the only supplement I take besides my daily multivitamin that I feel safe taking. So lets cover a few questions or concerns many women have about taking protein.
WHY DO ATHLETES USE WHEY PROTEIN?
Protein levels are depleted through exercise. Muscles require amino acids to prevent deterioration, give endurance and build mass. Proteins supply these amino acids to the muscles which is why athletes use whey protein. If you want to gain muscle you have to make sure you have the building blocks for it. Women need protein the same ways that men do so do not be afraid of it.
WHAT IS WHEY PROTEIN?
Commercial whey protein comes from cow's milk. Whey is the by-product of making cheese and was usually thrown away as a waste product. Now researchers know that whey protein is high quality, natural protein that is rich with amino acids essential for good health and muscle building. It is naturally found in mother's milk and also used in baby formula. It is being considered for use as a fortifier of grain products because of its considerable health benefits and bland flavor.
Although protein is also found in other foods such as meat, soy and vegetables, whey protein is proven to have the highest absorption (digestion) levels in comparison to all others.
WHO SHOULD CONSIDER USING WHEY PROTEIN?
Whey protein has many health benefits including immune support, bone health, sports health, weight management and overall well being. And as women, we need all the help we can get to keep out bones strong and supportive. Plus overall health is not a bad thing either. The better nutrition you have in your life the less likely that the flu or other bugs will come knocking on your door.
Because amino acids are 'building blocks' for the human body it is sometimes used by patients to speed up the healing of wounds or burns.
The high quality protein that comes from whey makes it a recommended choice for those who need optimal benefits from restricted diets including diabetics, those on weight management diets and even ill patients not able to consume enough protein in their diet to assist with healing.
CAN WHEY PROTEIN BE DANGEROUS?
Whey protein is a food and so it does not have have the risks associated with other supplements. That said, too much of anything carries risks. Extremely high use of whey protein can overload the liver which can cause serious problems. Moderation is always recommended.
If you are lactose intolerant you might try whey protein isolate which has less than 1% lactose and should be tolerable for most users.
Whey protein is a natural and healthy way to bring protein into your diet and increase well being.
WILL WHEY BULK ME UP?
No, women lack the hormones that men have that allow them to get those large bulky muscles. Women will get an overall toned appearance without looking like the Hulk. Those women you see in body building competitions more often than not achieve their unusual frame by injecting additional hormones or supplements into their body. But no, with the use of whey you will not look like these women.
SOME TRICKS WITH WHEY
If you buy the powder you will be able to do a lot more than just simple shakes. But for shakes be create.
Mix the whey with milk and maybe add some strawberries or blueberries to make the best shakes around!
When you bake cookies scoop some whey in for a power cookie
If you drink coffee but some chocolate whey in to make a great mocha
The possibilities are endless, get your creative juices going!
Read more: http://taylorryan.articlesbase.com/nutrition-articles/women-can-get-great-benefits-from-whey-protein-261295.html#ixzz1X52u7dga
http://www.articlesbase.com/diseases-and-conditions-articles/skin-lightening-secrets-for-hyperpigmentation-229333.html
Skin Lightening Secrets for Hyperpigmentation
Some don't even know it. There are skin lightening products to help get rid of your hyperpigmentation, melasma, freckles, uneven skin tone, dark skin discolorations, acne scars, dark underarms, elbows, knees or inner thighs. But a safety issue is raised over the availability of harmful skin lighteners or whiteners in the market.
Knowing what to choose and how to use will help you achieve the fair skin tone from products that actually deliver.
Success in skin lightening of dark skin pigmentations does not rely on products alone. In addition to the skin whiteners, a good regimen should also include sunscreen, Vitamin C and moisturizers.
A good sunscreen should have a high Sun Protection Factor (SPF) of 50 or better to prevent further darkening or sun damage. You should know that the powerful sun radiates both UVA and UVB rays that a good sunscreen should block. UVA rays are capable of aging and wrinkling of the skin, while UVB is the culprit for sunburn and probable skin cancer. If you should look for the ingredients in a sunscreen, choose the ones with Avobenzone, Zinc Oxide, PArsol 1789 or Mexoryl-SX. Wear sunscreen at all times whenever outdoors, whether you're in a skin lightening regimen or not
.
500mg of Vitamin C supplement can decrease the production of melanin (brown pigments responsible for skin tanning). Ever wonder why glutathione (whitening) pills are taken with Vitamin C? It's the ascorbic acid that does most of the job actually, so you'd be better off taking these supplements while using skin lightening products for best results.
Your favorite moisturizers will keep your skin hydrated during the skin whitening process. Remember skin lighteners have a mild drying effect (that's why in some cases, acne is controlled while lightening the acne scars) necessary to prepare the skin for exfoliation and peeling off the dull and unwanted dark skin patches. You should apply your face cream or body lotions 15-20 minutes after using the skin lightening products.
Suggested time to apply skin lighteners is at bedtime, then use sunscreen at daytime.
Follow these simple secrets and you'll be on your way to better self esteem, even skin tone and a rosy whiter skin
!
Read more: http://www.articlesbase.com/diseases-and-conditions-articles/skin-lightening-secrets-for-hyperpigmentation-229333.html#ixzz1X534mnnU
Knowing what to choose and how to use will help you achieve the fair skin tone from products that actually deliver.
Success in skin lightening of dark skin pigmentations does not rely on products alone. In addition to the skin whiteners, a good regimen should also include sunscreen, Vitamin C and moisturizers.
A good sunscreen should have a high Sun Protection Factor (SPF) of 50 or better to prevent further darkening or sun damage. You should know that the powerful sun radiates both UVA and UVB rays that a good sunscreen should block. UVA rays are capable of aging and wrinkling of the skin, while UVB is the culprit for sunburn and probable skin cancer. If you should look for the ingredients in a sunscreen, choose the ones with Avobenzone, Zinc Oxide, PArsol 1789 or Mexoryl-SX. Wear sunscreen at all times whenever outdoors, whether you're in a skin lightening regimen or not
.
500mg of Vitamin C supplement can decrease the production of melanin (brown pigments responsible for skin tanning). Ever wonder why glutathione (whitening) pills are taken with Vitamin C? It's the ascorbic acid that does most of the job actually, so you'd be better off taking these supplements while using skin lightening products for best results.
Your favorite moisturizers will keep your skin hydrated during the skin whitening process. Remember skin lighteners have a mild drying effect (that's why in some cases, acne is controlled while lightening the acne scars) necessary to prepare the skin for exfoliation and peeling off the dull and unwanted dark skin patches. You should apply your face cream or body lotions 15-20 minutes after using the skin lightening products.
Suggested time to apply skin lighteners is at bedtime, then use sunscreen at daytime.
Follow these simple secrets and you'll be on your way to better self esteem, even skin tone and a rosy whiter skin
!
Read more: http://www.articlesbase.com/diseases-and-conditions-articles/skin-lightening-secrets-for-hyperpigmentation-229333.html#ixzz1X534mnnU
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