Achilles tendinitis is an overuse injury of the Achilles (uh-KIL-eez) tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone.
Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs. It’s also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends.
In this short video, Dr Jeff Banas talks about some commonly overlooked conditions that cause Achilles Tendinitis.
Back pain affects 80% of Americans at some point during their life. Some times back pain is limited to just the back and other times it can result in pain traveling down one or both of the legs.
Common causes of back pain include arthritis, muscle strains and pinched nerves. The treatment of back pain depends on the cause of the pain. Back pain is often difficult to treat and for many people back pain is a chronic condition which greatly affects the quality of their life.
In this article I am going to discuss one of the most overlooked causes of back pain and what you can do to get some relief.
A common cause of low back pain that I see a lot of is fallen arches in the feet. Also known as flat feet, a fallen arch can happen in one or both of the feet. When the arch of your foot loses its support the foot drops in or pronates. This then causes the knee to drop in, which then causes the hip to drop.
This is a very common cause of low back pain that often goes undiagnosed and I see this a lot in my practice. Patients come in who have been suffering from back pain for months or even years and they have had numerous forms of treatment with very little success.
Imagine walking around all day with only one shoe on. You would be hobbling around all day unbalanced. Or imagine going for a run with only one shoe on.
I am sure you can easily see how walking with only one shoe on can cause your back to hurt.
So you are suffering from back pain so you go see your doctor and they prescribe you some form of medication for your pain. You take the medication but you are still walking around with only one shoe on (that is your fallen arch). The medication doesn’t help your back pain so you go back to your doctor and this time they send you to physical therapy.
At physical therapy they have you do some strengthen exercises, then lay you down on a table, massage your back and also use ultrasound and some electric muscle stimulation.
The problem is, you get off the table and continue to walk around with only one shoe on. Remember I am using the analogy of walking around with only one shoe on because that is similar to walking around with one of your arches dropping, your knees then dropping and turning in and that then results in you hip dropping.
No wonder you continue to suffer from back pain.
What needs to be done in this situation? Someone needs to look at you feet and balance you out. If you correct the fallen arch, you can balance out your hips.
So how do you fix a fallen arch? You get a custom made orthotic to support your arch and also maybe a heel wedge to help stabilize your heel and stop you from rolling in.
I have seen many patients who have suffered with back pain for years get relief once we were able to balance their knees and hips with custom orthotics.
So, if you have been or are currently suffering from chronic back pain, make sure you have someone check you feet.
“BACK PAIN SUCKS!”
If you have ever suffered from back pain, you know exactly what I a talking about.
If you are reading this, it means either you or someone you care about is suffering from some form of back. So, let’s not bore you with statistics on back pain, let’s cut right to the chase and give you some ideas on how you can get ride of your back pain once and for all.
First thing, if you have been suffering from back pain, please have it checked out by a physician. There are a lot of causes of back pain and you need to know what is causing your pain. So, lets say that you have seen your physician and stuff like fractures and tumors have been ruled out and the cause of your back pain is mechanical (degeneration, disc, joint and muscles problems).
Here are some things you might want to try;
1. Rub Magnesium Oil on your back, legs and butt. I am not going to go into all the details on magnesium oil, you can “Google” that. Let’s just say that Magnesium Oil can help with stiff and tight muscle, so try it.
2. As long as it doesn’t cause you pain, do some deep squats and lunges. This will help loosen up the leg and butt muscles that are often related to back pain.
3. Do some self myofascial release or some self massage. There are many was you can “massage” your own muscles. Again rather than going into a lot of detail on the many different ways you can massage your own muscle, I will give a list and then you can look them up on YouTube.
– “Foam Roller Exercises”
– “The Stick Massage”
– ‘Self Myofascial Release”
4. Loosen up your hips. Stand up, lift your knee up as high as you can, move your knee as far away from your body as you can and then drop it back to the ground. When you do this you might feel a clicking in your groin area. This means your hip flexors (or psoas muscles) are tight, which is why I am having you do this in the first place.
5. Branched Chained Amino Acids (BCAA) like Leucine, Isoleucine and Valine can help reduce inflammation and help get amino acids to your muscles. I personally use something called Master Amino Pattern.
6. Think twice about taking Nonsteroidal anti-inflammatory drugs (NSAIDS). NSAIDS do help with pain. However, the problem is long term use inhibits healing. Not to mention they are hard on the stomach and liver.
7. An alternative to NSAIDS can be Proteolytic Enzymes such as Trypsin, Chymotrypsin, Papain and Bromelain. When taken on an empty stomach, these can help with inflammation.
Some examples Proteolytic Enzyme products would be:
8. Take some Medical Grade Fish Oil. This may also help with inflammation. Like most things, you get what you pay for so get yourself some high quality fish oil.
