Plantar Fasciitis Explained

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A common complaint of patients with plantar fasciitis is heel or arch pain. Plantar fasciitis can cause extreme pain when standing or walking. It is often worse in the mornings or when moving from a seated position or non weight-bearing position. People often think a heel spur is the cause of this type of foot pain, however recent research supports that heel spurs do not cause pain.  It is the swelling of the soft band of tissues on the under surface of the heel and the arch that cause pain. This swelling and inflammation is known as plantar fasciitis.

Causes and risk factors included with plantar fasciitis are as follows:

  • problems with arches
  • obesity or sudden weight gain
  • pounding from long distance running particularly on uneven surfaces
  • tight muscles in the calf
  • arthritis
  • wearing high heels or shoes without proper support.

As with all conditions, an ounce of prevention is worth a pound of cure. Plantar fasciitis is caused and exacerbated by many factors. To minimize your risk of plantar fasciitis try to not walk in bare or stocking feet on hard surfaces. The quality of your foot wear is also important. Choose high quality footwear made of shock absorbing material in the sole of the shoe. Stretch the lower leg and foot musculature using the following two stretches–the Plantar fascia stretch (above) and the gastrocnemius stretch (below).

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If you do have plantar fasciitis, you can reduce your pain with simple and effective treatments. Conservative medicine provides the most effective treatment. Custom made orthotics and better footwear is the first line of defense for both the treatments and prevention of plantar fasciitis. They will help provide adequate support for the musculature of the foot. Chiropractic manipulation of the joints of the foot and ankle can also provide relief for those suffering from heel pain. Other therapies may also be prescribed including myofascial release, therapeutic ultrasound and cryotherapy. NSAIDs can also provide pain relief. I like to accompany use of NSAIDs with a warning that long-term use of NSAIDs can have serious health consequences and should only be used under the supervision of a physician.  In addition, you will want to follow the preventative measure outlined above.

One can expect to experience some relief of plantar fasciial pain in as little as one treatment, but often treatment time can vary depending on the severity of the condition, compliance of the patient to home care and therapy regimen, as well as how long an individual has been suffering from pain prior to seeking care.  Incidence of recurrence is inversely proportional to the patients compliance to home based preventive measures.

 

 

Vijay Patel (74 Posts)

Dr. Vijay Patel earned his doctoral degree in Chiropractic from National College of Chiropractic in Lombard, Illinois. Dr. Patel is board certified in electrodiagnostics by the American Chiropractic Neurology Board. Dr. Patel has recently received training in Manipulation under Anesthsia (MUA). Constantly striving to give his patients the most up-to-date care possible, Dr. Patel attends many post-graduate seminars including such topics as neurology, research review, and sports performance enhancement. Dr. Patel has practiced medicine at Advanced Physical Medicine and Therapy in Mt. Prospect, Illinois since 1999. Dr. Patel currently serves as president of the Chicago chapter of the Illinois Chiropractic Society. He is also a member of both the National College of Chiropractic Alumni Association and the American Chiropractic Association. Dr. Patel is fluent in Gujarati. A lifelong runner, he has completed marathons and still competes in triathlons with his college mates.


 

Permanent link to this article: http://apmt.us/2011/06/mt-prospect-plantar-fasciitis/

Exercise helps everything!

Someone said to me in passing, you know exercise helps everything, with maybe the exception of tooth decay. This statement is particularly true of lifestyle diseases: diabetes, asthma, heart disease, osteoporosis, chronic obstructive pulmonary disease, metabolic syndrome, stroke, depression and obesity. Even if these issues are not yours, exercise is a great stress reliever. I am not writing anything controversial here. Most of you are nodding your head and saying “Yeah, I guess I should exercise more.”

I say it too. The other day, my daughter woke me at 6:15 saying “Come on Dad, let’s go for a run.” Now, I really wanted to roll over and catch another 45 minutes of sleep, but what parent can really say no to that request. Afterward she said to me “Isn’t it funny how when you start to run, you don’t really want to and its cold outside. Once you get going though you are really glad you did it.” Out of the mouths of babes.

We all know this. Yet I can safely bet that a large percentage of you are not involved in any regular exercise program. I believe what stops most people is their perfectionism. If you are going to work out it is a project. You have to research a gym. You have to find a trainer. You have to find the perfect bike. What you really need is to get up stop reading my blog and take a walk.

Successful exercise programs have some of the following characteristics.

