Achilles Tendinopathy /Tendonitis  accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus)and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles Tendinopathy / Tendonitis may be acute or chronic. Acute Achilles Tendinopathy/ Tendonitis is a result of overuse.

Achilles Tendinopathy / Tendonitis symptoms include: Acute inflammation Achilles Tendonitis pain may increase gradually during exercise. Swelling may appear over the Achilles tendon. Redness may appear over the skin in the area of the tendonitis. You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.

Chronic Achilles Tendinopathy / Tendonitis will often follow on from acute Achilles Tendinopathy / Tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles Tendinopathy / Tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendinopathy or Tendonitis are similar to those of acute tendonitis as well as: Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area. Nodules or lumps may appear in the Achilles tendon, 2cm above the heel. Tendon pain may appear when walking up a hill or incline. Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinopathy / Tendonitis an overuse are the main factor and the basic cause of this injury; however other factors can make an overuse injury more likely. Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition. Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendinopathy / Tendonitis Rest and apply cold therapy or ice (not directly onto the skin). Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

{View our Cold or Low level laser section listed under Pain Relief}.

Sports Injuries;

Neck Back and Lower Back Pain.Shoulder Pain Injuries Rotator cuff Tears.

Strains. Muscles and Ligaments, Tendons.

Hip Pain injuries. Bursitis, Tendinopathy, Tendonitis.

Knee Pain, injuries and conditions.

Ankle and Foot Pain, Plantar Fasciitis, Achilles Tendinopathy / Tendonitis,

Physiotherapy management of sports injuries often includes widely used physical therapies such as ice, Cold laser therapy to reduce swelling and inflammation, or electronic muscle stimulation for muscle strains and spasms.

Cold or Low Level Laser Therapy is used by nearly all sports professionals such as Chelsea Football Club and Manchester United, track and field athletes.

Cold/Low Level laser Therapy/Treatment

The lasers used at Central Chiropractic Physiotherapy Clinic are certified as Cold Laser. For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan. In all this time there have been no recorded long-term adverse effects from low level laser therapy. It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally. In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain. These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Cold or Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Athletic and sports injuries.

Cold or Low level laser therapy accelerates the healing process, thus bring pain relief.

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendinopathy, Tendonitis, conditions and disorders.

Chronic Back and Neck Pain. Upper and Lower Back Pain. Sciatica

Disc Injuries. Slipped discs, Prolapsed discs, Herniated discs, Bulging discs.

Shoulder Pain Injuries. Biceps, Triceps, Muscle Tears, Rotator Cuff injury

Knee Pain. Ligaments, Runners Knee, Bursitis, conditions and disorders.

Hip Pain, Sacroiliac Joint inflammation

Ankle, Foot and Heel Pain and injuries Achilles Tendinopathy / Tendonitis, Plantar Fasciitis

Trapped nerve.

“Whiplash” Neck Pain and injury

 Tendons, Ligaments Tendons and Fractures

Carpal Tunnel Syndrome

Muscle Spasm, Relief of Muscle and Joint Pain

Skin infections, including cold sores

Wound Management; including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries; including Sprains and Strains, Tendinopathy, Tendonitis and Haematomas

Joint Disorders; including Arthritic Pain Relief and Tenosynovitis

Chronic pain; such as Trigeminal Neuralgia and Chronic Neck and Back pain.

For further in depth information please go to our home page listed under “Pain Relief,” for treatment  go to “Types of Pain’ for Injuries and Pain.

Achilles Tendinopathy /Tendonitis  accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus)and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles Tendinopathy / Tendonitis may be acute or chronic. Acute Achilles Tendinopathy/ Tendonitis is a result of overuse.

Achilles Tendinopathy / Tendonitis symptoms include: Acute inflammation Achilles Tendonitis pain may increase gradually during exercise. Swelling may appear over the Achilles tendon. Redness may appear over the skin in the area of the tendonitis. You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.

Chronic Achilles Tendinopathy / Tendonitis will often follow on from acute Achilles Tendinopathy / Tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles Tendinopathy / Tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendinopathy or Tendonitis are similar to those of acute tendonitis as well as: Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area. Nodules or lumps may appear in the Achilles tendon, 2cm above the heel. Tendon pain may appear when walking up a hill or incline. Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinopathy / Tendonitis an overuse are the main factor and the basic cause of this injury; however other factors can make an overuse injury more likely. Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition. Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendinopathy / Tendonitis Rest and apply cold therapy or ice (not directly onto the skin). Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

{View our Cold or Low level laser section listed under Pain Relief}.

