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Facet Joint Syndrome: Symptoms, diagnosis, and treatment

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The work of a joint is to connect two or more body bones to facilitate motion. In our spine, facet joints are the joints that connect two or more vertebrae. Like any other joints in the body, facet joints allow effortless motion in the intervertebral disc. This functionality caters to the stability of each motion segment. Unfortunately, because of age or any accident, a person can get damage in his facet joints which leads to facet joint syndrome.

The Facets are located in the neck, upper back, and lower back. They exist in pairs, one on each side of the spine and at each level of the spine. They are essentially synovial joints, similar to the joints we have at the knuckles and the knees.

If it’s acute, it can be like a sharp shooting pain. If it is more chronic, it can tend to present duller and achy, sometimes paired or coupled with muscle spasms.

Causes of Facet joint syndrome

The Facet joints are one of the most overlooked when it comes to back pain. About 15% to 45% of all back pain originates from these facet joints. There are millions of people with back pain who have inflamed facet joints.

The leading cause of facet joint syndrome depends on the affected region of the spine. For instance, if you are experiencing facet joint pain in your lower back, it is probably because of your age.

With age, our body structure which supports the spine, like the intervertebral disc and facet joints, gets wear and tear due to strain and physical activity. In addition, the intervertebral disc comprises water, and our growing age affects disc hydration, ultimately reducing the disc height. Such things lead to lower back pain.

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Symptoms of the Facet Joint Syndrome

Well, the facet joint pain usually presents as more localized pain versus radiating pain or traveling pain. So you can have localized pain in the neck or the lower back. When they get bad enough, facet joint pain can radiate to other parts.

For instance, if facet joints in the neck are compromised, the pain will radiate into the upper back and the arm. Similarly, if facet joints in the lower back are experiencing the pain, you may experience pain down into the glutes and the high hamstring area. Facet joints can present as pain, but they can also present as muscle spasms and just dull and achy pain in general.

Besides, joint pain can worsen because of specific movements such as forward bending and twisting motions.

Let’s know more about the symptoms of facet joint syndrome as per the affected joint.

Cervical Facet Joint Syndrome

Cervical Facet Joint Syndrome causes neck and shoulder pain, which will restrict motion. Thus patient will find it difficult to rotate the head with ease. Facet syndrome in the cervical spine may also lead to a headache.

Thoracic Facet Joint Syndrome

This syndrome causes pain in the mid-back. In addition, this restricts the patient from several body movements such that a patient may need to move their entire body to the left or right to see in that particular direction.

Lumbar Facet Joint Syndrome

This causes pain in the lower back. Patients will feel pain in the lower back or sometimes in the buttocks. But the pain will never go below the knees. Such inflammation causes stiffness and makes it difficult to stand straight and get up from the chair.

Which is the most common facet joint syndrome?

Degenerative Joint Syndrome is the most common one. Around 60% of adults over the age of 65 have some sort of the arthritic change in their necks. And over 90% of adults over the age of 65 have some kind of degenerative or arthritic changes in their lower back. Now the facet joints and the discs work together.

So when the facet joint is compromised, the discs also tend to get involved, causing a duel, and both of them mostly feed off of each other and cause you pain. Therefore, through chiropractic treatment, we will address both, the disc and the facet joint when working with a patient with some of these symptoms.

Diagnosis of Facet Joint Syndrome

Your chiropractor will feel tenderness around the facet joint and do palpation or push into the spot to diagnose the condition.

When you visit the doctor’s clinic, he will check your medical history and do some physical and neurological exams. The physical test includes bending, walking, or twisting your body. This will help the expert to know the exact pain point in your back. The neurological examination checks your nervous system and may test your reflexes and responses.

While neurological tests and physical examination will inform the doctor about your condition, a diagnostic injection is necessary to confirm the facet joint syndrome. In such injections, the doctor will give local anesthesia to the suspected joint pain site. A decrease in pain immediately after injection shows that the doctor can know the source of pain and can plan further treatment accordingly.

