Browsing Posts in Pain Management

Location, Location, Location
The knee joint is a hinge joint comprised of the femur above and the tibia below. The knee functions primarily in bending and extending. Yet despite the importance of the knee in our everyday function, the knee joint is significantly impacted by the function and structure of joints above and below; specifically the hip and foot. Weakness and a loss of mobility in the hip as well as flexibility and biomechanical issues of the foot can result in abnormal stress passed on to the knee, causing a variety of knee conditions. The knee in many ways becomes the victim secondary to its location.

Supporting Research
One of the more common types of knee joint pain is patella femoral syndrome which is simply an irritation around the knee cap. For many years, the cause of patella pain had been specifically related to a lack of quad strength. Recent research studies now indicate that the lack of hip strength has a significant impact on knee cap pain. The most common component affecting the knee is a lack of lateral hip strength. Hip abduction strength has been implicated in a number of studies as common issue for those suffering patella related pain. In addition, studies have also found that performing specific lateral hip strength exercises is an effective treatment for patella femoral pain.

In a similar finding, a 2007 study looked at muscle strength associated with knee osteoarthritis. This study, reported in the journal of Musculoskeletal Disorders, found that hip strengthening helped to reduce knee joint stress as well as arthritis knee pain symptoms.

Similar to studies finding an association between knee joint pain and hip strength, studies have also found foot biomechanics can also have an impact on knee pain. Studies indicate that those experiencing patella femoral pain have a greater tendency to also have pes planus, or a flat foot. Although those with anterior knee pain are more likely to have flat feet, research has not found that the presence of flat feet is a predictor as to who may or may not have knee pain.

Why does the Hip and Foot Matter?
The biomechanics of the leg involves a complicated chain of events. Once your foot hits the ground, the position, strength and flexibility of the foot will influence how forces are passed up the leg. In the same vein, the strength and flexibility of the hip will impact how and where those forces are absorbed.

There is a classic pattern that is found in relation to leg biomechanics and knee pain. Frequently a flatter foot allows the tibia or shin bone to rotate inward. If the muscles of the lateral hip are not strong, this shin rotation will result in femur or thigh rotation. This internal rotation between the shin and the thigh creates increased twisting stress on the knee, frequently leading to pain.
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What can you do?
As part of your overall treatment program, seek help from a physical therapist who can evaluate the extent of your biomechanical issues as well as the strength and flexibility of your hip. Wearing supportive shoes, using a shoe insert, and doing lateral hip strengthening exercises may be the best way to help you relieve knee joint pain.

Are you one of the 50% – 70% of adults who suffer from hemorrhoids? If you are, you are almost certainly here looking for some effective hemorrhoid treatment options. And like me you’d probably want a hemorrhoid natural cure, if possible.

Believe me I understand. I know how painful, inconvenient and embarrassing hemorrhoids can be. For me the big problem was the itching. I mean what can you possibly do to relieve the itch when you are sitting down all day in a busy office surrounded by colleagues?

And then there was the occasional bleeding. Once when I removed my light colored pants at the end of the day, I noticed a small blood stain spot showing on the outside. How embarrassing! I wonder how many people saw that and were too polite to mention anything!

And finally, as those hemorrhoids got worse, there was the pain when going the the toilet. The itching, the pain, and the occasional bleeding eventually became too much for me and I – I who NEVER visits a doctor – eventually went to our local clinic find out about hemorrhoid treatment options.

Well, as it turns out there are a lot of choices. I can’t remember all the fancy names, but I remember rubber bands, lasers, and surgery with REAL scalpels being mentioned. Yes, the whole range from medieval torture instruments to Star Wars weapons. And they wanted to use THOSE things – in THAT area!

“Couldn’t we try aromatherapy first?” I pleaded with the doctor only half-jokingly. He obviously didn’t have a painful hemorrhoids problem if he was able to laugh about it the way he did. OK, aroma therapy was really wishful thinking but “how about a hemorrhoid natural treatment?” I asked hopefully.

Well, he HAD heard of a hemorrhoids home remedy or two, he said, but couldn’t really remember any details about them. I told him I needed time to think about the next step and got out of there and into the bright sunshine as fast as I could. Surgery for hemorrhoids definitely wasn’t my first choice.

“You need to see an herbalist”, my friend said. Now I don’t know about you, but I have always figured herbalists were pretty flakey. I mean, I reckon their main mission in life is to sell you their expensive herbal extracts, with prices that would make Big Pharma blush.