Sports Injuries;

Neck Back and Lower Back Pain.

Shoulder Pain Injuries Rotator cuff Tears.

 Strains. Muscles and Ligaments, Tendons.

 Hip Pain injuries. Bursitis, Tendinopathy, Tendonitis.

 Knee Pain, injuries and conditions.

Ankle and Foot Pain, Plantar Fasciitis, Achilles Tendinopathy / Tendonitis,

Physiotherapy management of sports injuries often includes widely used physical therapies such as ice, Cold laser therapy to reduce swelling and inflammation, or electronic muscle stimulation for muscle strains and spasms.

Cold or Low Level Laser Therapy is used by nearly all sports professionals such as Chelsea Football Club and Manchester United, track and field athletes.

Cold/Low Level laser Therapy/Treatment

The lasers used at Central Chiropractic Physiotherapy Clinic are certified as Cold Laser. For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan. In all this time there have been no recorded long-term adverse effects from low level laser therapy. It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally. In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain. These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Cold or Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Athletic and sports injuries.

Cold or Low level laser therapy accelerates the healing process, thus bring pain relief.

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendinopathy, Tendonitis, conditions and disorders.

Chronic Back and Neck Pain. Upper and Lower Back Pain. Sciatica

Disc Injuries. Slipped discs, Prolapsed discs, Herniated discs, Bulging discs.

Shoulder Pain Injuries. Biceps, Triceps, Muscle Tears, Rotator Cuff injury

Knee Pain. Ligaments, Runners Knee, Bursitis, conditions and disorders.

Hip Pain, Sacroiliac Joint inflammation

Ankle, Foot and Heel Pain and injuries Achilles Tendinopathy / Tendonitis, Plantar Fasciitis

Trapped nerve.

“Whiplash” Neck Pain and injury

 Tendons, Ligaments Tendons and Fractures

Carpal Tunnel Syndrome

Muscle Spasm, Relief of Muscle and Joint Pain

Skin infections, including cold sores

Wound Management; including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries; including Sprains and Strains, Tendinopathy, Tendonitis and Haematomas

Joint Disorders; including Arthritic Pain Relief and Tenosynovitis

Chronic pain; such as Trigeminal Neuralgia and Chronic Neck and Back pain.

For further in depth information please go to our home page listed under “Pain Relief,” for treatment  go to “Types of Pain’ for Injuries and Pain.

Achilles Tendinopathy /Tendonitis  accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus)and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles Tendinopathy / Tendonitis may be acute or chronic. Acute Achilles Tendinopathy/ Tendonitis is a result of overuse.

Achilles Tendinopathy / Tendonitis symptoms include: Acute inflammation Achilles Tendonitis pain may increase gradually during exercise. Swelling may appear over the Achilles tendon. Redness may appear over the skin in the area of the tendonitis. You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.

Chronic Achilles Tendinopathy / Tendonitis will often follow on from acute Achilles Tendinopathy / Tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles Tendinopathy / Tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendinopathy or Tendonitis are similar to those of acute tendonitis as well as: Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area. Nodules or lumps may appear in the Achilles tendon, 2cm above the heel. Tendon pain may appear when walking up a hill or incline. Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinopathy / Tendonitis an overuse are the main factor and the basic cause of this injury; however other factors can make an overuse injury more likely. Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition. Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendinopathy / Tendonitis Rest and apply cold therapy or ice (not directly onto the skin). Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

{View our Cold or Low level laser section listed under Pain Relief}.

Sports Injuries;

Neck Back and Lower Back Pain.

Shoulder Pain Injuries Rotator cuff Tears.

 Strains. Muscles and Ligaments, Tendons.

 Hip Pain injuries. Bursitis, Tendinopathy, Tendonitis.

 Knee Pain, injuries and conditions.

Ankle and Foot Pain, Plantar Fasciitis, Achilles Tendinopathy / Tendonitis,

Physiotherapy management of sports injuries often includes widely used physical therapies such as ice, Cold laser therapy to reduce swelling and inflammation, or electronic muscle stimulation for muscle strains and spasms.

Cold or Low Level Laser Therapy is used by nearly all sports professionals such as Chelsea Football Club and Manchester United, track and field athletes.

Cold/Low Level laser Therapy/Treatment

 The lasers used at Central Chiropractic Physiotherapy Clinic are certified as Cold Laser. For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan. In all this time there have been no recorded long-term adverse effects from low level laser therapy. It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally. In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain. These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Cold or Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Athletic and sports injuries.