Sometimes your doctor may observe the inflammation area and then perform other tests that diagnostically could be x-rays that could look at the joint spacing and if there’s any inflammation around that facet joint. There is also a slew of orthopedic examinations that can be done during treatment and consultation. The most expert way to diagnose facet syndrome is through imaging, the orthopedic test, and of course, touch and feel.

Is it possible to repair facet joints?

That’s a complicated question because once a facet joint has degenerated or deteriorated, doctors cannot re-grow the bones, but they can manage it pretty well. Of course, if you’re catching your facet syndrome a little bit on the earlier end of things, your specialist can start to stop things in their tracks and begin to reverse the process through good treatment.

Treatments for facet joint syndrome

After confirming your facet joint syndrome, your doctor will probably start with nonsurgical treatments. This may include anti-inflammatory medications and physical exercise. Some exercises give strength to your lower back and help prevent facet syndrome. But there are some holistic ways to treat this syndrome. For example, your specialist may go with hot and cold therapy based on acute or chronic pain to cure the syndrome.

If your facet joint syndrome is very new and acute and there’s inflammation, we may start with some cold or Cryotherapy followed by heat therapy and then contrast treatment. At our San Francisco clinic, we utilize cold and hot therapy and other therapies such as Chiropractic and Acupuncture. One big thing to understand when it comes to facet joint pain is that it can sometimes pop up for numerous reasons. For example, when you may go to pick up something heavy off the ground, or sometimes it’s random; you just kind of wake up with it or maybe sleep incorrectly. So we’ve seen these conditions pop up for many different reasons. But regardless of the reason, we treat all types of facet joint syndrome at our San Francisco clinic here at Truspine.

One thing that has worked for our patients is getting them into a supportive brace. Wearing a supportive brace between flare-ups can help reduce the discomfort that comes with facet syndrome. Pairing that supportive brace with treatment or therapy at our clinic can help. So Chiropractic treatment can help to take pressure off the facet joint syndrome through a technique called Spinal manipulation therapy or adjustments. Adjustments are quick forces into the joint to help to decompress the joint and reduce inflammation. We do offer Chiropractic therapy here at our San Francisco clinic.

Another beneficial therapy is Acupuncture. Acupuncture can be beneficial in helping to ease the tension or pinching of the nerves to help relax the muscles around the nerve, especially if your facet syndrome presents with any radiating or traveling pain. Other than that, we love to pair our Chiropractic and Acupuncture care with exercises to ensure that once we get rid of your facet syndrome, it stays away and doesn’t come back. So strengthening the muscles around the facet joint is much more helpful.

To experience the benefits of acupuncture, schedule an initial consultation for evaluation and first treatment.

Can massage therapy help facet joint syndrome? 

The short answer is no. Facet joints are deep, and massage therapy is more superficial.

Can massage help in any aiding with the recovery process?

Yes, once the acute phase has been completed, then massage therapy can aid in helping you recover from facet joint syndrome.

How long does facet joint syndrome take to heal?

It depends on how long you’ve had your pain and many other factors. But typically, we can resolve the facet joint syndrome at our San Francisco clinic in about four to six weeks.

Can facet joint syndrome or pain heal itself? 

The body is self-healing, but sometimes it needs a push in the right direction.

And we believe our chiropractic care paired with Acupuncture and other therapies can help you on your way.

What are the best exercises for facet joint syndrome? 

The top three exercises for facet joint syndrome are planks, child’s pose, and cat-cow stretch.

What is the best sleeping position for facet joint syndrome? 

We typically recommend patients suffering from facet joint syndrome sleep on their side with a pillow between their knees and try to keep their body in a neutral position as possible. The proper pillow and mattress are also recommended.

Conclusion 

The best medications for facet joint syndrome are NSAIDs, Acetaminophen, and a type of muscle relaxer. However, we highly recommend seeking professional help before attempting to try one of these medications for your pain.

Are you suffering from back pain? Does it become a part of your life? Do you know 60% of people suffer from back pain, which can be Facet joint inflammation? Give us a call at Truespine, our San Francisco clinic, to get correctly diagnosed.

