Wednesday, June 14, 2017

Plantar Fasciitis or the Agony of De-Feet

What is it 
Many years ago, I casually mentioned to a friend that I had plantar fasciitis "PLAN-tar fash-ee-EYE-tus". He said it sounded like Klingon and accused me of making up an imaginary condition. Unfortunately, it’s all too real. Plantar fasciitis is an inflammation of the ligament that connects the heel of your foot to the toes. It’s the most common form of heel pain. It can also cause pain in the arch of the foot. 


Causes
Risk factors include tight achilles tendons, lousy shoes or broken down shoes, standing, walking or running on hard surfaces and being overweight. Pain in the back, hip or knee can cause you to change your gait leading to this condition also. 

Treatment

  1. Acupuncture Get in for acupuncture twice a week. Plantar Fasciitis is one of those conditions that responds well to acupuncture on almost everybody. I usually use electrical stimulation to activate Qi and blood flow in the injured area and to loosen the fascia. 
  2. Rest Try to rest your foot or feet as much as possible to allow the tissue to repair itself. I know it’s not what you want to hear, but runners, you need to switch to swimming for a while. 
  3. Morning Stretching Every morning before you get out of bed, stretch your foot. Dorsiflect your foot, (pull your foot back toward your knee), rotate your ankle, then dorsiflect again before putting weight on your foot. Folks with an extreme case will need to do this even after having sat in a chair for any length of time. 
  4. Active Stretching The fascia that starts at your toes continues past the heel up into your calf and knee. Stretching the Achilles tendon is a vital part of healing yourself. This article does an admirable job of outlining some great stretches to get you on your way.  Note that I never recommend hanging your heel of the edge of a step because your body will be unable to completely relax the muscles and tissues of the foot and Achilles.
  5. Taping There are two kinds of taping that sufferers will benefit from. Kinesiotape is one, white athletic tape is the other. Watch the video I made about kinesiotaping here.  Kinesiotaping is not meant to provide structural support to the areas in trouble, merely to increase the Qi and blood flow.  KT Tape can be found in Walmart among the sporting goods. I sell KT tape in the clinic also. Athletic taping *is* a structural fix. I like the method outlined in this video
  6. Proper Shoes Throw those cute flip flops away. Time to grow up and buy yourself
    some shoes with proper arch support. Shoes with a low heel, such as Dasko’s, or clogs will help lessen the stress on the Achilles. Many people also swear by Birkenstocks or Doc Martins. Don’t be afraid to experiment with what works best for you. If you’re seeking orthodics, Dr. Ramzi Daloul at Community Chiropractic does a great job at fitting folks with orthodics that work. 
  7. Rolling Rolling your foot twice a day on a ball, dowel or frozen water bottle can provide some relief.
  8. Arnica Montana Using the homeopathic Arnica Montana or preparations containing Arnica, such as T-Pain Relief, are a huge help. Use an internal prepartion and a cream or gel right on the affected area. 
  9. Splinting Splints that are worn while sleeping can help some folks get relief, but many people find them uncomfortable and/or fail to find relief. 
  10. Bone Spurs Bone Spurs often complicate Plantar Fasciitis. Bone spurs respond well to e-stim with acupuncture. There are herbal plasters and oral preparations that can be of great benefit for this condition. Supplementing your diet with Magnesium is also a must.
  11. Deep Tissue Massage can also be a benefit this condition.
  12. Conventional Medicine MDs usually recommend PT and/or a steroid injection. Although most patients benefit from PT, many fail to get the results they are hoping for. Steroid injections can cause the ligament to rupture, so I don’t recommend that route! 
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Left Hand Community Acupuncture is located in the heart of Old Town Lafayette 
at the corner of Simpson St. and Michigan Ave. LHCA offers an affordable sliding scale of $25-$55. We do not ask for proof of income. You decide what you feel is fair to you and fair to us. We treat patients in a relaxed, group setting that promotes an atmosphere of healing. Caroline Adams is a Licensed Acupuncturist and nationally 
board certified. Acupuncture can help with a wide range of health issues including pain, stress, insomnia, arthritis, allergies, depression, headaches, fatigue, cold and flu, digestive issues, PMS, and many other health concerns.