 Cold or Low level laser therapy accelerates the healing process, thus bring pain relief.

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendinopathy, Tendonitis, conditions and disorders.

Chronic Back and Neck Pain. Upper and Lower Back Pain. Sciatica

Disc Injuries. Slipped discs, Prolapsed discs, Herniated discs, Bulging discs.

Shoulder Pain Injuries. Biceps, Triceps, Muscle Tears, Rotator Cuff injury

Knee Pain. Ligaments, Runners Knee, Bursitis, conditions and disorders.

Hip Pain, Sacroiliac Joint inflammation

Ankle, Foot and Heel Pain and injuries Achilles Tendinopathy / Tendonitis, Plantar Fasciitis

Trapped nerve.

“Whiplash” Neck Pain and injury

 Tendons, Ligaments Tendons and Fractures

Carpal Tunnel Syndrome

Muscle Spasm, Relief of Muscle and Joint Pain

Skin infections, including cold sores

Wound Management; including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries; including Sprains and Strains, Tendinopathy, Tendonitis and Haematomas

Joint Disorders; including Arthritic Pain Relief and Tenosynovitis

Chronic pain; such as Trigeminal Neuralgia and Chronic Neck and Back pain.

For further in depth information please go to our home page listed under “Pain Relief,” for treatment  go to “Types of Pain’ for Injuries and Pain.

Heel Pain

With many potential causes the importance of having heel pain properly diagnosed cannot be stressed enough. Plantar fasciitis is inflammation of a broad band of tissue (the plantar fascia) that extends from the heel to the toes. Inflammation of the fascia  results in heel pain.

Cold or Low Level laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells  and includes, ligament, nerves, cartilage and muscle.

Cold or Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Back pain, Slipped disc, prolapsed disc, herniated disc, Trapped nerves. lower back pain. Sacroiliac Joints.

Heel and foot pain injuries, Plantar Fasciitis.

Knee pain, injuries, tears, Runners Knee, inflammation 

Athletic and sports Injuries

Lower Back Pain
Knee Ankle and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain Relief and Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections,

Wound Management including Skin Ulcers, Pressure Sores and Burns.
Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas
Joint Disorders including Arthritic pain relief and Tenosynovitis
Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Plantar Fasciitis.

Plantar Fasciitis is a common cause of heel pain in adults. A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy rest stretching, strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to heal itself .

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms will vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis. 

What Causes Plantar Fasciitis 

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more biomechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation.

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 12 to 20 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them. 

In general, Plantar Fasciitis is a self-limiting condition meaning it would resolve by itself usually within 9 to 16 months.

Stretching and Strengthening

Stretching and strengthening programs address risk factors such as tightness of the gastrosoleus complex and weakness of the intrinsic foot muscles. Increasing flexibility of the calf muscles is particularly important. Frequently used stretching techniques include wall stretches and curb or stair stretches.

Other effective techniques include placing a two-inch 3 four-inch piece of wood in the areas where the patient stands for a prolonged time (workplaces, kitchen or stoves) to use in stretching the calf. Dynamic stretches such as rolling the foot arch over a can or a tennis ball are also useful. Cross-friction massage above the plantar fascia and towel stretching may be done before getting out of bed. 

Exercises such as picking up marbles and coins with the toes are also useful. Towel curl involves pulling the towel toward the body by curling the towel with the toes while sitting with the foot flat on the end of a towel placed on a smooth surface. Toe taps involve lifting all toes off the floor and, keeping the heel on the floor and the outside four toes in the air, the big toe is tapped to the floor repetitively. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air. View our Cold Laser Therapy section for Treatment. View our Cold Laser therapy  section for Treatment. Cold Laser Therapy has five star rating in the treatment of Achiilies tendonitis including Tendonitis, Bursitis  and Plantar Faciitis,Fractures and Shin Splints.

Shoes.

Wearing shoes with thicker, well-cushioned arch supports decreases the pain associated with long periods of walking or standing. Thus, simply getting a new pair of shoes may be helpful in decreasing pain as studies have shown that with age, running shoes lose a significant portion of their shock absorption.

Some 12 percent of patients with Plantar Fasciitis stated that change of shoes was the treatment that worked best for them.

Orthotics and Arch Supports

The three most commonly used mechanical corrections are arch taping, over the counter arch supports and custom made orthotics.

Arch taping can be used as definitive treatment or as a trial to determine if the expense of arch supports or orthotics is worth per suing. Taping may be more cost effective in cases of acute plantar fasciitis while over-the-counter arch supports and orthotics may be more cost-effective for chronic or recurrent cases of plantar fasciitis and for prevention of injuries.

