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Understanding & Treating Heel Pain

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Understanding & Treating Heel Pain

Brandt Dodson, DPMDeaconess Clinic Podiatry09/11/2018

In my 30 years of practicing podiatry, I’ve cared for thousands of people with heel pain. It’s actually one of the most common complaints I hear in my office.

While every patient’s pain is different, heel pain can really be divided into two categories – traumatic and mechanical issues.

Trauma is pain caused by an injury, either sudden (an accident, something falling on the foot, etc.) or repetitive. Stress fractures, such as those found in runners, are an example of a repetitive traumatic injury.

Pain stemming from mechanical issues means some part of the foot isn’t functioning properly.

For the purposes of this article, I want to concentrate on the two most common examples of mechanical foot pain: plantar fasciitis and Achilles tendonitis.

Plantar Fasciitis
Plantar means “bottom of the foot” and fascia is a ligament that extends from the bottom of the heel to the ball of the foot. It provides stability.

When this ligament is abnormally pulled or stretched, it will often partially tear. The pain comes from the damaged ligament and the repetitive “pulling” on it when people walk.

When you’re non-weight-bearing (sitting or reclined and not putting any bodyweight on the foot), the ligament will tighten up. This is why the first steps you take in the morning or following periods of rest (such as standing up after sitting for a while) hurt so much.

Diagnosing and Treating Plantar Fasciitis
A plantar fasciitis diagnosis is based on a physical exam and the patient’s reported symptoms and history.

When the diagnosis is confirmed, there are a variety of treatment options to consider.

  • Stretching. Before getting up each morning and at the end of the day, the foot should be stretched and exercised.
  • Proper shoe selection. Supportive shoes with stiff soles are always best for people with plantar fasciitis. Flexible soled shoes, as well as shoes without backs, should be avoided.
  • Anti-inflammatories, such as ibuprofen and naproxen, can be helpful.

If these aren’t effective, see a podiatrist. You may benefit from:

  • Physical therapy
  • Taping
  • Immobilization with a splint or brace
  • Orthotics for long-term control

90%+ of all people with plantar fasciitis will respond to some combination of these treatments.  VERY few people need surgery, although it can be an option after trying all other treatments with no pain relief.

Achilles Tendonitis
The Achilles tendon is a tendon, different from the fascia, which is a ligament. The Achilles tendon is located behind the heel, running up the back of the heel to connect the calf muscle to the heel. If the tendon is tight, it exerts a pulling force and can occasionally irritate the plantar fascia, since the two are connected.

The symptoms of Achilles tendonitis are very similar to plantar fasciitis, but with Achilles, the pain centers on the back of the heel rather than on the bottom of the foot.

Diagnosing and Treating Achilles Tendonitis
An Achilles tendonitis diagnosis is also based on a physical exam and the patient’s reported symptoms and history. Once a diagnosis is confirmed, treatments are very similar to plantar fasciitis, with a few differences.

  • Stretching. Before getting up each morning and at the end of the day, the foot should be stretched and exercised.
  • Proper shoe selection. Supportive shoes with a bit of an elevated heel are always best for people with Achilles tendonitis. Flat soled shoes, as well as shoes without backs, should be avoided.
  • Anti-inflammatories, such as ibuprofen and naproxen, can be helpful.

If these aren’t effective, see a podiatrist. You may benefit from:

  • Physical therapy
  • Immobilization with a splint or brace
  • Heel lifts for long-term control

Risk Factors for Plantar Fasciitis and Achilles Tendonitis

  • Age. The older you get, the more likely you are to have this issue. Given enough time, almost everyone will develop one or both of these issues at some point in their life.
  • Activity level. Runners, basketball players, people involved in jarring/explosive movements, etc. are prone to developing this issue. Weekend warriors, or those who suddenly increase their activity, can also be more likely to develop either problem.
  • People who stand on concrete for long spans of time, such as factory workers.
  • Those who climb ladders, such as electricians and construction workers.
  • Family history of this type of foot problem.
  • Being overweight can contribute to these issues, due to putting more stress and pressure on the foot overall.

