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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.

For more in formation regarding NAT online courses for nurses, manual therapists and athletic trainers, please visit our website: www.nielasher.com
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How to Get Rid of Ear Pain. Part of the series: Ear Care & Treatments. There are a variety of reasons for experiencing ear pain, many of which can only be treated after seeing a doctor. Relieve yourself of ear pain with advice from a practicing pediatrician in this free video on ear care.
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What causes ear infections? How to get rid of an ear infection?

If you feel you are struggling with ear infections, this video has some useful information on ear infection remedies and ear infection treatments.

You may have a middle ear infection, an outer ear infection or an inner ear infection.

Some symptoms of ear infections include:
– earache
– slight hearing loss
– a sense of fullness in the ear
– a temperature
– nausea
– sometimes there can be drainage of pus from the ear

IMPORTANT: Avoid putting oil drops, ear drops, or cotton buds in your toddler’s ear unless advised to do so by a doctor.

You can learn more about the types, causes, symptoms and treatments for ear infections in our in-depth health guide here: https://www.medicspot.co.uk/treatment/ear-infection

If these home remedies for ear infections do not help to ease your discomfort, you can consult with a doctor by booking an appointment with a GP at https://www.medicspot.co.uk/clinics.

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Dr. Ebraheim’s educational animated video describes different causes of heel pain.
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Heel pain is an extremely common complaint with several common causes.
1. Plantar fasciitis (the most common cause)
2. Baxters nerve compression (a rare cause)
3. Fat pad atrophy
4. Achilles tendonitis
5. Haglund’s deformity
6. Stress fractures of the calcaneus
7. Tarsal tunnel syndrome
8. Lumbosacral spine radiculopathy
So it is difficult to determine the source of the pain and this makes diagnosis difficult or confusing. The most common cause is plantar fasciitis. Plantar fasciitis is irritation and swelling of the thick tissue on the bottom of the foot. This fascia can become inflamed and painful, making walking more difficult. Plantar fasciitis is most severe in the morning. The start up pain symptoms is more severe for the first out and persist with activity through the day. Pain symptoms will intensify with prolonged exercise or standing. There will be tenderness over the plantar medial heel with negative Tinel’s sign. X-ray may show a plantar heel spur. Plantar fasciitis is usually associated with a tight heel cord.
The Baxters nerve. It is the first branch of the lateral plantar nerve. The Baxters nerve contributes to 20% of all heel pain cases in this nerve provides motor innervation to the abductor digiti minimi muscle. The nerve courses vertically between the abductor hallucis and the quadratus plantae muscles, then makes a 90 degree horizontal turn, coursing laterally beneath the calcaneus to innervate the abductor digiti minimi muscle. Involvement of the Baxters nerve may affect running athletes causing pain on the medial plantar aspect of the foot. Entrapment of the Baxters nerve is usually overlooked or misdiagnosed.
Fat pad atrophy. The fat pad cushions the calcaneus and in the condition of fat pad atrophy, the fact that cushions the calcaneus is thinned so the calcaneus loses its cushion. This condition is common in elderly people and can cause significant pain while walking. There is always a history of steroid injections. The injections are commonly used to treat plantar fasciitis and they can cause this heel pad atrophy. Patient will have pain when walking. The pain is deep, central, nonradiating plantar heel pain that is worsened when the patient is barefoot and resolves when the patient walks on her toes, with tenderness at the central aspect of the heel pad.
Achilles tendonitis
The patient will have ankle pain for several months (chronic condition).
The patient will complain of pain and swelling because the tendon is thickened with tenderness to palpation about the top of the calcaneus.
Haglund’s deformity
The Haglund’s deformity is an insertional calcification and exostosis at the insertion of the Achilles tendon. The patient is usually treated by physical therapy and noninflammatory medication. Do not injection through the tendon, rather inject around the tendon. If the symptoms persist beyond 6 months, then surgery may be needed with excision of the Haglund’s exostosis and insertional calcification. If more than 50% of the Achilles tendon is detached to remove the posterosuperior calcaneus prominence, and the tendon becomes weak and should be secured to the bone of the calcaneus with suture anchors or tendon transfer to bridge the gap. The operation will be an Achilles tendon debridement, calcaneal exostectomy and FHL tendon transfer, especially if the tendon degeneration is greater than 50% of the width.
Stress fracture of the calcaneus
The stress fractures of the calcaneus can occur due to overuse injuries. The patient will complain of heel pain, severe weightbearing pain in the patient increases with walking and running. The pain associated with the calcaneal stress fracture does not improve throughout the day and each step is painful. The pain is more with medial to lateral compression of the calcaneal tuberosity.
Compression tests or squeeze test
X-ray can be normal. We may need to get an MRI to diagnose the stress fracture of the calcaneus.
Tarsal tunnel syndrome
Paresthesia and numbness in the plantar foot. Symptoms are worse with activity and the paresthesia may wake the patient up at night.
Ganglion cyst of the ankle (tarsal tunnel syndrome). – Known cause of tarsal tunnel syndrome. Check the MRI.
The patient will respond well and have a favorable outcome to excision of the ganglia and the patient may have resolution of the tarsal tunnel syndrome symptoms.
Lumbosacral spine radiculopathy
Pain on the lateral side of the foot can result from L5-S1 herniated disc (will cause radiculopathy). The S1 nerve root supplies the lateral aspect of the foot. Pain on the lateral side of the foot can result from L5-S1 herniated disc. The S1 nerve root involvement causes decreased sensation and pain on the lateral aspect of the foot.
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NARUTO VS. PAIN ( SUB INDO )
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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!

For more information on ear pain:
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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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To learn more about chiropractic services at Cleveland Clinic, please visit https://cle.clinic/3f3IaXY

Chiropractor Andrew Bang, DC shares a simple routine that you can try at home to help reduce your neck pain.
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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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