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Saturday, 19 June 2021 17:08

July 4

Ten interesting facts about July 4

The Fourth of July is more than just a celebration of summertime — it’s a time to celebrate our freedom and how far we have come.

The Declaration of Independence began as a letter to King George to explain why the Continental Congress voted to declare independence from Great Britain.

The Declaration of Independence was started on July 2, 1776 and the Continental Congress approved the final wording on July 4. The American colonies were declared free and independent states.

The first Independence Day was celebrated on July 8, 1776 and the official signing took place on August 2.

56 people (including 5 doctors) signed the Declaration of Independence. Thomas Jefferson wrote the majority of it.

The first Independence Day on July 8, 1776 took place in Philadelphia. The White House celebrated Independence Day for the first time in 1804.

The Declaration of Independence has five parts. They are: the Preamble, the Statement of Human Rights, Charges Against Human Rights, Charges Against the King and Parliament, and the Statement of Separation and Signatures.

According to census.gov, 2.5 million people celebrated the first Independence Day, compared to 316.2 million people today.

 July 4 was officially declared a holiday in 1870, nearly one hundred years after the Declaration of Independence was written.

Currently, the oldest Independence Day celebration in the U.S. is held in Bristol, Rhode Island.

2021 marks this year as the 245th Independence Day.

HAPPY July 4th TO ALL!!

Monday, 22 March 2021 00:34

Payment Form

Sunday, 29 November 2020 21:51

Plantar Fasciitis

Plantar Fasciitis and Bone Spurs

Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

Anatomy

The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of your foot. It connects the heel to the front of your foot, and supports the arch of your foot.

Plantar fascia

The plantar fascia is a ligament that lies beneath the skin on the bottom of your foot.

Cause

The plantar fascia is designed to absorb the high stresses and strains we place on our feet. But, sometimes, too much pressure damages or tears the tissues. The body's natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis.

Damage to plantar fascia

Too much pressure on the plantar fascia can damage or tear the tissues, causing heel pain. 

Risk Factors

In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition:

  • Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin
  • Obesity
  • Very high arch
  • Repetitive impact activity (running/sports)
  • New or increased activity

Heel Spurs

Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.

X-ray of heel spur

Heel spurs do not cause plantar fasciitis pain.

Symptoms

The most common symptoms of plantar fasciitis include:

  • Pain on the bottom of the foot near the heel
  • Pain with the first few steps after getting out of bed in the morning, or after a long period of rest, such as after a long car ride. The pain subsides after a few minutes of walking
  • Greater pain after (not during) exercise or activity

Doctor Examination

After you describe your symptoms and discuss your concerns, your doctor will examine your foot. Your doctor will look for these signs:

  • A high arch
  • An area of maximum tenderness on the bottom of your foot, just in front of your heel bone
  • Pain that gets worse when you flex your foot and the doctor pushes on the plantar fascia. The pain improves when you point your toes down
  • Limited "up" motion of your ankle

Tests

Your doctor may order imaging tests to help make sure your heel pain is caused by plantar fasciitis and not another problem.

X-rays

X-rays provide clear images of bones. They are useful in ruling out other causes of heel pain, such as fractures or arthritis. Heel spurs can be seen on an x-ray.

Other Imaging Tests

Other imaging tests, such as magnetic resonance imaging (MRI) and ultrasound, are not routinely used to diagnose plantar fasciitis. They are rarely ordered. An MRI scan may be used if the heel pain is not relieved by initial treatment methods.

Treatment

Nonsurgical Treatment

More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods.

Rest. Decreasing or even stopping the activities that make the pain worse is the first step in reducing the pain. You may need to stop athletic activities where your feet pound on hard surfaces (for example, running or step aerobics).

Ice. Rolling your foot over a cold water bottle or ice for 20 minutes is effective. This can be done 3 to 4 times a day.

Nonsteroidal anti-inflammatory medication. Drugs such as ibuprofen or naproxen reduce pain and inflammation. Using the medication for more than 1 month should be reviewed with your primary care doctor.

