Achilles Tendon Pain | Achilles Tendonitis Surgery| Achilles Tendonitis Treatment

Achilles Tendon Pain | Achilles Tendonitis Surgery| Achilles Tendonitis Treatment

Platelet Rich Plasma Treatment for Achilles Tendonitis

In cases of chronic achilles tendonitis that is not responding to conservative care, a great in-office option is platelet rich plasma injection. The idea of platelet rich plasma (PRP) injection is to allow the growth factors in the blood to be used to cause an inflammation process in the injured tissue to allow an increase in the healing response of the body. The blood is drawn and spun down. Under ultrasound guidance and local anesthesia in the office, the injection of the PRP is placed in the damaged tissue. This allows an increased growth factor release in the area that sparks the healing process.

Drawing patient's blood
Platelet rich plasma
Centrifuging patient's blood

Surgical Treatment of Achilles Tendonitis

Surgical care of Achilles tendonitis is rare. In a majority of cases the pain can be handled with conservative measures. In a small number of cases the gastrocnemius muscle is found to be very tight and as the Achilles gets stretched it gets irritated and swollen. It may be necessary is prolonged cases of Achilles tendon pain to perform a lengthening of the gastrocnemius muscle to decrease stress on the Achilles complex.


University Foot and Ankle Institute has customized protocols for the treatment of Achilles tendonitis. Through our extensive research and constant stream of publications, we have designed custom care packages to treat the elite athlete, weekend warrior or average walker with Achilles symptoms. By combining support, therapy and possible injection care, most cases of Achilles tendonitis can be treated without the need for down time or surgery.

Things to Know About Bunions | Footsport Podiatry

Things to Know About Bunions | Footsport Podiatry

Things to Know About BunionsOur bunion mission statementhj1
We will endeavour to manage your bunion pain without surgery allowing you to enjoy an active lifestyle.?

Why come to Footsport?We have successfully treated 1000"s of bunion patients.Most up to date technology available in Australia.Treatment protocol designed around latest evidence.We surround ourselves with the finest specialists in Sydney when on referral is required.
Is bunion pain getting you down?
Being active people we understand the frustration of not being able to exercise due to bunion pain. Bunion pain is a debilitating condition and if not treated early it can result in prolonged pain, deformity and potentially surgery. ? We have developed treatment strategies to help reduce symptoms and get you back to your normal activities as? soon as possible.

Our treatment plan;Once we have established the correct diagnosis we initiate a treatment plan.Early treatment of bunions is centred on providing symptomatic relief.Switching to a shoe with a rounder, deeper toe box and made of a softer more pliable leather will often provide immediate relief.The use of pads and cushions to reduce the pressure over the bone can also be helpful for mild bunion deformities.Functional foot orthotics,? by controlling abnormal pronation, reduces the deforming forces leading to bunions in the first place. These will help reduce pain in bunion deformities and slow the progression of the deformity.
? ? You don"t have to suffer any longer,? call us? today and let us help you!

If you would like further information please read on.

What is a Bunion -? To most people a Bunion means a bony bump on the side of the big toe. In reality the bunion is just one sign of a complex structural deformity resulting in pain.The condition is called Hallux Valgus which simply means that the big toe (hallux) instead of lying straight moves towards the second toe resulting in the bony bump called a bunion. As the big toe moves closer to the second toe is may result in the second toe lifting up and causing painful corns to develop.

Causes of Bunions
Hereditary - the bunion is not hereditary but the foot type that is prone to developing the bunion is.Foot Function can contribute to the pain in the bunion.? Dropped arches, a foot that rolls inward and an unstable foot will all result in over loading the bunion.Footwear - high heeled shoes with a pointy or narrow toe box will aggravate the bunion
Who Does it Effect -? Bunion"s effect men and women, both young and old. ? There is a higher incidence of pain in women due to inappropriate footwear.

Symptoms of Bunions
Redness, swelling and inflammation over the joint.Pain radiating through the joint and to the ball of the foot.Callous around the big toe and ball of the foot.
What Makes It Worse
High heelsIncorrectly fitting shoesIncorrect exercise shoesOver pronation (foot rolling in)
What Makes It Better
Appropriate shoesMatching your foot to the right sports shoeAssisting poor foot functionRest, ice, anti inflammatory to control pain and inflammation
Footsport"s Philosophy -? At Footsport we believe that bunion surgery should be a last resort.? We have developed a process for managing bunion pain which allows our patients to continue with their active lifestyles.

Footsport"s approach to Bunions links back into the three main causes.? We can"t change your parents but we can have a positive influence over the way your foot functions and the shoes that you wear.We use the latest digital technology for assessing gait and foot pressure. This allows us to gather all the information needed to determine your foot function and treatment needs.? At Footsport we are all expertly trained in assessing footwear and have years of experience working in the shoe industry.? To ensure you are fitted with the right shoe we have many contacts with shops selling footwear suitable for problematic feet.

