Types Of Knee Injuries

Knees are very vulnerable lower limb structures often have a verity of injury.  The knee joint has several anatomical structures including bone, articular cartilage, meniscus, collateral ligaments, cruciate ligaments, and tendons.  Any Injury affects these structures are termed as knee injuries. The knee injuries were categorized as ACL, MCL, LCL, PCL, medial meniscus and lateral meniscus tears. The treatment range varies depending on the type of knee injuries and the severity of the condition.

In Indian scenario, the incidence of Knee injuries is high in the young generation. The reason behind this may due to the selection of game.   For example,  Kabaddi is a popular contact sport in India.  Both Indian girls and boys are playing Kabaddi, even most of the school curriculum also enlisted kabaddi playing in sports/ game activity. Knee injuries are one of the commonest injuries sustained by kabaddi players.

Types and Cause Of Knee Injuries

Sprain: A sprain is a common type of knee injuries, in which during stretching of the knee may ligament is not ready to stretch and try to hold its position. This acts against the force stretching and resultant of this leads to a knee injury.   In this type of knee injury, the chance of ligament tearing is depended upon the force of stretching.

Strain: Over use of knee joint also causes knee injuries and one of such type of knee injuries is a strain. In this type of knee injury, the tearing of surrounding muscle tendon depends upon the degree of knee joint moves during hyperextension or hyperflexion of the knee.

MCL and LCL Injuries: MCL and LCL are ligaments of the knee and this ligament torn can leads to a knee injury. The stretching or torn of the ligament can develop during the planted the foot and a force directed from sideway hit knee joint.

ACL Injuries: Damaging of cruciate ligaments due to the force applied from front or back direction to the knee in the foot planted position, then this type of knee injuries is termed as ACL injuries.

Meniscus Tears: Acute injury or gradual tearing of knee joint is termed as Meniscus tears. In this type of knee injury, the cartilage present in between the femoral condyle and the tibial plateau become twisted.

Symptoms

Depending on the type of Knee injury and the severity of the injury the symptoms can vary.  However, common symptoms of all these knee injuries are pain and inflammation.

In strain and sprain types of knee injuries, pain and swelling gradually develop and difficult to move the leg.

In MCL and LCL Injuries, a significant pain arises immediately after the incidence and walking become a difficult due defensive mechanism of body restrict knee movement. In addition, mild swelling occurs in the knee joint.

In ACL injury, immediately swelling is developed and attempt to walk become difficult.

In Meniscus Tears, the symptoms of this knee injury lead gradual progression of pain and swelling. This may cause a negligence about the injury, however,  this knee injury provides chronic pain and stay longer period.

Precaution

The following precautionary measures are important to avoid Knee injuries

  • Maintaining proper leg posture
  • Avoid direct traumatic blow to the knee
  • Warm up before starting playing outdoor games

 Home Remedy

Some of the home remedies applicable for Knee injuries are as follows:

  • Adequate rest and restricted movement of the knee joint help to heal up the knee injury
  • Ice compression often help to reduce inflammation and acute pain symptom
  • Elevated leg posture often prefer to control inflammation

Treatment

  • The treatment plan depends on the type of knee injury, the severity of the symptoms and underlying cause.
  • Initially, the doctor often asks to do X-ray of the affected site. Depending upon the result, the doctor may advise conducting a further diagnostic test like MRI or CT scan etc.
  • In less severe case inflammation and pain related to a knee injury is Analgesic and anti-inflammatory medicine.
  • In addition, some assistive device requires prescribing to stabilize the knee. Knee brace like Lumino Cielo Athletic Compression Knee Brace available on Amazon, which is suitable for any types of knee injuries.
  • Physical therapy and surgical intervention may require for ACL Injuries and Meniscus Tears.

Rheumatic Arthritis

Rheumatoid Arthritis is an inflammatory condition affects mainly joints of the body, including wrist joint, elbow joint, knee joint, ankle joint, feet joint etc. In Rheumatoid Arthritis, the outer sheath of the joints are affected and pain syndrome occurs. Gradually, excessive swelling of the joints causes erosion and resultant of this leads to joint deformity.  The deformity of the joint cannot be rectified. Therefore it is always recommended that early diagnosis and persistent treatment for Rheumatoid Arthritis.

  1. Chopra, unpublished data from Bhigwan COPCORD Study (India) study report showed the prevalence of Rheumatoid Arthritis is more in female than male. The incident rate showed Rheumatoid Arthritis can affect any age group. According to TOI report, a steady rise of Rheumatoid Arthritis incidence is noticeable among youngsters. In 2008, An article published in Indian Journal of Rheumatology reported that Indian climatic condition, diet and other personal habits of Indians including smoking and sedentary lifestyle causes almost 1 % of Indian population gets affected with Rheumatoid Arthritis.

There is no specific treatment available for Rheumatoid Arthritis. However, medical advancement improves the treatment options of the Rheumatoid Arthritis, but yet severe condition can cause physical disability.

Cause

The exact cause of Rheumatoid Arthritis is not clearly known. Medical advancement suggested that Rheumatoid Arthritis is an autoimmune disorder, in which the immunity system (body defense system) of the body mistakenly attacks the joints. Because abnormal functioning of the immune system leads to inflammatory conditions.  Chronic inflammation damage the joint structure. The specific reason behind the immune system misbehavior is unclear. But researchers expected that hormonal, genetic and environmental influences affect that immune system functioning.

Researchers identified some genes, which may involve in the development of the Rheumatoid Arthritis. HLA is a suspected genetic marker for Rheumatoid Arthritis pathologic condition. Because HLA  acts as an immune response regulator.  Other possible genetic involvements for Rheumatoid Arthritis include STAT4,  TRAF1, C5, and PTPN22. The reasons behind identify these genes for development of the Rheumatoid Arthritis are all these genes have a connection with regulation of immune system functioning and activation or possess chronic inflammatory conditions or both.