Exercise. Plantar fasciitis is aggravated by tight muscles in your feet and calves. Stretching your calves and plantar fascia is the most effective way to relieve the pain that comes with this condition.

Calf stretch

Calf stretch

  • Calf stretch
    Lean forward against a wall with one knee straight and the heel on the ground. Place the other leg in front, with the knee bent. To stretch the calf muscles and the heel cord, push your hips toward the wall in a controlled fashion. Hold the position for 10 seconds and relax. Repeat this exercise 20 times for each foot. A strong pull in the calf should be felt during the stretch.
  • Plantar fascia stretch
    This stretch is performed in the seated position. Cross your affected foot over the knee of your other leg. Grasp the toes of your painful foot and slowly pull them toward you in a controlled fashion. If it is difficult to reach your foot, wrap a towel around your big toe to help pull your toes toward you. Place your other hand along the plantar fascia. The fascia should feel like a tight band along the bottom of your foot when stretched. Hold the stretch for 10 seconds. Repeat it 20 times for each foot. This exercise is best done in the morning before standing or walking.

Cortisone injections. Cortisone, a type of steroid, is a powerful anti-inflammatory medication. It can be injected into the plantar fascia to reduce inflammation and pain. Your doctor may limit your injections. Multiple steroid injections can cause the plantar fascia to rupture (tear), which can lead to a flat foot and chronic pain.

Supportive shoes and orthotics. Shoes with thick soles and extra cushioning can reduce pain with standing and walking. As you step and your heel strikes the ground, a significant amount of tension is placed on the fascia, which causes microtrauma (tiny tears in the tissue). A cushioned shoe or insert reduces this tension and the microtrauma that occurs with every step. Soft silicone heel pads are inexpensive and work by elevating and cushioning your heel. Pre-made or custom orthotics (shoe inserts) are also helpful.

Heel pad

Soft heel pads can provide extra support.

Night splints. Most people sleep with their feet pointed down. This relaxes the plantar fascia and is one of the reasons for morning heel pain. A night splint stretches the plantar fascia while you sleep. Although it can be difficult to sleep with, a night splint is very effective and does not have to be used once the pain is gone.

Physical therapy. Your doctor may suggest that you work with a physical therapist on an exercise program that focuses on stretching your calf muscles and plantar fascia. In addition to exercises like the ones mentioned above, a physical therapy program may involve specialized ice treatments, massage, and medication to decrease inflammation around the plantar fascia.

Extracorporeal shockwave therapy (ESWT). During this procedure, high-energy shockwave impulses stimulate the healing process in damaged plantar fascia tissue. ESWT has not shown consistent results and, therefore, is not commonly performed.

ESWT is noninvasive—it does not require a surgical incision. Because of the minimal risk involved, ESWT is sometimes tried before surgery is considered.

Surgical Treatment

Surgery is considered only after 12 months of aggressive nonsurgical treatment.

Gastrocnemius recession. This is a surgical lengthening of the calf (gastrocnemius) muscles. Because tight calf muscles place increased stress on the plantar fascia, this procedure is useful for patients who still have difficulty flexing their feet, despite a year of calf stretches.

In gastrocnemius recession, one of the two muscles that make up the calf is lengthened to increase the motion of the ankle. The procedure can be performed with a traditional, open incision or with a smaller incision and an endoscope, an instrument that contains a small camera. Your doctor will discuss the procedure that best meets your needs.

Complication rates for gastrocnemius recession are low, but can include nerve damage.

Plantar fascia release. If you have a normal range of ankle motion and continued heel pain, your doctor may recommend a partial release procedure. During surgery, the plantar fascia ligament is partially cut to relieve tension in the tissue. If you have a large bone spur, it will be removed, as well. Although the surgery can be performed endoscopically, it is more difficult than with an open incision. In addition, endoscopy has a higher risk of nerve damage.

Complications. The most common complications of release surgery include incomplete relief of pain and nerve damage.

