Conditions Often Mistaken for Plantar Fasciitis

Plantar fasciitis is a painful condition affecting feet that you can feel with every step you take.  The main symptom of plantar fasciitis is pain in the arch of your foot. Its usually localized at the sole of your foot, but the pain can be perceived as radiating throughout parts of your foot, ankle, and lower leg. That means plantar fasciitis might be confused with other conditions affecting your foot. A number of conditions can cause foot pain and be mistaken for plantar fasciitis. These conditions typically must be evaluated and ruled out before a diagnosis of plantar fasciitis. Ruptured Plantar Fascia In plantar fasciitis, the plantar fascia has micro-tears throughout the tissue. With a ruptured plantar fascia, the tears are larger and represent a significant injury. The two conditions have similar symptoms, but they are differentiated by the severity of pain and cause of the injury. A ruptured plantar fascia is almost always significantly more painful than plantar fasciitis. It also usually has a precursor, either plantar fasciitis or significant trauma. If you suffer from plantar fasciitis, it could worsen, weakening the plantar fascia to the point that it ruptures. If your foot is otherwise healthy, then it usually occurs during trauma or significant impact to your foot. Rupturing your plantar fascia is usually accompanied by a â€Å"pop† resulting in severe pain and an inability to bear weight on that foot. Swelling and bruising often soon follow. Surgery and other medical procedures might be needed to help the plantar fascia mend. Arthritis Arthritis is a common condition many people suffer from somewhere in the body. When arthritis occurs in the lower leg, ankle, or some part of the foot, the pain can be perceived the same way as pain from plantar fasciitis. Not only can the location of pain from arthritis be confused with plantar fasciitis pain,  but also the occurrence of pain can be similar. Arthritis pain usually is worse when the arthritic joint is being used. When the joint is at rest there might be no pain, the same pattern you see in plantar fasciitis. So you might have arthritis in your heel and not notice it until you take a step. Arthritis can be more painful when the body part is cold. The first step in the morning might be the most painful of the day with both plantar fasciitis and arthritis of the foot, simply because the anatomy is cold and tight and has not warmed up. The pain may dissipate with either as the foot warms up and blood flows more robustly. To diagnose plantar fasciitis, arthritis must usually be ruled out. Arthritis can be diagnosed with a more thorough workup by your doctor. Imaging tests might be needed. Stress Fracture Another condition commonly mistaken for plantar fasciitis is a stress fracture. A stress fracture is normally a partially broken bone. Instead of being broken all the way through, the bone is only cracked along a surface. Stress fractures usually are shallow along the surface of the bone but might be deep. Some stress fractures are a single crack in the bone, while others might be an  interweaving of small cracks, like the cracked shell of a hard-boiled egg. If the stress fracture is in your heel, toe, or metatarsal, then the pain might seem to be coming from the same spot as plantar fasciitis and feel like an injured plantar fascia: The more pressure you put on it, the more pain you feel. A stress fracture usually is distinguished from plantar fasciitis by pinpointing the location of the pain. Pain from a stress fracture also doesnt tend to dissipate the same way that pain from plantar fasciitis does as the fascia gets warmed and loosened up.   If the pain comes from the top of the foot, it is more likely to be a stress fracture in the metatarsal, which is prone to developing such fractures. If the pain is in the bottom of the foot, it is more likely to be plantar fasciitis. Pain from a stress fracture in the heel bone often seems to be coming from the same place as does plantar fasciitis. An x-ray typically can identify or rule out a stress fracture as the cause of your pain, even if the probability of it being plantar fasciitis is much higher. Circulatory Issues Issues with your circulatory system, such as bad circulation or cardiovascular problems, can cause symptoms similar to plantar fasciitis. Your feet are the body parts farthest from your heart and tend to feel the effects of poor circulation first. Are your feet ever cold while the rest of you is warm, and not because youre walking on a cold floor? Gravity and weight are also factors. Your blood pressure is higher in your lower body, especially in your feet, than it is in your upper body because theres  more pressure on it. Inflammation in your feet and lower legs—from being on your feet for a while, for example—can further constrict blood vessels. Not only does blood flow down to your feet, but it also must be pumped back up. The weakening of those