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Cylindrical massage device for arch pain

Discussion in 'Biomechanics, Sports and Foot orthoses' started by GarethNZ, Dec 9, 2007.

  1. GarethNZ

    GarethNZ Active Member

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    Hi all,

    I am currently suggsting for people with heel and arch pain of a mechanical nature to utilise a golf ball (among alot of other treatment options) to massage in the arch to gain some relief from their symptoms.

    Do any of you have any special devices that you may use that are more appropriate than a golf ball that patients could purchase?

    Any suppliers names etc would be useful.

  2. I recommend a tin of beans- placed in the freezer and then rolled in a towel to give some protection from over chilling. I then suggest roling this under the foot.
  3. 2 inch diameter PVC pipe, cut into 6" sections, is the cheapest solution for this type of therapeutic option. Even though I have never taken the time to do it, I thought it might be worthwhile to cut the pipe myself and sell these 6" sections of PVC pipe in my office as "plantar fascial massagers". This type of "self massage therapy" seems to be helpful for many patients with plantar fasciitis.
  4. Nikki

    Nikki Active Member

    Hi Gareth,

    I'm with Simon and Kevin on this one. I suggest a bottle of frozen water rather than the beans though. In my experience patients who use a golf ball more often than not complain of increased discomfort due I think to the smaller contact area of the golf ball, plus sometimes they become a little over exhuberant with the massage.
  5. Stanley

    Stanley Well-Known Member

    What structure(s) should we massage to help patients with plantar fasciitis?
    Hint: It is not the plantar fascia.

    This is not to say that cryotherapy on the plantar fascia is not effective.


  6. Another Hint: Direct massage to the plantar fascia for plantar fasciitis is helpful for some patients and I know of no contraindications to this therapeutic technique other than over-aggressive massage. ;)
  7. CraigT

    CraigT Well-Known Member

    A vote here for the frozen 500ml coke bottle. I suggest this at the end of the day, and a tennis ball in the morning if the golf ball is too much for them...
  8. I find that patients instinctively know where to roll it.

    HINT: Where it hurts.
  9. MegaHint: It hurts so gooooood!:pigs::pigs::pigs:
  10. I presume nothing where patients are concerned!

    Personally i go with a tin of beans in the fridge (not the freezer) and no towel.

    And if it fails you can always eat the beans!

  11. But it's a nice hurt!:eek:
  12. twirly

    twirly Well-Known Member

    Hi all,

    Just a note to agree with Craig, always wise to add to patients advice that they use a PLACCY pop bottle in the freezer as we know:D (but they may not) shattered glass doth knacker the foot!

    I also advise that if using ice therapy (3/4 full pop bottle frozen) the patient wears a thin sock to decrease any initial cold discomfort without notably affecting theraputic effect of ice.

    Does anyone advise any particular time limit to this activity?

    on another note: 15 more go sleeps n wakes up till HE's here :)
    Hmmm p'raps I should start shopping :eek:

  13. 10-15 mins x 3 daily
    **** wank tits arse fanny- just wasted post number 666 on this ****e.

    Unbelieveabubble it censors sh!t and Sh!te, but not the rest????? Sure it'll get censored soon, so here's one of my heroes on censorship:

    I self-censored to save all the grief from the softer-souls- you know, the ones you used to bully at school and, call them names like spazzo- I am getting old- what a tosser- what a waste.
    Last edited: Dec 10, 2007
  14. twirly

    twirly Well-Known Member


    Not laughed so much in ages, all my fave words in one short reply.

    with fond regards,

  15. Admin2

    Admin2 Administrator Staff Member

  16. markjohconley

    markjohconley Well-Known Member

    i'm with twirly, a 'classic'
  17. markjohconley

    markjohconley Well-Known Member

    I'm now youtubing 'bill hicks' whilst I'm debriding Mrs Iforgethername's callus, .... "no, no, no, i'm really not interested, tell you're neighbour when you get home, i'm trying to watch the monitor, can't you see!, how rude" ............
  18. Stanley

    Stanley Well-Known Member

    Some more thought on the subject.

    What is the name for the massage movement that is performed with the golf ball?
    Is it pettrisage, effleurage, or what?


  19. Griff

    Griff Moderator


    I'm an 'Orange in the fridge/freezer' advisor, admittedly not disimilar to the golf ball, but freezes much better.
  20. Peter

    Peter Well-Known Member

    Am I the only one who recommends a cold can of Bass?
  21. Before or after the massage?
  22. twirly

    twirly Well-Known Member

    Bass! pish,

    yeuk, at least coke tm has caffeine.

    If it doesn't solve the pain at least you can mix it with spirits.

    Bass! ewww :dizzy:

    Regards (other soft drinks are available)
  23. Donna

    Donna Active Member

  24. twirly

    twirly Well-Known Member

    Hi Donna,

    Bass is a type of beer(comes in cans & on draught), tastes terrible though.