But the activation of these genes triggers by some environmental factors; specifically, viral attacks consider as a responsible for triggering the involved genetic factors. Even environmental pollution including air pollution, exposure to harmful chemicals, cigarette smoking etc. also cause Rheumatoid Arthritis.

It has been also expected that the reason behind more Rheumatoid Arthritis in the female is due to hormonal influence. Other factors include obesity, physical or emotional traumatic condition increase the stress.

Symptoms

Initially, small joints are get affected at the early stage of Rheumatoid Arthritis like finger joints, toe joints; but the progression of the condition leads to the gradual spreading of the inflammatory condition to the wrists, elbows, shoulders, ankles, knees, and hips. The included symptoms of Rheumatoid Arthritis are

  • Tenderness, Inflammation, and warmness of the joints
  • Stiffness of the affected joint and symptom is aggravated with inactivity, like stiffness at the morning
  • Fatigue
  • Fever
  • Loss of appetite
  • Weight loss

Usually, joint-related symptoms are bilateral; means both side of the similar joints usually affected. Winter or cold weather can aggravate the Rheumatoid Arthritis due to altering atmospheric pressure modify fluid balance in the joints and that increase joint stiffness. In advance stage of Rheumatoid Arthritis can also affect non- joint structures like heart, lungs, kidneys, bone marrow, blood vessels.

Apart from the joint related symptoms, Rheumatoid Arthritis leads to several other organ related symptoms.  The body systems which showed symptoms of Rheumatoid Arthritis includes eye, mouth, skin, lungs, blood and blood vessels.

  • Eye related symptoms of Rheumatoid Arthritis include irritation, pain, dryness, increased light sensitivity, and vision impairment.
  • Dryness of mouth, frequent gum infection etc also symptoms of Rheumatoid Arthritis
  • Small skin lumps, which are termed as Rheumatoid nodules in some affected individuals.
  • Breathing shortness also occurs as symptom of Rheumatoid Arthritis due to lungs inflammation
  • Inflammation of blood vessels also involves in Rheumatoid Arthritis and causes damage to the internal organs.
  • Anemia or deficiency of Red Blood cells also associated with Rheumatoid Arthritis

Precaution

Some precautionary measures may beneficial to avoid an aggravation of  Rheumatoid Arthritis including

  • Do not ignore any joint pain, which may not be resultant of the Rheumatoid Arthritis, but it is always advisable to consult with a doctor. Because Doctor can only diagnosis the underlying cause of the pain.
  • If diagnosis report showed that patient has developed Rheumatoid Arthritis, then consult with a specialist doctor who has specialization in Rheumatoid Arthritis. Because he has sufficient experience in Rheumatoid Arthritis disease condition and will prescribe the best treatment for you.
  • Regular follow up and adherence of the prescription are a precautionary measure in Rheumatoid Arthritis.
  • Avoid exposure to cold weather, as it triggers symptoms of Rheumatoid Arthritis
  • Be active, do exercise and outdoor activity regularly because sedentary lifestyle increase the symptoms
  • Excessive couch time is also not advisable in Rheumatoid Arthritis, which increase the joint stiffness and numbness symptoms.
  • Avoid exposure to cold weather, as it triggers symptoms of Rheumatoid Arthritis
  • Be active, do exercise and outdoor activity regularly because sedentary lifestyle increase the symptoms
  • Sufficient water intake, especially at summer season assist in keeping the body hydrated and avoid onset of Rheumatoid Arthritis

Home Remedy

Home remedies applied for lowering the intensity of the symptoms of the Rheumatoid Arthritis, which include:

  • Herbs like cinnamon, black pepper, garlic, ginger, and turmeric can effective to reduce Rheumatoid Arthritis related swelling because of their anti-inflammatory and analgesic effects.
  • Foods rich in antioxidants like fresh fruits and vegetables, fish and olive oil incorporation in diet is also included in home remedy of Rheumatoid Arthritis
  • Sufficient rest/ sleep is important to avert fatigue in patients with Rheumatoid Arthritis. Excessive energy burns during physical activity can also trigger inflammation in Rheumatoid Arthritis. In home remedy technique, a short break during physical activity is suggested.
  • Low-impact exercises like walking, swimming stretching etc. are always effective for Rheumatoid Arthritis symptoms prevention.
  • Primrose oil, fish oil can reduce pain, inflammation, and stiffness of the joint occurs in Rheumatoid Arthritis.
  • Cold compression can cause reduction of the swelling and acute pain symptom arises in Rheumatoid Arthritis. But excessive exposure to cold water or ice compression is not advisable. Warm bathing or wrapping of heating pad around the affected joint can reduce pain by relaxing muscle spasm.
  • Positive environment and support provided by family, friends assist in coping with pain and discomfort related to Rheumatoid Arthritis

Treatment

The initial goal of the treatment of  Rheumatoid Arthritis is a reduction of inflammation. because chronic inflammation can damage internal structures. However, the ultimate Rheumatoid Arthritis treatment aim is to achieve remission. Doctors who involve in the treatment of  Rheumatoid Arthritis also prefer regular follow up for tightly control the triggering factor and slowing the joint degeneration and related deformity.

Medication

The available medications can only provide symptomatic relief without providing long-term benefits. Prolong use of these medications can cause adverse effects or treatment resistance.

  • Some of the medications like Non-steroidal anti-inflammatory drugs like aspirin, ibuprofen, naproxen, etc. are medications used for controlling swelling and pain in the Rheumatoid Arthritis.
  • Some topical analgesic and anti-inflammatory ointments and gels are also available for local application
  • Steroidal drugs like glucocorticoids, Hydroxycorticoids can give through the oral route. In the case of severe condition, steroidal injection is recommended.
  • Immuno-modulator like methotrexate, rituximab, etc. also given to the Rheumatoid Arthritis affected patients, but these drugs have severe side effects.

