Have you heard about Shockwave Therapy before or is this the first time? Do you know what to use? Is it a safe method? Want to know the answers to these questions? We will get to know the answers to these questions together.

What is Shockwave Therapy?

Doctors resort to this treatment when symptoms persist for at least 3-6 months and other treatment methods, such as physical therapy, ice therapy and orthotics, have failed. It is safer than surgical procedures and injections, helps heal wounds, relieves pain and treats a wide range of chronic tendon diseases and problems, such as:

  • Plantar fasciitis (heel pain)
  • Patellar tendinitis
  • Achilles tendinopathy
  • Great rotator pain syndrome (lateral hip pain)

Facts you should know

  • The session takes approximately 30 minutes.
  • You will often need 3 treatment sessions, one each week, but if you do not get the required results, the number of sessions may be increased to 6.
  • You can resume your usual daily activities following the session, but avoid violent activities for up to 48 hours after treatment, even if you do not experience pain in the injured region.
  • If you have used corticosteroid injections, you will need to wait six weeks before starting shockwave therapy.
  • The success rate of this method is up to 70%, and it has not shown any long-term complications so far.

Is it safe?

Shockwave therapy is very safe and has minimal side effects, for example, it may cause pain and skin redness! You can then use over-the-counter pain relievers, but do not apply ice to the treated area and do not take non-steroidal anti-inflammatory drugs.

Although it is a safe method, it should never be used in the following cases:

  • If you are pregnant or planning to become pregnant
  • For those under 18 years old
  • For heart patients or when using a pacemaker
  • The presence of a tumor or infection at the treatment site
  • Acute inflammation in the treatment area
  • When taking some antibiotics

You should consult a specialist doctor because he is always best able to determine if shockwave therapy is the most appropriate choice for you or not.


Arthritis is an umbrella term for more than 100 conditions, not just one! This is prevalent and causes joint pain and inflammation. Further, it can strike at any age, even in childhood! Fortunately, there are many ways to alleviate pain without using medication.

Types of arthritis

The most common types are:

  • Rheumatoid arthritis: an autoimmune and inflammatory disease that occurs when your immune system mistakenly attacks your body’s cells, resulting in painful swelling in the affected area.
  • Osteoarthritis: the most common type of arthritis often associated with aging or injury.
  • Gout! Can you believe it is one of the painful types of arthritis? It is caused by the accumulation of uric acid in the body.

What are the most frequent symptoms?

Though there are many different types of arthritis and symptoms vary depending on your condition, you should consult a doctor for a proper diagnosis if you experience any of the following symptoms:

  • Joint pain and stiffness.
  • Inflammation in or around the joints.
  • Difficulty with movement.
  • Redness of the skin over the affected joint.
  • Muscle weakness.

Prevention tips

Making some lifestyle modifications can help you lower your risk of developing some types of arthritis. These prevention tips include:

  • Maintaining a healthy weight and losing excess weight to reduce stress on joints.
  • People who are overweight or obese are more likely to develop osteoarthritis of the knee.
  • Excess weight can also increase the severity of the injury.
  • Protect your joints from injury or overuse because they may damage the joint and cause osteoarthritis.
  • Ensure that you wear protective equipment when cycling or at work if you are at risk of falling.
  • Quit Smoking. Smoking increases the risk of developing arthritis and can make the disease worse.

Tips to control arthritis

The following tips will help relieve many of the symptoms including pain:

  • Take some OTC pain relievers, such as non-steroidal anti-inflammatory drugs (NSAIDs).
  • Go to physical therapy
  • Lose weight if you are overweight or obese.
  • Engage in physical activities or sports.

Does physical activity actually have a positive effect?

Indeed, regular physical activity can help relieve pain just as effectively as some over-the-counter medications. You can participate in any of the following sports: walking, cycling, swimming, or water aerobics. Physical activity will also give you several added benefits, such as enhanced physical function and mood, as well as reduced anxiety.


Before talking about plantar fasciitis treatment let’s discuss facts, plantar fasciitis, which causes swelling and pain, accounts for around 11% to 15% of common foot disorders! At first, you may think the numbers aren’t that significant, but the pain is, and it generally causes stabbing pain! Fortunately, several treatment options are effective in relieving pain and allowing you to return to your daily activities.