Over-the-counter arch supports are highly variable and depend on the material used to make them. In general, patients should try to find the densest material that is soft enough to be comfortable to walk on. Over-the-counter arch supports are especially useful in the treatment of adolescents where rapid foot growth may require a new pair of arch supports once or more per season.

Custom made orthotics are usually made by taking a plaster cast or an impression of the individuals foot and then constructing an insert specifically designed to control biomechanical risk factors such as pes planus, valgus heel alignment and discrepancies in leg length. The main disadvantage of orthotics is the cost, which may range from £30 to £200 or more. However, the strong advantages of orthotics are that they are made specifically to match your individual foot. Similar to having a prescription for glasses. You wouldn’t want to wear someone else’s glasses! Although the initial cost is more than an over the counter pair, they are more cost-effective as they will last longer. Orthotics are also an excellent corrective treatment.

Ankle Syndesmosis Sprain.Ankle sprains. Anterior ankle impingement. Plantar fascists. Stress Fracture. Foot Stress Fracture.Navicular stress fracture. Fifth metatarsal stress fracture.Achilles tendon rupture. Cold Laser Therapy accelerates the healing process and recovery.

Ankle Syndesmosis Sprain.

Syndesmosis sprains, are ’high ankle sprains they affect the ligament between the two shin bones, which are called the Tibia and Fibula. There is very little swelling on tenderness and for this reason they are difficult to diagnose. ( Treatment with Cold laser therapy, listed under treatments)

Grade 1-2. Syndesmosis Sprains can last 5-10 weeks. 

Grade 3. Syndesmosis Sprains may require surgery. The recovery period for these injuries is 4-6 months. Cold laser therapy reduces the recovery time in half. 

Ankle sprains

The ankle sprains are the most common ankle injury. Treatment with cold laser therapy helps in the recovery. 

Foot stress fractures

Foot stress fractures are debilitating, the injuries can be severe, and require lengthy recover periods.   The severest stress fractures in the foot are to the navicular and 5th metatarsal. They may require plaster or surgery; they have a very high rate of recurrence, treatment with cold laser therapy

Navicular stress fracture

Navicular stress fractures are a running athlete’s nightmare. The navicular is a small bone at the top of the arch of the foot. It does not heal well. This is due in part to poor blood supply and mechanical load.  

Treatment.  Cold laser therapy

Fifth metatarsal stress fracture.

This stress fractures is to the 5th metatarsal bone, on the outside of the foot. The bone develops the stress fracture at its base which is halfway down the outer side of the foot. Treatment with cold laser therapy combined with rest will speed up the recovery. 

The Achilles tendon. 

The Achilles tendon is the longest and thickest tendon in the body connecting the calf muscle group to the heel bone which is called calcaneus which can be found behind the ankle joint.  These Injuries can be subdivided into partial tendon injuries, Tendonitis or partial tears and complete ruptures. Achilles tendon ruptures will require surgery. Achilles tendinopathy   which means without rupture, can be subdivided into mid-substance or tendon injuries and insertional or tendon-bone junction injuries. Insertional injuries more than not involved calcification of the tendon 

Treatment.  Cold laser therapy. 

Achilles tendon rupture

Achilles tendon ruptures are renowned in sporting activity, with rapid acceleration movements can cause   this injury.

Achilles tendonitis accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus) and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles tendoinitis may be acute or chronic. Acute Achilles tendinotis is a result of overuse.

Achilles tendonitis

Achilles tendonitis symptoms include:

• Acute inflammation
• Achilles Tendonitis pain may increase gradually during exercise. l Swelling may appear over the Achilles tendon.
• Redness may appear over the skin in the area of the tendonitis.
• You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.
• Chronic Achilles tendonitis will often follow on from acute Achilles tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles tendonitis are similar to those of acute tendonitis as well as:

• Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area.
• Nodules or lumps may appear in the Achilles tendon, 2cm above the heel.
• Tendon pain may appear when walking up a hill or incline.
• Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendonitis

An Overuse are the main factor and the basic cause of this injury, however other factors can make an overuse injury more likely.

Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition.

Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendonitis

Rest and apply cold therapy or ice (not directly onto the skin).

Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.                

Ankle posterior impingement

Ankle posterior impingement is common injury where the ankle is placed in full plantar (downwards) flexion. The impingement is caused by an extra bone called an os trigonum.  

Treatment.  Cold laser therapy or surgery.  