Can Chiropractic Care help cure your facet syndrome? We’ve cured plenty of facet joint syndrome victims at our clinic. To get to the root cause of pain and discomfort, schedule an initial consultation, including a comprehensive evaluation and first treatment.

Acupuncture-and-Its-Benefits

Acupuncture and Its Benefits

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In the case of various health issues, people first try standard therapies. Then, people switch to alternative medicine when these therapies fail to give the expected results. There are several forms of alternative medication practised today. In this article, we will discuss the concept, process, and benefits of Acupuncture in detail. Let’s begin with the idea of Acupuncture.

What is Acupuncture, and How Does It Work?

Acupuncture uses thin needles put into different places on the body called acupuncture points. These points lie along Meridian pathways that carry Chi or energy to other body parts. Acupuncture works to unblock those areas where the power may be stagnant because of illness or injury or some chronic disharmony in the body. It allows the body to function naturally by restoring the balance that was once there.

To experience the benefits of acupuncture, schedule an initial consultation for evaluation and first treatment.

Relief after an Acupuncture session

After an acupuncture session, the body becomes highly relaxed. It resets the nervous system and puts you in a more parasympathetic state than a sympathetic one. Sometimes you will feel sleepy; sometimes, you may have more energy. It depends on the cause of the treatment on that day.

Immediate Effect and Time Required for Relief or Improvement

Acupuncture often generates an immediate effect experienced as body relaxation and better sleep that evening. However, in some cases, patients who have chronic issues and delay treatment may require therapy for a longer period. For example, if you visit the acupuncturist with back pain you’ve had for five years, it’ll take several sessions for recovery. Some people feel much better after one or two treatments. Usually, results are expected within four to six weeks. Your consistency with treatment will determine the final result.

How Long Does the Effect of Acupuncture Last?

It simply depends on what you’re coming in for. In most cases, the effects of Acupuncture can be permanent after a few sessions, or it can require maintenance. Initially, it is necessary to visit an acupuncturist regularly until the symptoms don’t come back. Experts usually recommend weekly visits for about four to six weeks until your symptoms aren’t returning. In case of signs return after some period, the maintenance and upkeep wellness visits can help the patient. You can visit monthly or maybe seasonally for such a purpose.

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Dos and Don’ts After an Acupuncture Session

After the acupuncture session, patients must listen to their bodies. People coming in for physical ailments must avoid doing exercise or activity involving that particular body area. Those who come for detox are not supposed to drink alcohol. Experts usually ask people to drink lots of water after Acupuncture. They also suggest resting if they can and resting if they feel like it. If you must go on with your work and are tired, you’ll be fine to drink a coffee if you need to.

Preparation for First Acupuncture Session

You need not prepare much for Acupuncture. Many patients try to wear loose clothing, which is not necessary. Experts ask people not to come on an empty stomach or complete, just somewhere in between. There is no strict rule of eating much or less before Acupuncture to make or break the treatment.

During the first session, experts have an in-depth conversation with patients about what they’re coming in for and their medical history.

Then, the patients are asked to get on the table so that experts can take their pulses. Then the other diagnostic measures are done, such as palpation of the abdomen, neck, and other body areas. After that, the expert will begin the treatment by starting slowly. The expert will ask you to inhale and exhale with the first couple of needles. Some people are susceptible to Acupuncture, whereas others are not sensitive.

Frequency of Acupuncture Sessions

Unless someone is extremely ill, at an advanced age, or has a child, the experts say you can’t overdo it with Acupuncture. Acupuncturists usually recommend a cadence of once a week. However, it is undoubtedly acceptable to do more than that. Typically, people proceed with that speed whenever they’re first starting. 

Comparison Between Acupuncture and Physical Therapy

Comparing acupuncture with physical therapy, people recover very quickly from acupuncture. Even though the recovery depends on the injury, physical therapy seems to be a long-term process. Acupuncture immediately relaxes the tight muscles in acupuncture Points. And it also allows the body to function the way it did before the injury. Physical therapy chips away bit by bit. Acupuncture will expedite your process. Physical therapy is essential, and most people opt for it. But, you will get a lot quicker results if you also do Acupuncture.