Assistance devices

Some assistance devices like braces, the splint can stabilize and rest the inflammatory joints. For example, Lumino Cielo Athletic Compression Knee Brace or Lumino Cielo Arthritis Gloves with Compression for Hand Arthritis can provide relief joint pain related to Rheumatoid Relief without causing any side effect. These products are online available on Amazon.

Surgery

In the case of severe symptoms and above-mentioned treatment cannot provide effective result then joint replacement surgical intervention requires to correct the condition.

Plantar Fasciitis

Plantar Fasciitis is a heel inflammatory condition affects a wide range of tissue present at the bottom of the heel and extends up to toe. This band of tissue is an interconnection between heel and toes and also support foot arch. Middle – aged people usually affected with Plantar Fasciitis. But young aged people can also affect with Plantar Fasciitis due to overuse of feet, like athletes.  Athletes, mostly runners often get affected with Plantar Fasciitis. Other triggering factors are obesity and ill-fitted footwear. The progression of the Plantar Fasciitis is gradual and usually affects both of the legs.

Article published in Fortis healthcare site mentioned that most common cause of heel pain in India is due to the onset of Plantar Fasciitis. The fact is that Indian habitats, roads are filled with concrete and provide rough surfaces. There are so many pedestrians in India daily walking on this road or standing prolong period on these rough surfaces, which leads to Plantar Fasciitis. Even Indian diet is a rich source of fat, as most of the Indian dishes are prepared with a large quantity of oil or ghee. Indians are usually obese because of taking high fat containing diet, which also increases the incidence of Plantar Fasciitis in India. Even, very less number of Indian concern about the quality of the footwear, which also considered as a triggering factor for high prevalence of Plantar Fasciitis in India.

Cause

Straining of the ligament which provides support to heel arch causes Plantar Fasciitis. Straining may obtain due to repetitive over stretching of the ligament anatomically termed as the plantar fascia.  Over use of the plantar fascia gradually leads to inflammation and thickening of the tendon. An inflammatory condition of the plantar fascia hurts the adjoin heel bone and causes pain. The heel bone is termed as calcaneum and located in the middle of the heel. It provides support to the plantar fascia. The inflammatory condition of the plantar fascia is also termed as Plantar Fasciitis. But recent findings suggested that actually no inflammatory condition is associated with Plantar Fasciitis, but the mainly degenerative condition is linked with this condition.

People who come under high-risk zone for the incidence of Plantar Fasciitis include athletes or anyone who involved in occupation requires prolonged standing or walking.

Besides Overuse, other factors which  increase the risk of Plantar Fasciitis are as follows:

  • Over-pronation is an anatomical defect, in which affected people rolls their ankle inward and downward direction. In this condition, the first and second toes provide push and that generates strain in the foot bones.
  • A high arched foot restricts to flex the ankle and damage the plantar fascia.
  • Tight calf muscles also cause strenuous leg movement, which increases pressure in the plantar fascia and continuous pressure causes Plantar Fasciitis.
  • An abnormal pattern of walking, flat foot causes uneven distribution of the pressure on the foot ligament.
  • Poor footwear provides a less cushioning effect to the foot arch and also poor arch support.
  • Being overweight causes extra load on the foot during standing or walking, which creates extra strain to the foot arch
  • Previous injury history on foot arch, plantar fascia or calcaneum can turn to Plantar Fasciitis.
  • Age often a considerable factor for Plantar Fasciitis, as increasing of age (after 40 years) facilitate tissue degenerative conditions.

Symptoms

The primary symptom of the Plantar Fasciitis is a pain, which can arise in any part of the inner side of the foot or beneath the heel. The pain arises gradually at the initial stage, but in advance stage, the pain intensity rises up.

The usual location of the pain in Plantar Fasciitis is 4 cm frontward from the heel and touching of this point can cause tenderness. Usually, both the feet get affected in Plantar Fasciitis.

In Plantar Fasciitis, the nature of the pain provides a feeling of stabbing at the bottom of the heel.

After wake up in the morning when you initiate the first step for standing for getting down from the bed worse the pain symptom. Even after a prolonged rest initiation of pain symptom also worse too much.  But gradually the pain intensity lowers after moving few steps. However, continuous walking or prolong standing posture also causes excessive pain in Plantar Fasciitis.

The raising of pain or feeling of pain symptoms usually occurs after completion of the task, the rare pain started during exercise, walking or running.

During stair rising sudden stretching of the plantar fascia also increase the pain intensity in Plantar Fasciitis affected individuals.

In Plantar Fasciitis, no nocturnal pain incidence occur.

Precaution

Certain precautionary measures need to apply in Plantar Fasciitis, which include

  • Walking, standing, running, jumping all the foot activities increase pressure in the plantar fascia. Therefore it is very important to avoid the increasing the pressure on this tendon. Therefore, sufficient rest of the foot is most important precautionary measure in Plantar Fasciitis.
  • You should care when you placing or landing your feet for different foot activities. It is very important uniform landing, instead of giving pressure only on the heel or toes. Because during initial landing the pressure in more and if it is not uniformly distributed creates Plantar Fasciitis.
  • During walking or running do not drag yourself forward with your lower limbs. Utilize the gravity and upper body part should move forwards along with leg movement. Lean your body slightly from the ankles running. It is also advise maintain short stride, and place feet directly under the center of mass of the body.
  • during prolonged sitting or resting position dorsiflex the foot, this will allows starching of the calf and ankle tendon and relaxes the plantar fascia.
  • Run or walk on smooth surface
  • Avoid using stairs as much as possible.
  • Avoid climbing of hills.
  • Use soft- cushioned shoes.

