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The swelling and inflamation of subdermal connective tissue on the bottom of the foot. AKA "the flip-flop disorder"
Congratulations you can read a dictionary
Although "swelling and inflammation" is a bit like saying "pizza pie" which is to say redundant....
So assuming you actually understand that said connective tissue attaches to the calcaneus at the medial calcaneal tubercle, how do you not understand how a properly formed and fitted orthotic which unloads that area and may correct an underlying biomechanical abnormality in select patients is often beneficial??
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Quote:
Originally Posted by bluedevilz
Congratulations you can read a dictionary
Although "swelling and inflammation" is a bit like saying "pizza pie" which is to say redundant....
So assuming you actually understand that said connective tissue attaches to the calcaneus at the medial calcaneal tubercle, how do you not understand how a properly formed and fitted orthotic which unloads that area and may correct an underlying biomechanical abnormality in select patients is often beneficial??
suffix "itis" = swelling and inflammation of. Redundant? Not necessarily. Inflammation and swelling are distinct.
Fascia - was defined to me as a boy while skinning harvested game. An orthopedic surgeon was a member of the hunting club; he was a great resource for anatomical analysis.
Plantar - Common knowledge, related to the bottom of the foot.
I read your post and have a solution I've used over the years with my clients who suffer from knee pain from activity and post surgery. I believe this will help you.
Understand that activities like running and tennis are catabolic to the body. In other words, they "break down" your body over time. So, you definitely want to combat this breaking down by including some anabolic ("building up") activity that makes your body better able to handle the stresses of the activities you participate in and will help save your knees.
A very effective way to do this is to incorporate a resistance training routine into your current activity program. Resistance training will help build up the muscles which can offset some of the "breaking down" effects of running and playing tennis.
But, you need a specific focus for your resistance training program to help eliminate the knee pain which I will share with you in just a bit.
It also sounds like you are prone to overuse of your quadriceps (thigh muscles) during the activities you perform. Therefore, a key focus is to condition the muscles of your hips, particularly your glutes to do most of the work. Muscles such as your glutes are meant to perform most of the work especially during the stopping, starting and change of direction demands of tennis. Your glutes and hip complex were built for this type of force production/reduction but your quads weren't.
When you overuse the quad muscles you predispose yourself to painful conditions such as knee pain.
So, there's 2 things you'll need to address: 1) exercise selection to train your glutes includes squats, deadlifts, lunges however, a problem you may run into is that these very exercises may cause you knee pain. It's easy to just skip them because they may hurt but the activities you perform involve all of these movements.
If you do not learn to properly train them safely and pain-free you'll eventually have recurring knee problems that go away only with rest but return after you resume activity again. And you don't want to take meds the rest of your life as a solution.
So, the answer is 2) teach yourself how to properly activate the glutes in these movements.
I have personally trained athletes and non-athletes after ACL and PCL surgery, meniscus tears, knee replacements and patellofemoral pain such as yours. Interestingly enough, not one in almost a decade of training these individuals has been unable to squat safely as long as they understand how to activate their glutes the right way.
That is the challenge so you'll need to be patient and take time to accomplish this. But, once you get it down you will support running and tennis much better and with less pain (or none at all) than before.
Start easily with sets of 10 reps to learn the movements and to activate the proper muscles (glutes) without aggrivating knee pain. Every week or two you can progressively build volume by increasing reps per set and including upper body work between each lower body exercise.
I hope this helps get you started. I have a video posted on YouTube about how to properly perform the squat to prevent knee pain at:
[URL="http://www.youtube.com/watch?v=-RJhWK3ydMA"]YouTube - How To Squat To Prevent Knee Pain[/URL]
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