Who Can Opt for Acupuncture Therapy?

Everybody can benefit from acupuncture therapy. However, acupuncture is not done on kids younger than five to seven. And also, if you’re at an advanced age, it will be very light. There are no other parameters than age to get Acupuncture done. Being too young, kids don’t need this therapy. And the older people are too weak to have a lot of Acupuncture done. But people with ages anywhere in between can opt for this for anything. It may be a cold or flu, a sore neck or back, allergies, indigestion, anxiety, etc.

Process of Acupuncture Session at True Spine

Before Acupuncture Session

  • We begin with an in-depth conversation when you come for your first acupuncture treatment. You can share any pertinent information that you feel is important for us, along with your medical history and reason for coming.
  • We ask you many questions about things that might seem unrelated to what you’re coming in for. Acupuncture strives to treat the entire person. Anything from your past life is perhaps significant to what you’re coming in for.

To experience the benefits of acupuncture, schedule an initial consultation for evaluation and first treatment.

During Acupuncture Session

  • After that, we will let you get comfortable on the table and will begin the treatment with a diagnosis. It includes Chinese pulse taking and palpitation of the abdomen. Depending on what you’ve come for, the neck, sometimes the feet, or different areas.
  • If you’ve come for physical pain, we’ll take a good look at the body’s structure. The way you stand and your neck or arm moves(if it’s a separate issue).
  • Then we will begin the treatment by giving you the breathing cues. So you inhale, we insert the needle, and you exhale. We’ll continue needling till all of the hands are in. We’ll continue the treatment depending on how nervous you are that day.
  • Usually, people start to feel nice and relaxed and fall asleep at the table. Some of them get to a pleasant meditative state. Then we let you rest in the room with the lights off, warm bed, and feet heater on for about 20 minutes.

After Acupuncture Session

  • We leave you with a button in case you feel uncomfortable. You can press the button, which will alert us to come in and check on you. So after 20 minutes, we return and get the needles out. We check in with you to see how you’re feeling, and you’ll be on your way.
  • At True Spine, we make sure you’re entirely comfortable. We allow you to understand what was done that day and what you can expect in the upcoming days. We’ll give you that briefing before you leave. We’ll tell you when we want to see you again, and you’ll be on your way.

Benefits of Acupuncture

The benefits of Acupuncture are far and wide. It is helpful for pain relief, stress, anxiety, and insomnia. Experts do work with allergies, fertility, and the digestive system. Let’s look at the following benefits of Acupuncture for various health issues.

  • Acupuncture for Fertility

Acupuncture is widely studied for fertility and can be beneficial on many levels since it regulates hormones. If stress is the factor, it relaxes the patient. It can also build an endometrial wall if that is a factor. Several factors lead to infertility these days. Acupuncture can also be done with IVF for people looking to get pregnant naturally.

  • Acupuncture for Back Pain, Neck Pain, and Other Body Pain.

Pain is one of the most common reasons people seek out Acupuncture. Some people suffer from upper back and neck pain due to poor posture. Few others suffer from low back pain due to exercise or injury. Acupuncture works to relax these muscles and decrease inflammation. There’s another form of Acupuncture called trigger point acupuncture. It is more effective at relaxing tight muscles and gives excellent results.

  • Acupuncture for Nausea and Vomiting

Acupuncture is perfect for all sorts of nausea. It’s good at relaxing the vagus nerve. It helps those who have a vagal response that often causes them to be nauseous or dizzy. Other reasons for nausea can be related to how your digestive system works further down the line. It decreases inflammation in the intestines and helps the digestive system function smoothly.

  • Acupuncture for Migraine and Headaches

Acupuncture is excellent for migraines and headaches. People have a lot of tension at the back of their heads or eye strain due to looking at a screen. Acupuncture is excellent for relaxing muscles around the back of the neck and the eyes. We can deal with the hormones; whose imbalance is causing a headache. So Acupuncture works for multiple factors causing a headache.