First, they start small and build over time. Start by assessing where you are now and build from there. What can you do reasonably and safely? Develop a habit of fitness and allow yourself to build your routine from there. I often recommended walking or running to start because it is something that everyone can do without any special preparation beyond a good pair of supportive shoes. Start there, do it regularly for a month and then add from there.

Second, successful programs are easy to incorporate into your daily routine. If you work out at a gym is it close to your home or work? That fancy gym across town is wonderful, don’t get me wrong, but if you have to drive 20 minutes each way to get there it is safe to say you won’t use your membership on a regular basis. My gym is right across the way, I am there in two minutes and work out on my lunch hour. Find a place to work out and do it regularly.

Another characteristic of good exercise programs involve something you enjoy. I love to run and it has always been at the core of my exercise program. My mother is a walker and has always tried to maintain a long walk as part of her daily routine. She walks with a neighbor and they encourage each other on the days you don’t feel like leaving the house. A routine you enjoy will be self reinforcing.

Finally good exercise programs often have a goal in mind. Personally, I like to know I have a race coming up. It helps keep me going on the days I might otherwise decide to “skip”. If you have never run a race, start with a local neighborhood race, a 5K. Many allow participants to walk. Many 5Ks are for charity. Pick one related to a charity that you support. If walking or running are not motivating to you, choose another goal. Being able to swim a certain distance, the feeling of well-being or increased self-esteem after a workout are worthy goals. My wife began exercising seriously for the first time after the birth of our third child. It was the only thing she could think of to do to give herself more energy, since more sleep wasn’t an option.

Notice, when discussing goals I did not mention the W word. Weight loss is usually not a good motivator for a regular exercise program. If you don’t lose weight fast enough, you may use that as an excuse to quit. Exercise should not be about losing weight as much as it should be about fitness and health. If you need some concrete evidence about what your exercise program is doing for you start by taking some baseline measurements, your BMI, your heart rate, body measurements all can be an objective way of seeing how your exercise program is affecting/benefiting your health. You may want to consider also your general feeling of health. I always notice an increase in my energy levels on the days when I work out. As an added bonus, I find I often eat better after exercising. That junk food doesn’t look so appealing after a run.

Exercise requires a simple commitment that you will get up and move every day. Make a promise to yourself to be an active participant in your own health and improve the quality of your life. The choice is yours, but it is an easy one to make.

Vijay Patel (74 Posts)

Dr. Vijay Patel earned his doctoral degree in Chiropractic from National College of Chiropractic in Lombard, Illinois. Dr. Patel is board certified in electrodiagnostics by the American Chiropractic Neurology Board. Dr. Patel has recently received training in Manipulation under Anesthsia (MUA). Constantly striving to give his patients the most up-to-date care possible, Dr. Patel attends many post-graduate seminars including such topics as neurology, research review, and sports performance enhancement. Dr. Patel has practiced medicine at Advanced Physical Medicine and Therapy in Mt. Prospect, Illinois since 1999. Dr. Patel currently serves as president of the Chicago chapter of the Illinois Chiropractic Society. He is also a member of both the National College of Chiropractic Alumni Association and the American Chiropractic Association. Dr. Patel is fluent in Gujarati. A lifelong runner, he has completed marathons and still competes in triathlons with his college mates.


Permanent link to this article: http://apmt.us/2011/05/exercise-helps-everything/

I have to see my chiropractor how often?

How often do I need to see a chiropractor? The problem with going to a chiropractor is once you start going, you will need to go forever.

Many people discuss chiropractic care with this attitude. Chiropractic care, much like modern dentistry is a profession geared towards treatment by prevention. Imagine the following statement, “the problem with getting your teeth cleaned, is that the dentist wants you to have them cleaned again in another six months. And if that were not enough, my dentist told me to brush and at least twice a day! On top of that they want me to floss my teeth can you believe it!” Should I go on and tell you what the dentist has to say about sugary snacks and soda?

Chiropractors view health with a preventative model in much the same way as dentists. Ideally, individuals would eat nutritious, well-balanced meals, exercise regularly and see our chiropractor for wellness visits every 1-2 months. Chiropractic physicians view health not just as the absence of disease or injury, but living in a state of optimal wellness.