720-248-8626



Wednesday, March 8, 2017

Modern bodies, modern acupuncture

I'm Coming Around

As many of you know, I'm in the process of completing my Acupuncture Sports Medicine Apprenticeship Program with Whit Reaves, L. Ac.. Acupuncture sports medicine is the synthesis of principles of traditional Chinese Medicine with Western sports medicine. It pairs ancient needling techniques with knowledge of anatomically significant tissues such as motor points, trigger points, muscle bellies, tendon sheaths, joint spaces, muscle tendon junctions, ligaments, tendons, and other structures. Often Electrical stimulation (estim) is a machine somewhat similar to a TENS unit (Transcutaneous electrical nerve stimulation). Like a TENS unit, estim uses a very low level of electric current. Needles are placed into hyper or hypo-functioning tissue and Estim leads are attached to the needles to provide a low level of current through the tissue. Estim spurs the body to profuse injured, weakened or inflamed areas with Qi and blood. The theory is electrical stimulation interrupts pain signals and causes the body to release endorphins, it’s natural painkillers.

When I was fresh out of school, Acupuncture sports medicine didn't appeal to me much at all. After all, it's pretty obvious that I'm not a jock. Using an Estim machine used to seem to me like cheating. I wanted to be the acupuncturist who put in a few magic needles in seemingly random places and make all the pain go away. I’m drawn by the mystical, but I’m too pragmatic not to be practical. As I've practiced over the years, I've discovered that there are many for whom this works and there are many for whom it doesn't work at all. Buy why? 

Sitting and Hunching

Whit Reaves has a hypothesis, and I have to say, I like it. If you look at classical acupuncture points taut bands of muscle are overlooked in favor of points located in hollows, spaces between muscles. These were paired with distal points on the same acupuncture channel for maximum efficacy. According to Whit, in the early 80's classical techniques were effective on the majority of patients. So what changed? Technology. Or rather, technology changed us. 

I can remember a bright spring morning in 1978, my father brought in a big box and set it on our old teacher's desk. He unpacked and tinkered a while. Then the neighbors were invited over and we all gathered round the wonder of the first 8086 IBM PC on the block. Desktop computers, laptops, tablets, and mobile phones have changed us. No longer are we swinging scythes out in the fields or toting laundry down to the stream. Instead we sit, hunkered over staring into our marvelous devices for hours at a time. Then we get up, hop into our cars and sit, hunched over our steering wheels. Prolonged inactivity paired with lousy posture has lead to our muscles becoming more shortened, contracted and fibrous than they were before. Thus, the techniques that have been effective for centuries, are not always effective on our modern bodies. That being said, there are plenty of bodies that seem to respond better to traditional techniques than sports medicine acupuncture. These people can be more sensitive foods and medications than other people. For them, traditional acupuncture techniques make more sense. 

Everyone is an Athlete


We are all athletes. We may not be running marathons, but we're all likely to sprain an ankle on the curb or aggravate a shoulder by shoveling snow. Everyone has a body and at times the body gets broken or stressed. The same knowledge can be applied to a 25 year old softball player as can be applied to a 75 year old who has pain lifting her arm. Even if I'm not going to treat a problem with acupuncture sports medicine, it makes sense to know how the body works from an allopathic medical perspective. I have many colleagues who turn their noses up at learning anything remotely related to Western medicine. It didn't take long for me to understand that patients expect acupuncturists to know what they're talking about when they mention spondylosis, Grave's disease or a torn medial meniscus. I feel the Western medical training I got during my Master’s degree in Acupuncture and Asian Medicine was sorely lacking. I’m excited for the opportunity to delve deeper into orthopedic medicine from both the Western and Eastern sides using the tools of acupuncture sports medicine.

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Left Hand Community Acupuncture is located in the heart of Old Town Lafayette 
at the corner of Simpson St. and Michigan Ave. LHCA offers an affordable sliding 
scale of $25-$55. We do not ask for proof of income. You decide what you feel is 
fair to you and fair to us. We treat patients in a relaxed, group setting that promotes 
an atmosphere of healing. Caroline Adams is a Licensed Acupuncturist and nationally 
board certified. Acupuncture can help with a wide range of health issues including pain, stress, insomnia, arthritis, allergies, depression, headaches, fatigue, cold and flu, digestive issues, PMS, and many other health concerns.


720-248-8626