  • Acupuncture for Anxiety 

We’re all overworked and stressed out these days. Everyone’s nervous system is on a high. So we do a lot of Acupuncture to decrease the sympathetic response from the nervous system. Acupuncture is also excellent for depression. It helps to relieve long-held emotions and helps the body and your mind in processing. You often feel much lighter and much more relaxed after an acupuncture session.

  • Acupuncture for Insomnia

We treat insomnia with Acupuncture by regulating the nervous system of people. They are overworked and constantly on the go, and it’s difficult for them to turn it off at night. We also work with the adrenals in this state. It’s difficult for the adrenals to get on a regular rhythm, which interrupts the circadian rhythm. When melatonin increases at night, cortisol is still very high. It won’t allow melatonin to turn on and will help you to turn it off and go to sleep.

  • Acupuncture for Weight Loss

Acupuncture can decrease the way your brain thinks of the stimulus. So it will allow you to eat only when you are hungry. Acupuncture also allows the digestive system to function more smoothly. You can process your food effectively. You don’t have all the bloating, constipation, and toxicity build-up from a sluggish digestion system.

  • Acupuncture for Sciatica

Sciatica is one of the main reasons people come in for Acupuncture. The piriformis muscle becomes highly tight due to poor posture or injury. This is where the sciatic nerve runs through the glutes. We can relax the piriformis muscle around that nerve and decrease the nerve pain. In addition, the imbalance of the sacrum bone, which is at the base of your spine, also often leads to sciatica. Acupuncture can realign the sacral joint to avoid pressure and further imbalance.

  • Acupuncture for Sinus

Acupuncture is excellent for sinus issues. If someone has chronic sinusitis, it decreases the inflammation in the sinuses. It also allows the body to process the flame more effectively. So, in case of an allergy, it will help with the histamine response. If it’s a chronic inflammation of the sinuses, it will decrease the inflammation and flame produced in response to that inflammation.

  • Acupuncture for Stress

If you’re coming in for any ailment, we always work with stress-relieving points on you. It’s straightforward to relax the nervous system and feel euphoric after Acupuncture. It’s one of the best benefits of Acupuncture and one of the main things we see in almost all of our patients.

Risks Involved with Acupuncture

  • Pneumothorax

The puncturing of the lung is the most significant risk for Acupuncture and is called pneumothorax. Since the needles are thin, they do a very tiny puncture. In that case, you would have blue lips and a bit of difficulty in breathing. You would also need to go to the hospital. So, pick the acupuncturist wisely who knows what he’s doing.

  • Nerve Damage

Choose your acupuncturist wisely to avoid the risk of nerve damage. Correct placement and depth placement of the needle should never damage a nerve. But it can happen if you have somebody that does not know what they’re doing.

Conclusion

Now you are aware of the concept of Acupuncture and its benefits. You can opt for Acupuncture as a remedy for any of the above health issues. You will get the best acupuncture treatment with True Spine.

Are you dealing with pain, injury, or inflammatory conditions? To experience the benefits of acupuncture, schedule an initial consultation for evaluation and first treatment.

Chiropractic Treatment: A Blessing for Back Pain Relief

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Many of you might have experienced back pain in your life at least once. Being an unpleasant situation, we try to eliminate it as soon as possible. Today, we will know about types of back pain conditions and Chiropractic Treatment for back pain relief.

Back Pain and its Types

We can separate back pain into two broad categories: upper back pain and lower back pain. Doctors consider upper or mid back pain as one part and the other one as lower back pain. Both types of back pains require different treatments.

Some of the specific back pain issues include facade syndrome, disc herniation, lumbar sprain strain, day-to-day backaches due to sitting for a long time, sleeping incorrectly, and other reasons. These issues are treated differently with chiropractic or acupuncture techniques.

Chiropractic Treatment for Back Pain

The majority of the people suffering from back pain want relief from it and hence choose chiropractic treatment. It is a non-surgical treatment that focuses on spinal manipulation and mobilization. The theory behind this treatment is that the proper alignment of the spine, muscles, and surrounding structure enables our body’s self-healing process without medication or surgery.