Find out more info about Plantar fasciitis.

Plantar fasciitis Treatment

There are several therapy alternatives available, but combining many options is more beneficial than using just one.

Home remedies

There are various ways you may do at home that are helpful and can help relieve the symptoms. These techniques include:

Ball/ice bottle

  • Put a ball or round iced bottle under your foot and roll it up from heel to toe.
  • It helps reduce local inflammation and massage the plantar fascia.
  • Be careful not to put ice for a long time or directly on the skin to avoid getting an ice burn!

Calf muscle tightening

It helps in preventing recurrence.

To do this exercise

  • Stand on a thick book and then do the stretching exercise
  • Stand with your toes straight while you are barefoot
  • Make sure your knees are straight, you can use a smaller book if you can’t stand straight and then slowly increase the height of the book as you become more flexible
  • Continue to stretch for 2-5 minutes

It is necessary to do these exercises twice a day.


  • Make sure you’re wearing supportive shoes that are appropriate for the activity you’re doing. Choose shoes with short heels to help relieve symptoms.
  • Remember that non-supportive or flat shoes are not appropriate during the treatment.

For more tips on how to choose footwear.

The medical treatment

The treatment plan that your doctor has prescribed for you may include some other treatment methods such as

  • Corticosteroid injections that have a strong effect in reducing heel pain.
  • Anti-inflammatory drugs.

It is critical to follow your doctor’s treatment plan or your symptoms will probably worsen. Also, if you are overweight, losing some weight may assist alleviate stress on the plantar fascia.

Your doctor may recommend physical therapy if your symptoms are slowly improving!


Life taught us that everything has a price, and certainly muscle pain after exercising is the price of exercising. Whatever your fitness level, you may have muscle pain after beginning a new activity or pushing yourself harder than usual.

Why do you feel muscle pain after exercising?

Contrary to popular belief, lactic acid accumulation is not the reason! Muscle pain after physical activity, known as “delayed muscle soreness,” usually happens after starting a new exercise program, changing your exercise routine, or increasing the duration or intensity of regular exercise. It is typically caused by the muscles functioning more or in a different way than they are used to.

When will you feel better?

It usually lasts 3 to 5 days. The pain, which can range from mild to severe, usually develops a day or two after exercising. You should not confuse this type of pain with any other type of pain you may encounter while activity, such as sharp and sudden pain that occurs as a result of an injury, such as muscle strains or sprains.

Who can have muscle pain after sports?

Muscle pain after exercise can affect anybody, including individuals who have been active in sports for a long time, such as professional athletes, who are familiar with it.

Pain is a normal part of the muscular adaptation process to develop endurance and strength while the muscles recover and strengthen. The good news is that pain reduces as you exercise and your muscles adjust to the new kind and amount of activity.

Treatment tips

These tips may help relieve symptoms:

  • Rest
  • Ice packs
  • Take painkillers when needed.
  • Massage the affected area.

You should see a doctor, if your pain becomes unbearable, you have severe swelling, or your urine turns dark.


One of the best ways to prevent muscle pain after any physical activity is to start a new activity gently and gradually to help the muscles adjust to the new movements to reduce the pain. Also, warming up will reduce the risk of injury and improve your performance.


Heel spur affect around 15% of the world’s population! They are bony growths that emerge from the bottom of the heel bone inside the foot as a result of strain on the foot ligaments.

Is it a heel spur or plantar fasciitis?

It is true that heel spurs and plantar fasciitis are related problems, but they are not the same. Because:

  • Plantar fasciitis occurs when the plantar fascia is overly torn or stretched, resulting in severe heel pain that comes and goes throughout the day. It differs in that it eases while walking, then returns when sitting, and then increases to move for a longer time.
  • As for the heel spur, it occurs as a response to plantar fasciitis for a long time, so that the body builds additional bone tissue that turns into a spur in the heel!

Heel spur treatment

A heel spur is treated in the same way as plantar fasciitis is. Because plantar fasciitis causes heel pain that indicates a heel spur. So, treating the symptoms of plantar fasciitis aids in the relief of the associated pain.

Treatment includes:

  • Resting your heels after running.
  • Using cold compresses or ice.
  • Taking anti-inflammatory medications, if needed.
  • Stretching before activity
  • Wearing shoes or using shoe inserts that protect the plantar fascia. Your doctor will help you choose what is right for you.