support systems, the one-way valves in your veins, results in varicose veins. All this can lead to pain, which can be caused by weaknesses in the blood vessels resulting in a backup of blood flowing, creating painful pressure. Pain may also be caused by a lack of oxygen and nutrients getting to the tissue in your feet because of poor blood flow. Instead of your foot falling asleep, you might feel a deep, throbbing ache. Pain also can be caused by blood clots, which can lead to life-threatening situations. Because circulatory issues are serious, they should be thoroughly vetted and ruled out if youre having pain in your foot, even if you think its probably plantar fasciitis. This is especially true if you have varicose veins, tingling or swelling in the foot, or the same symptoms in both feet because plantar fasciitis is typically  a single-foot injury. Your doctor can evaluate your cardiovascular health by monitoring your blood pressure and blood oxygen level. The doctor might also suggest an EKG and a cardiovascular stress test to find out whats going on. Nerve Entrapment Nerves can cause extreme pain when compromised. The pain might not be felt where the nerve is compromised but at the end of the nerve structure, where the nerves chemical signals are parsed out to the cells that receive them. Nerve entrapment syndrome sometimes is confused with plantar fasciitis. In nerve entrapment syndrome, pressure is placed on a nerve by some other body part, such as a bone, muscle, or cyst.  When a nerve is trapped or pinched by other tissue, that tissue squeezes it and the nerve sends out a pain signal. This can happen to many nerves in your body, but the one most commonly mistaken for plantar fasciitis is the tibial nerve, which runs down the back of your leg. When the tibial nerve is pinched or entrapped near the ankle, it is called tarsal tunnel syndrome. The tibial nerve is most often entrapped there because its a mass of nerves, ligaments, and muscles squeezing through a skeletal structure called the tarsal tunnel, similar to the wrists carpal tunnel. If the tibial nerve is pinched, then you feel pain in the bottom of your foot much like with plantar fasciitis. Unlike plantar fasciitis, you might also feel tingling or numbness in the bottom of your foot. You should be able to replicate the symptoms without placing weight on your foot. If you can perform the same motions and pinch the nerve with your foot elevated, then the pain is most likely not coming from the plantar fascia. Sciatica Sciatica is another nerve-induced pain that can be mistaken for plantar fasciitis. Sciatica comes from farther away than tarsal tunnel syndrome, however. Sciatica is a pinching or irritation of the nerve in your spine. Your spine is composed of a number of bones, or vertebrae. Between each vertebra is a disc, similar to a gel pad, that cushions the vertebrae against each other and allows for flexibility of the spine. A disc might get irritated and, like most irritated body parts, become inflamed. The inflammation usually results in swelling in one small part of the disc, which makes the disc act like an old rubber inner tube. If there is a weak spot in the wall of an inner tube, it will bulge when you inflate it. The disc bulges, and if it takes more damage, it can rupture.  This is a herniated disc. The main nerve column in the body runs along the spine. The sciatic nerve, one of the body’s largest nerves, runs in this nerve bundle. When the disc bulges or ruptures, it can put pressure on part of the sciatic nerve, resulting in sciatica. This often sends a shooting pain down your leg, but the pain might be felt in your foot. As with other nerve pain, you might also feel a tingling or numbness, which can differentiate sciatica from plantar fasciitis. Fat Pad Atrophy Atrophy of the heels fat pad also might be confused with plantar fasciitis. As you age, this fat pad becomes thinner. Other factors might affect the thinning, but science doesnt fully understand whats happening. This fat pad is the first cushion for your gait. The pad can become so thin that it doesnt cushion the heel bone, and the heel suffers from repetitive trauma that can result in painful irritation, inflammation, a bone bruise, or a stress fracture. The pain often occurs in the same location as pain from plantar fasciitis. The pain might also be worse in the morning and dissipate as you loosen up. A doctor usually can determine if this is causing the pain by examining the thickness of the heel’s fat pad. Achilles Tendon Rupture Like a ruptured plantar fascia, an Achilles tendon rupture may create symptoms similar to plantar fasciitis. A ruptured Achilles tendon is a major tear in the thick tendon that runs along the back of your ankle from your calf to your heel. With a ruptured Achilles tendon, you have difficulty bearing weight on the foot. The pain can be severe and doesnt necessarily dissipate when you are off your feet. Another difference between a ruptured Achilles