Risk Reduction
It’s not always possible to prevent plantar fasciitis or Achilles tendonitis, but the risk can be lessened by following these tips:

  • Stretching before and after activities such as yard work, running, other athletic activities, or unusual amounts of walking (such as on vacation).
  • Wearing appropriate shoes for activities.
  • Moderate activities. Gradually increase activity if you want to exercise more. Going from no activity to a lot at once is going to set you up for problems.
  • If needed, work on getting to a healthier weight. It will protect your feet and all other joints as well.

Orthotics
A true orthotic is a device constructed to a corrected model of an individual person’s foot. Most orthotics are rigid in nature to help control and/or correct the abnormal function of the foot. However, when working properly, the orthotic will not feel hard—it will feel supportive.

Orthotics are designed to be worn daily, for long periods of time. They don’t “fix” your foot—they help the foot function properly. (Eyeglasses are a similar example: they don’t fix what’s wrong with your vision, they simply correct it.)

Here at Deaconess Clinic, we have advanced orthotic-development technology. A laser scanner is used initially to capture a model of each foot. We then use a computerized digital system to make corrections to the structure to develop an orthotic that will help bring the foot into the closest-to-normal alignment and positioning possible. The closer to normal the foot performs the less structural pain results.

In conclusion, heel pain isn’t something you have to live with.  Try some of the suggestions above first, and if you still are suffering, please schedule an appointment online now!

Learn more about the author

Brandt Dodson, DPM
Specialty: Podiatry

WINTER JAM 2020 IS RETURNING TO FORD CENTER JANUARY 30

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FAN FAVORITE CROWDER TO HELM WINTER JAM 2020

NASHVILLE, Tenn.—Christian music’s premier multi-artist annual outing, the Winter Jam Tour Spectacular, steps into a new decade with a fan-favorite headliner, GRAMMY®- nominated singer/songwriter Crowder. With such recent hits as “Red Letters” and “All My Hope,” the genre-spanning artist—who has sold more than 3 million units and appears regularly on the Grand Ole Opry—leads a star-studded 2020 lineup featuring some of the

page2image24421184Biggest Names In Christian Music.

Winter Jam, which is hallmarked annually by its musical diversity, the central focus on the Gospel, and a “no ticket required”/$15 donation at the door, will hit a total of 42 cities around the country next year. Highlighted by a time of worship each evening, international chart-
toppers Hillsong Young & Free are set to make their Winter Jam debut in 25 cities, while renowned worshippers Passion, as well as acclaimed pastor/author/speaker and Passion Movement founder Louie Giglio, will be featured on all other tour stops.

“It’s crazy to think this is my first time speaking on Winter Jam, one of the most influential tours of the last few decades,” says Giglio. “I’m pumped, and really excited to share the nights with our fam—Crowder, and Passion!”

“We can’t wait to get out on Winter Jam 2020,” echoes Crowder. “There is nothing like it and 2020 is going to be just insane! Too much goodness in one place.”

Winter Jam 2020’s lineup also showcases Reach Records hip-hop recording artist and producer Andy Mineo; Dove Award-winning pop hitmakers Building 429; GRAMMY®- nominated rockers RED; Dove Award-nominated singer/songwriter Austin French; GRAMMY®-nominated Winter Jam creators and tour hosts, NewSong; and Dare2Share speakers Greg Stier and Zane Black. Additionally, the PreJam opening set will feature 2019 New Artist of the Year Dove Award-nominee Riley Clemmons and will introduce singer/songwriter and evangelist Billy Ballenger, as well as emerging rap/hip-hop recording artist Santee.

Kicking-off January 10 at Jacksonville, Florida’s VyStar Veterans Memorial Arena, Winter Jam 2020 is slated to hit Chicago’s Sears Centre Arena; State Farm Arena in Atlanta; Nashville’s Bridgestone Arena; Pittsburgh’s PPG Paints Arena; Banker’s Life Fieldhouse in Indianapolis; Oklahoma City’s Chesapeake Energy Arena; Kansas City, Missouri’s Sprint Center; and PNC Arena in Raleigh, North Carolina, among numerous other leading venues around the country, before concluding March 29 at the Wolstein Center in Cleveland.

