Extracorporeal Shockwave Therapy (ESWT) is cleared by the FDA for use on a few conditions, one being plantar fasciitis. This is very exciting as plantar fasciitis is the most common form of heel pain and it can be quite debilitating condition. Podiatrist, orthopedists, PTs, and sports chiropractors all work with patients who suffer from plantar fasciitis, and we are always looking for more and better ways to help these patients. When a proper diagnosis is made (and this means being quite sure to R/O calcaneal stress reaction), the faster we can address a problem and the faster we can fix it. Continue Reading →
SoftWaves for Plantar Fasciitis Work!
The Oura Ring and Why You Should Have One
I rarely do product reviews or ‘pump’ a product but this particular one deserves some serious attention.
If you are active, wanting to become more active, or just have an interest in your health, the Oura ring is a must for you. The engineers from Oura have brought to the market their second rendition of a ring that maps your sleeping patterns, activities, and heart metrics and puts them together in a simple and easy package.
Using the data from the ring and linking to your iphone or Android, you are given a TON of information about how your body is functioning. And yes, it’s highly accurate.
An example is HRV, or Heart Rate Variability. HRV is probably the most scientifically validated way to assess the health of your autonomic nervous system (ANS). The ANS is made up of your sympathetic and parasympathetic nervous systems. The sympathetic is your ‘flight or fight’ part and the parasympathetic is the ‘rest and digest’ side.
Most of us have stress in our lives and this makes our bodies more sympathetic dominant. When this occurs, the parasympathetic portion of the ANS does not function as it should. Due to this, the sympathetic ‘runs wild’ and we can end up with serious health issues. Those who monitor their HRV can determine what changes will upregulate, or increase parasympathetic tone.
For many, it’s getting more sleep or partaking in exercise. For others, it’s adding CBD (truthfully, a must). No matter what you do, you want to maximize your HRV as it tells you that there is a balance between the sympathetic and parasympathetic nervous systems.
If you are unfamiliar, HRV is a measure of the difference between each heart beat. We might think that a consistent heart beat is healthy, but in actuality, that is incorrect. With each beat, there should be a slightly different time between each beat. This indicates that the sympathetic and parasympathetic nervous systems are playing off one another. When we lack parasympathetic tone, then the sympathetic controls everything and the heart beat remains very constant with the gap time between beats.
Athletes use HRV as an indication of recovery from sport. They know that a great HRV means that their bodies are preparing for more activity and that they will compete better. Athletes need to have a large amount of HRV.
For all of us, we can use HRV for determining the health of our neurological system. The data the Oura provides helps to establish goals to achieve and teaches us ways to recover better. It gives us data we cannot otherwise obtain. The HRV is only one health index the Oura provides but oh, what an important one it is.
I have spoken with Oura because we are seeing amazing changes in HRV with our patients who are using CBD and are making lifestyle changes (several of our athletes already have the Oura ring). It’s great to be able to objectively track the changes using the Oura ring.
I wear mine as my wedding band now because it looks professional, is light, and feels great on the finger. It only needs to be charged once every 6 days and this makes it almost hassle free. You can, of course, wear it on any finger (they send you a sizing kit to be sure you order the correct size). I awaken every morning and the first thing I do is check my phone for my sleep data. The ring has made going to bed earlier, easier, as you feel better when the sleep score is higher (it is based on far more than just the HRV).
Sure, the Oura does a lot more and I’ll be documenting that soon. The Oura ring in one piece of technology you should not be without if you are interested in tracking your health metrics and sleep patterns.
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How To Identify and Address Tarsal Tunnel Syndrome
Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist. We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’ Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness. In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.
The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →
Femoroacetabular Impingement and What Is Done About It
Femoroacetabular Impingement (FAI), or hip impingement syndrome, is a painful hip condition that limit a person’s activities and can inhibit an athlete’s ability to perform. Many times people can function just fine with an FAI, depending on their activity, but many times it’s necessary to get surgery to correct the problem. After surgery though, proper rehabilitation is necessary so as to reduce scar tissue buildup in the hip joint region. There are 3 types of FAI and each one can cause significant problems. Continue Reading →
The Official Word on Sports Nutrition Regarding Diets and Body Composition…Discussion Over!
