Plantar Fasciitis Treatment Options

Plantar fasciitis is extremely common affecting around 10% of the adult population at some time in life. Commonly plantar fasciitis is associated with heel spurs however on x-ray only 50% of patients with plantar fasciitis have evidence of calcification through the heel (DiMarcangelo, 1997).

Commonly plantar fasciitis symptoms start as an awareness or ache in the morning. Relief treatment can be quite simple at this time however if it is left, these symptoms will often slowly progress to pain that significantly impacts quality of life.

When targeting plantar fasciitis symptoms your practitioner will guide you through the best strategy or combination of strategies to help relieve and control your individual pain. At Body Leadership Australia we recommend a multimodal approach utilising a number of different treatment options.

Soft Tissue Release
Tightness of the muscles surrounding the foot have been found to pull hard enough on the bones that they alter the natural shape of the foot and ankle often leading to plantar fasciitis pain. Accordingly, release techniques and stretching of the lower limb muscles can have an effect on decreasing symptoms associated with plantar fasciitis.

Stretching
Strategic stretching of the calf muscles and Achilles tendon or on the plantar fascia itself can decrease pain associated with plantar fasciitis. You should get a program tailored to your individual needs.

Orthotics
Orthotics can help to relieve the effects of plantar fasciitis. Changing the weight load through the foot can allow the inflammatory response to settle by supporting the foot appropriately.

Night Splints (Strassburg Sock)
The use of a night splint can reduce recovery time compared to the same protocol utilising standing stretches through the calf.

Cortisone
Cortisone was always a last resort due to potential complications and pain post injection. Now with ultrasound guidance outcomes have improved and we see them used more effectively. Cortisone options can be discussed with your health care professional.

Surgery
A number of studies found 75% to 95% of patients had long term improvement as measured by various criteria. Up to 27% of patients still had significant pain, up to 20% had some activity restriction, and up to 12% had moderate pain that impaired function (Brown et al., 1999; Davies et al., 1999; Fishco et al., 2000). Surgical options are always a last resort.

Once your pain is treated and controlled it is important to understand your individual factors that predispose you to plantar fasciitis which can be explained by your physiotherapist. You can then be taught a home program to release tension, particularly through the calf as well as the foot to nip problems in the bud. This can also be optimised using home exercises to improve strength for better control of your biomechanics long term.

If you, your friend or family member suffer from plantar fasciitis please do not hesitate to contact one of our friendly Brisbane sports physiotherapists on 07 3847 8040. Our Brisbane sports physios can also provide treatment from our Brisbane Sports Physiotherapy practice.

WEB DESIGN USING GRID-BASED LAYOUT METHOD

With any beautiful design or structure, from architecture to painting, there lies beneath it a grid-based layout from which these creations were originally derived. It is, in essence, the unseen mathematical component of all design that, for many web designers, has become standard in the pursuit for the perfect web design.

To understand what a grid-based layout for web design is, we first need to understand why it is referred to as “grid-based.” A grid is a structure consisting of intersecting straight vertical and horizontal guidelines that are made up of margins, flow-lines, columns, rows, gutters, modules, and spatial zones. This potentially complex composition provides the perfect structural base that allows a web designer to create graphic elements from, or to organise content within. It is this reason that grid-based layout is used in web design.

By using grids in the website design a sense of uniformed structure is achieved for the overall website, this helps achieve better usability for website visitors as they are able to navigate and engage with the website much easily than if the content was simply thrown together without structure. Another reason grid-based layouts are used is efficiency. By designing to a grid, the actual design process is simplified because design guidelines are already in place, therefore making it easier to decide on design elements, such as width and height.

When using grid-based layouts in our web design, we can either create our own grid, or download a ready-made grid template. If we create our own grid, we will need to rely on what option works best for us and the web design project we are working on. It is therefore valuable to follow some simple guidelines when creating our own grids. These are:

• Use only enough columns as needed for the web design. In other words, if you are only going to use ten columns, then only create ten columns – and not twenty.
• Watch the spacing. As a general rule, columns should have the same number of pixels across as rows are high.
• Don’t box yourself in. If you need to move outside of the grid for specific graphic elements, then do so. A grid is only there for structural support, and is not the end product.

If creating your own grid-based layout isn’t appealing, or you simple do not have the time to invest in it, then downloading a pre-designed grid template is available. There are many online sources that provide such templates, and by downloading a grid template you can save on time and have, at your disposal, an effective grid template ready to use.

It is important to re-emphasise that grid-based layouts for web design should not be mistaken for a strict rule by which all graphic elements or content must adhere to. Naturally, when creating anything we can move beyond specific rules in order to achieve our creative goal, and grid-based layouts are no different. If we use grids as a structural guide in our web design, then we are better able to create amazing web designs that will not only appear organised on our web page, but will hopefully inspire and engage every website visitor. Article from, web developer brisbane Nets and Webs

How Dating Sites are gaining success within a niche market

There are 7 billion people living on Earth. With all of this variety available it makes you question why there are so many singletons out there.