“I’ve never been more excited about Winter Jam than I am for 2020,” says NewSong founding member and Winter Jam creator Eddie Carswell. “The lineup is amazing and the desire to see Jesus change lives remains our top priority. Bring your friends, bring your youth group— just don’t miss it.”

In addition to the tour’s popular Jam Nation membership, which allows attendees to advance venue entry among other special perks, Winter Jam is introducing a limited number of Jam Nation Ultimate Access passes for 2020. This exclusive pass includes a backstage meet & greet

page3image24387072

with Crowder, premium reserved Jam Zone seating and free Jam Nation entry to any other 2020 Winter Jam date.

The Winter Jam 2020 Tour Spectacular is produced by Premier Productions and sponsored in part by Holt International, Liberty University, “A Week Away: The Musical” and Destiny Rescue.

Created and hosted by one of Christian music’s most influential bands, NewSong, the Winter Jam Tour Spectacular exploded from a single show in 1995 to become the genre’s benchmark tour. Throughout two decades, the tour has regularly ranked among Pollstar’s top first quarter outings. Showcasing the best and brightest in Christian music, Winter Jam provides a powerful platform for the Gospel in major arenas nationwide.

For further information, visit jamtour.com or turningpointpr.com. Follow Winter Jam on Facebook, Instagram, and Twitter.

“Right Jab And Middle Jab And Left Jab”

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“Right Jab And Middle Jab And Left Jab” was created because we have a couple of commenters that post on a daily basis either in our “IS IT TRUE” or “Readers Forum” columns concerning National or International issues.
The majority of our “IS IT TRUE” columns are about local or state issues, so we have decided to give our more opinionated readers exclusive access to our newly created “LEFT JAB and Middle Jab and RIGHT JAB”  column. They now have this post to exclusively discuss national or world issues that they feel passionate about.
We shall be posting the “LEFT JAB” AND “MIDDLE JAB” AND “RIGHT JAB” several times a week.  Oh, “LEFT JAB” is a liberal view, “MIDDLE JAB” is the libertarian view and the “RIGHT JAB is representative of the more conservative views. Also, any reader who would like to react to the written comments in this column is free to do so.

Today’s “Readers Poll’ question is: If the election was held today for City Council Ward Two (2) who would you vote for?

If you would like to advertise in the CCO please contact us at City-County Observer@live.com

James Bryson Homicide Investigation Update

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On October 18th, 2019 Indiana State Police Detective Shane Staggs submitted charges to the Orange County Prosecutors Office in relation to a murder investigation that began on December 27th, 2016.  On October 21st, 2019 an arrest warrant was issued for:

Cody Gabrel, 24, of French Lick, IN for the murder of James Bryson, 66, of French Lick. Charges include Felony Murder, Murder,and Burglary Resulting in Serious Bodily Injury.

December 27th, 2016 James Bryson was found deceased inside his residence that he shared with his sister at 11387 West County Road 50 South French Lick, IN. Bryson had last been seen December 24th, 2016. The investigation is currently ongoing and anyone with any information is asked to contact Detective Shane Staggs at 812-482-1441.

All persons are presumed innocent until proven guilty

MASTERCHEF JUNIOR LIVE! IS COMING TO VICTORY THEATRE APRIL 2. TICKETS GO ON SALE FRIDAY AT 10AM

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MASTERCHEF JUNIOR LIVE! EXTENDS TOUR IN MORE THAN 40 NEW U.S. MARKETS IN 2020

COMING TO VICTORY THEATRE ON APRIL 2 Tickets go on sale Friday, October 25 at 10am

Evansville, IN– TCG Entertainment, leaders in live tour productions and EndemolShine North America, producers of the hit culinary competition series MASTERCHEF JUNIOR announced that after a successful initial 2019 tour they are extending MasterChef Junior Live! to more than 40 new markets in 2020 and is now coming to Victory Theatre on April 2. Tickets go on sale this Friday, October 25 at 10am. Tickets start at $49 and can be purchased at MasterChefJuniorLive.com, VictoryTheatre.com, and Ford Center Ticket Office. Kids tickets are available in all price levels, and are $5 less than adult ticket price. Group discounts are available and can be purchased at Ford Center Ticket Office or by calling 812.422.1515.

