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.

“Offers Over” – why not just cut to the chase?

If you’ve browsed realestate.com.au recently, you will have seen lots of properties listed as “offers over”. You might be wondering why we do this rather than just applying a fixed price.

Why we do it?
Ultimately “offers over” exposes more people to your property online, if used the right way —let’s not forget that some 90% of our buyer enquiry comes through these channels.

For buyers, realesate.com.au has set price bands when searching (ie: $400k to $450k and $450-$500k). Generally, we recommend using ‘offers over’ when you’re on the cusp of a search band.

For example, if you are aiming for a price of $460k for your home. We would list it as ‘offers over $450k’ on realesate.com.au – your property will display for buyers browsing the $400-$450k price range as well as those browsing $450-$500k.

This exposes your property to more people and gets more people to your open (people who may not have considered your property before). Even if the price is slightly out of their price range – they showed up! It’s your agent’s job from there!

We recently listed a duplex in Fitzgibbon as “offers over $300k”, a move designed to encourage a larger subset of buyers to visit the property. The home sold for $315k—an impressive figure given that the highest previous sale for a similar home in the area was $290k!

Misuse of ‘offers over’…
In my experience many agents use ‘offers over’ to avoid the uncomfortable price discussion with their owners. It’s a way for them to list the house at what they (the agent) think it’s worth without agreeing on a clear price expectation with the owner.

Can you make an offer under on an ‘offers over’ property?

Our agents will always have a firm price that the owner is expecting. After all, the first question at the open is ‘how much’?

Buyers should have the capacity to buy at or above the price indicator. Although they can open negotiations with a lower price, almost always the property will sell at or above the indicator.

When we don’t use it…
It’s not effective if your price expectation is not in line with the market.

It’s also not as effective if your ‘offers over’ price sits in the middle of a search band. A property listed as “offers over $420k” will only display for buyers searching $400k-450k”. Of course there may be some exceptions here, but this is a common mistake many agents make!

And last but not least, ‘offers over’ pricing is also useful for auctions or when agents are a little unsure on the market value (ie: for a unique property).

So if we recommend “offers over” on your next houses for sale Aspley rest assured and take it in your stride!

To view property Aspley visit our web site. To find out more about Justin Watt, owner of Watt Realty and previous owner of Harcourts Aspley click here.

How Dating Sites are gaining success within a niche market

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

Perhaps it’s because we live in a fast paced world where people are too caught up to partner up or understand it as a significant pursuit in their lives. Technology merged with evolution has created a unique breed of people and we do not all share the same ideals 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 world-wide and brags 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 huge success with the following of members on their sites. Some international sites proudly promote unbelieveable 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 uniting 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 useless dialogue and meaningless 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 launched on to the scene thick and strong. Obviously someone noticed a need and jumped at the opportunity to connect people within a niche market. To tighten 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 done studies to determine if in fact like-minded people or opposite people make the better couple. It was discovered that people with corresponding temperaments and world views were more likely to appreciate success and have conflict free marriages than the opposite couples. It is also implied 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 come 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 a fun experience to set foot in a world where everyone shares the same ideals. 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 may have noticed red and blue blood vessels visible through your skin. Have you become slightly embarrassed or worried about them? Have you wondered? They are known as 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 surface of the skin. The veins are slightly dilated, and have the appearance of spider webs or branches, and generally spread out around the legs and feet.

What are the risk factors?
Spider vein risk factors are like those associated with varicose veins, and include advancing age, occupations requiring extended periods of standing, obesity, hormonal changes and heredity factors (weak vessel walls). People can also suffer from spider veins due to 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 nurse or a teacher, chances are higher that you might develop 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 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. acquired causes and congenital. 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 acne rosacea, chemotherapy and lifestyle/occupation risk factors (as mentioned above).

Spider vein symptoms
Spider veins are painful in some cases, generally accompanying cramping and aching. They often result in a feeling of heaviness in the legs, and tingling, burning or throbbing sensations. Also, other 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 noticed by their appearance in a 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 generally won’t take you more than an hour.

There are three main things that doctors seek to answer with these tests. Firstly, they wish to establish any evidence of deep vein blood clots. Secondly, they ascertain if the veins are functioning properly. 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 seeks to identify whether the veins are working properly.

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

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

Treatment
After establishing the specific nature of your problem, the doctor will then recommend 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 results in damage to the affected vessel walls, causing them to swell and seal shut. Within several weeks the scar tissue will fade away. The 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 option employs the use of a specialized device that focuses laser energy to the damaged tissue. The procedure takes only twenty 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 of the recommended herbal remedies include:

*Horse Chestnut Seed – Studies show that this seed improves 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 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 have shown 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 important, and if your job requires you to stand for a long time, you need to 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 choose 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.