Ankle cartilage injuries

An ankle sprain can lead to an injury to the ankle cartilage lining and may cause prolonged disability.  

Anterior ankle impingement

Anterior ankle impingement this condition is very common in football players. The condition consists of bone spurs forming at the front of the ankle after repetitive sprains or contact injuries. Symptoms are pain at the front of the ankle and a limited range of forward movement which is called the dorsi-flexion of the ankle. Treatment with Cold laser therapy to aid in recovery.

Heel Pain /Plantar Fascitis.

Plantar Fasciitis is a common cause of heel pain in adults.

A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy, rest and stretching. Strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to repair itself quicker.

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis.

What Causes Plantar Fasciitis

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more biomechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 15 to 25 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe. 

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle. 

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;  

Heel and foot pain Conditions and injuries, Plantar fascists, Tendonitis, Ligaments and Tendons. 

Athletic / sports Injuries 

Soft Tissue Injuries including Sprains and Strains, Tendonitis 

Foot Pain please go to top left corner under “Pain” or “Conditions”. See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Ankle injuries

Ankle sprain commonly known as Sprained Ankle

An inversion sprain and can be treated by Cold or Low Level  laser therapy.

High ankle sprain

Damage to the ligament connecting the Tibia and Fibula at the top of the ankle

Ankle pain, at the front of the ankle is sometimes known as footballer’s
ankle.

Tibialis Posterior Syndrome
Pain is located on the inside of the ankle and results from a dislocation of the Tibialis Posterior Tendon.

Peroneal Tendon Dislocation
Pain originating from the outside of the ankle which comes from a dislocation of the Peroneal Tendons

Impingement of the Ankle
Pain originating from back or front of the ankle due to an impingement

Medial or Deltoid Ligament Sprain
Sprain to the ligament originating from the inside of the ankle

Ankle Fracture or Fractures

Pain originates on the inside of the ankle

Stress Fracture of the Medial Malleolus

Fracture to the Malleolus in the ankle.

Sinus Tarsi Syndrome
This Pain originates just in front of the lateral malleolus i.e. the bony bump on the outside of the ankle joint. 

Tarsal Tunel Syndrome or Medial Calcaneal Nerve Entrapment
Pain which radiates into the foot and the heel, this is a rare condition.

Peroneal Tendinopathy Symptoms, Pain and inflammation on the Peroneal Tendons on the outside of the ankle

Rupture of the Tendon   Peroneous Brevis
A Rupture of a tendon which will cause pain on the outside of the foot and ankle  

Achilles tendon Area

Total Rupture of the Achilles’ Tendon, also known as Achilles Strain
a complete rupture or tear of the Achilles tendon.

Partial Rupture of the Achilles tendon
a partial Achilles tendon rupture is rarely noticed at the time of injury.

Acute Achilles Tendonitis
This Inflammation or degeneration of the Achilles tendon Or Achilles Tendinopathy

Chronic Achilles Tendonitis

Achilles tendon pain Treated with cold laser therapy. 

Achilles Bursitis

This Pain originates at the back of the heel it’s caused by an inflamed Bursa

Haglund’s Syndrome
this has two conditions occurring at same time Retrocalcaneal Bursitis and Achilles Tendinitis. Both conditions may interact with each other.

Apophysis Calcanei also known as Sever’s Disease
This pain is associated with children and the pain originates at back of the heel.

Posterior impingement Syndrome
This Is caused by an impingement at the back of the ankle on full plantar flexion. I.e. on tip toes.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Back pain, Slipped disc, prolapsed disc, herniated disc, Trapped nerves. Lower back pain, Sacroiliac Joint inflammation

Ankle sprains and injuries.

Heel and foot pain injuries plantar fasciitis

Knee pain, injuries, tears, Runners Knee, inflammation 

Athletic and sports Injuries

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritis, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores,
Wound Management including Skin Ulcers, Pressure Sores and Burns
Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas
Joint Disorders including Arthritis, and Tenosynovitis
Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Ankle injuries.

Ankle sprain commonly known as Sprained Ankle

An inversion sprain and can be treated by Cold laser therapy.

High Ankle Sprain

Damage to the ligament connecting the Tibia and Fibula at the top of the ankle

Ankle pain, at the front of the ankle is sometimes known as footballer’s
ankle.

Tibialis Posterior Syndrome.
Pain is located on the inside of the ankle and results from a dislocation of the Tibialis Posterior Tendon.

Peroneal Tendon Dislocation.
Pain originating from the outside of the ankle which comes from a dislocation of the Peroneal Tendons.