Home remedies

Plantar Fasciitis can be treated or controlled by following some simple home remedies, such as

  • Fill a tub with ice water and dip your feet till the pain related to Plantar Fasciitis reduced.
  • Stretching of plantar fascia, Achilles tendon and calf muscles by performing some home exercise steps is beneficial for reduction of Plantar Fasciitis
  • Plantar Fasciitis should avoid sports activities, which require standing, running, or walking activity, prefer to perform low -impact sports like swimming, bicycling etc.
  • Replace any ill-fitted or worn out sports shoes with new properly fitted sports shoes.
  • Prefer to use night splints to overcome the severe pain symptoms arise at morning in Plantar Fasciitis. Night splints can soothingly stretch the plantar fascia and Achilles tendon. This will help to prevent stiffness in this tendons at the night. Weight management is very important to manage Plantar Fasciitis, so take healthy diet and avoid fat rich food items.

Treatment

Before initiating treatment, the doctor usually orders for X-ray. X-ray images of the affected bone can diagnose any anatomical bone deformity such as protrusion of the heel bone may involve in symptoms of Plantar Fasciitis. This can only rectify by surgical intervention. Negative finding of such problem can be treatable by following ways:

  • Taping the foot is an excellent way of instantly relieving the symptoms and pain under the heel. The right application of the Tapping method can allow healing of plantar fascia and reduce the symptoms of Plantar Fasciitis. It is recommended that regularly follow this treatment method till the symptoms totally rid off.
  • Several physical therapies including electrotherapy including the application of ultrasound rays to the Plantar Fasciitis affected foot can relieve symptoms. In addition, manual techniques like massage can also provide
  • An assistive device like Lumino Cielo All-Day Compression Socks is a specialized compression sock specially designed for Plantar Fasciitis, which is effective to provide ankle support and pain relief.
  • Pain killer or analgesic medication can also prescribe to reduce the pain and internal inflammation in the affected foot.
  • If above-mentioned therapy does not provide a relaxing effect in Plantar Fasciitis, then the doctor may recommend Gait analysis for detection of biomechanical foot problem. Depending upon the findings insertion of orthotic inserts can be prescribed by the doctor.

Knee Pain

Knee pain is a pain symptom occurs at the knee joint. Knee pain is one of the most common pain symptoms. The pain of the knee joint may be localized or spread to larger area depending upon the underlying cause. The origin of the knee pain varies like ligaments or cartilages present in the knee may injure or kneecap become damage or degenerative bone condition affects femur, tibia, fibula or patella.  Knee pain can occur in any age group. The pain symptom aggravated with exercise, weight lifting, prolonged standing or walking.

Usually over the use of the knee joint often cause knee pain. But, the joint disorders like arthritis can also affect knee joint and can cause knee pain. Traumatic injury, which directly hit the knee joint can cause knee pain.

Knee pain can occur in any individuals, as knee joint is one of the most frequently used joint in the body. Standing, walking, running jumping – all these activities create pressure or force to knee joint. Knee pain can cause restriction to the physical activity, as the movement of the leg become painful.

Knee pain can be subsided by their own after taking rest. But if adequate rest of the knee joint unable to control the pain, then medical advice required to take. Thorough physical check up and determining the underlying cause is the primary treatment modality in the case of knee pain. Depending upon the findings of the result obtained from physical examination and laboratory assessment clinician prescribes the therapeutic remedy to treat knee pain.

In India, most of the people have occupation that require prolong standing posture. Indians are not concern about vitamins and mineral content require in the body with increasing of age. Therefore, age related calcium, vitamin D insufficiency leads to knee pain.

Cause

The possible causes of knee pain include:

Simple sprain or strain: Simple sprains or strains of the knee joint can be the outcome of an unusual activity or sudden force on the knee joint and cause knee pain.

Anterior knee pain: Front of the knee and spreading to the part of the knee cap is termed as anterior knee pain. The reasons behind this type of knee pain are overuse of knee joint, previous injury, weakness of the muscle, slight displacement of kneecap

Damage to the menisci or cartilage: Meniscus or knee cartilages provide cushioning to the knee and due to its shock absorbing property can protect sudden shock and protecting knee joint. But sudden twisting of the knee can damage or torn meniscus. This can cause Knee pain.

Osteoarthritis: Osteoarthritis is a joint disorder, which can create chronic knee pain or recurrence episode of knee pain. This is a joint degenerative condition.

Tendonitis: Tendonitis is the inflammatory condition of the tendon, which can develop due to excessive jumping activities.

Bursitis: Fluid accumulation surrounding the knee joint due to prolong kneeling or repetitive knee over activity known as Bursitis. This also causes knee pain and aggravate the pain symptoms during the knee bending.

Torn ligament or tendon: Ligament or tendons tightly bind bony structures. The ligament can tear during forceful running activities like during playing of football or rugby. Knee bending becomes difficult as it worse knee pain.

Bleeding into the joint: Haemarthrosis is the bleeding condition occurs in the joint space due to tearing of cruciate ligament and can cause knee pain.

Osgood Schlatter’s disease: In this condition bony lump is formed due to damage of the growth spurt. This usually occurs in overactive children who took part in jumping, running or cyclical bending on the knees.

Gout: Increased level of uric acid turned to a crystalline form and can accumulate in the joint space. The result of this causes knee pain.

Infection: Infection in the knee joint or septic arthritis is a serious condition which causes severe knee pain.

Symptoms

The primary symptom of knee pain is pain symptom. Pain symptom of knee pain aggravated by certain conditions including stretching, bending, kneeling, staring.

In most of the cases, knee pain is associated with the inflammatory condition of the knee joint or other supportive connective tissues.

The nature of the knee pain is varying depending on the underlying cause. Following are some identified knee pain symptoms.

