Categories
Ailmemts & Remedies

Foot Pain

Whether it’s you or a loved one dealing with foot pain, you’ll   want to get a sense of the condition and what treatment options are available. Let us try to help you understand its different aspects and your treatment options.

Introduction:The foot is a complex structure of 26 bones and 33 joints, (it is made up of tarsal bones, metatarsal bones and phalanges ) layered with an intertwining web of over 120 muscles, ligaments, and nerves. It serves the following functions:

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1.Supports weight

2.Acts as a shock absorber

3.Serves as a lever to propel the leg forward

4.Helps to maintain balance by adjusting the body to uneven surfaces

Since the feet are very small compared with the rest of the body, the impact of each step exerts tremendous force upon them. This force is about 50% greater than the person’s body weight. During a typical day, people spend about 4 hours on their feet and take 8,000 – 10,000 steps. This means that the feet support a combined force equivalent to several hundred tons every day.

Causes of foot pain:

Many things can cause foot pain. Wearing shoes that don’t fit right is one of the most common reasons people (especially women) get foot problems such as calluses and bunions. With age, feet often grow wider. Also, being overweight can increase your chances of having foot problems or injuries. Go shopping for shoes in the afternoon when your feet are at their largest due to swelling. Heels on shoes shouldn’t be higher than 1 inch.

Let us jot down some important causes:

Nearly all causes of foot pain can be categorized under one or more of the following conditions:

*Shoes. The causes of most foot pain are poorly fitting shoes. High-heeled shoes concentrate pressure on the toes and are major culprits for aggravating, if not causing, problems with the toes. Of interest, however, was a British study, in which 83% of older women experienced some foot pain. In the study, 92% of them had worn 2-inch heels at some point in their lives. Foot problems, however, were significant even in women who regularly wore lower heels.

*Temporary Changes in Foot Size and Shape.
Temperature, and therefore weather, affects the feet: they contract with cold and expand with heat. Feet can change in shape and increase in size by as much as 5% depending on whether a person is walking, sitting, or standing.

*Poor Posture. Improper walking due to poor posture can cause foot pain.

*Medical Conditions. Any medical condition that causes imbalance or poor circulation can contribute to foot pain.

*Inherited Conditions. Inherited abnormalities in the back, legs, or feet can cause pain. For example, one leg may be shorter than the other, causing an imbalance.

*High-Impact Exercising. High-impact exercising, such as jogging or strenuous aerobics, can injure the feet. Common injuries include corns, calluses, blisters, muscle cramps, acute knee and ankle injuries, plantar fasciitis, and metatarsalgia.

*Industrial Cumulative Stress. Because of the effects of work-related repetitive stress on the hand, there has been considerable interest in the effect of work-stress on foot pain. According to one 2000 analysis, there is very little evidence for any significant impact of work on various foot disorders, including hallux valgus, neuroma, tarsal tunnel syndrome, toe deformity, heel pain, adult acquired flatfoot, or foot and ankle osteoarthritis. In general, the foot is designed for repetitive stress, and few jobs pose the same stress on the feet as many do on the hands. Nevertheless, certain professions, such as police work, are associated with significant foot pain. More research is needed.

Some Medical Conditions Causing Foot Pain:
Arthritic Conditions. Arthritic conditions, particularly osteoarthritis and gout, can cause foot pain. Although rheumatoid arthritis almost always develops in the hand, the ball of the foot can also be affected.

Diabetes.
Diabetes is an important cause of serious foot disorders. (See table: “Diabetes and Foot Problems.”)

Diseases That Affect Muscle and Motor Control.
Diseases that affect muscle and motor control, such as Parkinson’s disease, can cause foot problems.

High Blood Pressure. High blood pressure can cause fluid buildup and swollen feet. The effects of high blood pressure on the nervous and circulatory systems can cause pain, loss of sensation, and tingling in the feet, and can increase the susceptibility for infection and foot ulcers.