9. Follow the Anti-Inflammatory diet. Just “Google” Anti-Inflammatory diet.
All the things I have talked about are things you can do for yourself. What should you try? ALL OF THEM. We are playing a percentage game. If the enzymes help 2%, the self massage helps 2% and some of these other thing help another 10%, well maybe that’s enough to reduce your pain and get you back on the golf course or back playing with your grand kids.
I am not done. There are still a bunch of things you can do to help get relief from your back pain. For most of these listed below you will have to see a good sports chiropractor or a sports physical therapist. I just wanted to list them so you can find a doctor or clinic that offers these services.
Again, we are playing a percentage game so ideally you would want to do some form of combination of these services. It would be best to find a find a clinic that offers all of these services, then sit down with your doctor or therapist and develop your personal recovery plan.
Spinal Manipulation (Usually done by a chiropractor)
Extremity Manipulation. An example of this would be mobilization of a foot or ankle.
Custom foot orthotics. If you pronate or the arch of your foot drops, you knee can buckle in and then this can drop your hip, which then can affect your back.
Electric Muscle Stimulation can reduce muscle spasm, pain and inflammation.
Dry Needling. This involves putting small needles (ever acupuncture needles) into the trigger points in your back and legs.
If you are suffering from back pain, I hope this article gave you a few ideas that you have not tried yet.
ScienceDaily (Aug. 21, 2012) — A study of marathon participants older than 50 years of age has found similar temporary effects as those found in runners between 18 and 40 years of age. Any cardiac abnormalities during a marathon disappear within a week after completing a race.
“There was no evidence of permanent heart damage from repeated marathon running in individuals over the age of 50,” says primary study author Davinder Jassal, associate professor of medicine, radiology and physiology in the Faculty of Medicine, University of Manitoba and principal investigator at St. Boniface General Hospital Research Centre.
Jassal and his team of researchers used blood tests, echocardiography (ultrasound of the heart), CT, and MRI to test healthy
volunteers who participated in the 2010 and 2011 Manitoba Full Marathons. They found that elite elderly marathoners over the age of 50 had a transient increase in blood markers and temporary swelling and weakness of the right side of the heart immediately following the 26.2 mile marathon. The good news is that all of the changes returned to normal one week later.
With an aging population of Canadians, the proportion of individuals older than 50 years of age participating in regular physical activity continues to grow. Twice as many older individuals have been participating in marathons during the past two decades.
Az Physical Therapy orthotics for chronic pain. In this video Dr Banas talks about over looked condition that can help with chronic pain.
A foot problem can cause a knee problem, a knee problem can cause a back problem, a back problem can cause a neck problem. Physical therapy needs to look at the entire body and NOT just where the pain is.
ScienceDaily (Dec. 27, 2006) — Stronger quadriceps muscles in the legs can help protect against cartilage loss behind the kneecap, according to Mayo Clinic researchers presenting preliminary study data at the American College of Rheumatology Annual Meeting on Nov. 15.
Knee osteoarthritis (OA) occurs when the cartilage that cushions the ends of the bones in the knee joint deteriorates over time. As this cushion wears down, the joint doesn’t function as well and may be painful.
Mayo researchers, in collaboration with researchers from Boston University and the University of California, San Francisco, studied 265 men and women diagnosed with knee OA. They performed magnetic resonance images (MRIs) of participants’ knee joints at the beginning of the study and again at 15 months and 30 months. Based on these MRIs, researchers determined how much cartilage loss occurred over time at the two joints of the knee: the tibiofemoral joint, where the thigh bone (femur) meets the lower leg bone (tibia); and the patellofemoral joint, behind the kneecap (patella).
When the study began, researchers also had measured the strength of participants’ quadriceps muscles (leg muscles in the upper thigh). Analyzing these measurements, researchers observed that participants who had greater quadriceps strength had less cartilage loss within the lateral compartment of the patellofemoral joint, which is frequently affected by OA.
“A stronger quadriceps muscle helps keep the patella from moving laterally and tracking abnormally with movement,” says Shreyasee Amin, M.D., Mayo rheumatologist and the study’s lead researcher. “Our study results emphasize that it’s important to encourage people with knee osteoarthritis to maintain strong quadriceps muscles as recommended by their physician.”
The exact cause of OA isn’t known. Researchers suspect a combination of factors, including being overweight, the aging process, joint injury or stress, heredity and muscle weakness. Pain is the major complication of OA. The degree of pain can vary greatly, from mild inconvenience to a debilitating condition that interferes with daily activities.
Other members of this Mayo-led research team included: Kristin Baker, Ph.D., Jingbo Niu, M.D.; D.Sc., Joyce Goggins; David Hunter, M.B.B.S., Ph.D.; and David Felson, M.D., all from Boston University; and Ali Guermazi, M.D.; Mikayel Grigoryan, M.D.; both from the University of California, San Francisco. This work was supported by grants from the Arthritis Foundation, the National Institutes of Health and the Bayer Corporation.
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Thanks Dr Jeff for getting ride of my plantar fasciitis. I am running again! – Leanne
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