  • Continuous aching
  • Sharp, shelling pain during the knee movement
  • Dreary burning uneasiness

Apart from the above mention pain symptom, following symptoms can also occur in knee pain

  • Palpation
  • Tenderness
  • Inflammation
  • Redness
  • Irritation

Precaution

Some of the precautionary measures of knee pain include:

  • It is very important to keep yourself physically active for preventing knee pain
  • Maintain the body weight also important precautionary measure for knee pain. Usually, over weight individuals have more tendency to develop knee pain. Therefore, obese individuals need to control their weight to prevent knee pain.
  • Exercise for fitness of the body is important to avoid knee pain
  • It is very important to conduct proper warm up and stretching before initiating strenuous exercise. In addition, it is important, after conduction of exercise proper cool down the temperature of the body.
  • If exercise aggravates the knee pain, then do not repeat. Stop exercising, take rest and cool down.
  • Wearing of properly fitted shoes
  • Avoid walking in rough surface
  • Avoid twisting the legs
  • Wear protective sports equipment before performing sports or outdoor activity

 Home remedies

Mild to moderate knee pain without serious health cause can be treated with a home remedy. In many cases, Home remedy effectively treated knee pain.

  • The first and important step to treat knee pain is to provide sufficient rest to the knee joint. Therefore, avail sitting posture, whenever possible and avoid standing posture. Adequate rest can heal injury at the knee.
  • Ice treatment by keeping ice bag on the affected knee can reduce the inflammation and itching or irritation symptom of the knee pain. Ice therapy should be continued for 20 to 30 minutes for two to three times a day. This will assist to control acute and chronic knee pain.
  • Elevating knee posture by using a recliner or other natural elevating procedure of the leg like keeping pillow can control pain and inflammation symptoms of the knee. The reason behind maintaining this posture is due to against the gravitation force prevent the accumulation of fluid into the knee joint and distribute the fluid. This can also treat knee pain
  • Stretching exercise can also assist to improve knee pain.

Treatment

There are different treatment methods can be applied to treat knee pain. Depending upon the severity of the knee pain and underlying cause treatment procedure is applied. Following are different therapeutic approaches for treating  knee pain.

Protective device of the knee joint

Knee compression can assists to proper positioning of the patella and alignment of the knee. Lumino Cielo Athletic Compression Knee Brace available on amazon. Anti-slip silicon of the knee brace can hold the knee joint tightly. It can retain heat and provide therapeutic warmth to the knee joint.

Medication

Usually mild to moderate acute pain can be treated with non-steroidal- anti-inflammatory drugs, like ibuprophen, paracetamol, etc. But steroidal medication may require to treat chronic knee pain.

Injection

Oral medication may not be effective to treat severe knee pain. Corticosteriod injection at the articulating joint of the knee can be administered.

If the knee pain occur due to fluid accumulation, then lubricant is injected to improve the flow of the fluid. Flowing of the fluid assist to reduce the pressure at the knee joint, which is effective for pain and inflammation reduction.

Physical Therapy

Physical therapy can improve muscle strengthening and mechanical movement, which support to avoid injury.

Surgical intervention

In case of fracture or degenerative condition of the knee bone require to surgical intervention for treating the knee pain. The surgical process may be simple like arthroscopic knee surgery or complex like partial or complete knee replacement.

Heel Pad Syndrome

The heel pad is anatomically termed as corpus adiposum and that provides protection to the heel from day to wear and tear. Because heel bones absorb distress arise during day to day activities. Heel pad syndrome usually associated with pain symptoms as similar in the case of a heel bruise. In Heel pad syndrome the protective pad of the heel becomes dislocated from one side of the heel to other sides. The heel pad is made up of soft tissues which are enclosed with heel bone. Any injury that may acute or chronic that damages heel pad or displacing the position of the heel pad resulting heel pad syndrome.

In India, especially younger aged women prefer to wear high heel shoes, as the height of Indian population is considerably shorter than other countries. But the continuous wearing of high heel shoes gradually damages the heel pad. The outcome of this leads to the onset of heel pad syndrome. In addition, sudden fall down or wrong placement of the feet on the ground during walking with high heel also increase the risk of heel pad syndrome. Because the chance of pad displacement is also possible. In addition, obesity becomes a huge problem in India. It has been considered that obesity also increases the risk of heel pad syndrome, as during standing and walking heel bears whole body weight.

Cause

Certain activity influences the incidence of Heel Pad Syndrome. One of these factors is a prolonged, repetitive and forceful activity involving leg can injure the heel pad and inflammatory condition arise. Resultant of this leads to Heel Pad Syndrome. For example, continuous jumping or running. Gymnast, runner usually get affected with Heel Pad Syndrome. Sometimes any direct injury like falling, jumping or running on the rough surface also cause injury to heel pad.

Displacement of the heel pad may resultant of the traumatic injury that leads to heel bone sensitive. Direct friction during walking, running, jumping can cause pain and that indicates Heel Pad Syndrome.

Within increasing of age, the tissues made up the heel pad become thin and this is a continuous degenerative condition and difficult to restore is also cause heel pad syndrome.

Substandard or low-quality footwear unable to provide sufficient protection to the heel pad from wear-tear appear during walking, running or jumping, which also cause Heel Pad Syndrome.

Symptoms

The symptoms appear in Heel Pad syndrome are as follows:

  • Pain in the heel is a common symptom of heel pad syndrome. The pain symptom of the heel pad syndrome may restrict to one side.
  • Mild to severe swelling can occur at the heel in heel pad syndrome
  • The nature of the pain is deep and dull ache, usually feels in the middle of the heel.
  • Heel pad syndrome affected individuals have difficulty in placing the feet on the surface
  • In Heel pad syndrome, the affected individuals feel pain at the lateral part of the feet during standing, walking, running or jumping.
  • In Heel pad syndrome, bottom of the heel has nonstop pain and tenderness
  • Heel pad syndrome affected individuals have difficulty to wear high heel footwear.
  • Palpation and tenderness present in the heel
  • Pressing with thumb on affected heel trigger pain syndrome
  • Difficulty to walk in barefoot on the hard surface including a wooden floor, concrete floor, ceramic tiles. Forcefully walking on the hard surface aggravate the pain symptom in Heel Pad Syndrome.

