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Feet Pain

Several conditions may be related to foot pain. Here are some examples of the conditions we are dealing with. Of course, this list is not exhaustive, so for more details, contact us.

PLANTAR FASCIITIS

Description

  • Inflammation of plantar fascia insertion into the heel bone (calcaneus) resulting from repeated injury or stress.
  • May occasionally be associated with a LENOIR SPIN, which results from calcification but is not necessarily symptomatic.
  • Without proper treatment, this condition can develop into a chronic and recurring problem. The presence of a partial or complete tear of the plantar fascia is possible.
Presentation
  • Begin with a dull, intermittent pain in the heel that can progress to persistent, severe pain.
  • Pain may also be present in the middle of the sole of the foot or near the toes.
  • Pain usually not present in the morning during the first steps, after an extended sitting period or at the beginning of a sports activity.
  • May cause lower back or knee pain due to walking adaptation.
Causes
  • Flat feet in pronation
  • Rigid legs with high vault
  • Prolonged standing
  • Unsuitable, inadequate or worn shoes
  • Abuse of exercise (syndrome "too much effort, too early")
  • Soft ground (running on sand)
  • Activities involving stops and sudden changes of direction
  • Achilles tendon and calf muscle stiffness
  • Obesity
  • Aging
Treatments
    • Reduction of inflammation with ice (20 minutes / 2 hours) and complementary therapies such as neurocryotherapy and kinesio taping.
    • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to correct foot biomechanics and reduce scar tissue
    • Exercises for softening the plantar fascia and Achilles tendon
    • Exercises to strengthen and stabilize the foot
    • Plantar orthoses to treat or prevent condition
    • Modification of activities
  • Medications (anti-inflammatories) as needed
  • Injections of cortisone as needed
  • Very rare surgical procedures
  • Plasma rich in platelets

ANKLE SPRAIN

Description

  • Most often results from twisting the ankle inward.
  • Occasionally, the twist of the ankle may be outward.
  • Involves stretching or tearing of one or more ankle ligaments.
  • Painful and debilitating injury that can become a chronic problem.
  • Divides into 3 levels of severity:
    • 1st degree
      • the most common and the least serious, as long as they are not neglected
      • The ligaments that connect the bones of the ankle are stretched without being torn
    • 2nd degree
      • more serious injuries
      • the ligaments of the ankle are partially torn
    • 3rd degree
      • the most severe injuries
      • tears in ankle ligaments are more pronounced, but rarely require surgery
      • may leave loose ligaments and an unstable ankle
Presentation
  • Pain and swelling beginning in the injured area, which can spread over the ankle and foot over time.
  • Dry noise or tearing sensation at the time of injury
  • Bruise may spread in the area
  • Difficulty walking after the incident
Causes
  • Excessive stress on the ankle
  • Anterior ankle injury
  • Weak muscles
  • Shoes with inadequate support
  • Inadequate heating and stretching
  • Activities involving sudden stops and changes of direction or walking / running on uneven surfaces
  • Family history
Treatments
  •   Step # 1 (first 72 hours)
    • Reduction of inflammation with ice (20 minutes / 2 hours), elevation of the foot and complementary therapies such as neurocryotherapy and kinesio taping.
    • Medications (anti-inflammatory and anti-pain) as needed
    • Compression of the ankle with a bandage
    • Crutches as needed
  •    Step # 2 (1st week)
    • Reduction of inflammation (idem)
    • Walk normally when pain is no longer present
    • Support of ankle with a bandage or orthopedic device
    • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to correct the biomechanics of the ankle and reduce scar tissue
    • Mobility exercises
    • Medications (anti-inflammatory and anti-pain) as needed
  •    Step # 3 (2nd week or more)
    • Joint manipulations and soft tissue work (Active Release Techniques and Graston)
    • Rehabilitation to increase strength, flexibility of the ankle and balance
    • Plasma rich in platelets
Provide good ankle support during sports practice for several months following the injury (Bandage, orthoses and shoes with good support)

Prognostic

1st degree: return to sports activities after 2 or 3 weeks
2nd degree: return to sports activities after 6 to 10 weeks of rest
3rd degree: the ligaments can take more than 3 months to heal completely

OSTEOARTHRITIS

Description

Osteoarthritis is a degenerative phenomenon attacking the cartilaginous aspect of the joints. Although this degeneration is only the fact of age, it can cause pain in some.

Osteoarthritis is a very common phenomenon in the population, especially in the over 50s. It can still start between 20 and 30 years. Men and women are affected in equal proportions.

Presentation
  • Joint stiffness
  • Decreased movements
  • Decreased flexibility
  • Noise in the joints
Favorite sites
  • Spine
  • Knees and hips (body weight)
Treatments
  • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to improve mobility and reduce scar tissue
  • kinesio taping.
  • Stretching exercises
  • Strengthening exercises
  • Heat (morning stiffness)
  • Changing activities that are associated with pain
  • Medications (anti-inflammatories) as needed
  • Injections of cortisone as needed
  • Very rare surgical procedures

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The Chiromedic Center offers more than 20 different specialties

If pain persists and you need help, our multidisciplinary team will be able to get you back on track quickly.