June Articles 2013

Toenail Fungus

Toenail fungus is a frustrating and embarrassing problem for many people. It can be persistent and hard to get rid of. Thankfully, there are a number of options for treatment available.

The most effective treatment for toenail fungus is Lamisil. However, any anti-fungal treatment sold to get rid of athlete's foot can also be used. In the ingredients list on products sold to kill fungal growth on the body, look for the ingredient terbinafine. Terbinafine is a chemical product that kills fungal growths. Using a product with terbinafine in it will essentially damage the cell membrane of the fungus organism. However, don't expect immediate results. You will need to apply the medication regularly, and make sure to keep washing the affected area and drying it thoroughly. The fungus needs moisture, air and your skin to live.

Taking other precautions can also help with fungus. Use a powder such as talcum powder in the shoes to absorb sweat and moisture. It is also important to wear sandals or loose-fitting, open-toed shoes which will improve air-flow around the feet, keeping the feet dry. These kinds of shoes will also expose your feet to light, which is not favorable to fungus growth. Wearing socks that wick moisture and dry quickly will also help control fungus.

Although Lamisil and other medications containing terbinafine have been proven effective, they also cause a number of side effects which may be undesirable. If you decide that this kind of medication is not for you, there are a number of natural remedies to try. Applying alcohol, tea tree oil, hydrogen peroxide, or Vicks VapoRub to the nail regularly may solve the problem.

Your podiatrist might also recommend soaking your toenails in a gentle bleach solution. Anecdotal evidence suggests that vinegar and Listerine may also be effective when used as a soaking solution. These are simple treatments, but ones that require patience and consistency. There are also topical products available from your pharmacy which is manufactured especially for toenail fungus.

There are more immediate treatments for toenail fungus available using laser surgery. If you are looking for an immediate and quick removal of the toenail fungus, you will need to find a laser surgeon who can cut the growth out of your toenail. Don't try to cut the toenail fungus out using toenail scissors or other kinds of scissors. Once you get rid of your fungus infection, you will need to throw out your old shoes to avoid reinfection.


Foot Rehabilitation for Athletes

It is hard to think of a sport in which the ankle and foot are completely safe from injury. Even simple activities such as darts and pool can cause injuries to the foot. When an athlete does suffer from a foot injury, he needs to find a way to get back on his feet right away. Immediate results may be desired, but they are not always possible.

Severe injuries require special attention. When the foot or the ankle gets injured, muscles surrounding the bones can weaken or atrophy through disuse. While the bones will heal on their own, it takes a more concentrated effort for an athlete to regain full use of his feet and ankles. A doctor may recommend that a person go through a course of physical therapy. The course of physical therapy treatment uses simple, repetitive isometric exercises. The use of the exercises will cause the body to rebuild the muscles and tendons in the area over time and restore the full range of movement.

When selecting ankle and foot rehabilitation services, an athlete needs to find a licensed sports therapist (other physical therapists work with more generalized conditions, and while these kinds of physical therapists are dedicated to their job, they do not necessarily understand the special demands of the athlete). A good sports therapist will take their time with a patient, and make sure that he or she understands the problem and the options available for treatment. As long as the doctor expects a person to return to the sport which he enjoys, the sports physical therapist will recommend the exact exercises a person needs to get back in the game.

Although the professional athlete needs a trained sports therapist, an amateur athlete or the weekend player can benefit from foot rehabilitation services for athletes as well. An ankle or foot injury does not have to cause a person go give up the game he loves entirely, so long as he or she seeks out a sports therapist.

Physical therapy cannot always perfectly heal certain injuries, but it will more quickly and effectively help the afflicted person get better.  Less severe injuries may only take a person out of his favorite sport just for a little while, if he or she sees a sports therapist. As long as the doctor the athlete sees thinks a full recovery is possible, it is worth it to check out ankle and foot rehabilitation services.


Orthoses

Orthoses are devices used to correct physical impairment caused by scoliosis, spina bifida, cerebral palsy, or foot deformities. Orthopedic devices control, guide, limit or immobilize body segments. They assist in movement; reduce weight bearing forces and aid in rehabilitation from fractures. They also correct the shape and function of the body.

