Plantar fasciitis is a common condition that gives rise to heel pain. A thick band of tissue runs across the bottom part of the foot and connects the heel bone to the toes. This leads to inflammation. Those who suffer from plantar fasciitis experience stabbing pain especially when you take the first few steps after waking up in the morning.

As you are up and start moving in the morning, you will feel that the pain decreases. However, after long periods of inactivity or standing in one place the pain might return.

This condition is seen to occur more commonly in runners. Additionally, people who wear improper shoes, lacking adequate support and/or are overweight stand at a greater risk of getting plantar fasciitis.

Signs of Plantar Fasciitis-

Few symptoms of plantar fasciitis include-

  Stabbing pain felt at the bottom of the heels
  Pain arising immediately after exercising but not during it

Cause of Plantar Fasciitis-

Normally, the plantar fascia (ligament tissue) can play the role of a shock absorber, mainly a bowstring that supports the arch in the foot. When tension and stress build up on the bowstring, tiny tears can start to crop up within the fascia. Constant tearing and stretching can lead the fascia to become inflamed and irritated. Many times the cause of plantar fasciitis in certain patients is not entirely clear.

What Makes You Susceptible to Plantar Fascia?

Although the condition of Plantar Fascia can arise without any bulletproof reason, there are certain factors that make you more susceptible to it. These include-

  Age - Those who are aged above 40 but below 60 are more prone to getting this condition
  Obesity - Those who are overweight will inadvertently put greater pressure on the plantar fascia
  Exercises- Certain exercises tend to put more pressure on the heels than others. These exercise types include jumping activities, long-distance running, aerobic dance and ballet dance.
  Foot Type - Those who have an arched foot or are flat-footed, or tend to walk in an abnormal manner are at a greater risk of putting pressure on the plantar fascia
  Your Job Type - Teachers and factory workers who tend to be on their feet a lot or have to walk on hard surfaces may put stress on their plantar fascia

Plantar Fasciitis is a condition that needs immediate attention because when left untreated it could develop into chronic pain and thus become a source of constant pain. In order to prevent it from hampering your daily activities ensure to change the way you walk. This will minimize the hip, knee and back problems in the future.

Plantar Fasciitis - Signs, Causes & Triggers Of It! 

One of the most common diseases that afflict a large section of the population is arthritis. It is common among people who are above 40 years of age. Acute joint pain, difficulties in movement and weakened bones are among the most common symptoms of arthritis. Given the fact that it is a condition that has permeated into modern life so deeply is what makes arthritis one of the most feared illnesses of this time. Although there are multiple forms of arthritis, there are primarily two types, which are:

Osteoarthritis: This is characterized by a breakdown of the cartilage between the bones. It is mostly known to affect a person s joints.
Rheumatoid Arthritis: This is a form of auto immune disease that severely affects the lining within the joints of bones.
Causes
The causes of arthritis might vary from person to person. Some of them are discussed below:

Diet and nutrition habits: Some food items, especially red meat and products derived from animals can cause a rise in the level of uric acid thus, increasing the risks of arthritis as well as gout. Smoking also has been known to worsen this condition.
Genetic predisposition: Some people are more prone to develop arthritis as they are genetically predisposed to it.
Problem in the immune system: Rheumatoid arthritis is one condition which is caused by the attack of immune system on the lining of the joints within the body.
Risk factors for arthritis include:

Obesity: The joints are subject to excess stress because of the excess weight. This results in a higher risk of arthritis in obese people.
Age: The risk of arthritis increases with age.
Family history: It is possible for you to be vulnerable to this disorder if arthritis runs in the family.
Previous injury: People who have had a previous joint injury are more susceptible to arthritis.
Typical symptoms of both forms of arthritis are:

Redness in the affected areas
Stiffness in the joints
Pain in the joints of the body
Swelling in particular joints or most joints of the body
Decreased mobility either due to pain or stiffness

Can Poor Diet and Nutrition be a Cause of Arthritis?

The term Sciatica is used to describe leg pain, tingling, numbness or weakness that travels down the low back via the sciatic nerve to the back of leg. Sciatic nerve arises from each side of lower spine and passes deep in the buttock along the back of thigh and legs. The pain of Sciatica may be irregular/ infrequent or persistent causing severe agony to the patients. The pain of Sciatica may be confined to low back or hips or may extend up to toes. The pain of Sciatica can be excruciating and "not relieved by painkillers".

