Posts Tagged ‘Connective Tissue’

Help heel pain

Tyrone M. Reyes, M.D.

Rising in the morning, you put your feet on the floor and immediately feel a sharp pain inside your heel. Or after exercising your heel aches and swells. Or your heel hurts anytime you stand up after sitting for a while.

These pains are typical of plantar fasciitis, a common foot condition. It’s caused by the inflammation of the fibrous tissue that runs along the bottom of your foot. This fibrous band of connective tissue is the plantar fascia that attaches your heel to your toe bones (see diagram). Although it’s not dangerous, plantar fasciitis can curtail your activities and alter your gait, which can cause foot, knee, and back pain.

Some other causes need to be ruled out, including pain due to a pinched nerve in your back or at the level of the ankle or foot, a stress fracture, or chronic conditions, such as inflammatory arthritis. But in most cases, pain on the bottom of the heel is due to plantar fasciitis. The plantar fascia has a lot to do with supporting your foot. It acts like a shock-absorbing bowstring that supports the arch and keeps the foot from collapsing. The trouble comes if there’s too much tension placed on your foot’s “bowstring.” The result can be microscopic tears in the fibrous plantar fascia tissue, inflammation and piercing pain, or an aching or burning sensation in the heel. Usually, the problem is gradual, affecting only one foot. (more…)

Help heel pain

by Tyrone M. Reyes, M.D.

Rising in the morning, you put your feet on the floor and immediately feel a sharp pain inside your heel. Or after exercising your heel aches and swells. Or your heel hurts anytime you stand up after sitting for a while.

These pains are typical of plantar fasciitis, a common foot condition. It’s caused by the inflammation of the fibrous tissue that runs along the bottom of your foot. This fibrous band of connective tissue is the plantar fascia that attaches your heel to your toe bones (see diagram). Although it’s not dangerous, plantar fasciitis can curtail your activities and alter your gait, which can cause foot, knee, and back pain. (more…)

Painful Muscles and Joints

As people age, they begin to complain more of pains in their muscles and joints. They seem to stiffen up with age, and such commonplace activities as bending over for the morning paper can make them wince.

Such pain can grip so fiercely that they are sure it begins deep in their bones. But the real cause of stiffness and soreness lies not in the joints or bones, according to research at the Johns Hopkins Medical School, but in the muscles and connective tissues that move the joints.

The frictional resistance generated by the two rubbing surfaces of bones in the joints is negligible, even in joints damaged by arthritis.

Flexibility is the medical term used to describe the range of a joint’s motion from full movement in one direction to full movement in the other. The greater the range of movement, the more flexible the joint.

If you bend forward at the hips and touch your toes with your fingertips, you have good flexibility, or range of motion of the hip joints. But can you bend over easily with a minimal expenditure of energy and force? The exertion required to flex a joint is just as important as its range of possible motion.

Different factors limit the flexibility and ease of movement in different joints and muscles. In the elbow and knee, the bony structure itself sets a definite limit. In other joints, such as the ankle, hip, and back, the soft tissue—muscle and connective tissue—limit the motion range.

The problem of inflexible joints and muscles is similar to the difficulty of opening and closing a gate because of a rarely used and rusty hinge that has become balky.

Hence, if people do not regularly move their muscles and joints through their full ranges of motion, they lose some of their potential. That is why when these people will try to move a joint after a long period of inactivity, they feel pain, and that discourages further use

What happens next is that the muscles become shortened with prolonged disuse and produces spasms and cramps that can be irritating and extremely painful. The immobilization of muscles, as researchers have demonstrated with laboratory animals, brings about biochemical changes in the tissue.

However, other factors trigger sore muscles. Here are some of them:

1. Too much exercise

Have you always believed on the saying, “No pain, no gain?” If you do, then, it is not so surprising if you have already experienced sore muscles.

The problem with most people is that they exercise too much thinking that it is the fastest and the surest way to lose weight. Until they ache, they tend to ignore their muscles and connective tissue, even though they are what quite literally holds the body together.

2. Aging and inactivity

Connective tissue binds muscle to bone by tendons, binds bone to bone by ligaments, and covers and unites muscles with sheaths called fasciae. With age, the tendons, ligaments, and fasciae become less extensible. The tendons, with their densely packed fibers, are the most difficult to stretch. The easiest are the fasciae. But if they are not stretched to improve joint mobility, the fasciae shorten, placing undue pressure on the nerve pathways in the muscle fasciae. Many aches and pains are the result of nerve impulses traveling along these pressured pathways.

3. Immobility

Sore muscles or muscle pain can be excruciating, owing to the body’s reaction to a cramp or ache. In this reaction, called the splinting reflex, the body automatically immobilizes a sore muscle by making it contract. Thus, a sore muscle can set off a vicious cycle pain.

First, an unused muscle becomes sore from exercise or being held in an unusual position. The body then responds with the splinting reflex, shortening the connective tissue around the muscle. This cause more pain, and eventually the whole area is aching. One of the most common sites for this problem is the lower back.

4. Spasm theory

In the physiology laboratory at the University of Southern California, some people have set out to learn more about this cycle of pain.

Using some device, they measured electrical activity in the muscles. The researchers knew that normal, well-relaxed muscles produce no electrical activity, whereas, muscles that are not fully relaxed show considerable activity.

In one experiment, the researchers measured these electrical signals in the muscles of persons with athletic injuries, first with the muscle immobilized, and then, after the muscle had been stretched.

In almost every case, exercises that stretched or lengthened the muscle diminished electrical activity and relieved pain, either totally or partially.

These experiments led to the “spasm theory,” an explanation of the development and persistence of muscle pain in the absence of any obvious cause, such as traumatic injury.

According to this theory, a muscle that is overworked or used in a strange position becomes fatigued and as a result, sore muscles.

Hence, it is extremely important to know the limitations and capacity of the muscles in order to avoid sore muscles. This goes to show that there is no truth in the saying, “No pain, no gain.” What matters most is on how people stay fit by exercising regularly at a normal range than once rarely but on a rigid routine.

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