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.

Porn Addiction – a growing phenomenon.

Over the last few years I have noticed a huge increase in the number of clients coming to see me for pornography addiction. With the easy access of porn on line, and on tablets and phones, many men are having trouble resisting the urge to view porn more and more often, and it can be scary how quickly this can turn to an addiction.

Some of the key elements in the development of a porn addiction are starting to watch porn at a young age, controlling or uninvolved parents, loneliness and isolation, seeing a model of unhealthy relationships and early sexual abuse.

Once you have realized that you are addicted, your path to freedom starts with the realization that you’ve lost control around sex. You begin to acknowledge that you’re acting regressively and that you are probably a mature man in many ways, but you don’t understand intimacy and have confused intimacy with sexual activity.

Another thing that can be a he realisation is that you can’t get enough of what won’t satisfy you. Objectifying and sexualizing people is an never ending, negative process that yields a few minutes of excitement, a brief orgasm, then hours, days, weeks, months and years of fear, pain, shame, self doubt, self criticism, judgement and anger.

Doing this work will free you from the shackles of your negative sexual story.

Many men who have done so look back and see this as their rite of passage into true manhood, free of old compulsive sexuality. You can then take the energy you are expending on addictive behavior and channel it into a more satisfying career, intimacy and better relationships with a partner and with your family and friends. You’ll really get a life in the full sense.

Counselling for Porn addiction with qualified and experience Psychologists is available in 60 locations Australia wide at the Hart Centre. Call 1300 830 552 to find out more.

How Dating Sites are gaining success within a niche market

There are 7 billion people living on Earth. With all of this diversity available it makes you deliberate as to why there are so many singletons out there.

Maybe it’s because we live in a fast paced world where people are too preoccupied to partner up or understand it as a priority in their lives. Technology aligned with evolution has developed a unique breed of people and we do not all share the same commonalities like the good old days.

Today’s Online Dating has embodied itself into an easy access platform for a person to fall in love with the click of a button. It is currently a $2 billion dollar per year industry, with over 1500 dating sites world-wide 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 websites are connecting a lot of people with each other.

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

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

Scientists have performed studies to find out if in fact like-minded people or constrasting people make the better couple. It was discovered 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 created. 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 stumble across a site for inmates, geeks and people who like to dance.

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

For speed dating Brisbane, dating Brisbane and singles events Brisbane, make sure you visit Miners & Gems. Register online for free.

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. Have you been a bit worried or embarrassed about them? Do you wonder what they are? They are known as spider veins. Let’s discuss the causes and treatments of spider vein.

What causes spider veins?
Spider veins are a mild manifestation of venous reflux disease. They are small, tangled groups of blood vessels found just beneath the surface of the skin. The veins are slightly dilated, and resemble tree spider webs or branches, and usually appear spread out on the legs and feet.

What are the risk factors?
Spider vein risk factors are like those associated with varicose veins, and include older age, occupations requiring extended periods of standing, obesity, heredity factors and hormonal changes. One can also suffer from this condition due to weak vessel walls or from exposure to ultraviolet rays.

Considering the risk factors, some people will be more prone to this problem than others. For example, if you work as a surgeon, a nurse or a teacher, the chances are high that you may experience spider veins. Similarly, if there is a genetic history of weak vein valves, the probability of developing spider veins is also high. The same applies regarding hormonal changes, which mainly occur during puberty, pregnancy and menopause.

The exact cause of spider veins not been strictly established. Existing risk factors can be divided into two wide sub-divisions, i.e. congenital causes and acquired causes. In congenital causes, there 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 mentioned 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. Also, symptoms such as itching, swelling and fatigue can also be experienced. In advanced cases, this condition can establish ulcers, large sores and phlebitis. However, spider veins are noticed by their appearance in the majority of incidences.

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

There are three main questions that doctors seek to answer through these diagnostic tests. Firstly, they are seeking to establish any evidence of deep vein blood clots. Secondly, they discover if the veins are functioning properly. And lastly, they test the Greater Saphenous Vein (GSV) to determine whether it is working well.

A 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 word 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 your legs lifted above your chest. This diagnostic procedure seeks to identify any vessel blockages.

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

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

Laser and Intense Pulsed Light
This treatment employs the use of a specialised device that focuses laser energy to the affected tissue. The procedure takes only 20 minutes, and has minimal side-effects.

Natural Remedies
Using 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 is known to stimulate new capillary formation thus strengthening the capillary walls.

*Butchers Broom – This herb strengthens veins.

*Gotu Kola – A very effective extract in addressing 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 well 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 doctor will determine the optimum 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.