Impingement of the Ankle.
Pain originating from back or front of the ankle due to an impingement.

Medial or Deltoid Ligament Sprain.
Sprain to the ligament originating from the inside of the ankle.

Ankle Fracture or Fractures.

Pain originates on the inside of the ankle

Stress Fracture of the Medial Malleolus

Fracture to the Malleolus in the ankle.

Sinus Tarsi Syndrome
This Pain originates just in front of the lateral malleolus i.e. the bony bump on the outside of the ankle joint. 

Tarsal Tunel Syndrome or Medial Calcaneal Nerve Entrapment
Pain which radiates into the foot and the heel. This is a rare condition.

Peroneal Tendinopathy  Symptoms, Pain and inflammation on the Peroneal Tendons on the outside of the ankle

Rupture of the Tendon   Peroneous Brevis
A Rupture of a tendon which will cause pain on the outside of the foot and ankle  

Achilles tendon Area

Total Rupture of the Achilles’ Tendon, also known as Achilles Strain
a complete rupture or tear of the Achilles tendon.

Partial Rupture of the Achilles tendon
a partial Achilles Tendon rupture is rarely noticed at the time of injury.

Acute Achilles Tendonitis
This Inflammation or degeneration of the Achilles tendon Or Achilles Tendinopathy

Chronic Achilles Tendonitis

Achilles tendon pain Treated with cold laser therapy. 

Achilles Bursitis

This Pain originates at the back of the heel it’s caused by an inflamed Bursa

Haglund’s Syndrome
this has two conditions occurring at same time Retrocalcaneal Bursitis and Achilles Tendinitis. Both conditions may interact with each other.

Apophysis Calcanei also known as Sever’s Disease
This pain is associated with children and the pain originates at back of the heel.

Posterior impingement Syndrome
This Is caused by an impingement at the back of the ankle on full plantar flexion. I.e. on tip toes.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells  and includes, ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Back pain, Slipped disc, prolapsed disc, herniated disc, Trapped nerves. Lower back pain. Sacroiliac Joint inflammation

Ankle sprains and injuries.

Heel and foot pain injuries plantar fasciitis

Knee pain, injuries, tears, Runners Knee, inflammation 

Athletic and sports Injuries

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief  Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores,
Wound Management including Skin Ulcers, Pressure Sores and Burns
Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas
Joint Disorders including Arthritis, and Tenosynovitis
Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

For further in depth information on Ankle pain and injury. Please go to top left corner under “Pain” or “Conditions”. See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Ankle injuries.

Ankle sprain commonly known as Sprained Ankle

An inversion sprain and can be treated by Cold/Low Level Laser Therapy.

High Ankle Sprain

Damage to the ligament connecting the Tibia and Fibula at the top of the ankle

Ankle pain, at the front of the ankle is sometimes known as footballer’s
ankle.

Tibialis Posterior Syndrome.
Pain is located on the inside of the ankle and results from a dislocation of the Tibialis Posterior Tendon.

Peroneal Tendon Dislocation.
Pain originating from the outside of the ankle which comes from a dislocation of the Peroneal Tendons.

Impingement of the Ankle.
Pain originating from back or front of the ankle due to an impingement.

Medial or Deltoid Ligament Sprain.
Sprain to the ligament originating from the inside of the ankle.

Ankle Fracture or Fractures.

Pain originates on the inside of the ankle

Stress Fracture of the Medial Malleolus

Fracture to the Malleolus in the ankle.

Sinus Tarsi Syndrome
This Pain originates just in front of the lateral malleolus i.e. the bony bump on the outside of the ankle joint. 

Tarsal Tunel Syndrome or Medial Calcaneal Nerve Entrapment
Pain which radiates into the foot and the heel. This is a rare condition.

Peroneal Tendinopathy  Symptoms, Pain and inflammation on the Peroneal Tendons on the outside of the ankle

Rupture of the Tendon   Peroneous Brevis
A Rupture of a tendon which will cause pain on the outside of the foot and ankle  

Achilles tendon Area

Total Rupture of the Achilles’ Tendon, also known as Achilles Strain
a complete rupture or tear of the Achilles tendon.

Partial Rupture of the Achilles tendon
a partial Achilles Tendon rupture is rarely noticed at the time of injury.

Acute Achilles Tendonitis
This Inflammation or degeneration of the Achilles tendon Or Achilles Tendinopathy

Chronic Achilles Tendonitis

Achilles tendon pain Treated with cold laser therapy. 