Let’s end this debate now. The puzzle is now complete. We have the data and we know what works. We know the ‘too much protein is bad for your kidneys’ talk that some doctors and others tout is wrong. There is simply no data to validate this unless you have pre-existing, unrelated, kidney disease. We know that fasting/cleansing is good for you, not bad. For those who say ‘your body is always cleansing…that’s what the kidneys and liver are for,’ we can reply by showing them the research that far more can be done. For those who say that ‘protein is protein, ‘ we can clearly demonstrate that this is not the case…not even close. Many say ‘I’ve tried everything and nothing works.’ Maybe that person has tried other programs, but they most certainly have not incorporated caloric restriction and intermittent fasting. If they had, they would’ve achieved the results they were looking for. Being 80% of health and how we look is due to nutrition, whereas only 20% is due to exercise, it’s quite important to have a lifestyle system that addresses the 80% part. By taking care of the 80% part, you will perform and recover better with the exercise part. They are not mutually exclusive. Lapses in nutrition will only get you more injuries. I see this all too often.
You get the point. It’s time to do what we know works instead of looking for excuses when it comes to diets and body modification. This is about YOU and how you can feel, function, and look better. Continue Reading →
Meralgia Paresthetica…What Is It and How Is It Treated?
Meralgia Paresthetica aka Roth’s Disease aka Lateral Femoral Cutaneous Nerve (LFCN) syndrome is a condition we see from time to time. The patient tends to present with pain in the lateral thigh that almost feels like an itchy feeling. The discomfort can be anything from burning pain to tingling. The pain is not a deep pain but is superficial. This means you only feel it on the outside of the thigh vs. deep in. It can be very bothersome and it is certainly annoying enough that people will go to find a solution. Left untreated, it tends to get worse with time. Continue Reading →
Elbow Pain…What The Heck Is The Issue?
The elbow…well, it certainly isn’t the ‘funny/crazy bone’ when we hurt it.
We treat a LOT of elbow problems in our office. Why is this? Well, we have an active patient base and most all we do affects the musculature in our elbows. It used to be that when you had medial, or inside, elbow pain, that would be called ‘golfer’s elbow’ and when the pain was on the lateral side, or outside, that was called ‘tennis elbow.’ Well, needless to say, times have changed and people in many sports get medial and lateral elbow pain and they certainly are not playing golf or tennis. For that matter, not all golfers get medial elbow pain and tennis players lateral elbow pain anyway…sometimes, it’s the opposite. As as far as that ‘funny bone’ issue we’ve all heard about, that occurs when we bang a certain part of the elbow that the ulnar nerve runs through. The sensation we feel is irritation to the nerve and the distally affected tissues feel ‘funny.’ Continue Reading →
Restless Legs Syndrome (RLS) and Some Ideas About How To Deal With It
So you have had an active and/or stressful day and you lay down to go to bed. Your leg or legs feel a bit twitchy and they won’t relax. Finally, you get to sleep and you are awakened by a really uncomfortable pain in your legs. This happens night after night and finally you cannot deal with it anymore. What is wrong and what can be done?
Restless Legs Syndrome (RLS) is considered by many to be a neurological problem but there are many causes of the condition. So many, in fact, that it’s really tough to categorize the condition into one simple issue. What we need to do is consider any and all factors that could influence the condition and help minimize/eliminate it. The medical approach is to turn to medications to help with the condition, but those have side effects. There are natural ways to address RLS, and to many, it makes sense to start with these before going the medication route. Continue Reading →
The Achilles and Two Reasons Why It Might Be Hurting You
The Achilles tendon is a rather avascular (lacking blood) thick tendon that is made up of two of your major back side calf muscles: the gastrocnemius and the soleus. The tendon attaches into a part of your heel bone, the calcaneus, and this part is called the calcaneal tubercle. We have to major bursa sacs (bursa sacs are pockets that only fill with fluid when they are inflamed), the subcutaneous calcaneal bursa and the retrocalcaneal bursa (see figure 1 right). The subcutaneous bursa seldom presents as an issue, but the retrocalcaneal bursa can be a major headache. Continue Reading →
Why Your Back Might Not Be Getting Better
There are many reasons as to why people develop back pain and luckily, conservative treatment can help most all of them. Only in the rarest of instances is surgery needed. The problem with treating back pain is that all too often the practitioner focuses so much on the pain that he/she doesn’t actually address what is causing the pain. We’ve all been guilty of this!
I could write volumes on contributing factors to back pain but this blog was written to address one common problem that we are seeing more and more: a hypermobile sacroiliac joint (SIJ). Now, the naysayer will try to suggest that this does not occur, but with over 18 years of treating sports and back injuries, I can assure you that it does, and it does with frequency. I’ve seen this problem in active kids to my professional athlete clientele base. It is usually not properly diagnosed as few practitioners know how to assess it. Continue Reading →
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