Recovery. Most patients have good results from surgery. However, because surgery can result in chronic pain and dissatisfaction, it is recommended only after all nonsurgical measures have been exhausted.

Download this PDF handout to learn more about plantar fasciitis

Dr. Robert Howard
Learn More

Robert Howard, DO

Dr. Howard is primarily focused on diagnosing and treating foot and ankle conditions with the latest techniques. Dr. Howard is one of the few orthopedic surgeons specifically trained in conditions of the foot and ankle. 

Sunday, 22 November 2020 22:05

Meet Our Team Dr. Schroeder

Meet Our Team -Dr. Schroeder

During these strange times we want to engage our patients more than ever. Each week we will be highlighting a different section of our staff to allow you to get to know us better. Please feel free to talk to us about our personal interests the next time you are in the office.

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Sunday, 22 November 2020 20:27

Meet Our Team Dr. Bahu

Meet Our Team -Dr. Bahu

During these strange times we want to engage our patients more than ever. Each week we will be highlighting a different section of our staff to allow you to get to know us better. Please feel free to talk to us about our personal interests the next time you are in the office.

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Monday, 16 November 2020 12:31

Covid Fall

COVID-19 UPDATE

Our office is now open.  We are following CDC guidelines to protect our patients and staff. Please see below for the additional steps we are taking to insure your safety. 

You can reach our office by phone, email or text. Just follow the links below.

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Michigan Department of Health issues three-week epidemic order to save lives, protect frontline heroes during fall COVID-19 surge

OSOC values the safety and security of our patients and staff.  During this unprecedented time we have added additional screening measures to mitigate potential exposure to COVID-19.

  • If you are sick, please stay home.

    Symptoms that may appear 2-14 days after exposure to the virus:
    Cough
    Shortness of breath or difficulty breathing
    Or at least two of the following:
    Fever
    Chills
    Repeated shaking with chills
    Muscle pain
    Headache
    Sore throat
    New loss of taste or smell

  • All patients will be screened before entering our office

    The office will screen each patient based on CDC recommendation during your scheduling call, as well as, when you enter the building.  Screening includes temperature readings and health questions.  Screening is done in a HIPPA compliant manner and again with your best interest in mind

  • All patients will be required to wear masks into the building.

    Face masks will NOT be provided at the time of your visit. Please bring your own.

  • Limited waiting room space

    In compliance with the governor's orders of social distancing we will limit all waiting room space. The patient will be asked to wait in their car and will be contacted when they are ready to be seen. Our office will be practicing strict social distancing guidelines during this pandemic.

  • No touch protocols

    Our office strives to minimize the spread of this virus by reducing as many touch points as possible. We will be scanning insurance and ID cards with a camera. Please fill out all forms at home and securely email them to us prior to your visit. 

If you have any questions about these protocols please use the links to contact our office.

Monday, 21 September 2020 22:29

Meet Our Team Dr. Ward

Meet Our Team -Dr. Ward

During these strange times we want to engage our patients more than ever. Each week we will be highlighting a different section of our staff to allow you to get to know us better. Please feel free to talk to us about our personal interests the next time you are in the office.

Sunday, 16 August 2020 23:59

Outpatient Joint Replacement

Same Day Discharge After Joint Replacement

Same Day Joint Replacement Surgery Offers Many Benefits With Decreased Risk

 

Monday, 10 August 2020 21:42

Meet Our Team

[pb_row ][pb_column span="span12"][pb_heading el_title="Meet Our Team -Dr. Kassab" tag="h1" text_align="inherit" font="inherit" border_bottom_style="solid" border_bottom_color="#000000" appearing_animation="0" ]Meet Our Team -Dr. Kassab[/pb_heading][pb_text el_title="Text 1" width_unit="%" enable_dropcap="no" appearing_animation="0" ]

During these strange times we want to engage our patients more than ever. Each week we will be highlighting a different section of our staff to allow you to get to know us better. Please feel free to talk to us about our personal interests the next time you are in the office.

Wednesday, 01 July 2020 13:42

Patient Forms