Chiropractic treatment is an alternative method for patients suffering from pain in their joints, muscles, connective tissues, bones, and tendons. This treatment uses the manipulation technique to restore the mobility of joints that get restricted due to tissue injury caused by some reasons.

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Chiropractors v/s Regular Doctors

Patients suffering from back pain have two primary options: visit a regular doctor or go to the chiropractor. There is a difference between a regular doctor and a chiropractor because the regular doctor falls under conventional medicine, and the chiropractor comes under holistic medicine.

In conventional medicine, doctors prescribe a combination of muscle relaxers, pain relievers, and inflammatory reducers. These medicines usually help the patient manage the pain, but they do not necessarily cure it. At the same time, chiropractors go to the root of the problem, which can be a stuck joint, a muscle sprain, or a strain that they focus on.

How does Chiropractic Treatment work on Back Pain?

There are a few different ways in which chiropractors treat the back pain of patients. The use of chiropractic adjustment for specific joints is one of these ways. HVLA technique or high-velocity low amplitude thrust technique is used to unstuck the particular joint. To identify these sticky joints, expert chiropractors use the feel or touch approach.

The other techniques used by chiropractors include the Graston Technique, which is a soft tissue technique. They also use the active release technique, which involves manual therapy. Knowing where the inflammation has formed and which joints are stuck is important for this Treatment. Chiropractors use the palpation technique for this purpose. Once they are aware of the root cause to focus on, the treatment is provided to the patient accordingly.

To get to the root cause of pain and discomfort, schedule an initial consultation, including a comprehensive evaluation and first treatment.

Number of sittings and duration required for Treatment-

This is a major concern for almost all patients with back pain. Most patients want to recover soon so that they can enjoy their life again. The number of sittings required for treating back pain and the duration of recovery differs from person to person. The reason behind this is the severity, and the delay in starting the treatment is different in each case.

Chiropractors try to provide relief from back pain at the earliest. In the case of chronic back pain, the time required for recovery is more than the general backache. The number of sittings needed is more in such cases. Some people have an assumption that they have to visit a chiropractor for a lifetime, which is wrong. You can stop the treatment once you feel the relief and the chiropractor gives you some exercises for a future course.

Advantages of Chiropractic Treatment for Back Pain-

Chiropractic treatment provides you with many health advantages and relief from back pain. Some of the chiropractic benefits are as follows-

Relief from neck pain and back pain-

Chiropractic treatment relieves patients suffering from back pain and neck pain. Chronic pain takes time to recover, but this treatment helps to achieve good results.

Non-surgical treatment-

Chiropractic treatment is a non-surgical option available for back pain and joint pain patients.

Help in treating Scoliosis-

The abnormal curvature developed in the spine is known as Scoliosis. This causes abnormal posture and back pain. Chiropractic treatment helps in treating patients with Scoliosis.

Relief for patients with Sciatica-

The sciatic nerve gets damaged due to some pressure and causes severe pain from the lower back to the legs. This condition is referred to as Sciatica. Chiropractic treatment provides relief to patients with Sciatica.

Helps in reducing inflammation-

Chiropractic treatment reduces inflammation and provides relief to patients.

Helps in joint pain and muscle tension-

After getting chiropractic treatment, people suffering from joint pain and muscle tension experience relief.

Improved athletic performance-

This benefit is more inclined towards the sportspeople or athletes. Chiropractic treatment improves the performance of sportsmen and athletes.

Side effects of the Treatment-

Like other therapies, some patients experience side effects after having chiropractic treatment sessions. These side effects include extra soreness in the area of pain, inflamed muscle, and pushback in the joint. In such cases, chiropractors always recommend at-home palliative care. It includes stretching and icing, which helps manage pain after treatment sessions.

Conclusion

Now we have understood the concept of chiropractic treatment and how it provides relief for back pain. Being a non-surgical treatment, it avoids further health issues. Thus, we can say that- ‘Chiropractic treatment is a Blessing for patients suffering from back pain.’

