When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

Obesity
Orthopedic problems
Flat feet
Collagen disorders such as EDS
Jobs which entail standing for long hours
Excessive weight bearing
This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
Heel taping
Compression stockings
Avoid excessive or prolonged weight bearing
Avoid standing for extended periods and try not to run too much
Rest the feet and keep them elevated to help alleviate the symptoms
Lose weight if you are on the heavier side
Electro acupuncture
Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist. 

What are Piezogenic Pedal Papules?

Some diseases like chicken pox, measles etc. have definitive symptoms that make it easy to diagnose. However, others like lupus affect each person in a different way making them complex diseases that may take longer to diagnose. Lupus attacks the immune system and causes the antibodies that would normally fight infection to react against the body s own cells and tissues. There are two main forms of lupus; systemic lupus that affects any part of the body and cutaneous lupus that affects the skin. These can occur simultaneously or on their own.

Some of the rashes that can be caused by cutaneous lupus are:

Malar rash or butterfly rash: This affects the face and appears as a butterfly shaped rash over the nose and cheeks. It is triggered by the sun s uv rays and can appear as a faint blush or a severe, scaly rash.
Discoid lupus: Lupus can also cause small. Coin shaped sores or rashes. These are reddish and scaly in appearance and usually affect parts of the body exposed to sunlight and uv radiation. If left untreated, these sores can worsen with time. Though they do not cause pain or itchiness, they can result in scarring. In cases where these sores develop on the scalp, they can cause permanent bald patches.
Subacute cutaneous lesions: These can be described as small, red sores that are shaped like coins. These can be found on the arms, shoulders, neck and chest in patches that resemble psoriasis. These lesions are also triggered by uv exposure. Though they do not cause scarring, these lesions can lighten or darken skin.
Mucous membrane lesions: Sores in the mouth or nose that have been triggered by lupus are known as mucous membrane lesions.
Baldness: Lupus can make the hair follicles near the scalp fragile and brittle. This can destroy the hair follicles and lead to hair fall. In some cases, hair may grow back while in others it could result in permanent baldness.
Cutaneous vasculitis lesions: These refer to purplish spots or lines on the calves and feet. This is caused by the inflammation of skin tissues and can cause severe damage and gangrene.
Raynaud's phenomenon: When exposed to cold, the skin on your fingers and toes may also change colour to red, white or blue due to lupus. This is triggered by the tightening of blood vessels and may be accompanied by a tingling sensation or numbness.

Lupus - 7 Common Types!

Hives, or  Urticaria  in medical parlance, is a skin condition characterized by the appearance of itchy swellings on the skin surface. Hives may break out on any part of your body and can be of different sizes. It is not a prolonged condition and generally lasts for a few hours. Urticaria or hives usually occur due to the secretion of certain chemical substances such as  histamine  from underneath the skin surface.

Some of the possible causes of hives are mentioned below:

Overexposure to sunlight
As a side effect of medicines such as aspirin, painkillers or antibiotics.
Insect bites
Any food related allergy may also trigger hives
People allergic to certain chemicals or latex can also develop hives
Sensitivity to temperature or water can cause hives
Infections such as Hepatitis or chronic diseases such as thyroid may result in the occurrence of hives.
Alcohol or caffeine intake can cause chronic urticaria
The most common symptoms of Hives include:

Skin becomes swollen
Frequent itching sensation
Skin inflammation is also common
You may feel a burning sensation
Within a short span of time, it may disappear and then again reappear on different parts of the body
Red and white patches appear all over the skin surface known as  wheals 
Hives generally go untreated as the condition subsides within a few hours. But sometimes, hives can be chronic or acute in nature. If so, it would require treatment as it can give rise to further complications. Some of the treatment methods are given below:

Corticosteroids may be prescribed by the doctor to control the formation of hives and give relief from inflammation.
Antihistamines (drugs which hinder the impacts of histamines; mainly used for curing allergies) are advised to patients with chronic urticaria. It controls the effects caused due to the discharge of histamines.
Knowing and avoiding the trigger conditions may prove to be helpful.
Applying menthol creams can give comfort due to its cooling properties.

Hives - Causes, Symptoms & Treatments

Stress and fatigue as well as hormonal issues and genetically inherited conditions may leave a mark on our faces, and the eyes in particular. We talk about getting under-eye puffiness, yet we fail to notice that some of us also experience the ill effects of another issue: eyes that look hollow. This issue is particularly evident on more thin faces. As a general rule, ladies who experience them say that they look tired even when they aren't. For some ladies, they start seeing hollows in the under eye area in their mid-30s. As they grow older, the procedure accelerates and gives them a tired and old appearance.

Causes: So what causes a hollow to happen? The fat cushions that line the drop and start to leave the area with an empty look. This creates a less than flattering look which also looks dark and unsightly. Some of the fixes for this problem are as follows:

Filler Fix: Hyaluronic corrosive is successful in filling the affected areas under the eyes, when the tissue is injected with it. The best choice is hyaluronic corrosive filler, for example, Restylane or Juv&eacute;derm Voluma, in combination with the surface medicines for the skin.

Lasting Fix: A lower eyelift or blepharoplasty surgery can expel any free skin under the eyes that gives a hollow look. The fat can be repositioned or added to smooth out depressed skin.

Product Fix: Applying cucumber cuts and items with vitamin C can also help. It can diminish the dark circles that occasionally come with eye hollows. If you find that you have dark circles as well, a solution of hydroquinone can help up under-eye shadows.

