Insole For Heel Pain

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Physiotherapy and exercise - psoriatic arthritis therapeutic exercises therapeutic exercises are activities based on your exact needs. They are designed to reach a certain goal, eg to increase muscle strength. There are two types used for arthritis: range of motion and strengthening. Range of motion exercises help to maintain joint movement, relieve stiffness and restore flexibility. To increase or maintain range and flexibility you need to take your joints and muscles to their limits. Range of movement exercises should be carried out daily. Strengthening exercises help maintain or increase muscle strength. To strengthen a muscle you need to apply resistance to the movement. This can be done using your own body weight, weights or resistance bands. Strengthening exercises should be performed on alternate days and not when a joint is hot (feels warm when touched) and painful unless you are supervised by a physiotherapist. The following exercises are just some examples to get you started. A health professional can design a programme for your specific needs. Fingers and hands 1. Forearm supported on a table, hand relaxed over the edge. Extend the wrist and clench your fist - relax and let your hand relax. Repeat ten times. 2. Clasp your hands together and support your forearms on a table with your hands over the edge. Bend your wrist up and down. Repeat five times. 3. Forearm on a table, elbow tucked in to your side and palm turned down. Alternately, turn your palm to face up, then down, keeping elbow still. Repeat ten times. 4. Elbow on table with hand up. Straighten your fingers out then bend them to touch your fingertips to the base of your fingers. Repeat ten times. 5. Palm on table. Lift each finger individually off the table. Repeat five times. 6. Elbow on table with hand up. Bring the tip of the thumb to the tip of the little finger, repeat to other fingers in sequence. Repeat five times. Neck and back for the first three exercises sit up straight in a supportive chair, ie one with back support. 1. Tilt your head towards one shoulder until you feel the stretch on the opposite side. Hold for approximately five seconds. Repeat to the other side. 2. Turn your head to one side until you feel the stretch. Hold for approximately five seconds. Repeat to the other side. Repeat five times to each side. 3. Pull your chin in, keeping your neck and back straight (not tipping your head forwards). Hold at the end position and feel the stretch in your neck. Repeat five times. 4. Lie on your back with your hands on your stomach, legs bent at the knee, feet flat on the bed or floor. Tighten your stomach muscles to flatten your lower back against the bed. Hold for five seconds, repeat ten times. 5. Lie on your back as with the previous exercise. Keeping your shoulders down flat, slowly roll your knees from side to side. Hold for five seconds, repeat ten times. 6. Lie on your back as before. Push down through your heels to lift your bottom and lower back off the bed. Hold for five seconds, repeat ten times. Feet and toes 1. Press your toes down and shorten your foot by pulling up the arch on the inside of the foot. Repeat on the other foot. 2. Lie with your legs out straight and pull your feet up, then push your feet down. Repeat ten times. 3. Wiggle your toes. Repeat ten times. 4. Circle your feet around one way, then the other way. Repeat ten times. Hips and knees 1. Lie face down with both legs outstretched for five minutes. Then gently bend each knee to its limit, then relax with your legs straight. Repeat five times with a 30-second break. 2. Sit with your legs outstretched on a firm bed. Press each knee down onto the bed to straighten it. Hold for five seconds. Relax. Repeat five times. 3. Lie on your back with your knees bent up and feet flat on bed. Bend each knee in turn up to meet your stomach, straighten and lower to the bed. Repeat five times. Jaw gently open the mouth to its full width. Stretch a little and hold for five seconds. Then close your mouth completely. Repeat five times. Recreational exercise this type of exercise includes any form of movement or relaxation that refreshes the body and mind. Recreational exercises or activities improve your fitness and help maintain or improve joint range of motion and muscle strength. They add to a therapeutic programme but do not replace it. •swimming is a good all-round exercise that does not stress your joints. Psoriasis is not generally affected by the chlorine in swimming pool water, but if you find it becomes itchy when dry, apply some barrier cream before you swim and after your shower at the end. •walking is another good way of exercising. If your arthritis affects your feet make sure you wear a wellfitting pair of shoes, and insoles if they have been prescribed for you. •cycling can be an alternative to walking and is often more comfortable on the feet. •activities such as yoga, pilates and other complementary therapies may be beneficial for people with arthritis. Contact your local council offices or community centres for further information and details of classes or events. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Stiffness have developed due to weakness of the ligaments &inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee. •ultrasound- which heals the damaged tissues and heals •electric stimulation / ift- which reduces the pain •kinesiology taping •application of heat or ice •soft tissue massages or knee joint mobilization 5 do’s & don’ts to reduce your knee pain. 1.Don’t take too much rest- not only your body muscles may become weaker even your joint’s pain may become worse. Take consultation from your physiotherapist to guide you with knee pain exercises which are safe for your knees & keep doing it. 2.Do exercise– exercises help in strengthening the muscles, increase flexibility & also support your knee. You can also do swimming, walking, elliptical machines & bicycles, etc. 3.Don’t avoid your weight– excess weight may increase the stress on your knee and if you have inflammatory arthritis then it may become worse. You don’t need to have ideal weight, you just need to start working to reduce the weight. 4.Rice -this process is good for joint pain caused due to minor injury or an arthritis. ••r (rest) – give some rest to your knees. •I (ice) – massage your knees with ice to reduce swelling. •c (compression)- start wearing compression bandage. •e (elevation)- keep your knee elevated. 