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I have pain 2 to 3 inches above and below knee and back side of knee. It feels like muscular pain. Muscles get tired on climbing stairs but get better after 10 seconds of climbing. Is the related to muscle, ligaments or nerves? Which specialist shall I consult? My age is 33 years.
Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).
Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.
Consequences of wearing footwear with heel
Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.
A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.
Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.
Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.
Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.
Softer insoles can reduce the impact on the knees.
Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.
Stretch your muscles as many times as possible during the day and while during rest.
Difference in Radiographs between High Heels and Normal Footwear
Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.
A pain management specialist examines the patient thoroughly and puts on a combination of medicines like nsaid, neuropathic drugs and some exercises.
If severe pain is felt, injections are given at appropriate places.
Occipital nerve block for neuralgia
Facet block for facet pain
Epidural for disc prolapse
Trigger point injection for muscle pains
Patients usually get significant pain relief and are back to work.
I am a 21 year old boy and have pain in my right shoulder from last year. Earlier I used to play volleyball but due to pain I was not able to continue with it. What should I do?
Gone are the days when mostly septuagenarians complained of joint and knee pain. The problem today has become common among all age groups. Knee or joint pain at any stage of life is painful, however the health problem striking early on is scary as one just dreads of living with it in the so many years to come.
Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain and joint pain can also be permanently cured with this method indigenous to India. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per ayurveda, 'vata dosha' Is responsible for joint and knee pain.
Here are some common Ayurvedic remedies, which help reduce knee pain:
- Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains.
- Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications.
- Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
- Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.
The following are some ayurvedic home remedies that can be utilized to treat joint pain:
- Hot & Cold Compress: Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.
- Turmeric: Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
- Healthy diet: A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products, and high sodium diet must be avoided in order to avoid arthritis and joint pain.Prevention is better than cure and in order to follow that it is always beneficial to get your complete body check up done from time to time. If you wish to discuss about any specific problem, you can consult an Ayurveda.