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06 Feb

What is Plantar Fasciitis?

Plantar fasciitis is an overuse injury. Accumulation of micro-damage leads to the degradation of the collagen fibers that make up the origin point of the plantar aponeurosis. This prevalent condition is the most common cause of heel pain. It is a common condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of your foot. Managing plantar fasciitis involves a combination of lifestyle changes, exercises, and medical interventions.

Plantar Fasciitis Treatment

What are the risk factors for plantar fasciitis?

  • Overpronation
  • High-Arched Feet
  • Leg-length Discrepancy
  • Footwear

Here are five ways to manage plantar fasciitis:

  1. Stretching Exercises:
  • Perform gentle stretching exercises for the Achilles tendon, calf muscles, and plantar fascia. Regular stretching can help alleviate tension and improve flexibility.
  • Towel stretches, calf stretches, and wall stretches are beneficial for targeting the affected areas.

2. Night Splints:

  • Wear night splints to keep the foot in a dorsiflexed position while sleeping. This helps stretch the plantar fascia and Achilles tendon, promoting healing and reducing morning pain.

3. Custom Orthotics

  • For orthotics to successfully treat plantar fasciitis, they need to control overpronation and the motion of the first metatarsal head.

4. Supportive Footwear

  • Choose shoes with proper arch support and cushioning to reduce strain on the plantar fascia. Avoid high heels and worn-out shoes.
  • Consider orthotic inserts or custom-made insoles to provide additional support and stability.

5. Physiotherapy

  • Consult with a physiotherapist who can guide you through exercises and techniques to strengthen the muscles around the foot and improve overall foot mechanics.
  • Shockwave therapy has been known to show great results in the management of plantar fasciitis.

How do I book an appointment with a Physiotherapist near me?

Click HERE to book an appointment with a physiotherapist or chiropractor at one of our eight locations.

21 Mar

What is Lateral Epicondylitis?

Lateral Epicondylitis also known as “Tennis Elbow” is the most common overuse injury in the elbow. This injury involves partial or complete tears in the extensor tendons of the forearm muscles causing pain on the lateral (outside) elbow on a region known as the lateral epicondyle.

Anatomy

The elbow joint is made up of three bones: the humerus (upper arm bone), the radius and ulna (two bones in the forearm). On the distal end of the humerus there are two epicondyles, one lateral (on the outside) and one medial (on the inside). The muscles that extend our wrist are attached to the lateral epicondyle by tendons. These muscles include extensor carpi radialisbrevis (ECRB) extensor carpi radialislongus (ECRL), extensor digitorum and extensor carpi ulnaris. The tears, and subsequent pain, from lateral epicondylitis usually occurs along these tendons. Most commonly the extensor carpi radialisbrevis (ECRB) is injured, but this injury can occur in any of the other muscles mentioned. Best Physiotherapy Clinic in Mississauga Causes

Lateral epicondylitis usually occurs due to overuse or repetitive movements of the extensor muscles of the forearm. Such an issue can occur due to:
  • An over reliance of the extensor muscles because of poor conditioning or injury in the shoulder or upper arm muscles.
  • Occupations and nonathletic activities requiring repetitive upper extremity activities and particularly those involving computer use, heavy lifting, forceful forearm pronation (palm face down) and supination (palm face up), and repetitive vibration.
  • Improper technique or positioning with equipment i.e. tennis racket.

Risk Factors

While aging is the strongest risk factor associated with lateral epicondylitis, numerous other risk factors have been identified: -work/non-work related activities requiring repetitive movements, -training errors, -misalignments, -flexibility problems, -poor circulation, -strength deficits or a muscle imbalance, -psychological factors.

Symptoms

  • Gradual increase in pain on the lateral aspect of the elbow.
  • Weakness in grip strength.
  • Worse pain with activities that involve extension of the wrist, e.g. backhand tennis stroke, repetitive use of a screwdriver, or lifting heavy objects.
  • In more severe cases, pain can occur with such simple activities as holding a coffee cup or turning a door knob.

Physiotherapy Treatment

There are different types of therapies to treat lateral epicondylitis, all with the same aim: reduce pain, improve function and strengthen the affected muscle. Some of the ways a physiotherapist can help manage and treat your lateral epicondylitis includes: -Joint Mobilization – Deep Transverse Frictions – Modalities – Ultrasound, Electrotherapy, Cyrotherapy, Laser, Extracorporeal Shockwave Therapy – Orthoses (Bracing)

Exercise Therapy

Stretching – The research and literature shows that strengthening and STRETCHING exercises are the most important components of exercise programmes, for the reason that tendons should not only be strong but also flexible. Eccentric Exercises Research has also shown that lateral epicondyitis has shown improvement following treatment utilizing isokinetic eccentric exercise. A great exercise which utilizes this principle is the FlexBar eccentric exercise which has been clinically proven to be effective in providing in improving function with lateral epicondylitis.

Click HERE to book an appointment with a physiotherapist at one of our eight locations.