Hi all,
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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.
Gareth
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T.E. #7: External Forces on Objects:
Problems with Only Motion Observation
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T.E. #6: Effect of Foot Orthoses on PT Tendon Force Required to Cause STJ Supination
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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. -
Hint: It is not the plantar fascia.
This is not to say that cryotherapy on the plantar fascia is not effective.
Regards,
Stanley -
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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...
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HINT: Where it hurts. -
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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!
Regards
Robert -
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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:
Regards, -
**** 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:
http://www.youtube.com/watch?v=pkptz2YfZik
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 -
Simon,
Not laughed so much in ages, all my fave words in one short reply.
with fond regards,
:drinks:drinks:drinks:drinks:drinks:drinks -
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i'm with twirly, a 'classic'
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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" ............
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What is the name for the massage movement that is performed with the golf ball?
Is it pettrisage, effleurage, or what?
Regards,
Stanley -
GarethNZ,
I'm an 'Orange in the fridge/freezer' advisor, admittedly not disimilar to the golf ball, but freezes much better. -
Am I the only one who recommends a cold can of Bass?
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Before or after the massage?
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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) -
I like these small massage/reflex balls... http://www.sportstek.net/reflex_balls.htm -
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
Regards, -
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...
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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
Regards
Robert -
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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
PaulC. -
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:
'Crikey'! -
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.
Regards
Robert -
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 -
You certainly win the award for cryptic postings on Podiatry Arena.
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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. -
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......
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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 -
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.
Regards,
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 -
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.
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:
Regards,
Dan -
Dan
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.
Regards
Paul C.
Off to the bush for three weeks.speak to all later -
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.....
Page 1 of 2
<
T.E. #7: External Forces on Objects:
Problems with Only Motion Observation
|
T.E. #6: Effect of Foot Orthoses on PT Tendon Force Required to Cause STJ Supination
>
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