To get to the root cause of pain and discomfort, schedule an initial consultation, including a comprehensive evaluation and first treatment.

What Is Shockwave Therapy & How Can It Treat Plantar Fasciitis?

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This article will discuss shockwave therapy and how it cures plantar fasciitis. Shockwave therapy proves to be the best among the other options available to treat plantar fasciitis. So let’s understand those concepts and why this therapy is best.

What is Shockwave Therapy?

In this therapy, the sound waves or acoustic waves go deep into the muscle, tendon, or ligament. It is a non-invasive, outpatient alternative to surgery for people suffering from joint and tendon disorders.

Patients looking for an alternative to conventional treatments like orthotics and injections find this treatment very useful. For example, shockwave therapy helps people with tennis elbow, golfer’s elbow, knee pain, shoulder pain, and plantar fasciitis. 

How does it work?

Shockwave therapy helps treat tennis elbow, heel pain, and degenerated tendons. After completion of diagnosis, the therapy starts with the probe. Firstly, your doctor will apply gel to the skin of the concerned area. Next, he will do a non-invasive probe to that part of the body.

An electric charge will create focused energy on the area of concern. These shock waves heal the tissues by creating force. After the session ends, your doctor will remove the gel from the skin.

To get to the root cause of pain and discomfort and experience the healing power of sound, schedule an initial consultation, including a comprehensive evaluation and first treatment.

Is Shockwave Therapy painful?

The main complication involved in this treatment is pain and hypersensitivity. These issues generally resolve with time. The active participation of the patient makes this treatment more successful.

High energy wave may require local anesthesia, as it causes some pain, whereas low energy wave therapy doesn’t require anesthesia. Pain and disability may persist if the treatment is not successful.

What is Plantar Fasciitis & where is the pain in plantar fasciitis located?

The plantar fascia is at the bottom of the foot. In this disorder, the inflammation takes place in the foot’s heel. The patient may feel a sharp pain in the morning or after long durations of activity.

To be precise, Plantar Fasciitis is the pain at the heel, specifically in the calcaneus bone. The patient may feel pain in the morning after the rest of the whole night. Also, the long walks or running sessions can cause pain in this area. Shockwave therapy treats plantar fasciitis.

What is the cause of plantar fasciitis? Who is affected by this disease?

Repeated stress and tension on the feet can cause inflammation in the plantar fascia. This results in plantar fasciitis. There is no particular reason for this disorder. But the following categories of people are more prone to plantar fasciitis-

  • People between the age group of 40 to 60 years.
  • Athletes and sportspersons who do more exercises which cause stress on heels.
  • People with flat feet, a high arch, or a typical walking style can suffer from plantar fasciitis.
  • Obesity causes stress on the feet. Hence those who are carrying extra weight are prone to this disorder.
  • The people with occupations that keep them on their feet regularly for a long time.

Does obesity contribute to plantar fasciitis?

Obesity is one of the factors causing stress on the feet. A person who is carrying extra weight puts added pressure on the plantar fascia. The extra weight causes heal pain, which puts a load on joints and ligaments.

Consulting a doctor for suitable weight-loss methods and doing exercises regularly will help avoid the risk of plantar fasciitis in the case of people who are carrying extra weight.

 Signs/symptoms of plantar fasciitis:

If you are suffering from one or more signs/symptoms present below, then there is a possibility that you have plantar fasciitis-

  • Pains in the bottom and nearby area of the heel.
  • Increasing pains after a workout.
  • Pain in the arch of the foot can be a symptom.
  • Worst pain in the morning and standing after sitting for a long duration.
  • The swollen heel can also be a sign of plantar fasciitis.
  • Continuing pain for months.
  • 80% of people have reported tight Achilles as a symptom.

How can shockwave therapy cure plantar fasciitis?

If the conservative treatment options did not work in the early days, there were limited choices like steroid injections, custom orthotics, or invasive surgeries for plantar fasciitis. Unfortunately, these options cannot be used in the long term since they can weaken the tendon.

