Relief for common and painful heel problem called plantar fasciitis
Heart disease patients living in poorer areas of B.C. are up to twice as likely to die from chronic diseases than patients living in better-off areas, a University of British Columbia study has found. The research, released this week in the online journal Public Library of Science ONE , found coronary-artery disease patients living in
Full Post: Mortality rates higher for heart disease patients in neighbourhoods with poor socioeconomics status
Combining an ultrasound-guided technique with steroid injection is 95 percent effective at relieving the common and painful foot problem called plantar fasciitis, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).
“There is no widely accepted therapy or standard of care for patients when first-line treatments fail to relieve the pain of plantar fasciitis,” said the study’s lead author, Luca M. Sconfienza, M.D., from Italy’s University of Genoa. “Our new technique is an effective, one-time outpatient procedure.”
Plantar fasciitis, the most common cause of heel pain, is an inflammation of the connective tissue called the plantar fascia that runs along the bottom of the foot, from the heel to the ball of the foot. The condition accounts for 11 percent to 15 percent of all foot symptoms requiring professional care and affects one million people annually in the U.S.
Conservative treatments, which may take up to a year to be effective, include rest, exercises to stretch the fascia, night splints and arch supports.
When the condition does not respond to conservative treatments, patients may opt for shockwave therapy, in which sound waves are directed at the area of heel pain to stimulate healing. Shockwave therapy is painful, requires multiple treatments and is not always effective. Complications may include bruising, swelling, pain, numbness or tingling and rupture of the plantar fascia. In the most severe cases of plantar fasciitis, patients may undergo invasive surgery to detach the fascia from the heel bone.
For this study, Dr. Sconfienza and colleagues used a new ultrasound-guided technique, along with steroid injection, on 44 patients with plantar fasciitis that was unresponsive to conservative treatments.
After injection of a small amount of anesthesia, the anesthetic needle is used to repeatedly puncture the site where the patient feels the pain. This technique is known as dry-needling. Dry-needling creates a small amount of local bleeding that helps to heal the fasciitis. Lastly, a steroid is injected around the fascia to eliminate the inflammation and pain. The technique is performed with ultrasound guidance to improve accuracy and to avoid injecting the steroids directly into the plantar fascia, which could result in rupture.
After the 15-minute procedure, symptoms disappeared for 42 of the study’s 44 patients (95 percent) within three weeks.
“This therapy is quicker, easier, less painful and less expensive than shockwave therapy,” Dr. Sconfienza said. “In cases of mild plantar fasciitis, patients should first try noninvasive solutions before any other treatments. But when pain becomes annoying and affects the activities of daily living, dry-needling with steroid injection is a viable option.”
You’ve signed up for the gym membership. You’ve bought new workout clothes and shoes. You’ve made a promise to yourself to stick to your New Year’s resolution to exercise and lose weight. You hit the gym, you work out hard for a week, then you wake up one morning and pain is shooting through your
Full Post: Tips for preventing heel pain, pinched nerves and sore Achilles tendons
The American Physical Therapy Association (APTA) is urging patients with musculoskeletal pain to consider treatment by a physical therapist, in light of a new federal survey showing that more than one-third of American adults and nearly 12 percent of children use alternative medicine - with back and neck pain being the top reasons for treatment.
Full Post: Physical therapy best for musculoskeletal pain relief
Genzyme Corporation has announced that its Premarket Approval (PMA) application supplement for Synvisc-One (hylan G-F 20) will be discussed this Tuesday, December 9th, at a public meeting of the FDA’s Orthopaedic and Rehabilitation Devices Advisory Committee in Gaithersburg, Maryland. The panel is expected to consider the clinical trial results Genzyme submitted to support the approval
Full Post: FDA advisory committee to dscuss PMA for Genzyme’s Synvisc-One
Antioxidant supplementation was found to be effective in relieving pain and reducing levels of oxidative stress in patients with chronic pancreatitis (CP), reports a new study in Gastroenterology. CP is a progressive inflammatory disease of the pancreas in which patients experience abdominal pain (in early stage) and diabetes and maldigestion (in late stage). Pain is
Full Post: Antioxidant supplementation effective in relieving pain in chronic pancreatitis
Scientists peered at the brains of people with a baffling chronic pain condition and discovered something surprising. Their brains looked like an inept cable guy had changed the hookups, rewiring the areas related to emotion, pain perception and the temperature of their skin. The new finding by scientists at Northwestern University’s Feinberg School of Medicine,
Full Post: Baffling chronic pain linked to rewiring of brain