Perhaps it’s because we live in a fast paced society where people are too preoccupied to partner up or approach it as a significant pursuit in their lives. Technology aligned with evolution has created a unique breed of people and we do not all share the same interests like the good old days.

Today’s Online Dating has comprised itself into an easy access technology for a person to fall in love with the click of a button. It is presently a $2 billion dollar per year industry, with over 1500 dating sites internationally and boasts to been responsible for around 280,000 marriages as a result of people meeting up. In Australia, statistically 1 in 10 has found love online and 1 in 6 of those people was between the ages 35-44.

There is no doubt the popularity of the ‘General’ online dating websites out there have had great success with the following of members on their sites. Some international sites proudly promote incredible numbers of 30 million plus. As majority of sites offer a free sign up it is not quite clear on how many of those 30 million are paying subscriptions, never the less these enterprises are connecting a lot of people with each other.

Over time in this industry I think people have gotten bored and confused in the ‘General’ online dating websites. Wasting time on useless dialogue and pointless banter only to discover there is not much in common with the other party. Some might say you need to kiss a lot of frogs to discover your prince.

Niche online dating websites have launched on to the scene hard and fast. Obviously someone acknowledged a need and jumped at the opportunity to unite people within a specific market. To specify the playing field, so to speak. People bond best when they have something alike. Beliefs, hobbies, race, sexual preference or lifestyle choice can class people to meet other [compatible~accordant} singles.

Scientists have done studies to find out if in fact like-minded people or constrasting people make the better couple. It was proven that people with corresponding temperaments and world views were more likely to find success and have conflict free marriages than the opposite couples. It is also suggested that people with similar interests were
more likely to meet up in person off the sites.

The niche dating sites available are limitless, probably if you can think it, there has been one formed. From Gay to Pet lovers, Christian groups and other religious followings, Asian, Interracial, Vegetarians, Farmers, Cheaters, Beautiful people (ugly people need not apply), Punks, Seniors, Cougars, Sugar Daddies, Military, Single parents, Tall people, big people and even small people. I even managed to come upon a site for inmates, geeks and people who like to dance.

There is no doubt catering to a specific audience could be a very effective market. It sounds like an enjoyeable experience to enter a world where everyone shares the same values. Everybody deserves love, why not have it with someone you like?

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SEO Townsville and Customer Lifetime Value

Customer Lifetime Value (CLV) is a measure of how much profit a customer will bring to your business over the lifetime of the relationship that exists between you two. The customer is the most valuable asset in your business. Knowing how to acquire and maintain this great asset is the key to a profitable business. CLV helps you determine where to commit you money in marketing campaigns before you launch them in order to reap higher benefits.

Calculating CLV

There are several formulas to arrive at the Lifetime Value of a given customer; the most efficient one is given by:

CLV = (Sales per customer) x (Customer lifetime) x (Number of referrals) x

(The percentage of referrals that turns customers) – (Cost of sales)

To arrive at these data you can use the following simple steps to estimate each parameter. For some idea of the benefit of SEO visit: http://happytalkmedia.com/seo-townsville.html

Sales per customer can be obtained by taking the sum of sales and divide it by the total sum of customers in a given period. Customer lifetime is the estimated number of times you think the customer will reorder a given product or service.

The number of referrals made is a conservative estimate of how many people have heard about you through a particular customer. A satisfied customer often makes casual reference on his or her blog, social media page or post a comment on a forum about a wonderful shopping experience that you provided. These comments can be read by hundreds to thousands of people. You can collect this information by asking your new customers how they heard about you.

Customers Guesstimate the percentage of the referrals that will buy something from your business to arrive at the percentage of referrals that convert to. Finally calculate the cost of sales by taking the sum of goods or services and divide it by the sum of customers that you have sold to in that period and multiply the quotient by the customer lifetime figure calculated earlier.

Importance of Lifetime value to your business

It serves as a benchmark in determining how much money, time and effort you can commit in acquiring a given customer in the first instance. You become confident of reaping benefits such as enhanced corporate image and increased sales from your current investments.

Lifetime value of a customer helps you to re-focus on your marketing campaigns. Once you realize that your customers are an ongoing stream of revenue rather than a one-shot sale, you get motivated to focus on ways of keeping them or repeat sales as loyal customer are likely to buy more. Loyal customers cost less to service. Experienced customers know how to use your products or services and make fewer calls to customer support and request fewer visits from the sale rep thus reducing the overheads.

Limited acquisition cost is yet another benefit of calculating lifetime value of a customer. Loyal customers are much more likely than not to be your advocates. They will recommend you to their associates and friends and happily speak about your products or services. This brings in more customers with little or zero acquisition cost. Lifetime value helps you identify the best customers; understand what best they see in your business thus helping you come up with real marketing objectives and strategies.

Spider Veins – Cause and Treatments

Sometimes, you might have noticed red and blue blood vessels visible through your skin. Did you become a little embarrassed or worried about them? Do you wonder what they are? They are called spider veins. Let’s discuss the causes and treatments of spider vein.