Achilles Bursitis

This Pain originates at the back of the heel it’s caused by an inflamed Bursa

Haglund’s Syndrome
this has two conditions occurring at same time Retrocalcaneal Bursitis and Achilles Tendinitis. Both conditions may interact with each other.

Apophysis Calcanei also known as Sever’s Disease
This pain is associated with children and the pain originates at back of the heel.

Posterior impingement Syndrome
This Is caused by an impingement at the back of the ankle on full plantar flexion. I.e. on tip toes.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells  and includes, ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Back pain, Slipped disc, prolapsed disc, herniated disc, Trapped nerves. Lower back pain. Sacroiliac Joint inflammation

Ankle sprains and injuries.

Heel and foot pain injuries plantar fasciitis

Knee pain, injuries, tears, Runners Knee, inflammation 

Athletic and sports Injuries

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritis, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores,
Wound Management including Skin Ulcers, Pressure Sores and Burns
Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas
Joint Disorders including Arthritis, and Tenosynovitis
Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

For further in depth information on Ankle pain and injury. Please go to top left corner under “Pain” or “Conditions”. See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Runner’s Knee is the common term for Iliotibial Band Friction Syndrome. Runner’s Knee is a painful overuse knee injury that affects the outer part of the knee. It is common in runners and cyclists. It affects around 5% of all runners, while knee injuries in cyclists 20% are diagnosed as Runner’s Knee.

Runner’s Knee to understand this condition its necessary to be familiar with the anatomy of the outer side of the thigh and knee. The Ilio Tibial Band is a tough length of fascia that attaches to the outer side of the pelvis (The Ilium), goes down the outer side of the thigh and inserts into the outer side of the shin bone (Tibia). The Ilio Tibial Band forms a length of taught fibrous tissue that connects the hip and knee.

The Lateral Epicondyle is a bony prominence that is the widest point of the thigh bone. When the knee is straight the Ilio Tibial Band is in front of the Lateral Epicondyle of the thigh bone and when the knee is fully bent the ITB is behind the Lateral Epicondyle of the thigh bone. During movements of the knee, the Ilio Tibial Band moves over the Lateral Epicondyle of the thigh, with maximum friction at 30 degrees of knee bend.

During activities such as running and cycling, where there is repeated bending and straightening of the knee joint, the Ilio Tibial Band can ‘impinge’ upon the Lateral Epicondyle and the resultant friction can lead to inflammation of the tissues. If the Ilio Tibial Band is tight then the degree of friction is increased and a tight Ilio Tibial Band can predispose people to Runner’s Knee.

Between the Ilio Tibial Band and the thigh there is a sac of fluid, called a bursa, which is meant to prevent friction. However, where there are repeated knee bending movements with a tight Ilio Tibial Band, the bursa can become impinged between the Ilio Tibial Band and the Lateral Epicondyle of the thigh. The bursa itself, as well as the Ilio Tibial Band, can become inflamed and painful.

Runner’s Knee Symptoms

Typically there is pain located on the outer side of the knee joint. This pain may radiate up the thigh or down the outer side of the shin and is exacerbated by running or cycling activities. Usually, the pain from Runner’s Knee is only present during activity and settles when the person rests. However, in some cases it can also be extremely uncomfortable going up or down stairs.

There is often severe tenderness when the Lateral Epicondyle of the thigh bone is palpated. There is usually maximum friction at the area of the Lateral Epicondyle when the knee is bent to around 30 degrees.

Achilles Tendonitis

Achilles tendonitis accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus) and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles tendonitis may be acute or chronic. Acute Achilles tendonitis is a result of overuse.

Achilles Tendonitis symptoms include:

• Acute inflammation
• Achilles Tendonitis pain may increase gradually during exercise. l Swelling may appear over the Achilles tendon.
• Redness may appear over the skin in the area of the tendonitis.
• You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.
• Chronic Achilles tendonitis will often follow on from acute Achilles tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendonitis are similar to those of acute Tendonitis as well as:

• Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area.
• Nodules or lumps may appear in the Achilles tendon, 2cm above the heel.
• Tendon pain may appear when walking up a hill or incline.
• Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendonitis

An Overuse are the main factor and the basic cause of this injury, however other factors can make an overuse injury more likely.

Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition.

Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendonitis

Rest and apply cold therapy or ice (not directly onto the skin).

Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

Listed in our Pain Relief section .

Plantar Fasciitis.

A common cause of heel pain in adults. A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy rest stretching, strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to repair itself quicker.

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis. 

