Tag: heel pain

Health And Fitness

What is the treatment of Severs disease in the foot?

Natasha Meldrum

Sever's disease, also called calcaneal apophysitis, is a very common disorder which impacts the growth plate at the back of the heel bone in children and adolescents. This is believed take place in times of rapid growing as well as physical activity, usually in between the ages of 8 and 15. The typical symptom is pain at the rear of the back heel which is even worse if you squeeze it at the edges of the heel bone. When the adolescent reaches the mid-teenage years the growth location at the rear of the heel bone combines along with the rest of the heel bone and it is not possible to have Severs disease following that time. They will certainly always grow out it, but as it can be painful and can be stressful for the youngster and mothers and fathers, therefore it needs to be treated.

The key goal of treatment for Sever's disease would be to alleviate pain and inflammation when enabling the child to continue with their regular activities. It can certainly be a case of managing the symptoms until they grow out of it in the mid-teenage years. The principal aim of dealing with Sever’s disease is rest. That's not total rest however is all about lowering or for the short term staying away from activities which intensify the discomfort is significant. This could include things like sports activities, running, or some other high-impact exercises. Relative rest enables the inflamed tissue within the heel to recover. Applying ice to the affected region following exercise can help decrease irritation as well as lowering discomfort. Stretching for the calf muscles and Achilles tendon can be helpful to alleviate stress to the heel's growth area. These stretching exercises must be carried out regularly and under the guidance of a healthcare professional or physiotherapist. The child ought to use well-fitting, supporting shoes with higher arch support as well as padding. Avoid shoes with flat soles or insufficient support and also have no padding. In some cases, foot orthotic insoles may be proposed to give additional support and padding for the heel. Padding heel cups or lifts are usually helpful. They are insoles that could be placed within the shoe to help in reducing stress on the Achilles tendon and the growth area. Over-the-counter pain medications like ibuprofen or naproxen might need to be used when the pain gets very painful. A physiotherapist may provide help with best suited exercises, stretches, and techniques to deal with pain and encourage healing.

The key element of the rehabilitation for Sever’s disease is exercise alteration and managing the loads. Modifying the amount of physical exercise and ensuring that your child does not overexert themselves might help avoid more discomfort to the growth area. This will likely frequently have to be carried out regularly if symptoms show up again. They may also help determine whether any kind of underlying factors or dysfunctional problems need to be attended to to stop recurrence. Also really encourage the child to keep up a healthy lifestyle, such as a balanced diet and sufficient rest, to support overall growth and development. Severs disease is not challenging to deal with and mainly involves understanding the character with the condition and how it has an effect on the child and the management of the activity levels.

Health And Fitness

Cause and Treatment of Fat Pad Atrophy

Natasha Meldrum

Heel pain is common and there are a number of causes of this. Plantar fasciitis is by far the most common condition and is usually simple to diagnose. However, there are numerous other reasons that are not as frequent and are more complicated to diagnose. One of the less frequent causes is a problem referred to as heel fat pad atrophy. There is a covering of fat beneath the heel which provides a cushion and shock absorber while we are walking or running. Usually there is enough fat there to provide that cushioning, but in some individuals it atrophies or wastes away and it may no longer guard the heel with that shock reduction. Exactly why it occurs is not entirely clear, there is however some atrophy of that fat pad with aging and some just seem to atrophy a lot more than others at a faster rate. The key signs of fat pad atrophy are increasing pain with weight bearing under the heel. It is also crucial that you eliminate other reasons since they may exist simultaneously.

The main strategy to deal with heel pad atrophy is to substitute the fat that has wasted away. The simplest way is to wear pads in the footwear under the heel, preferably made from a silicone gel that has a similar consistency as the natural fat, since they theoretically substitute the pad which is atrophied. This commonly works with nearly all cases of this and that is all that has to be done. The only problem with this approach is that you have to wear the pads and you can’t do that when barefoot or in sandals very easily. The only other choice is a surgical procedure called augmentation where some fat is surgically inserted under the heel. The inserted fat may come from another part of the body or might be artificially made in the laboratory. The long term results of this type of approach aren't yet known, but early results from the procedure appear excellent.

Health And Fitness

How to deal with plantar fasciitis?

Natasha Meldrum

Plantar fasciitis is a condition in the foot that impacts the tendon that runs from your heel towards the ball of the foot. Plantar fasciitis is one of the more common reasons for discomfort in the heel and foot which produces a sharp pain you can feel with the first steps out of bed in the morning. When your foot warms up the discomfort will often improve. Even so, right after standing on your feet for very long amounts of time, or sitting down for lengthy periods after which getting up again, the pain sensation returns. The pain originates from the plantar fascia, or long thin ligament that can be found directly beneath the skin of your foot and attaches the heel to your ball of the foot. The function is to secure the arch of the feet.

Probably the most common causes of the pain is foot arch conditions. Individuals with flat feet or who have highly arched feet may both suffer a greater possibility of this pain because the plantar fascia is unusually pulled or tight to produce the impact moderation to the foot. Overpronation during walking and running may also make the foot to flatten excessively in the course of that activity. Structural issues of the foot may lead to overpronation and stretching of the plantar fascia. These problems include ankle joint equinus (restricted ankle motion), forefoot invertus, leg length discrepancies and tibia vara (slight bow legs). Long-distance runners or people who abruptly change the quantity of miles they may be running – like runners, soccer players, basketball players or weekend warriors – are at risk for plantar fasciitis due to the immediate alteration of distances or intensity. Shoes that will not provide the appropriate arch support to the foot – particularly for all those who have collapsed arches – might increase the risk of developing the ailment. Unexpected weight gain like in pregnancy, or those people who are overweight or obese will also gain a greater probability of plantar fasciitis.

During examination and while suggesting therapy your podiatrist can decide that your Achilles tendon restricted. This limited tendon may also place unnecessary force on the fascia while increasing the potential risk of development as well as slow the rehab from plantar fasciitis. A tight calf muscle or Achilles tendon will provide a situation in which there is higher acceleration pronation which causes a recurring overstretching of the plantar fascia. The pain from the disorder often evolves slowly and gradually with time and not abruptly. Your physician may also want to take x-rays or bone scan of your foot to make certain that the bone hadn't separated, and you were also troubled with a stress fracture of the calcaneus.