5.Don’t wear bad shoes- we actively wear shoes in our daily life for hours without noticing how it can affect your knees badly. So, if you are facing knee pain, then check your shoes first. Is it giving you good comfort? If not then change it urgently. The importance of buying braces and splints from us – orthopaedic support braces we suggest you to wear knee brace which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to do this, stand on both legs for better support while you do the exercise. Standing calf stretch: stand facing a wall with your hands on the wall at about eye level. Keep as arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone 1. Heel and calf stretch to do this stretch: 1.Stand facing a wall. 2.Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees. 3.Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg. 4.Change legs and repeat. 5.Do this stretch twice for both legs. Short arc quad / isometeric quad exercise the short arc quad exercise is a great way to really focus in on properly contracting your quadriceps muscles. Here is how you do it: lie on your back and use a yoga block or basketball to prop your knee up. Slowly straighten your bent knee until it is all the way straight. Tighten your quad muscle with your toes pointed toward the ceiling and hold it tight for five seconds. Slowly lower your leg down. Repeat for 15 repetitions. Quadriceps, isometric (strength) this exercise is for an injured right knee. Switch sides if the injury is to your left knee. 1.Sit on the floor with your right leg straight in front of you. Bend your left knee up and put your left foot flat on the floor. 2.Flex your right foot and tighten the thigh muscles of your right leg. Press the back of your right knee toward the floor. Don’t arch your back or hunch your shoulders. 3.Hold for 5 to 10 seconds. Then relax. 4.Repeat 10 times, or as instructed. 5.Do this exercise 3 times a day, or as instructed. 2. Quadriceps stretch to do this stretch: 1.Stand next to a wall or use a chair for support. Your feet should be shoulder-width apart. 2.Bend one knee so your foot goes up toward your glutes. 3.Grab your ankle and gently pull it toward your glutes as far as you can comfortably. 4.Hold for 30 seconds. 5.Return to the starting position and change legs. 6.Repeat 2 times on each side. Hamstring stretch •take a break from strenuous activities to allow the injury to heal. •use a cane or crutches to avoiding putting your full weight on your injured leg. •apply ice packs several times a day to relieve pain and reduce swelling. •wrap the injured area with a compression bandage or wear compression shorts to minimize swelling. •rest with your leg elevated above the level of your heart, if possible, to improve drainage and minimize swelling. To do this stretch: to do this stretch: 1.For this stretch, you can use a mat to add cushioning under your back. 2.Lie down on the floor or mat and straighten both legs. Or, if it’s more comfortable, you can bend both knees with your feet flat on the floor. 3.Lift one leg off the floor. 4.Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn’t be painful. 5.Hold for 30 seconds. 6.Lower and change legs. 7.Repeat 2 times on each side. Strengthening exercises 5.Half squat to do this exercise: 1.Get into a standing squat position with your feet shoulder-width apart. Place your hands on your hips or out in front of you for balance. 2.Looking straight ahead, slowly squat down about 10 inches. This is the halfway point to a full squat. 3.Pause for a few seconds, then stand up by pushing through your heels. 4.Do 2 to 3 sets of 10 repetitions. 5. Calf raises to do this exercise: 1.Stand with your feet shoulder-width apart. Position yourself next to a wall or hold on to the back of a chair for support. 2.Lift both your heels off the ground so that you’re standing on the balls of your feet. 3.Slowly lower your heels to the starting position. Control is important with this exercise for strengthening your calf muscles. 4.Do 2 to 3 sets of 10 repetitions. 6. Hamstring curl 7. Leg extensions to do this exercise: 1.Sit up tall in a chair. 2.Put your feet flat on the floor, hip-width apart. 3.Look straight ahead, contract your thigh muscles, and extend one leg as high as possible without raising your buttocks off the chair. 4.Pause, then lower to the starting position. 5.Do 2 to 3 sets of 10 repetitions for each leg. 8. Straight leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning under your back. 2.Lie down on the floor with one leg bent and one leg straight out in front of you. 3.Contract the quadricep of your straight leg and slowly raise it up off the floor until it’s the same height as your bent knee. 4.Pause at the top for 5 seconds, then lower to the starting position 5.Do 2 to 3 sets of 10 repetitions for each leg. 9. Side leg raises to do this exercise: 1.Lie on your side with your legs stacked on top of each other. Cradle your head in your hand, and place your other hand on the floor in front of you. 2.Raise your top leg as high as you comfortably can. You should feel this on the side of your hips. 3.Pause briefly at the top, then lower your leg. 4.Do 2 to 3 sets of 10 repetitions for each leg. 10. Prone leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning beneath you. 2.Lie on your stomach with your legs straight out behind you. You can let your head rest on your arms. 3.Engage your glute and hamstring muscles in your left leg and lift your leg as high as you comfortably can without causing pain. Be sure to keep your pelvic bones on the floor throughout this exercise. 4.Hold your leg in the lifted position for 5 seconds. 5.Lower your leg, rest for 2 seconds, then repeat. 6.Do 2 to 3 sets of 10 repetitions for each leg. Lifestyle and home remedies rest. Take a break from your normal activities to reduce repetitive strain on your knee, give the injury time to heal and help prevent further damage. A day or two of rest may be all you need for a minor injury. More severe damage is likely to need a longer recovery time. Ice. Ice reduces both pain and inflammation. A bag of frozen peas works well because it covers your whole knee. You also can use an ice pack wrapped in a thin towel to protect your skin. Although ice therapy is generally safe and effective, don't use ice for longer than 20 minutes at a time because of the risk of damage to your nerves and skin. Heat. You may experience temporary pain relief by applying a heat pack or hot-water bottle to the painful area on your knee. Compression. This helps prevent fluid buildup in damaged tissues and maintains knee alignment and stability. Look for a compression bandage that's lightweight, breathable and self-adhesive. It should be tight enough to support your knee without interfering with circulation. Elevation. To help reduce swelling, try propping your injured leg on pillows or sitting in a recliner. 