What causes Sciatica?

Pain in Sciatica is due to irritation or pinching of Sciatic nerve within the spine. This occurs most commonly due to prolapsed intervertebral disc (slip disc) causing nerve compression resulting in pain.

Is surgery the only treatment for Sciatica?

Most patients can be managed with medication/exercises. So surgery is not the only way out. Patients who have severe pain can also benefit from "Epidural Steroid Injection". This treatment has proven to be effective in avoiding spine surgery in such patients.

What is Epidural Steroid Injection?

Epidural Steroid Injection is a procedure done by a Specialist (Interventional Pain) in an Operation Theatre using X-Ray (Image Intensifier) to locate exact level of injection. A drug mixture consisting of Steroid with Local Anaesthetic is injected at the epidural space of affected nerve root. The steroid washes away inflammatory mediators from the epidural space which decreases the pain. Steroid also decreases the inflammatory response of body to the prolapsed disc. As a result the pain arising from nerve inflammation is decreased. This is a day care procedure i.e. the patients are discharged the same day.

How is the possibility of surgery ruled out?

Epidural Steroid Injection is a proven, safe and an effective treatment that works on the concept of Interventional pain management - to provide relief from persistent and chronic pain of Sciatica. Generally, a single injection is sufficient to relieve patients of the pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient's response. With effective pain relief, surgery is negated.

Non-Surgical Treatment For Sciatica

People have a common perception that most injuries, medical conditions only affect those who spend several hours working outdoors. But what if we tell you that people who stay indoors- such as homemakers - are also susceptible to numerous health problems?

There s a saying:  Home is where the heart is.  But for countless homemakers, home is the place where  hurt  is! Scores of Indian homemakers encounter various injuries every year while engaging in household chores like cleaning and washing. The most common ones are-

Sprain- if you re a neat freak, you wouldn t mind spending half of your day cleaning the entire house. Here s a small tip- go slow if your cleaning duties include shifting heavy appliances and furniture from one place to another. There s a high chance that you may end up with a sprain injury. Sprains occur when you accidentally twist your ligaments. Another major cause of sprain injuries is a sudden fall. If you re mopping the floor or cleaning the bathroom, there s a fair chance that you may slip or lose balance. One must be cautious when working with water.
Back injuries- These are the most common types of injuries at home. Bending, lifting a heavy bucket or an abrupt movement, can strain your back muscles or ligaments leading to back injury. Many times the injury can result in a persistent, sharp stabbing pain, and hinder your usual routine.
Joint compression- Homemakers spend a considerable amount of time standing in the kitchen. As tiring as it is, standing for prolonged periods puts pressure on your joints- knee joint, hip joint as well as those in the feet and the ankle. This leads to wear and tear of the synovial joints, eventually causing them to tear. In due course of time, you will find it difficult to move around and walk even a meagre distance.
Prevention-
Starting to get worked up? Don t be. These problems can easily be prevented if you follow these steps-

Avoid overstretching, bending and twisting
Avoid lifting heavy weights. If possible, use a waist belt to keep away from traumatic injuries.
Keep your body weight in check. Mild exercises can help you with that.
Maintain a healthy diet- calcium intake can help your bones get stronger.
Use muscle braces to keep your joints protected.
Treatment-
The most preferred and effective choice of treatment for curing muscle injuries and joint inflammation is physiotherapy. Physiotherapy uses manual therapy, mechanical force and exercise therapy to promote mobility.

The most common method of treating such injuries is the RICE technique.  RICE  stands for Rest, Ice, Compression and Elevation. Keep the injured part at rest. Put an ice bag on the injured portion. Compress the injured area. Elevate the wound/injury for faster relief.
Anti-inflammatory drugs like Ibuprofen and Aspirin are prescribed to reduce inflammation and swelling. Painkillers can offer you instant relief from pain.
Physiotherapy treatment can effectively cure you of such injuries, that too in a short span of time. If you follow the treatment guidelines, recovery will take about 2-4 weeks. 

Common Problems Faced By Homemakers Who Stay Indoors - How Physiotherapy Can Be Of Help?