In my practice patients can be divided into two types, the acute care patients and wellness patients. Acute care patients are those who come in with a specific injury or complaint often related to pain or disability. In these cases, I will give a patient a treatment plan of therapy designed to address that specific issue. As the patient progresses through the plan, the patient and I will regularly discuss what is working, what is not and make adjustments to the therapy as necessary. At the beginning of a plan, therapy will occur regularly with a set plan to reduce in frequency or duration over time. After a patient is dismissed from acute care many stay in care for wellness care.

A wellness patient may come to my office every 1 to 2 months for a wellness visit. They often tell me that they look forward to their wellness visits as an opportunity to discuss health care issues.  At this time we will also discuss lifestyle issues and how these contribute to or detract from an individuals overall wellness.   Some wellness patients schedule their appointments well in advance and some wake up one morning and decide that they really need to see me that day. As a chiropractor, I see this as a sign that a patient is in tune with their bodies and can sense an issue before it becomes a problem.

Will I expect you to do things outside the office? Of course. Chiropractic care is not a “lets see what the doctor says” kind of relationship. It is your body and your health. You are in charge of your health care. I like to support my patients by prescribing appropriate therapies for their health issue.  Therapies may consist of adjustment, patient specific exercises, ergonomics, food, supplements, or homeopathic medications.

You know the difference between your body feeling just okay and the feeling of wellness accompanied by good health and energy. Often people look at kids and say if only I had that energy. You can, maybe not as much as a child but much more than that tired, I just want to get through the day feeling you may have now.  It begins with the first step of being proactive and deciding to improve your current health to achieve optimal wellness!

 

Vijay Patel (74 Posts)

Dr. Vijay Patel earned his doctoral degree in Chiropractic from National College of Chiropractic in Lombard, Illinois. Dr. Patel is board certified in electrodiagnostics by the American Chiropractic Neurology Board. Dr. Patel has recently received training in Manipulation under Anesthsia (MUA). Constantly striving to give his patients the most up-to-date care possible, Dr. Patel attends many post-graduate seminars including such topics as neurology, research review, and sports performance enhancement. Dr. Patel has practiced medicine at Advanced Physical Medicine and Therapy in Mt. Prospect, Illinois since 1999. Dr. Patel currently serves as president of the Chicago chapter of the Illinois Chiropractic Society. He is also a member of both the National College of Chiropractic Alumni Association and the American Chiropractic Association. Dr. Patel is fluent in Gujarati. A lifelong runner, he has completed marathons and still competes in triathlons with his college mates.


Permanent link to this article: http://apmt.us/2011/04/mt-prospect-chiropractor-how-often/

Spring has sprung and so have your allergies!

Allergy Symptoms

The onset of spring, brings warmer days and for those with allergies, stuffy noses and burning eyes. There is much we don’t know about the why certain individuals are hit so hard by allergies but those who endure seasonal allergies can tell you it makes their days less than pleasant.  An ounce of prevention is worth a pound of cure, you may want to consider some of the following suggestions.

When you find yourself suffering with allergies, there are some steps you can take to reduce your suffering.

Drug Free Allergy Relief

The first thing to look at is your actual living or work spaces. Many individuals regularly place themselves in home or work environments that exacerbate allergy symptoms. Pay attention to the rooms you spend time in. Is your office in the basement where the mold and mildew count may be higher than the rest of the house? Is there some landscaping planted right outside a window that is open all summer?

One of the most common household allergens is pets. I see many allergic individuals who live in a house with dogs or cats. While I can appreciate the love and companionship that animals bring us, they can bring misery to those who are allergic. If someone in the family has allergies please try the following suggestions to reduce severity of allergens in the house. Consider eliminating all carpeting in the house, or have your carpets professionally cleaned and disinfected on a regular basis. Also upgrade your air filter if you have forced air heating/AC to one that is electric or HEPA grade and clean or replace them every season. Have all duct work cleaned and disinfected at least annually. Finally, have pets trained not to climb onto specific furniture (beds, non-leather couches).

Dust and dust mites are common allergens. Even for individuals not allergic to these items, dust can exacerbate an ongoing allergy. Dust mites are little bugs that eat dead skin flakes, and can be found in bedding. Pleasant thought isn’t it? You can find both mattress and pillow covers that protect your bedding from dust mites at most stores that sell bedding. In addition, washing of sheets on a weekly basis will help eliminate dust mites. When projects require you to be in dusty areas, consider wearing a mask to protect you.