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Regards Lybrate user. Appreciate you caring for your mother and bringing up the concern. To basically understand, the knee joint is a weight bearing joint (i.e. It is shaped in such a way to carry the whole body's weight) and if the loading is not even, it is prone to complain as pain. There could be multiple factors affecting why the joint is not loading evenly - a few to mention would be strength of the muscles around the knee, flexibility or tightness of tissues around the knee, inadequate muscle firing when needed (i.e the muscle does not work as much as it is supposed to do). Posture of body and how the weight is transferred onto the leg also is important, so if muscles are weaker at hip or in the back, it may as well change the mechanics at the knee. A consultation with an orthopaedic physiotherapist for an elaborate examination will help the clinician determine the cause of the problem and if the cause is addressed, the pain could be managed well. Unless the root cause is addressed, managing pain with medications may provide temporary relief only. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. 

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Regards Lybrate user. The concern that you are citing may be "trigger point" in the muscle. Trigger points are very painful to pressure and may occur in muscle due to an in-coordinated effort or overactivity of a muscle. Also trigger points do not occur in isolation, as there is always a chain of muscle activity in lower extremity (i.e. Legs). They are however simple to be treated. It is recommended that you consult a physiotherapist directly to know more or you may consult us for an online consult. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint(s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. 

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Dr. Rahul RaiMSPT (Master of Physical Therapy), Bachelor of physiotherapyPhysiotherapist

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Use high arch shoes. Counslt to physiotherpist. For conservative treatment and exercises counslt on video. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

95% (121284 ratings)

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Follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. 

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Dear lybrate-user, your knee must be in bad condition of osteoarthritis. It will be better if you see a knee specialist near you and get x ray done. He might suggest you surgery (i am just assuming from your complaints). Start doing knee exercise. Static cycling is of good help. Initial few days it will be painful. But later your pain will subside. 

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