Footsport"s Treatment for Bunions -? We have a conservative approach which consists of:? Foot exercises,? Stretching exercises,? Foot joint mobilisations (when needed),? Shoe recommendations,? Pads to distribute weight off the painful bunion,? Orthotics to control foot function.? These treatments will not change the appearance of the bunion but it will result in a reduction in pain and in many cases slows the progress of the deformity.

When is Bunion Surgery Needed?

In the majority of cases we recommend exhausting all conservative treatments before considering surgery. If the pain of a bunion doesn"t respond to a conservative approach then, it's time to discuss options with a foot and ankle surgeon. Together you can decide if surgery is best for you.

Complaints: Protecting Pennsylvanians - Pennsylvania Office of Attorney General

Complaints: Protecting Pennsylvanians - Pennsylvania Office of Attorney General


We receive referrals from a number of different sources: the insurance industry, businesses, employees, concerned citizens and other state or law enforcement agencies. If you suspect someone is committing insurance fraud, you are encouraged to submit an Insurance Fraud Referral Form.

INSURANCE INDUSTRY should use one of the following:
Instructions for Insurance Industry FormAdobe AcrobatINSURANCE INDUSTRY Printable Referral FormAdobe AcrobatINSURANCE INDUSTRY Online Referral Form
PRIVATE CITIZENSshould use one of the following:
Instructions for Private Citizen FormAdobe AcrobatPRIVATE CITIZEN Printable Referral FormAdobe AcrobatPRIVATE CITIZEN Online Referral Form
Or you may request a form by contacting:

PA Office of Attorney General

Insurance Fraud Section

16th Floor, Strawberry Square

Harrisburg PA 17120

(717) 787-0272 (phone)

G8 Performance’s ARCHTECH 2600 Pro Insoles » Steve Hogg's Bike Fitting Website

G8 Performance’s ARCHTECH 2600 Pro Insoles » Steve Hogg's Bike Fitting Website

Arch support should be used in a cycling shoe before any wedging is attempted as it is the primary method of foot correction for cycling (more here). G8s are suitable for low to high arches with their highest insert (34mm) equating with an eSoles Supportive Black.

G8s have four different arch height inserts included. The arch inserts can be moved in / out or forward / backward in relation to the insole itself for a customised feel and fit. The insoles have a rigid heel cup underlay for better rear foot support and are thinner in the forefoot than previously available offerings giving more vertical space in the shoe toe box than many aftermarket insoles designed for cycling.

G8s are available in four trim to fit sizes with cut lines marked on the bottom.

A comparison of available arch supports can be found here.

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Joint Pain Symptom Information |

Joint Pain Symptom Information |

About Joint Pain

Joint pain, also known as "Arthralgia",is defined as pain, stiffness, or swelling in or around a joint. There are 360joints in the human body. Joint pain often occurs in joints of high impact,such as the knees, hips, and back, but many women notice the joints in theirhands become stiffer and more painful with age.

Types of joints
Types of jointsThere are several types of joints in the humanbody. Below is a list of the joints most commonly associated with joint pain.

Ball and Socket Joints. Allow for a wide range of rotation and movement.The shoulder and hip are ball and socket joints.

Condyloid Joints. Allow movement but no rotation. There arecondyloid joints in the jaw and fingers.

Gliding Joints. Allow bones to glide past each other. There aregliding joints in the ankles, wrists, and spine.

Hinge Joints. Allow for movement much like that of a doorhinge. The knee and ulna part of the elbow are hinge joints.

Pivot Joints. Allow bones to spin and twist around other bones.There are pivot joints in the neck and the radius part of the elbow.

Saddle Joints. Allow for back and forth and side to side motion,but limited rotation. There is a saddle joint in the thumb.
Women are 10times more likely than men to suffer from joint pain in their hands.
Because joint pain is common in womenapproaching menopause, some have even used the term "menopausalarthritis" to describe this symptom. It can be an extremelydiscomforting ailment and make simple tasks and movements almost unbearable.There are common symptoms to help recognize joint pain.

Symptoms of Joint PainOther causes of joint pain, such as injury or certain types of arthritis, can lead to the following symptoms:
o Fever
o Redness
o Swelling of the joint
o Stiffness of the joint after long periods of rest

Other causes of joint pain, suchas injury or certain types of arthritis, can lead to the followingsymptoms:

o Fever.

o Redness.

o Swelling of the joint.

o Stiffness of the joint after long periods of rest.

