Poor foot biomechanics may be responsible for a myriad of chronic complaints,
including pain in the feet, knees, lower back, and neck.
The
feet act as a spring, propelling the body forward with each step. If the spring
is not working, the propelling force must come from the knees, hip, or lower
back. Because these areas are not designed to function in this manner, they
eventually deteriorate and the chronic pain cycle begins.
The most important factor in evaluating a person’s gait (walking cycle) is to
observe the stability of the arch and the
ability of the foot to spring the body forward. The most important arch in the
foot is the medial arch.
It is abnormal for the arch to collapse during the gait cycle or while at rest.
This collapsing of the arch is known as
flat feet, or pes planus. A collapsed
arch indicates tissue breakdown. Supporting tissue is no longer able to elevate
the inside of the foot. The plantar fascia is the first tissue to be affected.
Pain resulting from this weakened tissue is called plantar fasciitis.
If the fascia is not strengthened, a painful heel spur will result.
Prolotherapy
to strengthen the fascia is a treatment option.
The next affected structures are the ligaments that support the inside of the
foot, especially the calcaneonavicular ligament. When this ligament is weakened,
the arch pain will increase. Eventually, the
posterior tibialis tendon in the
knee must help support the arch. This tendon eventually weakens, resulting in knee pain
added to the original
foot pain, as the arch continues to collapse. Because the
arch and the knee can no longer elevate the foot, the entire limb must be raised
during a step, putting additional strain on the hip.
The spring in the foot and the efficiency of the gait are drastically reduced
due to the collapsed arch. This requires more energy from the foot, resulting in
further deterioration of the medial arch. The more severe the collapse of the
arch, the greater the likelihood of pain. The deterioration cycle will continue
until something is done to support the arch. Contrary to popular belief,
cortisone shots
will not accomplish this! Arch pain in the foot is not a cortisone deficiency!
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Ross
Hauser, M.D. Dr. Hauser received his M.D. from the University of
Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy
Hospitals in Physical Medicine and Rehabilitation; and received his
Bachelor of Science degree from the University of Illinois,
Urbana-Champaign.
Dr. Hauser is one of the leading experts in the treatment of chronic pain and
sports injuries with
Prolotherapy. He, along with his wife Marion, have written
seven books on the topic of Prolotherapy, a comprehensive book on the natural
medicine approach to cancer, as well as a myriad of articles and newsletters for
the general public. Read more
The Journal of Prolotherapy
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on Prolotherapy, as well as provide a forum for physicians and
patients alike to tell their stories.
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The information on this website is presented as
information only and not a self-help guide NOR AS SPECIFIC HEALTH
RECOMMENDATIONS. Never alter or change your health management or begin
any new health plans without first consulting your personal health care
provider. Some statements on this site regarding the value of
nutritional supplements have not been evaluated by the FDA.
As with
any medical technique, Prolotherapy may not be
effective for every individual and there are risks involved, these risks
should be discussed with your physician. Results achieved with some may not be typical
of all. Please consult a physician. Please read Prolotherapy Risks
There is no known cure
for arthritis. Prolotherapy
and nutritional supplements can help alleviate, reverse, or end
arthritic pain by treating an underlying cause that contributes to
degenerative disease, ligament laxity. Strengthening ligaments and other
connective tissue can help prevent bone on bone arthritis from
developing.
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