Precaution

We can run even barefoot, because out anatomical structure already provided a natural cushion in between skin and heel bones. This natural cushion or pad absorbs shocks arise during walking, running or jumping and avoid friction in the heel bones. Therefore to maintain heel pad we have to maintain some precautionary measures for prevention of heel pad syndrome.

Precaution means to avoid some aggravated or triggering factor which initiates heel pad syndrome. Some precautionary measure for avoiding heel pad syndrome are as follows:

  • Avoid wearing ill-fitted shoes
  • Avoid wearing low-quality sports shoes during performing any physical performance
  • During walking always prefer to wear good quality, properly fitted shoes
  • Always wear socks
  • Keep foot hygiene Lumino Cielo Sports Socks have copper Infused fibers. The advantage of this socks includes its antimicrobial property that minimizes odor and keeps feet dry and this socks also provide arch support.
  • Avoid high heel shoes
  • Management of body weight is very important to avoid heel pad syndrome.
  • Avoid to overuse heel, including prolonging standing, walking on the rough surface, running without sports shoe etc.

All the above mentioned precautionary measures for heel pad syndrome do not very tough to maintain during our daily activity. But out carelessness, unawareness, and negligence often causing the onset of heel pad syndrome. adhering the above-mentioned precautions can prevent heel pad syndrome.

Home Remedy

Usually mild to moderate heel pad syndrome goes way by its own way. But following home remedies accelerate the healing process and also provides early relief from pain symptom.

  • Adequate rest is important to healing up the injured tissues.
  • Make an ice pack by crushing ice, then put them in a plastic bag and wrap the bag with a thin cloth. Then gently compressed it on the heel, where the pain and inflammation present.
  • In a tub take some warm water and add some Epsom salt, then Soak the feet in this warm water for 15to 20 minutes. They pat dry the feet and massage the feet with anti-inflammatory oil. This need to continue one week. Usually, within this period, the pain symptoms of heel pad syndrome is reduced.
  • Gentle massage of the heels with black seed oil also reduce inflammation and pain symptoms arise in heel pad syndrome.
  • Right fitted shoes with adequate cushion are essential for treating and preventing heel pad syndrome.
  • Mix one teaspoonful turmeric and one pinch of black pepper powder with lukewarm water and drink the preparation regularly till the pain and inflammation disappear.
  • It is also suggested take 2 cloves of garlic with a meal every day to avoid and treat any type of pain including heel pad syndrome.
  • If you are non-vegetarian, then add fish in your diet, because fish oil has adequate omega three and omega 6 fatty acids which also beneficial for reducing pain and inflammation in any type of pain including heel pad syndrome.
  • Any wart or corn develop on the feet need to treat properly
  • In some cases wrapping of crape bandage on the affected heel also gives pain relief in heel pad syndrome.
  • Application of glycerin in the heel makes the skin smooth and soft, which also gradually assist in healing up the underlying tissues present in the heel.

Treatment

The symptoms of  heel pad syndrome is quite similar as plantar fasciitis. Therefore, there is a scope of misdiagnosis.  But both the condition is clinically not same. Therefore proper diagnosis is very important to obtain better result.  After diagnosing the heel pad syndrome the following treatment options are present:

Alternative therapies

Following are alternative therapies may recommend to treat heel pad syndrome

  • Electrotherapy
  • Cryotherapy
  • Acupuncture
  • Therapeutic taping
  • Gait education.

Assistive device

  • Wearing of heel cups can assist to hold the fat pad and also deliver cushioning. This is usually used in mild heel pad syndrome.
  • Custom orthoses give localized and more accurate containment on affected heel to control severe pain in heel pad syndrome. This device also provides protection, stabilization of heels in heel pad syndrome.
  • Supportive shoes also provide an adequate cushion to the heel and accelerate the healing process.
  • Lumino Cielo Low Cut Graduated Compression Sports Socks can provide arch support and pain relief in heel pad syndrome.
  • Some doctor also prescribes physical therapy for the feet to control heel pad syndrome.

 

Feet Pain

Feet are very important part of a leg. They hold whole body weight during standing, pressure on feet can help to walk and run. Therefore, feet take many loads on them. Feet pain is the result of the negligence of feet care. The feet pain is a common complaint of the Indian population. The reason behind it includes some of the manifestations which include unawareness of footwear or do not provide much attention to the quality of the footwear. In addition, the crossing leg sitting posture, which is also known as ‘Indian Style’ also triggers feet pain. Less calcium containing diet and vitamin D deficiency in Indian women considered as causing factors for feet pain. However, some underlying disease conditions can also initiate feet pain.

Causes

The including causes, of feet pain, are ill-fitted footwear, the wrong posture of feet, injuries of feet during walking, running, dancing, or wrong technique of gym etc. Besides these causes, some underlying disease conditions like diabetes, obesity, gout, wart formation, pregnancy can also cause feet pain.

Symptoms

Feet pain can occur at different locations of the feet like the arch of the feet, heel pain, the bottom of feet pain and Ball of feet pain etc.

  • The intensity of feet pain varies from mild to severe. The type of pain can be throbbing or continuous.
  • Some complaint sharp and shooting pain in feet at morning
  • Sometimes pain with burning sensation or irritation can also occur.