So I did what any intelligent tech-savvy, tuned-in person would do. I researched the Internet. And yes, I can now tell you, there IS an all natural hemorrhoid cure. It works fast and it is really effective.

If you want to get highly specialized foot care, then chiropody clinics are your only option. The podiatry specialists in a chiropody clinic can offer professional help from foot wear advice to standard chiropody treatments.

It is common knowledge that proper foot care does not get enough attention. However, you should understand that your foot absorbs the biggest impact and is the frequently used part of your body. This means that the feet receive great amounts of stress everyday.

Failing to properly care for your feet could lead to serious disorders and long-term debilitating illness. There is a good chance that your mobility will be hampered. The good news is there are modern chiropody clinics that can provide excellent foot care for you.

Senior citizens and bed-ridden patients can also benefit from these services. Most seniors and elderly cannot bend over to take care of their feet. This is a real limitation which prevents them to give due attention to their feet.

Once again, it will be of great help to the seniors. Proper foot care and maintenance can be applied once they visit a chiropody clinic regularly.

Some Issues with Chiropody Clinics

Podiatry is a branch of medicine that is slowly becoming popular among practitioners. However, this field still has an obvious lack of professionals that can provide foot care for many patients. In a particular typical locality, dedicated chiropody clinics may not be existent at all. Patients therefore are forced to travel in other parts of the city or country in order to get the services of a podiatry specialist.

Patients normally face real scheduling and consultation problems. In some areas, clinics and institutions have long waiting lists of patients and waiting period could last for a few weeks. Some clinics will also require patients to secure a GP referral before they can be accommodated by the podiatrist. Worse, some clinics do not provide routine foot treatments like nail reduction.

To find the best and the most suitable one, a few guidelines need to be clarified. You can get excellent and comprehensive foot care if you know how to find the best clinic.

Guideline for Finding Excellent Chiropody Clinics

First, you need to find a clinic located near your place of residence so you can easily make a consultation visit. You can use online search or a business locator in your area. Include local podiatrists in your search. Obviously, it is more convenient to sign up with a local clinic near your place.

It is also advisable to look for clinics that accept same day or next day appointments. These types of clinics could provide immediate care for you.

Find local chiropody clinics that does not require a GP referral. If the clinic allows walk-in consultations without referral, then you can enjoy bigger savings in your health care expenses.

The best chiropody clinics should be able to provide complete services. This means the institution should accord routine foot treatments including toenail reduction services for the elderly.

Finally, you should inquire if the chiropody clinic provides home service and care. Allowing for home consultation will help seniors who can not move and those with serious physical disorder and ailments.

Ankle Brace

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Your feet, ankles and legs should remain healthy if you want to maintain your mobility to the fullest extent. Hence, the answer to the following question may be important to you. How is your ankle doing lately? Does your ankle hurts or do you feel like it is weak?

There are many possibilities for the ankle pain. If your ankle is not doing well, you do not need to worry. This free article can inform you about common ankle injuries and the remedy to support your ankle and reduce pain. The common causes are ankle injuries and chronic ankle.


Ankle injuries are bound to happen. They can be a consistent pain and a big and painful problem for you. One way to sustaining injury is rolling of your ankle. Mostly, people will roll their ankle to the outside. This means that your foot will roll beneath you to inside of the body. Due to rolling of your ankle, your body weight is enforced to the joint, hurting you badly. The degree or intensity of your pain in the sprained ankle can vary from a grade level 1 sprain which refers to stretched ligaments in your ankle to a minor extent to a grade level 3 sprains which is most severe and the ligament affected in the sprain is really torn completely.

Chronic ankle pain is another type of ankle pain. You can take traditional treatment measures to aid lessen your pain and add compact constancy whenever you feel discomfort or instability often. Chronic ankle pain can be caused either by an injury (like a sprain) or arthritis.

One of the effective, cost-efficient and non-invasive treatment plans available that can help treat your ankle pain is the utilization of a low profile ankle brace. In the recent days with all the innovation, efficient braces do not need to be huge, heavy or large anymore. When you go for a run, a brace can provide the support you require to manage the pain. Furthermore, it aids in preventing new injury to your ankle. In addition, an ankle brace will remind you to avoid any unnecessary movement that could cause more pain or injury. Although rest, elevation and ice are also options for certain people, more active and athletic people will figure out that an ankle support can be worn at any time to help manage pain.

