Patient When I first came in, my symptoms were.I had numbness all through my left arm. I couldn't extend my ring finger all the way. I couldn't feel anything in my pinky finger. My wrist hurt. My elbow hurt. And I had limited range of motion.all around. And a lot of grip weakness, too. Interviewer And what was your diagnosis Patient Ulnar neuropathy. Um.pinched nerve from a bad bike fit. Before I came here I was banned from riding my bike, lifting weights, carrying dishes, carrying groceries.doing pretty much anything with my hand.
I couldn't open doors very well. I couldn't really open jars. At the Mettler Institute, I came in twice a week for half an hour session. Um, I've had eight sessions. And with every session it hurt a little bit, but at the end of the session there was a noticeable difference. Like my finger was a straighter. I could feel a little bit more. I could move a little bit more. Um, once I got to move onto grip training, every week my grip was getting stronger and I could start doing things again.
I've been going to the gym for the past couple weeks. And I get my bike back today, so I can start riding again. And I've been able to do daily tasks. I can open my door and jars and stuff, so. At the Institute, people here are very friendly, and it's a very comfortable setting to be in. It's easy to find. And it's a nice.office. At the Mettler Institute, there are actual doctors of physical therapy. So, they know how the body works, they know how to treat it and they know how to make it better.
New Effective Treatment for Tarsal Tunnel Syndrome
Are you suffering from burning tingling and numbing in the bottom of your foot For years the practice of performing the old procedure for tarsal tunnel produced a 40 to 60 failure rate because only this tunnel at the laciniate ligament in the ankle was released. Our new approach is designed to relieve pressures on the nerves in not only the tarsal tunnel which is similar to releasing the carpal tunnel in the hand, but now we know at least three more tunnels in the foot that must be addressed. This allows for normal function to return.
To the nerves. This is done for relieving burning, tingling and numbness and this is critical. This has increased our success rate to 85 to 90 success rate from the old failure rate of 40 to 60. Now we know to release the superior calcaneal chamber containing the medial plantar nerve supplying the bottom inside of your foot and toes. The inferior calcaneal chamber containing the lateral plantar nerve supplying the bottom outside of your foot and toes. And the smaller medial calcaneal nerve tunnels which may be 1 or more branches supplying.
The inside and bottom of the your heel. These ligaments or fibroustunnels are carefully released to create more space which relieves the pressures at each of these nerve tunnels or chokepoints allowing for the return of normal nerve function. Post operatively we incorporate Physical rehabilitation such as neural gliding, and aqua therapy, to encourage restoration of motor and sensory nerve function. Therapeutic lasers to enhance your healing process through photobiomodulation and Nutraceuticals to provide fuel for your nerves to heal. Remember the longer yours nerves are compressed, the more damage occurs to the axon or core.
Houston Podiatrist Discusses Effective Treatments for Heel Pain
Foot pain is not normal. We treat a lot of heel pain in our office. Patients come in complaining of those first steps out of bed being somewhat excruciating with a sharp pain in the bottom of their heel. Though the pain might ease up for a while, it returns as soon as the patient resumes the activities after resting. This pain is typically due to an overstretching of the ligament located at the bottom of the foot called the plantar fascia. This causes a condition called plantar fasciitis. We treat plantar fasciitis conservatively.
With icing, stretching, physical therapy, antiinflammatories, and possibly a cortisone injection. In our office we use diagnostic ultrasound to visualize the pathology causing your heel pain. I'm also excited to tell you about a new treatment for heel pain called Cold Laser Therapy in which a high intensity light beam is used to stimulate the body's own healing capabilities to alleviate your heel pain. The procedure is performed right here in our office, requires no anesthesia, is painless and has no sideeffects. We also utilize EPAT, which uses high energy soundwaves to stimulate your growth factors and promote.
Quicker healing. Once the pain and inflammation has been managed, we will address the underlying biomechanical issues to alleviate the pressure on the plantar fascia by prescribing a custom orthotic. Custom orthotics are inserts that fit into your shoes, which are custom molded specifically to your foot to correct the biomechanics and bring your foot into a more natural position. We find that most of our patients respond to conservative treatment with favorable outcomes. So, if you're suffering with heel pain, don't wait until it becomes a chronic problem. Schedule an appointment today and we'll get you back to the activities you love in no time. And.
Cubital Tunnel Syndrome Entrapment Compressing Nerve at Elbow
Cubital tunnel syndrome is an injury to the nerve that's cutting behind the elbow out towards the hand. You felt this ulnar nerve in action when you whack your arm against the wall or a door. You feel that numbness and tingling in your little finger, that kind of ache that takes a couple of minutes to go away. What you've done is you've crushed that nerve between the wall and the bone, so that squish sets off those pain receptors in the fingers. Cubital tunnel syndrome is commonly a swelling or an inflammation around that nerve compressing.
It, causing pain, numbness, tingling or weakness in these fingers. Many times it's from muscle tendon attachments down near that elbow. As they get sore and swollen, they're increasing the inflammation and fluid in that area which is compressing that nerve. Sometimes we'll get a bursitis where that bursae is a fluid filled sac that's a shock absorber. When that gets injured it will swell up a little bit too. That swelling causes compression. So depending on the reason for the compression, we're going to do different treatments to get the pain down, get the inflammation down, get this area to heal so the compression comes.
Ulnar Nerve Entrapment
We see different types of nerve entrapments in the body. Everybody is familiar with carpal tunnel, but another very common one can happen at the wrist with the ulnar nerve. The ulnar nerve is going to cut on the outside of the hand towards the little finger. People start feeling numbness and tingling in these fingers. They can start feeling weakness or just kind of a not quite right sensation. What we see is across the wrist the ulnar nerve cuts out to the little finger, the median nerve is going underneath the flexor retinaculum to.
Control the inside of the hand or the thumb side. In a picture like this, you see that nerve branch cutting up coming out to the little finger and out to the ring finger next to it to control some of it strength and sensation. Anything that compresses this area of the wrist down on this section of the hand or in here can compress that nerve. We see a lot with cycling, something where were compressing and sitting on that handle bar for an extended period of time. But this can happen with anybody.
Who lifts, works out, does a lot with their hands, or is leaning on their hand quite often. So treatment and therapy is about decreasing that stress and strain or any inflammation in this area. If there's a nerve entrapment at this tunnel inaudible with the nerves cutting through, we're working our best to decrease inflammation there to help let that nerve heal again as it should. The different types of nerve entrapments can happen anywhere from the wrist to the elbow back up towards the neck. Treatment just depends on where is the entrapment at and what do.
Medical Appointment Reminders
Doctors, Tired of paying your staff to spend hours on the phone confirming appointments, and still you have patients forget, or show up late. Introducing Doctor Connect, medical appointment reminders by Text Messaging, Email and Voice Calls. All methods are interactive and allow patient to confirm or reschedule. Our reminders are proven to drastically reduce 'noshows' and stimulate repeat business. Our Text Reminders are much less intrusive than a phone call and much less resource intensive for your staff. Our reminder system seamlessly integrates with your existing office management system. Doctor Connect.
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