Nasal irrigation can also help reduce allergy symptoms. It can also help reduce suffering from the increased colds and sinus infection allergy sufferers have to endure. Initially practiced in Indian medicine with a neti pot, nasal irrigation cleans the nose and sinus of allergens and excess mucus with a gentle saline solution. Nasal irrigation systems can be found now at most drug stores.

Herbal remedies can also provide allergy relief, reducing or eliminating the need for over the counter or prescription allergy medication. A combination of quercetin and bromelain can inhibit mast cells, the first cells effected in an allergic process. Many patients find relief from this combination with none of the side effects of traditional antihistamines.

 

References

Chirumbolo, S, (2010). The role of querctin, flavonols and flavones in modulating inflammatory cell function. Inflammation and Allergy Drug Targets. 9(4) 263-285.

Helms, S & Miller, A (2006). Natural Treatment of Chronic Rhinosinusitis. Alternative Medicine Review: A Journal of Clinical Therapies. 11(3) 196-207.

Shaik, Y.B., Castellani, M.L, Perrella, A, Conti, F., Salini, V., Tete, S., Madhappan, B., Vecchiet, J., De Lutiis, M.A., Caraffa, A., Cerulli, G, (2006). Role of quercetin (a natural herbal compound) in allergy and inflammation. Journal of Biological Regulators and Homeostatic Agents. 20 (3-4) 47-52.

Vijay Patel (74 Posts)

Dr. Vijay Patel earned his doctoral degree in Chiropractic from National College of Chiropractic in Lombard, Illinois. Dr. Patel is board certified in electrodiagnostics by the American Chiropractic Neurology Board. Dr. Patel has recently received training in Manipulation under Anesthsia (MUA). Constantly striving to give his patients the most up-to-date care possible, Dr. Patel attends many post-graduate seminars including such topics as neurology, research review, and sports performance enhancement. Dr. Patel has practiced medicine at Advanced Physical Medicine and Therapy in Mt. Prospect, Illinois since 1999. Dr. Patel currently serves as president of the Chicago chapter of the Illinois Chiropractic Society. He is also a member of both the National College of Chiropractic Alumni Association and the American Chiropractic Association. Dr. Patel is fluent in Gujarati. A lifelong runner, he has completed marathons and still competes in triathlons with his college mates.


 

Permanent link to this article: http://apmt.us/2011/04/mt-prospect-allergies/

Ouch, That Hurts – A Guide to Pain!

How much pain is too much?

A precipitating factor for a visit to my office is pain. Some pain is so uncomfortable, that you know it is time to see a doctor. Other times it is not so clear….there are instances of “normal” pain: the soreness after a minor injury, the “good pain” felt the day after a workout. So how much is too much and when do you know it is time to see the doctor? Does your pain:

  • interfere with daily activities?
  • not resolve within 48 hours?
  • not respond to the usual treatments of rest, ice and over the counter pain relievers?
  • get worse over time?
  • increase at night or awaken you from sleep? (Normally pain decreases with rest.)
  • have associated numbness?
  • have associated  fever?
  • have associated sudden weight loss?

If any of the above apply to you, it may be time to make a visit to my office.

If the pain is severe enough to interfere with daily activities, or has occurred for a period of time longer than you would expect for the injury, it may be time to visit my office. Also of concern that pain that gets worse over time, instead of getting better.

Some pain, no matter how mild or short in duration should warrant immediate attention by a health care professional. Pain that is associated with numbness; fever, sudden weight loss, inability to control bladder, accompanied by falling; or the loss of function and or sensation is not normal and needs immediate attention.

Vijay Patel (74 Posts)

Dr. Vijay Patel earned his doctoral degree in Chiropractic from National College of Chiropractic in Lombard, Illinois. Dr. Patel is board certified in electrodiagnostics by the American Chiropractic Neurology Board. Dr. Patel has recently received training in Manipulation under Anesthsia (MUA). Constantly striving to give his patients the most up-to-date care possible, Dr. Patel attends many post-graduate seminars including such topics as neurology, research review, and sports performance enhancement. Dr. Patel has practiced medicine at Advanced Physical Medicine and Therapy in Mt. Prospect, Illinois since 1999. Dr. Patel currently serves as president of the Chicago chapter of the Illinois Chiropractic Society. He is also a member of both the National College of Chiropractic Alumni Association and the American Chiropractic Association. Dr. Patel is fluent in Gujarati. A lifelong runner, he has completed marathons and still competes in triathlons with his college mates.


Permanent link to this article: http://apmt.us/2011/04/mt-prospect-pain/

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