A few cases may need surgery to remove the heel spur as part of plantar fasciitis surgery.

Tips you can take to prevent

There are several factors that increase the risk of infection. Fortunately, some factors can be changed, but some factors cannot be changed.

The following tips can help you:

  • Choose soft surfaces such as grass and paths over hard surfaces when running.
  • Wear shoes that fit and support your foot.
  • Do not walk barefoot on any hardwood or tile floors.
  • Walk properly to alleviate strain on your heels. You may get advice from Health and Style Medical Center and have a walking gait assessment.
  • Maintain a healthy weight to reduce pressure on your heels.
  • Change your daily routine to avoid standing on your feet for long periods as much as possible.

Non-modifiable factors

  • Age; some natural changes occur as we get older such as:
  • The plantar fascia becomes less flexible and more susceptible to plantar fasciitis.
  • Lose the natural fat pads under your feet gradually.
  • You have high arches.


Muscle strain is a common injury that can be treated most of the time at home and often affects the knees, feet, legs, or back.

Do I have muscle strain?

You probably have muscle strain if you can’t put weight on the injury or even use the injured area normally and you feel:

  • Pain
  • Muscle weakness and inability to use the injured area.
  • Swelling or bruising of the affected area
  • muscle spasms

What should I do if I have muscle strain?

For the first two days, follow these steps to reduce swelling and support injury:

  • Rest and stop doing any exercise, but be sure to move the affected area constantly. The physiotherapist may put you on a program of some light exercises appropriate for your condition.
  • Avoid putting any weight on the injury, but try to walk as naturally as possible.
  • Apply ice or a bag of frozen vegetables wrapped in a towel on the injury for 20 minutes and repeat this step every 2 to 3 hours.
  • Wrap a bandage around the injury to support it.
  • Elevate the place of injury on the pillow as much as possible.

Also, avoid hot baths or exposing the affected area to heat, alcohol, and massage for the first two days to help prevent swelling.

How long does it take to recover?

You may gradually return to normal life if the pain settles. Some severe cases take months to recover again, while most cases improve after two weeks. However, you should avoid strenuous exercise such as running for up to 8 weeks to avoid the risk of further damage.

It is best to refer to the doctor to determine when you can return to sports based on the speed of your recovery, not in days or weeks because the recovery rate varies from person to person. Often you will be able to exercise again when the injured area regains its strength compared to the uninjured area, such as:

  • Flex the injury site without pain.
  • Jogging without limping.
  • Jump on the affected area without feeling any pain.

Factors affecting healing

Recovery usually takes six to eight weeks. However, you may experience discomfort and swelling for a longer time.

Following these tips will give your ankle a better chance of healing:

  • Use meditation and deep breathing techniques to relieve stress.
  • Sleep from 6 to 9 hours
  • Ensure that you have a balanced diet and take vitamin D, as it helps reduce joint pain.
  • Quit smoking because it causes musculoskeletal pain and delayed recovery.


Your kid enjoys exercising, but recently the pain in his heels has prevented him from doing so? Sever’s disease might be the cause, especially if your kid is nearing puberty! Let’s look more closely into Sever’s disease.

This illness is characterized by swelling and irritation in the heel, particularly in the growth plate because it is weaker and more sensitive than the rest of the bones, but there is no need to worry; following the doctor’s instructions will usually help the disease disappear within a few months without causing permanent problems.

Is your child vulnerable to Sever’s disease?

Sever’s disease most often affects kids who play sports that involve running or jumping, especially on hard surfaces such as basketball and gymnastics and occurs between the ages of 9 and 14 years old.

Sever’s disease occurs during the growth spurt of puberty because the bones, muscles, and tendons grow at a different rate, making the muscles and tendons more likely to stretch, causing the growth plate in the heel to stretch.

However, Sever’s disease can often occur as a result of prolonged standing due to constant pressure on the heel.

Furthermore, several factors may cause Sever disease, such as:

  • Flat feet injury
  • Being overweight
  • High body mass index

So, what are the symptoms of Sever’s disease?