The information available in this article is only health information and not medical advice. For expert opinion refer to your doctor.

Piriformis syndrome stretches are probably one of the most effective methods of treating sciatica nerve pain. Combined with pain relievers and anti-inflammatory drugs, most doctors will recommend a program of physical therapy to target the pain associated with piriformis syndrome and sciatica.

However, simply relying on piriformis syndrome stretches will do nothing to fix the problem. Sure, it may help relieve the pain. But many people assume that if the pain goes away then the problem has also gone away. Then they are surprised when the pain returns again and again.

The sciatic nerve is a long bundle of nerve fibers that runs from the lower spine, through the hips, through the buttocks and down each leg. Any compression along its length can cause sharp pain, burning pain, tingling and/or numbness anywhere along its length.

Piriformis syndrome occurs when the piriformis muscle, located deep in the hips, pinches, compresses, or otherwise irritates the sciatic nerve. This can cause symptoms often confused with sciatica. Typical symptoms include numbness/tingling in the lower back and buttocks. Sometimes this numbness can travel all the way down one or both legs. Other people report sharp, burning, or shooting pain that also radiates from the lower back, through the hips and buttocks, and down one or more legs.

Piriformis syndrome stretches work by stretching and loosening the piriformis muscles and other muscle groups contributing to the problem. There are several stretches that can help with piriformis syndrome. Here is one example:

Lie on your back. Slowly lift your affected leg and cross it over your other leg. For this stretch, cross it over all the way so that the back of your raised knee is resting on the top of the other knee. Now slowly curl up so that you can grab the lower knee. Slowly pull that knee in towards your body. You should feel a good stretch start to form. Stop immediately if there is any pain. Try to hold the stretch for a few seconds before slowly releasing. Try to repeat this stretch several times a day, if possible.

While piriformis stretches such as this often help to relieve the pain, it will do nothing to cure the underlying causes of your condition. This is because piriformis syndrome, sciatica, and other forms of back and nerve pain are the ultimate result of muscle imbalances that have slowly been warping your body over a long period of time.

In this case, treating the pain only hides the problem for a while. If you want long term relief, piriformis syndrome stretches are not enough. You have to identify and correct the underlying muscle imbalances that created the syndrome in the first place.

Knee Injury

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Sports injury accounting for meniscus or ligament injuries of the knee are common owing to high activity levels. Usually, the patient is a young adult presenting with acute onset pain and swelling of the knee, with sensation of give way while climbing up or downstairs.Young patients often wish to pursue active sports, which makes newer research into the treatment modalities, a prime necessity.

Meniscus Injuries usually present with knee effusion, may cause locking episodes and/or persistent pain along the joint line. Patient usually complain of inability to put full weight over the affected limb. The medial or the inner side meniscus is more prone to injury owing to specific anatomy and peripheral attachments. Ligaments that stabilize the knee include the Anterior and Posterior Cruciate ligaments. They prevent abnormal translation between the Tibia (leg bone) and Femur (thigh bone). An injury to the ligaments may cause a feeling of give way.

The diagnosis can be ascertained with reasonable certainty using Magnetic Resonance Imaging. However, sometimes the findings may not be confirmatory, and an arthroscopy of the joint is required. Knee arthroscopy may be performed both to diagnose and to treat the condition.

Meniscus tears at some location, and if presenting within a week may be repaired using arthroscopic techniques. This provides good long term results. If presenting late, or extensive tear, the torn portion is resected by arthroscopic technique, leaving a thin intact rim. Meniscus tears, if not treated properly have been known to contribute to development of arthritis.

Ligament tears may be treated with physiotherapy or surgical intervention. Tears associated with bony island should be treated surgically on urgent basis. Mid-substance tears do not heal by themselves, and need reconstruction. Ligament reconstructions should be delayed for 4-6 week, and aggressive physiotherapy should be done in the meantime.

Anteior Cruciate Ligament reconstruction is one of the commonly performed surgeries by Orthopaedic surgeons handling sports injuries. It can be reconstructed using tendons from the inner aspect of knee or from the patellar ligament (knee cap region). Both offer equally satisfying results, however Patellar tendon bone graft offers better biological bone to bone incorporation. Meniscus transplants from cadaver donors is the new technology in the closet.

Patients usually require a 6 month period before they can get back to contact sports, with prolonged supervised intensive physiotherapy. Important to understand that, not all patients with Meniscus tear or ligament tear need surgery. However, timely performed arthroscopy helps in early rehabilitation.