Shockwave therapy is a quick, gentle, non-surgical treatment option which helps reduce the pain from plantar fasciitis. Currently, this treatment is highly effective and the most advanced therapy available for plantar fasciitis.

In this process, the special probe delivers pressure to the concerned area and triggers the body’s self-healing process. This results in the formation of new blood vessels. Thus it is a very effective treatment.

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What are the home remedies to treat plantar fasciitis? (primary solution to treat the pain before visiting a chiropractor)

The majority of the people with plantar fasciitis recover within 10 months by following home remedies. They are:

  • Stretching the calf muscles.
  • Avoid walking bare feet. Use well-cushioned, sturdy and supportive shoes.
  • Use arch supports, appropriate shoe inserts, or custom-made foot orthotics.
  • For reducing tightness in the calf muscle, use a night splint.
  • Massaging the affected area can also give relief.
  • Apply ice on the area for 10 to 15 minutes, three to four times per day.
  • Restrict physical activity along with prolonged standing.
  • Take over-the-counter nonsteroidal anti-inflammatory drugs like ibuprofen or naproxen.
  • Lose weight and use crutches.

What are the therapies for plantar fasciitis other than shockwave therapy?

The treatment options other than shockwave therapy are as follows:

Physical therapy- A therapist teaches exercises to the patient that requires stretching of plantar fascia and Achilles tendon to strengthen lower leg muscle.

Night splints- Wearing a splint can keep the plantar fascia and Achilles tendon in a stretched position overnight while the patient sleeps.

Orthotics- Using custom-fitted or off-the-shelf arch supports distributing the pressure on the feet more evenly.

Walking boots, crutches, or canes- Using one of these products for a longer duration as per recommendation from the health care provider.

Other procedures- If the above options do not give results, then the other options like steroid injection, surgery, and ultrasonic tissue repair can help to get relief.

Why is shockwave therapy better than other therapies?

We have seen options other than shockwave therapy for plantar fasciitis. They have their limitations as follows:

  • Steroid injections cannot be used for a long time since they can weaken the tendon.
  • Wearing a particular shoe for a long time for custom orthotics is not convenient.
  • Invasive surgeries are risky because of the side effects and an extended downtime which is not favorable.

But in shockwave therapy, there is no risk, no inconvenience of wearing the particular shoe, and no injections are involved. Besides these factors, this therapy is quick, gentle, advanced, and highly effective. These features make it better than other therapies.

What are the side effects of plantar fasciitis?

Some effects may not be strictly known as side effects, but they are observed if the plantar fasciitis is left untreated. They are:

  • Chronic heel pain hinders daily activities.
  • The change in walking style to avoid pain can lead to hip, knee, foot, and back problems.
  • Heel spurs, ligament tears, ankle pain, pelvic instability, osteoarthritis, etc.
  • Plantar tears, plantar rupture, and plantar fibromatosis are some of the consequences.

How many shockwave therapy sessions are required to treat plantar fasciitis? How long does it take to cure this?

The number of sessions and duration required for treatment varies from person to person. It is also dependent on the intensity of the pain. But average, three to four weekly sessions/sittings are necessary for complete healing.

Some people start feeling relief immediately after the session, while others feel it 2 to 4 hours after the session. There is no downtime required. Patients can join back their routine activities after the sessions.

Exercises for plantar fasciitis:

We have already understood that this disorder requires rest and not significant activity. So there is no need for any rigorous exercises for this treatment. Only some stretching exercises are sufficient and helpful for relief. They are as follows-

  • Calf stretches.
  • Rolling stretches.
  • Seated foot stretches.
  • Towel curls.
  • Marble pickups.

With the help of these exercises and proper rest, the patient will feel relief very soon.

Are you dealing with a sharp pain at the heel after a walk, running session, or early in the morning when you get out of bed? You are most probably suffering from Plantar Fasciitis. Shockwave therapy has a success rate of around 60-80%.

To get to the root cause of pain and discomfort and experience the healing power of sound, schedule an initial consultation, including a comprehensive evaluation and first treatment.

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