Risk Factors:

Nearly everyone who wears shoes has foot problems at some point in their lives. Some people are at particular risk for certain types of pain.

Age
The Elderly. Elderly people are at very high risk for foot problems. In one study, 87% of older people reported at least one foot problem. Feet widen and flatten, and the fat padding on the sole of the foot wears down as people age. Older people’s skin is also dryer. Foot pain, in fact, can be the first sign of trouble in many illnesses related to aging, such as arthritis, diabetes, and circulatory disease. Foot problems can also impair balance and function in this age group.

Prevention  : The American Podiatric Medical Association offers the following tips for preventing foot pain:

*Don’t ignore foot pain — it’s not normal. If the pain persists, see a doctor who specializes in podiatry.

*Inspect feet regularly. Pay attention to changes in color and temperature of the feet. Look for thick or discolored nails (a sign of developing fungus), and check for cracks or cuts in the skin. Peeling or scaling on the soles of feet could indicate athlete’s foot. Any growth on the foot is not considered normal.

*Wash feet regularly, especially between the toes, and be sure to dry them completely.

*Trim toenails straight across, but not too short. (Cutting nails in corners or on the sides increases the risk for ingrown toenails.)

*Make sure shoes fit properly. Purchase new shoes later in the day when feet tend to be at their largest, and replace worn out shoes as soon as possible.

*Select and wear the right shoe for specific activities (i.e., running shoes for running).

*Alternate shoes. Don’t wear the same pair of shoes every day.

*Avoid walking barefoot, which increases the risk for injury and infection. At the beach or when wearing sandals always use sunblock on the feet, as you would on the rest of your body.

*Be cautious when using home remedies for foot ailments. Self-treatment can often turn a minor problem into a major one.

*It is critical that people with diabetes see a podiatric physician at least once a year for a checkup. People with diabetes, poor circulation, or heart problems should not treat their own feet, including toenails, because they are more prone to infection.

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Shoes:

In general, the best shoes are well cushioned and have a leather upper, stiff heel counter, and flexible area at the ball of the foot. The heel area should be strong and supportive, but not too stiff, and the front of the shoe should be flexible. New shoes should feel comfortable right away, without a breaking in period.

Getting the Correct Fit
Well-fitted shoes with a firm sole and soft upper are the best way to prevent nearly all problems with the feet. They should be purchased in the afternoon or after a long walk, when the feet have swelled. There should be a 1/2 inch of space between the longest toe and the tip of the shoe (remember, the longest toe is not always the big toe), and the toes should be able to wiggle upward. A person should stand when being measured, and both feet should be sized, with shoes bought for the larger-sized foot. It is important to wear the same socks as you would regularly wear with the new shoes. Women who are accustomed to wearing pointed-toe shoes may prefer the feel of tight-fitting shoes, but with wear their tastes will adjust to shoes that are less confining and properly fitted.

Click to see the following links:
Insoles and Orthotics
Foot Injury Treatment
Toe Pain
Forefoot Pain
Heel Pain
Arch Pain
Ankle Pain

Joint Pains Treatment – Home and Ayurvedic Remedies

Natural healing of Foot Pain

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources :
http://www.healthcentral.com/chronic-pain/foot-pain-000061.html?ic=506019
http://www.nlm.nih.gov/medlineplus/ency/article/002094.htm

Categories
Health Quaries

Some Health Questions And Answers

Q: I attained menopause two years ago. My neighbour said that if I have sex, I will contract diseases. Is it true?

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AGE NO BAR: Pregnancy can occur until menopause is attained

A: Menopause only marks the end of the reproductive phase of a woman’s life. The lack of hormones may cause the vagina to become dry. This may make penetration uncomfortable and cause irritation. Lubricating jellies such as KY jelly, vitamin E cream or an oestrogen cream can be used. Sex can be continued and without the fear of contracting diseases. Sexually transmitted infections (STIs), however, may occur if the relationship is not monogamous. But this has nothing to do with menopause.

