Are you suffering from ongoing pain in your heel? Whether the pain is burning, tingling, or more common in the morning, Dr. Silvester explains how to identify the three most common causes of heel pain so you can start your treatment today!
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Heel pain is a very common problem mostly in females compared to me. It will be early morning pain, like you sleep in the night and wake up in the morning , you have a pain and you walk for few steps, 8 – 10 steps, then it gets better. The Same thing may happen when you sit for half an hour and get up. You may get, you may get pain. Again you take few steps, 8 – 10 steps, then your pain will go off. This condition is grouped into a condition called plantar fasciitis, also called as heel pain. Most of the times, there are no causes for this, it just happens like that. Over time, there is a heel pad fat, between the bone and the skin, which will get flattened or worn off. When it gets worn off, the bone will start taking more load. This is the commonest cause. The other one is, there is a tissue called fascia, which connects the heel one to the toes. The plantar fascia from the heel to the toe, it can get tightened, also giving rise to this pain. It happens due to multiple reasons, like rheumatoid arthritis, uric acid problems leading to gout and gout related or gout type of arthritis. Here are more types of arthritis which can lead to pain, but most times the reason is unknown.it can be an old injury like a stone or a thorn which has pricked you. The stone would have come out, but the fat part is injured, leading to long term pain. Sometimes the infection can also lead to pain. How to manage this? An easier way is by exercises, stretching of the plantar fascia, that is stretching of the foot. Secondly wearing soft footwear. Microcellular rubber, microcellular polymer slippers are available. There is silicone heel pad. For people wearing shoes can use the silicon cup inside the shoes and that will also help. Sometimes with all this pain doesn’t come down, give pain killers and do physical therapies in the form of ultrasonic massages. If this doesn’t work, give local injections with steroids. With one injection, more than 70 – 80 % will get relief. If it doesn’t help, then we have to operate and clear the heel. So the pressure on the heel and then the pain also comes down.
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Chest pain on your right side can be caused by muscle strain, heartburn, or another underlying condition. Some of these conditions such as pancreatitis, pneumonia, or pleurisy can be the cause. Pain in right side of your chest typically isn’t the result of a heart attack, but you may still need to see your doctor.
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Trigger points in the intercostals are less common and often overlooked as the cause or localized pain in and around the ribcage. Trigger points in the internal and/or external intercostal muscles may be activated by sudden movement (twisting action) of the body, or often by heavy coughing.
Trigger points in the intercostals may sometimes be able to be identified and treated by therapists using a number of trigger point release techniques.
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https://www.FauquierENT.net – This video explains 6 common causes of ear pain of which only one is due to an ear infection. The other 5 causes include:
Intro (0:00)
– ear infection (0:17)
– TMJ (0:39)
– eustachian tube dysfunction (1:22)
– nasopharynx pathology (2:06)
– throat pathology (2:46)
– cervical spine disorders (3:23)
If you have ear pain and an infection has been ruled out, consider these other possibilities!
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#earpain #otalgia #earhurts #earinfection
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Greek ōt- ‘ear’ + algos ‘pain’ means a painful ear. The ear is a structure that can be divided into 3 parts, inner, middle and external ear. Otalgia usually describes a painful ear caused by pathology in the external and middle ear. There are many sensory nerves which innervate the areas from the external ear to the middle ear. Many of these nerves also innervate other organs. Because of this pain in the ear may not be due to pathology in the ear but rather referred pain from inflammation elsewhere in the body.
In summary the auricle is affected by cranial nerves V3, VII, C2, and C3; the external auditory meatus and canal by cranial nerves V3, VII, and X and the middle ear including the tympanic membranes by cranial nerves X and IX. Irritation of any portion of these nerves can result in otalgia.
A good way to categorise otalgia is into primary and secondary Otalgia. Pain that originates from the ear is called primary otalgia, and the most common causes are otitis media and otitis externa which is much more common in children. Secondary otalgia is referred pain and is more common in adults.
Causes of primary Otalgia include acute otitis media which is an infection of the middle ear caused by bacteria and usually preceded by a viral infection. Pain is felt deep within the ear and children complain of non-specific symptoms such as irritability, poor sleep and feeding.”
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Is that Right-sided Chest Pain you’ve had worrisome, or no big deal? This video will help you understand right-sid chest pain, and the 13 most common causes. With this knowledge you can make an informed decision about chest pain in yourself and relatives.
Chest pain can be scary, and knowledge helps you understand. Chest pain is not always dangerous, but sometimes it is. This video will help you understand.
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Chest pain: how to distinguish between cardiac and noncardiac causes. Dr.Magesh.T MD( USA) MRCP(UK)
Classic coronary pain–or angina–involves a substernal pressure that commonly begins with exertion and is relieved by rest. However, some patients experience angina in the absence of physical exertion or emotional stress, and not all chest pain that begins after exertion is angina. Atypical chest pain must be differentiated from other types of chest pain, including chest wall pain, pleurisy, gallbladder pain, hiatal hernia, and chest pain associated with anxiety disorders. Careful examination of the chest wall is essential, and abnormal heart sounds can tell you a great deal. Further testing is individualized. An exercise ECG is important in identifying the presence of ischemic heart disease and the amount of myocardium at risk. If the ECG is abnormal at rest, the patient should undergo a thallium stress test or exercise echocardiography. A coronary angiogram is indicated if the exercise test or an ECG during pain show that a lot of live heart muscle is at risk.
#chestpain #chestpaindiagnosis #chestpaintreatment #chestpainhowtodifferentiateit #howtodifferentiatechestpain #cardiacchestpain #noncardiacchestpain #heartburn #chestpainduetogerd #chestpainduetogas #chestpaincauses #whatischestpain
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What is Chest Pain?
Chest pain is a very common symptom; we see it in all kinds of patients and all kinds of forms. It can be described as a burning sensation, tightness, pressure, some people have heartburn-type symptoms, sometimes people just have shortness of breath or fatigue.
What do the symptoms mean?
It’s very difficult sometimes to tell when you are having these types of symptoms exactly what’s going on. Sometimes it could be something as benign as heartburn. But, other times it could be something much more serious, like heart disease. What usually happens is somebody needs to come in and be evaluated either by a physician or in a local emergency room.
When should I get help?
If you’re experiencing the above symptoms, and they’re persistent, I would recommend getting evaluated quickly. Getting to the nearest emergency room as soon as possible is important so that you can be evaluated further, and we can get a better idea of what’s going on.
What should I expect in the Emergency Department?
When you come to the emergency room, you will be brought back and evaluated by a nurse and physician, an EKG will be obtained as well as blood work, and further tests will be done so that we can get a better understanding of what the symptoms are and whether or not they’re truly related to a significant problem like heart disease. If after this evaluation it becomes clear that you are suffering from heart disease, you’ll need further treatment. Coronary angiography is a typical treatment plan which often times leads to balloon angioplasty or stenting. Sometimes, a patient’s heart disease is so severe that it will require bypass surgery.
More about Heart Care at CHI Health: https://www.chihealth.com/en/services/heart.html
Dr. Scott Corollo: https://www.chihealth.com/en/find-a-provider/provider-details.physician.6d4d9ebd-7e6d-4e3b-91e4-3dfd512a044a.html?q=6d4d9ebd-7e6d-4e3b-91e4-3dfd512a044a
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Dr. Rimmerman, author of the Cleveland Clinic Guides: “Speaking with Your Cardiologist” and “Heart Attack,” talks about what causes chest pain and what to do if you have chest pain and your doctor rules out cardiac causes.
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