What is plantar fasciitis?

The plantar fasciitis or plantar fasciitis is inflammation of the plantar fascia. The plantar fascia is a thick band of fibrous tissue that extends from the heel bone to the toes. This band is covered in fat to absorb shocks and supports the plantar arch (see pictures).

Plantar fasciitis is the most often cause of heel pain, affecting between 3.6 and 7.0% of the population. It often occurs between ages of 40 to 60, affecting females (females) and males (males) in the same way.

Plantar fasciitis is in most cases unilateral, affecting both the left and right heels. Bilateral plantar fasciitis that is that affects both feet simultaneously is less frequent, occurring in about one-third of the cases.

Concerning the duration of symptomatology, it is important to point out that ignoring plantar fasciitis in its acute phase can lead to chronic pain.

Plantar fasciitis – causes

Although the causes of plantar fasciitis are not completely understood, it is known that there are some risk factors for the development of the disease, namely:

  • Obesity (overweight) – body mass index (BMI) greater than 30;
  • Sports activity on the go (running, jumping, ballet and dancing), or when people remain for long periods of standing;
  • Age;
  • Foot cavus / flat foot / anomalous gait patterns;
  • Decreased dorsiflexion of the ankle (less than 0º);
  • Retraction of the gastrocnemius-soleus and hamstring muscles;
  • Secondary to systemic inflammatory diseases.

It is controversial that the presence of spur of the calcaneus contributes to the symptomatology. It should be noted that between 11 and 46% of patients with calcaneal spurs are asymptomatic, and in 32% of patients with plantar fasciitis, there is no presence of the calcaneal spur.

Read article: Shoe insoles that help Plantar Fasciitis pain relief

Plantar Fasciitis – Symptoms

In plantar fasciitis, the main symptom is the heel pain, often described as “pricking.” The pain typically has an insidious onset and no irradiation, often getting out of bed in the morning and tending to relieve after taking the first few steps. The pain tends to worsen when climbing stairs or if the patient remains standing for some time.

The pain tends to alleviate with ambulation (walking, walking) and aggravates with prolonged rest. Usually, the pains worsen at the end of the day with prolonged orthostatic.

In some cases, some edema (“swelling”) of the heel and ankle may occur.

Find thebestinsoles that help Plantar fasciitis relief

Plantar fasciitis – diagnosis

The diagnosis of plantar fasciitis will perform by the orthopedic doctor based on the clinical history and reporting, in some cases, to some diagnostic or therapeutic aids (MCDT), namely:

Radiography (RX) of the foot. –It’s useful to confirm the diagnosis if carried out in load allows excluding other (degenerative) pathologies;

Magnetic resonance imaging (MRI)  - It is rarely used in the diagnosis. However, this examination may be necessary to exclude other pathologies (fracture of calcaneus stress). The NMR is a test that, if needed, can be used to perform the surgical planning.

Bone scintigraphy  - This is an examination that helps to quantify the inflammation. It can be conducted to exclude other pathologies (e.g., calcaneus stress fracture);

Analytical Study  - Although not used routinely, it can be useful to rule out other diseases (inflammatory arthritis, infection, etc.).

Electromyography  - Electromyography can be used to exclude nerve compression.

In the differential diagnosis, the following pathologies must be taken into account:

  • Calcaneal fat atrophy;
  • Tarsal tunnel syndrome;
  • Calcaneal stress fracture;
  • Baxter’s neuropathy (compression of the first lateral plantar nerve branch);
  • Posterior tibial tendon dysfunction;
  • Etc.
Posted in Uncategorized | Comments Off

Emergency Medicine Locum Tenens

Physicians may seek locum tenens positions in emergency sites to gain additional experience through the varied responsibilities associated with the job. Possible relocation may also attribute to a physician looking for short term employment. Wanting to cut back on the full time duties of a physician’s job may be another reason for seeking an emergency medicine locum tenens assignment. Some emergency vacancies are filled by using locum tenens until full time and permanent positions can be filled. Urgent care facilities and hospital emergency rooms are possible locations where physicians may find part time or temporary assignments.