Sweaty palms

Q: My son has excessive sweating on the soles and palms. The sweat smells of ammonia. Please advise.

A: About 1 per cent of the population suffers from excessive sweating (hyperhidrosis). This may be secondary to diabetes or thyroid dysfunction. In both cases, there may be a breakdown of muscles (protein) for energy, producing an ammonia smell in the sweat. These conditions need to be ruled out with appropriate blood tests. If the tests are normal, your son has primary hyperhidrosis. This can be treated with antiperspirant deodorants containing aluminum chloride (20-25 per cent). Apply it in the evenings, two or three times a week. Otherwise, ionotophoresis can be done. This is the application of low intensity electric current (15-18 mA) to the palms and soles while immersed in an electrolyte solution. Injections of botulinum toxin, surgical removal of the glands or the sympathetic nerve ganglia can be done in severe cases. There are no specific drugs available for the problem.

Goitre surgery


Q:
I have a swelling in my throat. Sometimes there is a rasping sound while breathing. My doctor says it is goitre and that surgery is needed, but my thyroid tests are normal.

A:
Goitre is a swelling of the thyroid gland. The gland may still be producing enough thyroid hormone to make the results of blood tests seem normal. The goitre could be due to cancer.

The swelling in your throat is large enough to press on the windpipe and cause the rasping sound. If you have been advised surgery, I think you should go for it.

Fall in libido

Q: I am a 46-year-old man who developed hypertension two years ago. I have been started on antihypertensives and since then have noticed decreased libido and impotence. Please help.

A:
Antihypertensives can have side effects like decreased libido, erectile dysfunction and premature ejaculation. This is particularly true of the older, less cardio selective medications. The effects are often dose-related. There are many groups of antihypertensive medications. Each person experiences different side effects, so treatment and dosage have to be individualised. Speak frankly to your doctor so that he can alter and adjust the medications.

Contraception

Q:
My husband and I have been using condoms for many years. I am now 51 years old. My husband says there is no need for contraception as I am too old to get pregnant.

A:
Women can become pregnant until they attain menopause, which occurs when menstruation has completely ceased for one year. You need to continue using condoms or some other form of contraception until then.

Juice is healthy

Q: I am a diabetic. I read that regular intake of orange juice controls cholesterol, blood sugar, body toxins, etc. Can I drink the sugar-free orange juice packaged by prominent companies and sold in supermarkets?

A: Around 240ml (1 cup) of unsweetened orange juice, marketed by the companies you mentioned, contains the following ingredients (expressed as a percentage of the daily requirement): 100 per cent of vitamin C, 35 per cent calcium, 4 per cent riboflavin, 6 per cent pyridoxine, 10 per cent thiamine, 15 per cent folic acid, 6 per cent magnesium, antioxidants, carotene and 100 calories.

Orange juice is recommended by the American Heart Association. It has zero fat and the trace elements, antioxidants and vitamins, have a cardio protective effect. Nothing compares to control of sugars with a sensible diet and exercise.

Controlling diabetes

Q: I am a 43-year-old man with unhealthy eating habits, not to mention alcohol and chewing tobacco. Recently, I checked my blood sugar and was shocked to see the results. The glucose level was 202 mg/dl (fasting) and 311 mg/dl two hours after food. I was afraid that medications would make me drug dependent. So I adopted a restricted diet and strict exercise schedule. I also stopped drinking and the tobacco. Within a week my glucose levels fell to 110mg/dl (fasting) and 186 mg/dl PP. Can I continue with the regimen and avoid medication?

A:
Congratulations on your success! You obviously are determined, motivated and dedicated. You can keep your sugars under control with diet and exercise. Buy a glucometer, check the sugars regularly and maintain a diary. If the sugar levels rise again, despite your strict regimen, you can consider medication.