The medical term  spina bifida  or spinal bifida refers to a congenital defect in the spine. In simpler terms, spina bifida is a defect in the neural tube. Based on the severity of this disease, spina bifida can be divided into three different types:

Myelomeningocele
Meningocele
Occulta
The symptoms of spina bifida vary depending on each of these three types. Let's take a closer look at its symptoms here:

Myelomeningocele

Myelomeningocele is the most severe form of spina bifida. In this type of neural defect, spinal canal of the baby remains open in the middle or lower back along a few vertebrae. Due to this opening, a sac is formed at the back of the baby at birth, which exposes the baby to several life-threatening infections.

Some of the common symptoms of this type of spina bifida are:

Seizures
Presence of uneven hips
Deformed feet
Curved spine or scoliosis
Bladder and bowel problems
Muscle weakness
Paralyzed leg muscles.
Physical deformities from moderate to severe levels are also very common in this type of spina bifida.

Meningocele

Meningocele is a ratherrare form of spinal bifida in which a sack of fluid stays in open at the back of the baby. Here the protective membranes that usually stay around the spinal cord push out through the vertebrae s opening. Though this sack contains no part of the spinal cord, it may cause minor disabilities.

Some common symptoms of this kind of spina bifida are:

Membranes forming a visible sack on the back at birth
Presence of a small opening in the baby's back
The good news is that this sack can be removed through surgery without hampering the normal development of the spinal cord.

Occulta
Spina bifida occulta is the mildest form of spina bifida, which, in majority of the cases, often stays hidden as its symptoms are rarely visible. As it doesn t even cause any form of disabilities, it generally goes unnoticed. It doesn t cause any damages to the nerves or the spinal cord.

Some common symptoms of occulta are:

Presence of a gap between the vertebrae
An area on the back formed with extra fat
Acluster or small group of hair on the back
A dimple or birthmark on the back.
In this kind of spina bifida, neither any sack of fluid is formed, nor are there any visible opening in the back. Sometimes, people who have spina bifida are not aware of it due to its minimal symptoms.
Spina bifida usually affects a child before birth, when the brain or the cord or the protective covering over them fails to develop completely. Knowing about the symptoms can be one of the best ways to identify and diagnose this disease and opt for proper treatment solutions. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

Spinal Bifida - Know The Signs That Indicate It!

The longest nerve in the body is the sciatic nerve. The sciatic nerve starts from the lower part of the spine, through your hip to the back of the leg. So when it is said sciatica, we refer to pain in this nerve. Since the nerve covers the spine, hip and leg, sciatic pain is felt in the areas through which it passes. The lower leg muscles and sensation in the legs, thighs and feet are controlled by this nerve.

Symptoms usually include
1. Pain that radiates from the lower back to the hip and to the leg
2. Sharp, tingling, dull, constant or burning pain
3. Loss of bladder or bowel control
4. Sneezing or coughing increases pain
5. Moving the leg gets difficult so usual activities like walking, sitting and standing become painful

Homeopathic remedies are easy and gentle on the body. Homeopathy aims to boost the body's immune system so it can fight all its weaknesses. The following remedies may prove to be useful:

A) ammonium muriaticum: it is taken for chronic pain in the heel or for chronic backache or when straightening the knee gets difficult as hamstrings contract. It is also taken for limping.

B) bellis perennis: in periosteum injuries, stiffness and deep aches in the spine bellis perennis is used. It is also used for tailbone injuries. It is also helpful for nerve pains during pregnancy.

C) calcarea fluorica: if the vertebra degenerates after trauma to the spine, then calcarea fluorica can be useful.

D) cicuta: the worst back injuries with serious trauma and muscles spasms are treated with cicuta.

E) hypericum: hypericum is suggested for tailbone injuries, temporary paralysis, spinal concussions and for sharp pain that tingles and moves upwards.

F) rhus tox: if after lifting weights, overexerting muscles and exposure to anything wet, you feel tearing and burning pain, then rhus tox is beneficial. Cramps that get better after heat application, but get worse after exposed to the cold are also treated with rhus tox.

G) ruta: stiffness and pain from back injuries, twisting the wrong way and bruises are prescribed with ruta.

Best Homeopathic Remedies for Sciatica Pain

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