The causes of spider veins
Spider veins are a mild manifestation of venous reflux disease. They are small, tangled groups of blood vessels found just beneath the skin’s surface. These dilated veins resemble tree spider webs or branches, and will most likely spread out on the legs and feet.

What are the risk factors?
Spider vein risk factors are like those associated with varicose veins, including advancing age, occupations requiring extended periods of standing, obesity, hormonal changes and heredity factors (weak vessel walls). People can also suffer from spider veins because of weak vessel walls or from exposure to ultraviolet rays.

From the risk factors, it is clear that some people are prone to this problem than others. For example, if you work as a surgeon, a teacher or a nurse, chances are high that you might suffer from this condition. Similarly, for people with a genetic history of weak vein valves, the probability of developing spider veins is also high. The same applies to hormonal changes, which mainly occur during puberty, pregnancy and menopause.

The exact cause of spider veins is yet to be established. Existing risk factors can be divided into two wide sub-divisions, i.e. congenital causes and acquired causes. In congenital causes, is port-wine stain, Maffucci’s syndrome and hereditary hemorrhagic telangiectasia (also known as osler-weber-rendu syndrome), among others. The acquired causes include chemotherapy, acne rosacea and lifestyle/occupation risk factors (as discussed above).

What symptoms are associated with spider veins?
Spider veins are painful in some cases, generally accompanying cramping and aching. They are also closely linked to heaviness in the legs, and throbbing, burning or tingling sensations. In addition, symptoms such as itching, swelling and fatigue can also be experienced. In serious cases, this condition can establish phlebitis, large sores and ulcers. However, spider veins are detected by their appearance in the majority of incidences.

Tests and Diagnosis
Doctors normally employ non-invasive diagnostic tests to diagnose this condition. These tests are perfectly safe and painless, with no needles, scalpels or medication being involved. The entire procedure is normally very brief, and probably won’t take more than an hour.

There are three main things that doctors seek to answer through these tests. First, they want to establish any evidence of deep vein blood clots. Secondly, they discover if the veins are functioning properly. Lastly, they test the Greater Saphenous Vein (GSV) to determine if it is working well.

Any competent vein specialist will always undertake this exercise before treating your condition. Some of the procedures that you can expect include:

*Color-flow Duplex Exam – This is used to evaluate the anatomy of the affected veins. It determines the direction of blood flow, openings and blockages. This procedure is also important in the process of vein mapping (done for skin deep problems).

*Bi-directional Doppler Exam – This is an ultrasound exam used to determine the speed of blood flow and whether it pauses during normal breathing. It also identifies whether your veins are working properly.

*Photoplethysmography – Phew! Don’t let this complicated medical term intimidate you. Photoplethysmography is basically a diagnostic procedure that determines the efficiency of your calf muscle pump.

*Pressure Calf Exam – In performing this exam, you’ll lie facing upwards with legs raised above your chest. This diagnostic procedure seeks to identify any vessel blockages.

Treatment
After establishing the specific nature of your problem, the doctor will then outline the best treatment for you. Here are several available options:

Sclerotherapy
This procedure involves the doctor injecting a saline solution into the affected veins. The solution then damages the affected vessel walls, causing them to swell and seal shut. Within several weeks the scar tissue will fade. The procedure takes around 30 minutes, and has only mild side-effects. And although the injection may be a bit painful, the stinging sensation is usually gone within a few minutes.

Laser & Intense Pulsed Light
This treatment employs the use of a specialised device that focuses laser energy to the damaged tissue. The whole procedure will just take 20 minutes, and has minimal side-effects.

Natural Remedies
Natural remedies can mean the difference between undergoing medical procedures or not, and are valuable alongside medical treatment. Some recommended herbal remedies include:

*Horse Chestnut Seed – Studies show that this seed helps to improve blood circulation in the legs thus strengthening the veins and capillaries.

*Bilberry Extract – This herbal extract stimulates new capillary formation thus strengthening the capillary walls.

*Butchers Broom – This herb strengthens veins.

*Gotu Kola – A very effective extract which addresses venous insufficiency, foot swelling and water retention. It therefore provides a good solution to spider veins found on the legs.

*Distilled Witch Hazel – This is directly applied on the affected areas using a cotton ball. Numerous clinical studies show that this extract can help strengthen blood vessels.

Caution: For health safety purposes, do not start using any herbal remedies without consulting a qualified doctor.

Spider veins prevention
Two of the most important things regarding the prevention of spider veins are eating a balanced diet and getting regular exercise. Eating a diet higher in fresh, raw fruits and vegetables than meat and convenience food is crucial, and if your job requires you to stand for a long time, you should regularly shift your body weight from one leg to another as well as standing evenly balanced.

To sum things up, the procedure of a spider vein removal is chosen according to several key factors. Your specialist will determine the best treatment options based on the results obtained from the diagnostic tests. We hope that this article will provide all the necessary guidance you need in addressing this problem.

For more information about spider veins Brisbane, contact the leg vein doctor Brisbane today.