Utilize an eye cream with hyaluronic corrosive as one of the fixings.

Use hyaluronic corrosive alone on the influenced region, being exceptionally cautious not to get it in your eyes.

Some of the natural strategies are:

1. Rest: This is the genuine, essential and a viable home solution for hollow eyes. As said before, a depressed eye usually calls for more rest.

2. Almond Oil: Apply almond oil under the eyes a few times each day. Almond oil is rich in Vitamin E, a sustaining vitamin for glowing skin.

3. Raw Potato Juice: Raw potatoes are equally important to heal sore eyes and dark circles. Cut the potatoes and lay it on the affected spot for around 20 minutes.

4. Utilized tea packs: With rich cell reinforcements, utilizing tea packs advances blood flow. The sore and darker skin gets renewed.

5. Cucumber: Any eye based solution without cucumber is incomplete. Get some rest by setting cut cucumber on eyes and wake up with new, restored and sparkling eyes.

The Best Procedure for Doing Away With Under Eye Hollows

Endometriosis is a painful condition where the endometrium tissue lining the walls of the uterus, grows as implants outside the womb of the patient. This can lead to a number of painful conditions and is often considered as a common cause behind severe pelvic pain, as far as women are concerned. Here is all you need to know about endometriosis and pelvic pain.

 Painful menstruation: depending on the stage of the condition, the implants could remain on the surface or go deeper into the ovaries which may cause acute and severe problem during ovulation as well as the menstrual cycles. This is one of the symptoms that one must not ignore. If you are having painful cramps that affect the pelvic area and the abdomen, and if these cramps last throughout the duration of the cycle, then there are strong chances that you are experiencing the pain that comes with endometriosis. 
 Pain during and after intercourse: while there are many reasons why women may face pain during intercourse, it may be noted that vaginal and pelvic pain that come during and after intercourse could point towards the presence of endometriosis, which is causing irritation and discomfort due to the implants. 
 Bowel movements and urination: usually, pelvic pain may trickle down to and also get activated by the bowels when there is a motion as well as urination. This is a common problem that can cause pain, which spreads throughout the region if the patient is suffering from endometriosis. 
 Bloating and other symptoms: when the abdomen and nearby regions face bloating due to the implants and their painful spread, the pelvic region as a whole bears the brunt in terms of severe pelvic pain. The bloating and other symptoms like loose motions and constipation can also create pain in the abdomen and pelvic region on a persistence basis. Sharp pains may also shoot up and down the lower back due to such symptoms which should not be ignored if they do not abate within a few days. 
 Misdiagnosis: many times, the bloating and pelvic pain may be linked with pelvic inflammatory disease, which causes pain in the muscles and joints. But if you are having pain in the abdomen as well as problems during your menstrual cycle, then it may be helpful to have the tests for endometriosis done as well. 

In order to diagnose the condition, the doctor must ensure that proper imaging tests like mri and ct scans as well as an ultrasound with lab tests based on blood samples have been conducted. The pelvic pain that comes with this condition can be treated with the help of pain relievers like ibuprofen and aspirin.

Could Your Pelvic Pain be Endometriosis?

The tissue that lines the uterus is known as the endometrium. In some cases, it can grow outside the uterus. This is known as endometriosis. Endometriosis usually involves organs in the pelvic cavity such as the ovaries, fallopian tubes, bowel and lining of the pelvic cavity. In rare cases, it may involve the vagina, cervix and bladder as well.

Depending on the location and extent of endometrial tissue, it can be classified into four stages ranging from minimal to severe. Most cases of endometriosis fall into the minimal or mild category which involves mild scarring and superficial tissue implants. Moderate or severe endometriosis can cause cysts and severe scarring. Infertility is also commonly associated with severe endometriosis.

Pain in the pelvic area just before and during menstruation is one of the most characteristic symptoms of this disorder. This is because the overgrown endometrial tissue acts like normal endometrial tissue and is shed during menstruation. The only difference is that since there is no exit for this overgrown tissue, it is trapped in the pelvic cavity. The location of the implantation of endometrial tissue also plays a role in the amount of pain experienced. The deeper the implant, more the pain. Implants near areas with high nerve density are also more likely to be painful than implants in areas with low nerve density.  These implants may also release substances into the blood stream that can cause pain.

Other symptoms associated with this disorder are:
  Painful intercourse
  Painful urination
  Pain during bowel movements
  Infertility

These symptoms especially the pelvic pain can vary from month to month in terms of duration and intensity.

A few simple changes in your diet can help manage the symptoms associated with this disorder and in some cases, prevent it as well. Avoid processed food and foods that are high in sodium content. You should also avoid high-fat dairy and food that is rich in arachidonic acid. Instead, increase your consumption of carbs and green leafy vegetables. You could also add two tablespoons of walnut oil a day to your diet to help combat inflammation and the other effects of arachidonic acid.

Early stages of this disease can be treated with hormone therapy, but if it has progressed to the later stages, surgery may be needed. This surgery is performed laparoscopically and aims at removing all the implanted tissue from outside the uterus. However, in cases where the anatomy of the pelvic organs has been distorted by the implants, a hysterectomy may be required. This option, however, it usually considered only in cases where a woman does not have any plans of conceiving more children. 

Endometriosis - How It Is Affecting Your Life?

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