    The same company also retails tins of shandy (beer n lemonade) :dizzy:

    'Old mans beer' :drinks

  25. Donna

    Donna Active Member

    Ah so it's like drinking Foster's here in Australia, disgusting stuff... :dizzy: With a name like "Bass" it doesn't sound particularly nice, all I can think of is that bass is a type of fish...
  26. Oh come now. Fish flavoured beer? Clearly a winner. Rich in omega 3. Beer kills brain cells? not any more!

    Its not that bad.

    Are you saying that in fact we've been lied to and that ALL Australians don't drink either fosters of XXXX? :eek: You just can't trust marketing these days!

    Not as good as a Robeer.:drinks

  27. Donna

    Donna Active Member

    Let's just say that in Australia you'd be more likely to get a patient with plantar fasciitis to roll their foot over a frozen Coke or Mt Franklin water bottle than a can of Foster's... I don't know of anyone who buys the stuff, makes me cringe thinking about it... Robeer on the other hand sounds worth a try... :drinks
  28. musmed

    musmed Active Member

    Dear Gareth

    If it is mechanical in nature, what is non mechanical in nature?

    Speak correct language and then some might be able to help you.

    Just like mechanical back pain, there is no such thing. It is an invention of some smart person. It's roll in practical acumen is zero, but sounds good to some simple patient and possibly practitioners out there.

    Merry Santa

  29. twirly

    twirly Well-Known Member

    Robert surely it can't be so!!

    Next thing theyll try dispelling is that all Aussies DONT wear big shorts n have hats with corks around em! :rolleyes:

  30. Not sure i follow your point here. Are you saying that ALL heel pain is mechanical in nature? If so what is your definition of mechanical.

    Can i invite you to consider
    Review of non-functional plantar heel pain.
    The Foot, Volume 10, Issue 2, Pages 97-104
    C. Selth

    Interesting article.

  31. musmed

    musmed Active Member

    As there is no such thing as mechanical there is no definition.

    Just like saying you have to strengthen your core muscles. What are the un-core muscles then?

    Paul C

    Hot day flies about -corks and hat essential
  32. Paul:

    You certainly win the award for cryptic postings on Podiatry Arena.

    Let me help you out with the accepted definitions for the word mechanical.

    Definition #5 would be the most appropriate definition for mechanical in this context. We may speak of mechanical heel pain as being pain caused by the physical forces acting on or within the heel such as ground reaction force or, for example, tensile forces from the Achilles tendon or plantar aponeurosis. We standardly use this terminology to differentiate heel pain of, for example, neurological or systemic causes. We use the term "mechanical heel pain" as a way to narrow down our differential diagnoses for heel pain in our patients.
  33. musmed

    musmed Active Member


    What I was saying is that you are using something that has no basis.Ig there is mechanical foot pain describe non-mechanical foot pain.

    I am at a loss. I note you mention forces here and there but how do you know they are there and if you can 'see them' how do you fix or remove them or whatever.

    Just semantics but poor medicine.

    Paul C

    such an easy way to scare a patient. Just talk garbage too them.I hear it almost everyday.
  34. Paul:

    Again, I don't know what you are talking about. Are you saying that the internationally recognized scientific discipline of biomechanics has no basis? Biomechanics is simply the study of the mechanics of biological structures. And please tell me, Paul, what does this cryptic sentence actually mean "Ig there is mechanical foot pain describe non-mechanical foot pain." :wacko: Here are examples of non-mechanical foot pain (i.e. not mechanical in etiology): complex regional pain syndrome, diabetic peripheral neuropathy, rheumatoid arthritis, gout, Reiter's syndrome, ankylosing spondylitis, and the list goes on and on......

    I know forces act on the heel for three reasons. First of all, these forces can be directly measured by force plate, pressure insole and by pressure mat. Second, the tension within the plantar fascia has been directly measured in cadaver models. Third, the forces must be present on the calcaneus in order to satisfy the static and dynamic mechanical requirements of the foot. Statics and dynamics are based on Sir Isaac Newton's three Laws of Motion.

    I don't know what you are saying to your patients to scare them, Paul. My patients aren't scared...I'm far too busy with new patients being referred to me by other satisfied patients and podiatrists and physicians throughout Northern California. All of my patients are provided as detailed of a mechanical explanation of their foot pain as they desire, from either very simple or very complex, depending on their level of understanding of mechanics. They aren't scared by mechanics. In fact, they enjoy my mechanical explanations of their foot pathologies.
  35. musmed

    musmed Active Member

    Dear Kevin

    Now we have arrived. Biomechanical foot pain. That sounds better.

    By the way most causes of CRPS are biomechanical in origin in the lower limb in my 20+ years of consulting such poor individuals.

    You may only practice in the lower limb. I practice dealing with the whole body and i stick by what I said. Many patients are told garbage and not only by medical people but other allied so called professionals.