Orthoses include ankle foot orthosis, thoracolumbosacral orthosis, knee orthosis and wrist hand orthosis. When orthoses were first made, plaster of Paris molds were made of the patient and then materials like plastic, elastic, metal or a combination of those materials. Now braces for participants in contact sports are made from neoprene to allow movement but reduce the range of movement.

The Boston Brace is used to assist scoliosis sufferers. It is also called a low-profile or underarm brace. It fits under the breast to above the pelvic area in the front and below the shoulder blades to the tail bone in the back. By applying three point of pressure to the curve, the lumbar area is forced to flex, the abdomen is pushed in and the posterior is flattened.

The Charleston Bending Brace is only worn at night. A mold is made of the patient’s body bent towards the outward bulge of the curve. The design of the brace is built to correct the curve of the scoliosis. Repeatedly wearing this brace for eight hours should eventually correct the problem somewhat if not completely. The brace is good for patients with a curve of 20 to 36 degrees.

The Milwaukee Brace is used for mid-back curves. This brace consists of a plastic pelvic girdle and a neck ring. The pieces are connected in the front and back by metal bars. Pressure pads are place along the patient’s curve pattern along the metal bars. This brace is rarely used but patients with a curve very high in the spine can benefit from wearing it.

A knee orthosis is a brace worn to give the knee strength. Osteoarthritis can cause significant pain in the knee resulting in immobility. Knee braces allow a person to remain active. Often therapy and drugs are used in conjunction with a knee brace.

Orthoses have changed over the decades. The materials used for the actual orthotic devices have evolved to include hydraulics as it appears in some knee braces that the patient adjusts to compensate for stability. When this is adjusted, it helps the knee by giving the sense of space between the bones which stops the pain that radiates when the bones rub together. Orthoses products stop pain and give patients the ability to move pain free.


Dealing with Stress Fractures of the Foot and Ankle

Stress fractures in the foot and ankle happen when muscles become weak due to too much or too little use. Stress fractures cause the muscles to stop cushioning the foot and ankles from the impact of hitting the ground. Since there is nothing to protect the bones of the foot, they absorb the full impact of each step you take. This additional stress causes little cracks, or stress fractures, to form in the bones that are being pressured.

Stress fractures are common in highly active people, especially athletes. Basketball, tennis or and gymnastics are activities where stress fractures occur more frequently. However, anyone can receive a stress fracture. Normally sedentary individuals who suddenly begin an intensive high impact work out may incur a stress fracture. This is because their muscles are not resistant enough to handle and cushion the intensity of the activity. Osteoporosis patients may also suffer stress fractures because the disease weakens the victim’s bones, making it easier for them to wear and tear.

Pain from stress fractures occurs in the site area of the fracture. It may be either constant or intermittent, causing sharp or dull pain accompanied by swelling and/or tenderness. Engagement in any kind of high impact activity will only exacerbate the pain. In fact, it can even cause a full fracture, especially when the area is not fully healed. Full fractures are much more serious, and can prevent you from using your foot at all.

Treatment varies depending on the patient and the degree of his or her injury. The most important treatment is to rest the injured foot. Some fractures may heal quicker with brief rest, while others need a longer rest period and utilizing crutches. In some cases surgery is required to install support pins around the fracture to aid healing.

To prevent stress fractures, be sure to get plenty of Calcium and Vitamin-D in your diet. This helps keep your bones strong and fortifies their resistance. If you begin a new regimen that involves high impact activity, set incremental goals on a weekly basis so you can build up the proper muscular strength. For example, if you wish to walk every day, you could ride a bike on some of those days to take stress off your feet. Also, make sure to wear supportive shoes that provide adequate protection.

If you experience any symptoms of stress fractures, you should stop exercising and rest. If these symptoms do not go relieve themselves, consult with an orthopedic specialist. Taking these measures can help prevent stress fractures to your foot and ankle, and allow you to continue the activities  you enjoy.

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