All answers given by DR. GITA MATHAI

Source: The Telegraph (Kolkata, India)

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Ailmemts & Remedies

Snoring

Snoring is a noise produced when an individual breathes (usually produced when breathing in) during sleep which in turn causes vibration of the soft palate and uvula (that thing that hangs down in the back of the throat). The word “apnea” means the abscence of breathing.
All snorers have incomplete obstruction ( a block) of the upper airway. Many habitual snorers have complete episodes of upper airway obstruction where the airway is completly blocked for a period of time, usually 10 seconds or longer. This silence is usually followed by snorts and gasps as the individual fights to take a breath. When an individual snores so loudly that it disturbs others, obstructive sleep apnea is almost certain to be present.

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There is snoring that is an indicator of obstructive sleep apnea and there is also primary snoring.

Primary Snoring, also known as simple snoring, snoring without sleep apnea, noisy breathing during sleep, benign snoring, rhythmical snoring and continous snoring is characterized by loud upper airway breathing sounds in sleep without episodes of apnea (cessation of breath).

How Does Primary Snoring Differ from Snoring that Indicates Obstructive Sleep Apnea?
A complaint of snoring by an observer
No evidence of insomnia or excessive sleepiness due to the snoring
Dryness of the mouth upon awakening
A polysomnogram (sleep study) that shows:
Snoring and other sounds often occurring for long episodes during the sleep period
No associated abrupt arousals, arterial oxygen desaturation (lowered amount of oxygen in the blood) or cardiac disturbances
Normal sleep patterns
Normal respiratory patterns during sleep
No signs of other sleep disorders
What can be done about primary snoring?
First of all, it is absolutely necessary to rule out obstructive sleep apnea or other sleep disorders. Be wary of any doctor who says it is not necessary. Behavioral and lifestyle changes may be suggested. Losing weight, sleeping on your side, refraining from alcohol and sedatives are often recommended.

The Causes Of Snoring:
Modern research reveals snoring to often have more than one cause. These include the many factors that lead to nasal blockage such as nasal allergy or deformities of the nasal septum (the cartilage partition between the two sides of the nose) and other internal nasal structures. This nasal blockage can contribute to poor nasal airflow into the lungs and can in turn set the soft tissues of the palate (roof of the mouth) and throat vibrating. These vibrations cause the loud fluttering noise of snoring.

Other factors which can influence the snoring condition are obesity; lack of fitness or aging and associated loss of general muscle tone, congestion of the throat due to the reflux of stomach acid (heartburn); and the effects of alcohol or smoking.

Congestion of the throat tissues leads to swelling of fluids within the tissues. This causes loss of muscle tone and generally makes the lining tissues of the airways flop. Where nasal congestion causes faulty or turbulent airflow through the airway, then the resonance of these floppy tissues contributes to the noise known as snoring.

Correction of snoring may not only require surgical intervention, but will probably also need cessation of smoking, minimised alcohol consumption, control of gastric acid reflux where neccessary and weight control
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The Anatomy of the Upper Airway Passages.

CURE & TREATMENT:
Pillar Procedure
The Pillar Procedure is a new snoring treatment.
It is an operation carried out under local anaesthetic in most cases. Three tiny implants, made from woven polyester, are injected into the tissues of the soft palate. Floppiness of the soft palate, that part of the roof of the mouth which extends from the bony hard palate to the uvula (or central, dangling portion of the soft palate), is a frequent contributor to snoring. Stiffening the soft palate has been well known to quieten snoring in selected cases. However, palatal stiffening is suitable for patients who have been carefully evaluated by an ear, nose and throat surgeon with an interest in snoring problems. It does not assist every patient. Other factors may be contributing to snoring in these patients.

Now, what are Pillar implants?
The Pillar implants, made from polyester material, were developed in Europe and now have FDA US Government authority approval for surgical use. This material has been frequently used in medical products and can be safely inserted within the body. The implant creates a fibrous capsule around the implant which is the mechanism of the stiffening.