If your kid is at high risk, check if he/she has these symptoms:

  • Pain in one or both ankles
  • Swelling and redness in the heels
  • Foot stiffness when waking up
  • Limping or walking on tiptoes
  • Pain when pressing the heel on both sides

Symptoms may also worsen during or after exercise and then the condition improves with rest.

Treatment for Sever’s disease

If your kid has Sever’s disease, the doctor may recommend some or all of the following:

  • Rest which includes reducing or even avoiding all activities that cause pain, simple exercises such as walking and swimming can be recommended.
  • Put ice in a washcloth on the heels every 1-2 hours for 15 minutes each time.
  • Use an analgesic/pain reliever such as Ibuprofen.
  • Use shoe inserts to reduce pressure on the heel.
  • Wear open shoes from the back so as not to irritate the heel.
  • Wrap a medical bandage or wear a compression stocking.
  • Physical therapy or a home exercise program to help stretch and strengthen.

Your doctor may use a leg cast for about a week if:

  • Symptoms are severe.
  • Symptoms do not improve after a few weeks of rest and treatment.

What happens after the recovery?

When the activity is not causing any pain, kids can return to all of the sports and activities they used to do following recovery, which can take two weeks to two months.

Some steps can also help your kid prevent re-occurrence of Sever disease, such as:

  • Wear appropriate athletic shoes that have a cushioned sole
  • Avoid heavy or high-heeled shoes
  • Stretching before and after activity and sports
  • Placing a towel with ice on the heels for 15 minutes after exercising
  • Use of special shoe inserts
  • Lose weight if he is overweight

Usually, after age 15, your kid will not have Sever’s disease again.


The toes, especially the big toe, help us move and maintain balance, so pain, no matter how little, affects our mobility, making the hallux rigidus a source of severe discomfort due to the pain and joint stiffness it causes as a result of the erosion of the joint surfaces. Sometimes only the upper part of the joint is affected and the rest of the joint is intact, while other times it causes the entire joint to erode.

Causes of Hallux Rigidus

When walking, the major joint of the big toe is subjected to enormous stress; with each step, it bears a force equal to double the body’s weight! Hallux rigidus might also be the result of a previous injury or another medical condition, such as gout.


  • Pain in the big toe when walking or even while at rest.
  • Stiffness and loss of the ability to turn the big toe upwards, sometimes so hard that it cannot be laid flat on the floor.
  • A bony protrusion (bone growth) that may appear above the joint to rub against the shoe.
  • Pain in the ball of the foot or in its outer edges as a result of walking on the side of the foot to avoid the pain of the big toe.
  • Deformation of the toes.


The severity of the case determines treatment. For example, simple treatment methods will help ease the symptoms in the early cases, such as:

  1. Wear suitable shoes with a wide toe room and a harder sole to minimize friction across the joint.
  2. Use medical insoles which can help improve foot function and reduce pain.
  3. Take pain relievers such as Paracetamol.
  4. Weight loss If you are overweight, this will reduce the pressure on the foot.
  5. A healthy diet and a healthy lifestyle.

Other treatment methods may include:

  1. Treatment by injection (steroid) into the joint to help reduce pain and inflammation
  2. Surgery- if other treatments fail.

After Hallux Rigidus surgery?

The surgery normally takes approximately an hour, and you should avoid moving it as much as possible for two weeks. If you feel pain, the doctor will prescribe some painkillers for you

  • To avoid foot swelling, rest with your foot lifted on a chair or the end of a sofa at first.
  • About two weeks after the surgery, you will return to the clinic to remove the stitches.
  • Your doctor may ask you to wear a surgical shoe so that the bones can heal safely

You will frequently require rehabilitation treatment before returning to your favorite activities.


Painless swelling of the lower extremities, such as swollen feet, ankle, calves, and thighs, is a common problem, especially among the elderly. It usually occurs as a result of fluid buildup in them. It can also affect both legs, affecting the calf muscles or even the thighs.