Precaution

  • Twisting or crossing of feet during sitting need to avoid, while sitting place your feet flat on the ground.
  • During sitting place the knee position at right (90 degrees) angel.
  • Rest your feet on the mattress during winter instead of the plain floor. This will help t maintain feet temperature normal.
  • Feet exercise like the gentle rolling of feet is always good for feet.
  • Taking care of feet by maintaining feet hygiene, cutting nails, proper moisturizing is also important steps to avoid feet pain. An assistive device like Lumino Cielo Sports Socks can prevent anti-microbial growth that controls odor and Keeps Feet Dry and it also provides arch support.
  • Wear good quality foot wear with a flat sole and right size shoe is essential to prevent feet pain.
  • Diagnosis of the underlying cause, if any disease condition triggers the pain need to treat properly.

Home Remedies

Some of the following home remedies are used to relief feet pain:

  • Foot massage with some Ayurvedic pain relieving oil can provide a relaxing sensation of feet.
  • Ice pack is effective to control severe feet pain
  • Wrapping of crape bandage on feet during resting time can help to reduce pain symptom
  • Calcium rich diet is essential for women
  • Morning exposure to sunlight can provide vitamin D and can compensate its requirement.

Treatment

  • Detection of underlying cause and eradication of the cause is main treatment aim of feet pain. Usually, the doctor recommends X-ray and depending upon the findings the possible treatment approaches are as follows:
  • Pain killer like paracetamol, Ibuprofen (Non-steroidal anti-Inflammatory drugs) prescribes by the doctor in case of exterior injury, fracture, ligament tearing, sprain etc.
  • Doctor can also recommend physical therapy for feet pain
  • Surgical intervention can require for wart removal
  • An assistive device like Compression socks can help to rest the feet and accelerates the internal healing of the injured tissue of the feet. Lumino Cielo Low Cut Graduated Compression Sports Socks can provide arch support and pain relief. The product is available on Amazon.

Patient suffering from Plantar Fasciitis – Plan of Action

A Patient Shares her Heel Pain Reduction Journey using Lumino Cielo Compression Socks

My Plantar Fasciitis heel pain started 8 months ago. I used to wake up in the morning with sharp pain in my right heel. The pain often started from my heel and extended towards my arch. My first steps after waking up used to be the most painful. After a few steps, the pain would reduce only to come back in a few hours after I had walked about in normal day to day morning chores. I had stopped going for my morning walks which used to be my daily exercise routine. I skipped my Zumba classes because the heel pain would come back with a vengeance after each class. During this time I actually gained weight which made the pain worse. Without any exercise, I was even more worried I would continue to gain weight and the pain would never go away.

I consulted with an orthopedic doctor who suggested that I apply cold rolls under the arches of my feet, wear compression sleeves, and focus on weight reduction. I took these three steps simultaneously. Two months ago, I started a diet plan to reduce weight, got two pairs of Lumino Cielo All-Day Compression Sleeves and put a bottle of water (the cyclinder shaped one) in my freezer. I was ready to attack my Plantar Fasciitis heel pain head-on.

Here is how I gained control of my heel pain

Every night, I would wear my Lumino Cielo All-Day Compression Socks before going to bed. In the morning, my pain would be much lesser than before. That’s why I was able to push myself for my morning walks again (wearing the compression socks, of course). When I would return, I would take my frozen bottle of water, and roll my feet over the bottle sides. The cold temperature soothed the arches and the stress of the walk would be gone.

And I stuck to my diet plan. Today, my pain is reduced substantially. I only get it after a day of serious walking (sometimes you gotta walk more than usual). I keep my Lumino Cielo all-day compression sleeves next to my bed for such days. And I also have an extra pair in my purse just in case. When I wear these sleeves, it feels like someone is pressing my feet at the end of a strenuous day. Oh, and I lost 6 kilos in the last two months which is a really nice side benefit.

Some say that once you get Plantar Fasciitis, it takes months or even years to fully recover. Weight reduction definitely is important. But weight loss cannot happen quickly. While you are working on losing weight, it is important to manage the pain and not let Plantar Fasciitis affect the quality of your life. I would definitely recommend my strategy to all those suffering from this heel pain. I hope my experiences will help you as well. Good luck.

Plantar Fasciitis – Lets work on the heel and arch pain India

Plantar Fasciitis is heel and arch pain that can be managed with some effort.

Plantar Fasciitis is a pain (quite literally) in your heels and arches. It starts with almost no warning. You could get it from dancing in a wedding or right after your first 5K run. Sometimes it even starts after simply walking. Once the pain starts, it stays for a long time. Plantar Fasciitis is extremely common in India. I know of people who have had this pain for years. It is like sports injury that refuses to heal.

In the most common form of Plantar Fasciitis, you get heel pain that starts from the toes and goes all the way to the heel at the bottom of the foot. It is most severe first thing in the morning. Your first steps give you excruciating pain. After 20-30 steps the pain reduces. During the day, it is most intense when you have walked some. Plantar Fasciitis can deteriorate your quality of life substantially.

The most common causes of Plantar Fasciitis include wearing wrong footwear (high heels, shoes with hard soles etc), having flat feet or being overweight. But there are times when the pain starts with no apparent reason.

So what do you do to manage this pain and reduce the symptoms? First, you need to learn to recognize the signs. Before Plantar Fasciitis becomes severe, you will have days of tolerable pain in your heel after you have walked a little. This is the time to take corrective action. You should start wearing comfortable shoes with cushioned heel and arch support. Start wearing compression socks when walking and at night. Stop wearing high heels. Stop doing high impact workout such as aerobics, running and Zumba. Roll your feet on a foam roller to relax the tissue under the foot. And above all, takes steps in losing weight. Do not let the pain become really bad. Because then, it will take much longer to heel your feet back to health.

In Plantar Fasciitis, you will not be able to run or walk much. But you can still exercise. You can still go cycling, rowing and swimming. Also, you will lose weight more effectively if you combine workout with proper dieting. Work with a nutritionist to get on a weight loss plan. You will see marked improvement in your pain once you have lost a few kilos.