How do they work?
During the Pillar Procedure, three tiny woven inserts are placed in the soft palate to help reduce both the vibration that causes snoring and the ability of the soft palate to obstruct the airway. The Pillar inserts add structural support to the soft palate over time and prevents palatal fluttering (snoring).

The complex anatomical structure of the upper airway passages is due to the close association of the air, food and fluid passages. We not only breathe through our mouth and nose, but we also eat and drink through our mouth. The food passages of the mouth, throat and oesophagus leading to the stomach are separated from the airway by the soft palate and epiglottis and associated structures of the larynx or voicebox. This normally prevents food or fluid passing into the air passages and lungs. Occasional strong coughing fits are reminders that this is not always the case!

The nasal air passages serve to moisten the air intake and also provide the olfactory, or smell sense. Alternating congestion of the nasal passages helps channel the air intake between the two lungs.

ORAL/DENTAL DEVICES
There are mouth/oral devices (that help keep the airway open) on the market that may help to reduce snoring in three different ways.

Some devices:
bring the jaw forward or
elevate the soft palate or
retain the tongue (from falling back in the airway and thus decreasing snoring).

SURGERY
There is also surgery. Snoring is Not Funny, Not Hopeless. There is uvulopalatopharyngoplasty (UPPP) or Laser-Assisted Uvulopalatoplasty (LAUP), that involves removing excess tissue from the throat.

The newest surgery, approved by the FDA in July 1997 for treating snoring is called somnoplasty and uses radio frequency waves to remove excess tissue.

Injection Snoreplasty and Non-Surgical Snoring Cures are some other options.

10 Natural Tip for a Silent Night

Home Remedy of Snoring…….(1)

Home Remedy …………...(2 )

Regular Yoga Exercises like Meditation, Breathing Exercise etc. are also a permanent cure for snoring and sleep apnea.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.

Source: www.snoring.com.au

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News on Health & Science

High blood sugar tied to cancer risk

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Results of a study involving nearly 65,000 people point to an association between cancer and abnormally high
blood sugar levels.

These results “have obvious implications for lifestyle guidance, as it is well known what factors cause blood glucose increases,”Dr Par Stattin from Umea University Medical Center, Sweden noted in comments to Reuters Health.

By avoiding excessive fat and other dietary risk factors, and by getting regular exercise, “you can decrease your risk of cardiovascular disease, diabetes — and cancer,”he added.

Type 2 diabetes is associated with an increased risk of liver, pancreas, colon cancer, as well as other cancers, Stattin and colleagues note in the journal Diabetes Care.

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However, less is known about the effect on cancer risk associated with moderately elevated blood sugar levels among non-diabetic subjects.

To investigate further, the researchers examined data from 31,304 men and 33,293 women who participated in a larger study and had glucose (blood sugar) measurements available. In total 2,478 cases of cancer were identified in this group.

In women, the total cancer risk increased with rising blood sugar levels. The relative risk of cancer was 26% higher for women with the highest fasting blood sugar compared with women with the lowest fasting blood sugar.

Adjustment for errors in measurement further increased the relative risk of cancer for women with abnormally high blood sugar levels.

Overall, there was no significant association between total cancer risk and blood sugar measurements in men.

However, for men and women, high fasting glucose was significantly associated with an increased risk of cancer of the pancreas, endometrium, urinary tract and malignant melanoma. These associations were independent of body weight.

These findings, the authors say, provide “further evidence for an association between abnormal glucose metabolism and cancer.”

Source:The Times Of India

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News on Health & Science

A bitter sweet problem

The global incidence of diabetes is increasing. It has already affected 2.8 per cent of the total population and this is expected to increase to 4.8 per cent in 2008. In absolute figures this works out to an increase to 366 million from 171 million. These projected figures are expected to hold good even if the all-pervading epidemic of obesity, inactivity and urbanisation remains static.