    Paul C
    Paul C
  36. Daniel Bagnall

    Daniel Bagnall Active Member

    Hi Paul,

    Could you please try and explain how CRPS is commonly caused by biomechanical anomolies? If this was the case, wouldn't we be treating this condition more frequently? I have been under the impression (and correct me if I'm wrong) that the pathogensis of this condition is still not well understood yet. Most of the evidence that I have read so far, suggests that CRPS has a vast range of aetiological factors. Accordingly, none of them have comprehensively nor consistently indicated that the likely cause of CRPS is biomechanical in origin.


  37. musmed

    musmed Active Member

    Dear Dan

    The commonest aetiology for CRPS I see in the foot and ankle is a simple sprain.I have seen it post traumatic Lisfranc fracture where an army person stomped onto a man's foot because he did not like him!

    About 12 months ago a patient slipped on a wet sloping driveway, inversion injury to her leg and now spreading CRPS.

    A lady from Florida (yes Florida who used to come and visit me!) had CRPS after nearly slipping over on a wet floor.Basically a very simple thing that you would not think twice about.

    I have consulted with many who have it after back surgery. 8% get it

    RSI: three this past year who 'face up' ie.stock shelves in supermarkets and turn all product so that you can read the label ten rows in!

    There is a urologist on my floor and he tldme recently that he sees4-6a month with CRPS due to hernia repair.Classically they get testicular pain, scrotal pain and all that goes with the terrritory. Hernia repair is not just a simple operation.

    I have heard of CRPS starting after having a cardiac infarct and even after venepuncture.

    6 months ago I consulted a patient who developed it after cutting her right cutaneous branch of the radial nerve.

    It is always (99%) a very delayed diagnosis.

    On MRI bone has a very characteristic appearance and looks similar to disuse osteopenia.I desribe it as looking like broccholi that is ageing, that is develops different colours as the bone does.

    Like all,history is everything. One has to have the allodynia and hyperalgesia to have CRPS.

    Hope this helps

    A massive storm has just hit,so I am off the net.

    Merry Santa

    Paul C
  38. Daniel Bagnall

    Daniel Bagnall Active Member

    Hi Paul,

    Thanks for your reply, however I'm still not clear on a few things...

    I wasn’t able to read anywhere in your last post about biomechanics being the major cause of CRPS in the LL. Please correct me if I missed it.

    An ankle sprain isn’t necessarily due to a biomechanical cause. The example you have given above is a typical scenario of how an ankle sprain might occur. The BMX wouldn't have afected the outcome for that pt. There are certain biomechanical risk factors which may increase the likelihood of an ankle sprain i.e. a cavus foot type with lateral ankle instability; increased 1st ray dorsiflexion stiffness. However, these factors alone don’t cause ankle sprains. Ankle sprains are due to an unanticipated foot placement on an uneven surface and/or an inappropriate positioning of the foot in space before ground contact, regardless of the foot type or biomechanics.

    A Lisfranc dislocation or fracture isn’t usually a result of faulty biomechanics. Lisfranc injuries usually occur due to trauma i.e. falling from an abrupt height, falling down stairs, stepping off a curb, or as you’ve stated re: your army pt, a crush injury to the foot.

    Therefore the point I’m trying to make, is that, it is still my understanding that CRPS is often a result of trauma i.e. crush injuries, lacerations, fracture, systemic disorders, neurologic abnormalities etc. I don’t understand how CRPS cases that occur in the lower limb are predominantly biomechanical in origin as you have previously suggested. :confused:


  39. musmed

    musmed Active Member


    The changes to the joint due to injury no matter how petty, changes the biomechanics of the afftected joint and thus their mechanoreceptors. This somehow is read by the lamina 3and 5 of the spinal cord as something else along with the dorsal root ganglion and the process of CRPS starts.

    I do not look at the pes foot or what ever, the biomechanics of the joint were changed even for a split second and this is somehow enough to start the dreadful process of CRPS.

    In most cases the person slips on or partially slips on an even floor in my experience. As I said before,most injuries are trivial.

    The lisfranc example the joints biomechanics are changed, but secondary to acute trauma in my example.

    I think that hairs are being split but correct English definitions are needed. That's what I am on about.

    I bet you never said mechanical anything 10 years ago. I certainly never read anything to do with the human body that mentioned the word.

    I never said CRPS was due to faulty medhanics but it certainly is with overuse syndromes. CRPS certainly does arise due to changed mechanics.

    As I stated earlier, most CRPS I see in the foot and ankle are secondary to trivial injures in the main.


    Paul C.

    Off to the bush for three weeks.speak to all later
  40. Paul:

    The term "mechanics" has been used within the medical literature to describe the function of the human body for much longer than 10 years:

    Here is a quote from a Precision Intricast Newsletter I wrote over 20 years ago in March 1987 titled "The Effect of Shoe Design Parameters on Foot Function":

    "Therefore, any alteration in the position of the feet to the ground within the sagittal plane affects the mechanics of the rest of the sagittal plane movements of every joint in our body. In observing numerous people walk it is obvious that high heeled shoes or cowboy boots greatly affect the degree of hip and knee flexion angles during gait as compared to lower heeled shoes."

    And I wasn't the first to use the term "mechanics" within the medical literature.....

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