So take the matter in your hands – it is time to manage the plantar fasciitis pain and improve everyday life. Good Luck in your journey. May it be a rewarding one.

Plantar Fasciitis – Introduction and Treatment Options

What is Plantar Fasciitis?

Plantar Fasciitis is a foot condition that causes heel pain and arch pain. The pain is caused by stress on plantar fascia (a ligament that stretches from heel to toes). The pain is worst after a period of rest (for example in the morning time you take your first steps after getting out of bed the pain is very sharp in heels and may spread around the entire bottom of the feet). Most people have pain in one foot but many suffer from Plantar Fasciitis in both feet.

Is Plantar Fasciitis common in India?

With obesity on the rise, Plantar Fasciitis is becoming one of the fastest growing pain conditions. Many people who suffer from Foot pain do not realize that the pain is treatable in most cases and manageable in all the rest.

What causes Plantar Fasciitis?

The causes of Plantar Fasciitis are not fully understood. Obesity, wearing non-supportive footwear and extending period of standing, walking and running can cause the pain to start. This is why Plantar Fasciitis is sometimes called a runners disease. People with flat feet suffer more often than others. The condition sometimes is acoompanied by heel spurs too.

Ignoring Plantar Fasciitis can cause complications including severe chronic pain in feet. If you have heel pain, chances are you will change the way you walk to avoid pressure on the hurting foot. This change in the gait may lead to back pain, hip pain and knee pain.

What treatment options do you have if you suffer from Plantar Fasciitis?

With simple treatment and care, most cases resolve with time. As the first steps, the doctor may advice people to take rest, reduce exercising and taking pain medication (NSAIDs). If the pain does not go down, here are a few other treatment options available.

1: Exercise: Stretching the plantar fascia helps in heel pain. It relieves stress from the ligament and allows it to become strong. The stretching exercises should be done before getting out of bed. The exercises include toe stretches, towel curls and calf stretches.

Exercise for Plantar Fasciitis

2. Ice Massage: Rolling your foot on a iced bottle of water helps soothe the plantar fascia ligament. It eases the pain temporarily. You should limit the iced bottle massages to 10-15 minutes.

Lumino Cielo Rolling Feet on Iced water bottle for Plantar Fasciitis Pain

3. Compression: Wearing compression socks is another way of reducing the pain. Compression socks offer pain relief that lasts much longer than Ice massage. With the compression socks, you can get support for your feet that is essential when you have Plantar Fasciitis pain. You can wear sleeves style compression socks to bed overnight which can help reduce morning pain. Compression socks are now available for office wear and sports wear. Many athletes prefer to wear compression socks while jogging and running to ensure extra support for the feet. Some athlete compression socks are designed to improve athletic performance.

Compression socks for plantar fasciitis pain relief

4. Night Splints: Very commonly used to treat morning symptoms of heel pain and plantar fasciitis. Night splints keep the feet stretched in a way that the toes are pointing up. The Plantar Fascia gets a stretch while you wear the night splints. It is another way to combat severe morning heel pain. You can wear night splints every night for many months.

5. Orthotic Insoles and Orthotic Shoe inserts: Inserts and Insoles are designed to give support at the arches and cushion at the heels. They are supposed to provide pain relief. You have to make sure you get the right insoles that match your feet size and shape. If you have the correctly designed insoles, you can give your feet the balance, support and cushioning that your feet need in Plantar Fasciitis.

6. Change your worn-out shoes: If your shoes are worn out, change them. Worn out shoes do not offer heel support that you need. Buy shoes with strong cushion support and moderate heel. Avoid high heel shoes till the pain reduces. Do not walk barefoot and avoid walking on hard surfaces.

Worn out shoes

7. Reduce weight: In many cases, Plantar Fasciitis is caused by increased body weight. Your feet may not be strong enough to handle your increased weight. If you reduce your weight even 10%, your feet will have 10% less stress and load on them. Lose weight through healthy ways. Weight loss may not be the sure-shot solution to Plantar Fasciitis but it will surely reduce the pain in your feet.

Weight Loss

With time and determination, you can manage the Plantar Fasciitis pain and eventually live a life of mobility, activity and movement. Do not let Plantar Fasciitis deter you. Good luck!

Home Remedies to reduce Plantar Fasciitis Pain and Heel Pain

Control your heel pain and Plantar Fasciitis India

Do you get heel pain, arch pain and are suffering from Plantar Fasciitis? It is very common in India. Here are several ways you can reduce pain from Plantar Fasciitis. Its easy and simple. The results are amazing. You will see pain relief almost immediately and pain will substantially reduce within a few weeks.

Exercise your fascia: Face the wall and put your hands on the wall for support. Prop your toe on the wall edge leaving the heel on the floor. Push the foot so that the arch is stretched. Keep in this position for 20 seconds. Repeat with the other foot.

Exercise your calves: Sometimes tight calves can cause the foot problems. Exercise your calf muscles for improved alignment of feet.

Freeze Water Bottle Rolls & Golf Ball Rolls: Take a water bottle (preferably a cylindrical one), fill it with water and freeze it. Roll your feet over the ice cold water bottle for 5 minutes for each foot. You can do the same with a golf ball. Freeze the golf ball and roll your foot with good pressure for 5 minutes on each foot.

Wear footwear with Cushioned heel: Always wear shoes with cushioned heels. Completely avoid hard surfaces and do not walk barefoot.

Wear Compression Socks for arch support: Wear compression socks to get additional arch support, pain relief and heel support. Lumino Cielo sells high quality Compression Socks in India. Check out their complete range at LuminoCielo.comWishing you all pain free mobility.

If you do these home remedies regularly and do not stand barefoot at anytime, you should experience pain reduction within a few days. And don’t forget, losing a few kilos of weight helps relief the extra pressure that your feet have to carry all day. So if you are overweight, go for a low calorie diet.