The symptoms of joint pain will depend on the particular cause of the pain experienced, but the typical symptoms of joint pain related to menopause include: pain, stiffness, swelling, and warmth in the joints. Limited morning stiffness, exacerbation of pain with exercise, and relief from pain with rest are also common symptoms in women who suffer from joint pain.

Continue reading to learn the causes of joint pain to get a better handle on how to treat the common menopause symptom.

Plantar Fasciitis

This stretch is performed in the seated position. Cross your affected foot over the knee of your other leg. Grasp the toes of your painful foot and slowly pull them toward you in a controlled fashion. If it is difficult to reach your foot, wrap a towel around your big toe to help pull your toes toward you. Place your other hand along the plantar fascia. The fascia should feel like a tight band along the bottom of your foot when stretched. Hold the stretch for 10 seconds. Repeat it 20 times for each foot. This exercise is best done in the morning before standing or walking. Cortisone injections.

Sometimes physical therapy modalities are helpful. The most frequently used modalities include ultrasound (high frequency sound vibrations that create a deep heat and reduce inflammation) and galvanic electrical stimulation ( a carefully applied intermittent muscular stimulation to the heel and calf that helps reduce pain and relax muscle spasm, which is a contributing factor to the pain). This treatment has been found most effective when given twice a week. Repeated taping and padding is sometimes used. The felt pads that will be strapped to your feet will compress after a few days and must be reapplied.

The repetitive stress of certain conditions or activities commonly leads to plantar fasciitis. Repetitive pressure on the feet from jobs or activities that require prolonged walking or standing on hard on irregular surfaces - or running and exercise - can also lead to wear and tear on the plantar fascia. Aggravating factors, such as being overweight or having poorly cushioned shoes can also add to the cause of plantar fasciitis. The natural aging process (whoopee for me) may also cause tissue in the heels to weaken over time and/or promote wear and tear.

Heel pain treatment options are numerous, and are concerned with cushioning and supporting the plantar fascia, as well as keeping it in a stretched state to prevent morning foot pain. Whilst heel pain treatment options vary in their effectiveness from individual to individual, there are two which have proved to be highly effective with most sufferers. Heel pain treatment devices for plantar fasciitis can be split into two categories. Those which keep the plantar fascia stretched during rest, such as a plantar fasciitis splint, and those which provide cushioning and ease the strain on the tissue such as heel seats.

The foot is made up of multiple bones, ligaments and muscles that provide a significant amount of range of motion and support for the extremity and the human body above. Changes to any of the soft tissues can alter the bio-mechanics and cause pain and dysfunction in the foot and perhaps elsewhere in the body. In cases of plantar fasciitis, the American Academy of Podiatric Sports Medicine states that the condition is thought to be brought on by an overload of the plantar fascia. The plantar fascia is made up of soft tissue on the bottom of the foot and helps keep the arches of the foot supported. plantar fasciitis surgery

Foot Orthotics, is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months.

I tried customized orthotics that I wore in my shoes for a while that seemed to cause more problems than I began with. I got them altered every two weeks but ended up with pain in different and additional places in my foot. The Strassburg Sock helped some but it wasn't that comfortable to sleep in. Its a sock with a strap that pulls your foot toward your shin that helps stretch out the bottom of your foot. My foot felt a little better but I was not well rested, so not worth the trade off.

The heel locus for trouble is one reason why plantar fasciitis is often associated with 'heel spurs'. Those 'spurs' are simply wads of calcium deposited at the site where the fascia suffers most damage. The heel agitations also explain why the clinical manifestation of plantar fasciitis is usually strong discomfort at the bottom of the heel bone. More specifically, the person suffering from plantar fasciitis will often feel a pinpoint, knife-like pain at the 'medial tubercle' of the calcaneus (heel bone), which happens to be the exact location of the origin of the inside part of the plantar fascia.

It is strongly suggested that the person struggling with plantar fasciitis need to take appropriate rest till the pain sensation subside and correct medical treatment can be provided. While in the first period, the pain due to the condition could be really distressing and therefore, though the rest might be a challenge, it becomes essential. Tape might even be put on the area to give it appropriate support. Certain prescription drugs and foot rests can be found in the marketplace allowing the plantar fascia muscle tissues to stretch out. These may be used within hours in order to decrease painful sensation.

Plantar fasciitis accounts for around eight percent of all running injuries,1 and is common among runners of all ability levels, and is even a problem for sedentary people, where obesity and working long hours while standing are probably the driving causes. Runners, of course, face additional issues due to the forces associated with running, but you shouldn’t overlook your footwear or habits in the rest of your life if you come down with a case of plantar fasciitis. Women’s footwear is especially bad with respect to strain on the arch, but unsupportive hard-soled men’s shoes are problematic too. Causes and what irritates plantar fasciitisplantar fasciitis exercises
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