tendon and plantar fasciitis is that the pain with a ruptured Achilles usually is felt along the back of the heel; with plantar fasciitis, pain is more likely to be felt along the front of your foot. Tendonitis Tendonitis is similar in nature to plantar fasciitis, as the tissue that makes up the plantar fascia is the same type of tissue that makes up a tendon. Tendonitis can occur in any tendon within your body, and there are several tendons in your foot. Tendonitis in any foot tendon can result in pain when you step and stretch the tendon. The pain also should dissipate as the tendon warms and loosens up. The tendon in the foot most likely to develop tendonitis is the Achilles tendon along the back of your foot. You can usually distinguish between Achilles tendonitis and plantar fasciitis by the location of the pain.  Achilles tendonitis generally results in pain along the back of the heel, while plantar fasciitis generally means pain in front of the heel.   Bursitis Bursitis is another repetitive stress injury that can occur throughout the body. Bursae in the foot can become inflamed and develop bursitis like their more commonly stricken brethren in the knee, elbow, shoulder, and wrist. An inflamed bursa is tender and exudes pain when its compressed. If this occurs in the foot, especially in a bursa at the bottom of the foot, it can present symptoms similar to plantar fasciitis. Bursitis can be differentiated from plantar fasciitis by direct pressure. Since an inflamed bursa is tender and plantar fascia has little sensitivity, massaging it without much pain would indicate plantar fasciitis. If massaging  or just touching it causes a lot of pain, then it is more likely to be bursitis.

Grapes Of Wrath By John Steinbeck - 3897 Words

Have you ever realized that John Steinbeck talked about Religion in his book Grapes of Wrath? Well, if your answer is NO, let me inform you that Steinbeck did talk about Religion in his book. There are many similarities in John Steinbeck’s Grapes of Wrath and Christ’s story. In The Grapes of Wrath, Steinbeck presents religion in different ways ranging from Jim Casy’s similarities to Christ, the use of Christian theology, and the symbolism of some characters as pastors. Throughout his book, Steinbeck recounts the great depression era and its effects on proletariats. The major theme throughout this book is the role of Christianity in the society. Marxism is a better theoretical lens to utilize for this paper because the book itself contains several Marxist key terms. By applying the Marxist theory on Steinbeck’s book Grapes of Wrath, we can better understand how he uses Christian theology to advance his critiques of capitalism. Marxism is a literary theory that was developed by Karl Marx and his colleague Friedrich Engels. According to Karl Marx, human history is made of physical things as well as a variety of struggles between social classes: the lower class (oppressed) and the middle class (oppressing). There are two most common and important key terms used in the Marxist theory: bourgeoisie, which often refers to the middle class; those who own business or have a better life and proletariat, which refers to lower or working class; those who have to work for others inShow MoreRelatedThe Grapes Of Wrath By John Steinbeck Essay1622 Words   |  7 Pages The Grapes of Wrath John Steinbeck, widely viewed as one of the most finest and powerful American writer, born to a middle-class family in 1902 in the Salinas Valley of California. Steinbeck is a writer who often spoke for the people. 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William and the Khans Free Essays

With little gifts to bear, William is advised by the merchants of Constantinople that the captains and the Mongol Khans must be greeted with gifts, otherwise he will not be looked upon properly (William, p. 49). William embarked on this mission to deliver a letter on behalf of King Louis IX to Scratch, and to encourage conversion to Christianity. We will write a custom essay sample on William and the Khans or any similar topic only for you Order Now However, In his encounters with Scratch, Abate, and Managua Khan the purpose of his visit is misunderstood by a linguistic misinterpretation. Despite his allure to convert many people to Christianity, his letter is significant in presenting some of the educational and religious movements occurring within Europe, and the relations that were emerging through commerce In the thirteenth century. Rupee’s growing emphasis on education would broaden the horizons of Christianity, and commerce created interconnectedness among cultures regardless of religious differences. Western Europe developed a growing desire for advancements In education during the twelfth century. Places such as Toledo, spawn was â€Å"renowned as a center f learning where Muslims, Jews, and Christians freely intermingled† (Smith, Crossroads p. 414). After the Latin translations of Aristotle works began to enhance