Common causes of swollen feet

Swollen feet often occur due to:

  • Standing or sitting for long periods. This is caused by gravity, which naturally pulls water into your legs and feet.
  • Weak valves in the veins in the legs (venous insufficiency) that make it difficult for blood to return to the heart and lead to fluid buildup in the legs.
  • Having some diseases such as congestive heart failure, lung diseases, liver, kidneys, and thyroid gland.
  • Taking some medications such as medications that some blood pressure medications or birth control pills or antidepressants or stimulants.
  • Pregnancy Because your body retains more fluid during pregnancy, hormonal changes also play a role.
  • Eating a lot of salty foods.
  • Overweight
  • Ankle sprain or strain
  • Insect bite or sting

As you have noticed, the reasons range from simple reasons that can be overcome with some changes in your life system to major problems that need to consult a doctor immediately, so you will need to visit the hospital if you have leg swelling with any of the following signs or symptoms:

  • Chest pain
  • Breathing difficulties
  • Shortness of breath with exertion or lying-in bed
  • Fainting or dizziness
  • Coughing up blood

or if the swelling

  • It occurred unexpectedly and for no apparent cause
  • Caused by a bodily injury such as a fall, a sports injury, or a motor vehicle accident
  • Occurs in one leg and is painful or accompanied by cold and pale skin


  • Placing a pillow under your legs when lying down may reduce swelling associated with fluid buildup.
  • Walking or doing light exercises to improve blood circulation.
  • Wear comfortable, low-heeled shoes
  • Foot care
  • Avoid standing or sitting for long periods If you need to stand or sit for long periods, give yourself frequent breaks and move around unless movement causes pain.
  • Reduce the amount of salt in your diet.
  • Wear elastic compression stockings, but avoid tights around the top.
  • Take medicines prescribed by the doctor and do not stop them without talking to him even if you suspect that they will cause swelling.
  • Consult a pharmacist to prescribe an analgesic for the pain associated with the swelling.

Additional tips for pregnant women

  • Sleeping on the left side because this reduces pressure on the veins that return blood to your heart.
  • Wearing compression stockings, but after consulting your physician.
  • Standing or walking in the pool, some researches indicate the role of water pressure in obtaining temporary relief from swelling during pregnancy.
  • Wear loose-fitting clothing because tight clothing can restrict blood flow.


After making certain lifestyle changes, such as reducing weight or eating a low-salt diet, the swelling will often go away on its own. But you may need to see a doctor if the condition does not improve within a few days.


Winter is approaching, and with it, cold extremities. Most of us suffer from cold feet in the winter, and some of us hate winter because of it! However, you may stop blaming the winter and begin blaming Raynaud’s disease, since it may cause freezing feet!

Let’s find out more about this disease…

What is Raynaud’s disease?

Normally, our bodies respond to cold weather by constricting blood vessels to keep the body warm. Similarly, in response to high temperatures, it dilates the blood vessels, enabling blood to flow more easily to the skin and ridding it of heat.

Raynaud’s disease affects the blood circulation to certain regions of the body and appears as an excessive reaction to cold conditions, so the blood capillaries constrict more than usual to keep the body and internal organs warm, which results in reducing blood flow to extremities leading to turning cold feet blue and finally white.

Raynaud’s symptoms might persist from a few minutes to many hours.


  • Change in skin color
  • Pain
  • Numbness
  • Tingling feeling
  • Difficulty moving the affected area


You can usually treat Raynaud’s disease by following a few tips, although sometimes medication may be necessary.

Tips for patients

  • Keeping the house warm
  • Wearing warm clothes in cold weather
  • Wear gloves and warm socks
  • Exercising regularly to improve blood circulation
  • Practicing yoga to help you relax
  • Eat a healthy and balanced diet
  • stop smoking
  • Reduce drinks that contain a lot of caffeine, such as tea, coffee and cola

In case that you experience an attack and the symptoms arise, go to a warm room and move around and move your fingers and toes to increase blood flow. It can also help to put your hands under warm water, but pay attention to water temperature because numbness can make it difficult to assess water temperature.


Most often, your doctor will prescribe calcium channel blockers because they dilate blood vessels to increase blood flow and relieve symptoms. Depending on the pattern of symptoms and how well you respond to treatment, you may be asked to take the medication every day, or you may only need to take it during a sudden cold snap.

When do you consult a doctor?

  • If your symptoms are getting worse
  • Symptoms affecting your daily activities
  • Symptoms appear on only one side of the body
  • You suffer from joint pain, rash, or muscle weakness
  • Your symptoms first appeared after the age of thirty
  • If your child is younger than 12 and has symptoms of Raynaud’s disease

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