What Causes Plantar Fasciitis 

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more bio mechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation.

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 15 to 25 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them. 

In general, Plantar Fasciitis is a self-limiting condition meaning it would resolve by itself usually within 6 to 18 months. Suffering for such a long time can lead to

Frustration for patients and Doctors.

Stretching and Strengthening

Stretching and strengthening programs address risk factors such as tightness of the gastrosoleus complex and weakness of the intrinsic foot muscles. Increasing flexibility of the calf muscles is particularly important. Frequently used stretching techniques include wall stretches and curb or stair stretches.

Other effective techniques include placing a two-inch 3 four-inch piece of wood in the areas where the patient stands for a prolonged time (workplaces, kitchen or stoves) to use in stretching the calf. Dynamic stretches such as rolling the foot arch over a can or a tennis ball are also useful. Cross-friction massage above the plantar fascia and towel stretching may be done before getting out of bed. 

Exercises such as picking up marbles and coins with the toes are also useful. Towel curl involves pulling the towel toward the body by curling the towel with the toes while sitting with the foot flat on the end of a towel placed on a smooth surface. Toe taps involve lifting all toes off the floor and, keeping the heel on the floor and the outside four toes in the air, the big toe is tapped to the floor repetitively. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air.

Shoes.

Wearing shoes with thicker, well-cushioned arch supports decreases the pain associated with long periods of walking or standing. Thus, simply getting a new pair of shoes may be helpful in decreasing pain as studies have shown that with age, running shoes lose a significant portion of their shock absorption.

Some 14 percent of patients with Plantar Fasciitis stated that change of shoes was the treatment that worked best for them.

Orthotics and Arch Supports

The three most commonly used mechanical corrections are arch taping, over-the-counter arch supports and custom made orthotics.

Arch taping can be used as definitive treatment or as a trial to determine if the expense of arch supports or orthotics is worth per suing. Taping may be more cost effective in cases of acute plantar fasciitis while over-the-counter arch supports and orthotics may be more cost-effective for chronic or recurrent cases of plantar fasciitis and for prevention of injuries.

Over-the-counter arch supports are highly variable and depend on the material used to make them. In general, patients should try to find the densest material that is soft enough to be comfortable to walk on. Over-the-counter arch supports are especially useful in the treatment of adolescents where rapid foot growth may require a new pair of arch supports once or more per season.

Custom made orthotics are usually made by taking a plaster cast or an impression of the individuals foot and then constructing an insert specifically designed to control biomechanical risk factors such as pes planus, valgus heel alignment and discrepancies in leg length. The main disadvantage of orthotics is the cost, which may range from £50 to £200 or more. However, the strong advantages of orthotics are that they are made specifically to match your individual foot. Similar to having a prescription for glasses. You wouldn’t want to wear someone else’s glasses! Although the initial cost is more than an over the counter pair, they are more cost-effective as they will last longer. Orthotics are also an excellent corrective treatment.

Corticosteroid Injections

Corticosteroid injections have the greatest benefit if administered early in the course of treatment but, because of the associated risks, they are usually reserved for treatment resistant cases.

Potential risks include rupture of the plantar fascia and fat pad atrophy. Rupture of the plantar fascia was present in almost 10 percent of patients after plantar fascia injection. Long-term consequences of plantar fascia rupture were found in approximately one half of the patients with plantar fascia rupture. On the other hand, another study found that most individuals with rupture of the plantar fascia had resolution of symptoms with rest and rehabilitation.

Cold or Low Level Laser Therapy/Treatment

The lasers used at Central Chiropractic, Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Cold or Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Athletic and Sports Injuries.

Shoulder conditions and injuries.  Ruptures. Tears. Ligaments. Tendons.

Knee Ankle and foot Pain Conditions and injuries. Hip, Knee Bursitis.

Achilles Tendonitis. Bursitis.  Plantar Fasciitis. Stress Fractures. Shin Splints.

Meniscus tears. Runners Knee Iliotibial Band Friction Syndrome

Chronic Neck and Back pain.

“Whiplash” (WAD) injury/ Neck Pain. Cervical Disc injury.

Upper and Lower Back Pain

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  nerves.

Hip Pain Sacroiliac joint inflammation

Shoulder Injuries and conditions.
Carpal Tunnel Syndrome.
Arthritic Pain Relief.

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections. 

Wound Management including Skin Ulcers, Pressure Sores and Burn.

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain suchas Trigeminal Neuralgia and Chronic Neck and Back Pain. “Whiplash” (WAD) injury. Neck Pain and injuries.