Physicians seeking a locum tenens position may be considering a career change. Attending physicians in emergency locations are afforded a well rounded experience of giving medical care. Many times urgent care locations in undesirable locations have a difficult time staffing their facilities and defer to hiring emergency medicine locum tenens. Medical and personal leave taken by regular staff will sometimes require filling these positions with temporary physicians. Employment agencies handling locum tenens jobs have the skills required to secure qualified physicians to fill the important positions with emergency facilities.

Physicians agreeing to an emergency medicine locum tenens’ position enter without many of the customary bills. In most cases travel arrangements and expenses are covered through the locum tenens agreement. Medical practice insurance is also usually provided, leaving the physician free of this huge responsibility. Sometimes the freedom of working as an emergency medicine locum tenens is very attractive. After years of practice in the same location, some physicians are looking for a change of pace in the engaging area of emergency medicine. Young doctors may choose this career path to gain more knowledge about a particular field of medicine. Emergency medicine locum tenens is a chance to start over or slow down.

Emergency medicine locum tenens fill a demanding role throughout the world. In many isolated areas around the globe it is very difficult to attain the services of qualified physicians. Locum tenens can appeal to those physicians that have a sense of adventure. Many doctors choose this path for a while for purely humanitarian reasons. It is very apparent that many areas of the world cannot meet the medical needs of their citizens. Many countries are hiring emergency medicine locum tenens to meet their urgent medical necessities. Locum tenens positions can eventually lead to full time positions.

Emergency medicine locum tenens fill a need for patients and physicians. Without locum tenens many emergency hospital rooms and facilities would be without the services of adequate physician care. Many times emergency physicians cannot keep up with the number of patients seeking medical attention. Emergency facilities are the answer for uninsured individuals needing medical treatment. Overcrowded emergency waiting areas are a sign that the staff cannot keep up with the medical needs. Emergency medicine locum tenens positions for physicians are an opportunity to meet the needs of the public.

Posted in Uncategorized | Comments Off

Internal Medicine Job

The central group in the United States that focuses on internal medicine is the American College of Physicians. They are also a primary force when it comes to internal medicine globally. Physicians that deal with internal medicine don’t usually treat children. Their focus is usually adult medicine. Doctor’s in internal medicine focus on their patient’s needs. They only deal with patients from the teenage to old age, age groups. In addition to their traditional medical training, they must carry out a 3 year residency that hones their focus. This is one of the only professions where the physicians are expected to compliment the work of other doctors in order to encourage patient wellness.

A physician with an internal medicine job is expected to solve patient wellness problems, and not just treat patients medically. A physician with an internal medicine job is able to deal with many types of problems and is trained to do so. She can deal with single illnesses or multiple ailments that come at the same time. A physician with an internal medicine job is also expected to provide her patients with preventative advice and educate her patients on any conditions they may have.

An internal medicine job requires a lot of education, training and compassion. Many physicians with an internal medicine job practice both general medicine and medical specialties. This is very common. There are only a few specialties you will find a doctor of Internal medicine job focused in. These specialties include gastroenterology, rheumatology, adolescent medicine, oncology,and a few more. Another name for a specialty in internal medicine is a fellowship.

Another governing board in the United States for Internal medicine is The American Osteopathic Board of Internal medicine and the American Board of Internal medicine. These groups certify internists, and govern and regulate the practice of Internal medicine throughout the country. Internal medicine jobs are part of a well respected and lucrative branch of medicine. They are considered one of the main specialties of medicine.

Physicians that have an internal medicine job truly help many people, and often provide a holistic approach to healing that is necessary for recovery. Internal medicine is an interesting and innovative field of medicine that is constantly stimulating for physicians. Every day brings new challenges and opportunities to help others.

The one exception in the practice of internal medicine is the treatment of children. Some people wish that this were different. But as it stands today, a person with an internal medicine job will only treat people in their teen years throughout adulthood.

Internal medicine jobs also focus on disease treatment. Many doctors that have an internal medicine job are very adept at treating multiple illnesses that occur in the body at the same time.

Diseases that require the special skill set of a doctor of internal medicine are often diseases that effect multiple organs, and diseases that are complex in nature. Physicians that have an internal medicine job are in great demand because they hold such streamlined skill sets in their chosen specialties.

Posted in Uncategorized | Comments Off