Attended by packed audiences in 16 cities during its debut tour this fall, the extended seven-week tour will kick off in Rochester, NY on March 3, 2020 and will visit 40 additional markets across the U.S. including Boston, Brooklyn, Washington DC, Detroit, Chicago, Denver, and more. Tickets go on sale this Friday, October 25, at 10:00 AM Local Time and can be purchased at MasterChefJuniorLive.com.

“TCG is thrilled to continue to bring the fun of MasterChef Junior Live! to audiences in 2020. The stage show brings great moments from the TV series to a LIVE setting. Families will enjoy watching and participating in the show as much as we have enjoyed creating it,” said Stephen Cook, President of TCG Entertainment, Producer of MasterChef Junior Live!

“We were thrilled that MasterChef Junior Live! was so well received by audiences of all ages in our initial run and now we are excited to expand this special theatre experience to more than 40 new U.S. markets in 2020,” said Amber Sheppo, Senior Vice President, Licensing, Endemol Shine North America. “Alongside our partners at TCG Entertainment, we are giving families and fans of our hit series a chance to meet and learn first-hand from past MASTERCHEF JUNIOR winners and contestants in cities near them.”

MasterChef Junior Live! brings MASTERCHEF JUNIOR directly to fans and foodies alike…LIVE on stage! The family-friendly show will feature head-to-head cooking demonstrations and fun (sometimes messy!) challenges with past MASTERCHEF JUNIOR contestants, and an overall immersive audience experience fun for all ages. A limited number of VIP Packages will be available in all markets and will include a premium seat, cast meet and greets, Q&A sessions, a signed show poster, photos and more! Exclusive MasterChef Junior Live! merchandise will also be available for purchase.

MasterChef Junior Live! cast to be announced at a later date.

Come be a part of MasterChef Junior Live! It’s an experience for the whole family and a recipe for a guaranteed good time!

Tickets may be purchased at Ford Center Ticket Office or www.Ticketmaster.com

HOT JOBS IN EVANSVILLE

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State of Indiana to announce comprehensive addiction recovery network grant awards

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On Tuesday morning, Indiana Executive Director for Drug Prevention, Treatment and Enforcement Jim McClelland will be joined by Senator Jim Merritt and healthcare leaders to announce award recipients of comprehensive addiction recovery network grants created under legislation authored by Senator Merritt and funded through appropriations to the Governor’s Next Level Recovery initiative to combat the drug crisis.

WHAT: Announcement of comprehensive addiction recovery network grant awards

WHO:

  • Jim McClelland, Executive Director for Drug Prevention, Treatment and Enforcement, State of Indiana
  • Senator Jim Merritt
  • Ashley Overly, M.D., Sandra Eskenazi Mental Health Center
  • George Hurd, Vice President, Community Behavioral Health

WHEN:

Tuesday, October 22, 2019

10:00 a.m. ET

WHERE:

Community Hospital East

1500 N. Ritter Avenue

Indianapolis, IN 46219

 

Gov. Holcomb Public Schedule for October 22

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INDIANAPOLIS – Below find Gov. Eric J. Holcomb’s public schedule for October 22, 2019.

 

Tuesday, October 21: Habitat for Humanity Luncheon at Indiana State University

WHO:               Gov. Holcomb

Indiana State University President Deborah Curtis

 

WHAT:            The governor will participate in a Q&A.

 

WHEN:            12:00 p.m., Tuesday, October 22
WHERE:          Hulman Memorial Student Union (Room Dede I)

550 Chestnut Street

Terre Haute, Indiana 47809

 

Tuesday, October 21: Hamilton Center Awards Dinner

WHO:               Gov. Holcomb

 

WHAT:             The governor will give remarks.

 

WHEN:             6:00 p.m., Tuesday, October 22

The governor to speak at approximately 6:30 p.m.
WHERE:          Hulman Memorial Student Union (Sycamore Banquet Center, Room 222)

550 Chestnut Street

Terre Haute, Indiana 47809

 

Gabriela Macedo earns second MVC weekly honor

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Senior names MVC Defensive Player of the Week

 In a weekend that saw her average 6.86 digs per set, University of Evansville redshirt senior Gabriela Macedo was named the Missouri Valley Conference Defensive Player of the Week.  It is the second time Macedo has received the honor in 2019.