the method of thought towards the natural world, Pope Innocent Ill, along with the other popes of Rome, â€Å"placed Pearls schools of theology under their own supervision†, and recognized them as the first university (Smith, Crossroads, p. 414). The school’s basis on Christianity was built on language of religion, translation of texts, and the notion of spreading Christian values. With driven by such educational ND religious values, William Informed King Louis IX that his letter had been translated into Arabic and Syrian, so that it could be interpreted for Scratch Khan (William, p. 105). To his misfortune, the lack of linguistic accuracy did not allow the letter to be delivered as he expected. From this mistake, he was sent to see Abate, who then sent him to see Managua Khan. Upon seeing Managua, William was Informed that Abate had sent a letter to Managua informing him that he had â€Å"asked for troops and aid from Scratch against the Saracens (William, p, 166). Pone hearing this, William as overcome with a sense of astonishment and annoyance toward what he believed to be a misinterpretation. However, during this period Europe was heavily involved In the Crusades, and a plea for assistance from King Louis IX by letter might have been a probability. Western European universities promoted a sense of support for the 1 OFF to be overcome to properly interact t he religious teachings. Williams attempts, though futile, were agreeable with the church and universities in the spread of Christianity. Along the way to Khartoum, William encounters many people of diverse cultural ND religious backgrounds. Some of which include Muslims, Tibetan, Buddhists, and Insertion Christians. With such a willingness to allow the existence of other religious sects in the Mongolia Empire, there is a better sense of commercial mentality throughout the land. During this century, economic growth â€Å"was driven by rising agricultural productivity, population increases, and the expansion of markets, rather than revolutionary changes in industrial organization and technology’ (Smith, Crossroads, p. 381). European benefactors that contributed to this growing immemorial environment include, innovations in navigation such as the nautical compass, Portland, and the astrolabe (Smith, Crossroads, p. 382). Intercultural commerce became interdependent and more efficient. In the sass’s â€Å"the Mongol conquests dominate the history of Eurasia†, which allowed them to control many components of commerce along China, the Pacific Ocean, and the Mediterranean (Smith, Crossroads, p. 443). This reign in intercultural trade and commerce was expressed in the Mongol’s excessive representation of pride in their culture, and apathy towards others. Before Williams encounter with Abate, he mentions that â€Å"they have risen so much in their pride, that though they may believe somewhat in Christ, yet will they no be called Christian, wishing to exalt their own name of Moll above all other† (William, p. 107). As a leading culture, the Mongols represent their religious and political dominance by moral expressions, and a vast control in agricultural trade around the time of Williams visit. The connections between Williams visit to Khartoum, and Rupee’s new found sire for educational institutions can be drawn together by a desire for advancement. Just as educational acknowledgements in â€Å"Christian teachings, Summary Theological† were core ideas for progress in the overgrowing number of Universities, the spread of Christianity had a similar drive within European society (Smith, Crossroads, p. 414). Williams attempt to translate the French Kings letter was done in a hopeful effort to make it understandable to Scratch, and to show his acceptance of Christianity as suspected prior to the mission. Rather than converting Scratch, he as sent to see Abate, where his mission and efforts of conversion continued. Williams experience throughout his Journey was one of constant struggle. He was thoroughly misunderstood by the Mongolia people, and was looked down upon at various times. During this period the Mongolia Empire had a sense of superiority for their culture, which was a reflection of their successes. Controlling and preserving China’s â€Å"agriculture way of life would generate far greater rewards†, and would allow them ample opportunities in the trade market (Crossroads and Cultures, p. 42). Despite Williams detailed recollections, the events and circumstances that surrounded him superseded the importance of a single friar on a conquest to covert people into Christians. Following his Journey, he noted that his efforts only allowed him to convert six people. Whether this account is truthful is unknown. His recollections must be taken as observations of a time period, rather than an when we observe how the outside world reacted towards the writer, we are able to get a better perspective of the time and context of discussion. 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