Frightening statistics, these. Aware of this, the medical community has put a great deal of time and effort into the elucidation of cause and effect.

What really causes diabetes? No one still has an answer. Everything has been blamed — heredity, genes, the environment, upbringing, breast-feeding, immunisation and immunity. Infection with viruses, especially those of the coxackie group, chemical toxins and even some allergens found in cow’s milk are believed to precipitate the development of antibodies to the cells in the pancreas that produce insulin. This leads to destruction and an eventual decrease in the total number of cells left to produce insulin.

Whatever the cause, the end result is the same. The blood sugar goes up and produces macro vascular complications in all the organs of the body. This predisposes a person to the development of stroke, heart attacks and even amputation of a limb. At the micro level, it affects the eyes, the kidneys and the nerves.

Before the discovery of insulin, diabetics led a miserable existence, controlled with an almost intolerable rigid regimen of diet and exercise. Many succumbed to infection or developed fatal biochemical abnormalities because of the high, uncontrolled sugar.

The discovery of insulin changed all that. It helped diabetics achieve control and this in turn has reduced the risk of eye, kidney, nerve and cardiovascular diseases. Diabetics are beginning to live longer and healthier lives.

Diabetes is now a more accepted as a lifestyle disease. Control with diet and exercise is preferred, and this can now be individualised. Patients can play a greater role in the control and management of the disease.
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The diet is no longer regimentalised as people are now able to modify their eating according to their needs. A 1,500 -2,000 calorie-a-day diet split over six meals probably helps to achieve good control.

There is no need to totally avoid food such as rice, bread, cereal and starchy vegetables. Instead, spread out the total content in six small meals instead of three big ones.

A total of five fruits or vegetables can be eaten daily and an extra piece of fruit when the hunger pangs are unbearable.

There is no real need to feel guilty if you have eaten a sweet. Moderation is the key. Cheating once or twice a week is acceptable. Just remember that sweets push up the sugar rapidly.

Initially, for a (young or old) diabetic with some pancreatic function, a controlled sensible diet and regular exercise may be enough to manage the escalating sugar level.

Later oral medications may have to be added. Here too, patient friendly developments have occurred. Sustained release, long-acting medications or the newer once-a-day medications are now available.

After five-six years on tablets, control often begins to slip. At this point in time, switching to insulin is a realistic, sensible long-term option. The old allergy-causing painful pork and cow insulins have now been replaced with human insulin analogues. They are painless, can be long or short acting, dosages are smaller, and absorption is good. There are no more ugly lumps, bumps or disfiguring atrophic areas betraying the sites of insulin injections.

The old syringes and needles, too, have been replaced with ultra light “pens” (available for between Rs 200-300). The medication comes in a cartridge, very much like pen refill cartridges. If even that is a problem, for a slightly higher price a “use and throw” disposable version is available.

For those with poor coordination and eyesight, the numbers indicating the dosage in the pens are large. It is difficult to withdraw too much or too little as it preset. The pens “lock” and only the required amount of insulin is injected each time.

Visits to the physician or the lab may be difficult and time consuming. That probably means the blood values are probably only done once in every couple of months. This type of control is not satisfactory. At that time a glycosylated haemoglobin (HbA1c) value (normal 3.7-5.1) can be checked instead. This reveals control over the past couple of months.

It is better to achieve individualised good day-to-day control with tailored minor adjustments in diet, medication and injections. This is now easily done with home glucometers (Rs 1,500), now available with a three-year guarantee. Sugar levels can be checked once or twice a day so that an erratic indulgent meal or lack of physical activity never pushes the diabetes out of control.

Are you diabetic? You hold your life (with a little help) in the palm of your hand.

By Dr Gita Mathai who is a paediatrician with a family practice at Vellore,India. Questions on health issues may be emailed to her at yourhealthgm@yahoo.co.in

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