“Gabi has been working hard to get wins and she knows the more balls she digs the more chances we will have to score points,” Aces coach Fernando Morales said.  “She does whatever she needs to do to put us in position to win matches and she is doing a great job.”

Macedo increased her league-leading dig average to 5.79 per set as UE earned its first conference weekend road sweep since 2000.  Macedo opened the week with 16 digs, three assists and three service aces in a 3-0 sweep at Southern Illinois.

She was even better on Saturday, registering 32 digs and two more aces at Missouri State.  For the week, she averaged 6.86 digs, posting 48 over the course of seven sets.  She had five service aces and four assists.  Her season dig average is now 6th in the nation.

Her efforts helped the Aces earn their first MVC weekend road sweep since 2000.  Next up is a home weekend when UE plays host to Drake and UNI at Meeks Family Fieldhouse.  Evansville takes on the Bulldogs on Friday at 6 p.m. before welcoming the Panthers at 5 p.m. on Saturday.

This Week at USI: Spotting “fake news”, educating teachers, and enjoying a poetry read

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Below is a list of events and activities happening in and around the USI community in the coming weeks:

Events held throughout the week

USI to hold week of events promoting media literacy
The University of Southern Indiana will host events on campus from Monday, October 21 through Friday, October 25 in recognition of National Media Literacy Week. On Monday, October 21, students entering the David L. Rice Library will be encouraged to store their cell phones and create a “smartphone-free library” in order to raise awareness of media exposure and constant media access. Rice Library will also host a Facebook Live stream at 2 p.m. Friday, October 25 highlighting techniques to find credible news and academic sources. Read More

8:30 a.m. Tuesday, October 22

University of Southern Indiana to host “Teaching the Holocaust, Empowering Students” classroom training

The University of Southern Indiana and the Committee to Promote Respect in Schools (CYPRESS) will host the Echoes & Reflections professional development program, “Teaching the Holocaust, Empowering Students,” from 8:30 a.m. until 4 p.m. Tuesday, October 22. in University Center Rooms 2217-2218 on the USI campus. Read More

4:30 p.m. Thursday, October 24

Fiction writer and poet, Joe Wilkins, to present work at Griffin Center

The University of Southern Indiana will host fiction writer and poet, Joe Wilkins, as a part of the fall 2019 Southern Indiana Reading Series at 4:30 p.m. Thursday, October 24 at the Griffin Center located on the USI campus. The event, which will feature a reading and reception for the author, is free and open to the public. Books will be available for purchase and for signing. Read More

2 p.m. Friday, October 25

USI to exhibit woodwork of John McNaughton, art alumni
The University of Southern Indiana’s McCutchan Art Center and Pace Galleries will host two exhibitions of wooden sculptures and wood-media artwork through October 25, 2019. A free, public reception for the exhibitions will be held at 2 p.m. Friday, October 25. Still Kicking and Carving: John McNaughton features the work of nationally acclaimed artist and USI professor emeritus of art John McNaughton. The work in this exhibition is made up of meticulously fashioned, wooden sculptures and function objects, both big and small, with subject matter ranging from political commentary to personal struggles. Read More

3 p.m. Sunday, October 27

USI Chamber Choir, Women’s Choir to hold fall concert
The University of Southern Indiana Women’s Choir and Chamber Choir will hold their Fall Concert at 3 p.m. Sunday, October 27 in the David L. Rice Library 2nd Floor Reading Room. Works by Sweelinck, Svilainis, Trotta and Luboff will be among the performed pieces. The concert is free and open to the public.

 

STUDENT EVENTS

A collection of events on campus and in the community sponsored by USI student organizations

can be found on the USI events calendar by clicking here.

 

7:30 a.m. Saturday, November 2
18th annual Norwegian Foot March

The 18th annual Norwegian Foot March, an intense mental and physical challenge, will take participants 18.6 miles through the rolling hills of Evansville’s west side on Saturday, November 2. Carrying a 25-pound rucksack, participants will begin and end on the USI campus, working to make it back to the finish line generally in under four and a half hours depending on age and gender. The maximum of 500 participants will step off from the starting line beginning at 7:30 a.m. More Information