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Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Endoscopic plantar fasciotomy versus extracorporeal shock wave therapy for treatment of chronic plantar fasciitis. Evidence on the effectiveness of topical nitroglycerin in the treatment of tendinopathies: a systematic review and meta-analysis. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. 1.    Are you feeling discomfort along the bridge of your nose?  Is the pain worse in the late morning, even worse when you wear your glasses?  Has bad breath been a problem? 2.    Is the pain and pressure just below your eyes?  Do you have a toothache or extra sensitivity in your teeth? 3.    Do you suffer from chronic postnasal drip?  Have you noticed a persistent, low-grade headache right in the forehead area?  Your frontal sinuses may be the problem. Sometimes, a sinus infection starts with an upper respiratory infection or common cold, explains the Ohio State University Medical Center website. If, after trying regular irrigation of the sinuses and prescription medications, no relief is in sight, otolaryngologist Dr. At our Gillum Sinus and Allergy Institute, we know about the “double whammy” caused by mouth breathing.
Chronic sinusitis, an inflammation of the sinus lining lasting three months or more, is a condition Dr. Thousands of patients have now experienced relief and renewed bodily health, now able to breathe properly through the nose.
At Gillum Sinus and Allergy, we know how true that is.  After all, during his years of training in Head and Neck Surgery, Dr. What is even more interesting to us about the Medical News Today conclusion (you know, about surgery changing not only the body, but the way the patient lives), is that it’s even truer when it comes to sinus and allergy sufferers who undergo balloon sinuplasty.
Chronic sinusitis is a big medical problem worldwide, with more than thirty million Americans affected every year. Balloon sinuplasty involves introducing a narrow catheter into the nasal cavity, precisely positioning it inside the nose using endoscopic visualization. Talk about changing not only how the body functions, but how life is lived!  “Jerry Erwin can enjoy his semi-retirement and play golf.  Cat Haskett can serve her restaurant patrons with energy and aplomb. For balloon sinuplasty patients, the common refrain is “I can finally breathe!” At Gillum Sinus and Allergy, that’s a refrain we love to hear! Otolaryngologists know that lack of sleep often leads to lower metabolic rates, which lead to weight gain. But when those sleepless nights are caused by chronic sinusitis lasting three months or more, it may be time to consider balloon sinuplasty, a minimally invasive option used by Dr. Although there is more than one way to irrigate your nose, including a squeeze bottles and bulb syringes, one of the most popular devices is the Neti pot, which looks like a small teapot, or as WebMD describes it, Aladdin’s magic lamp.
One of five bizarre things exercise does to your body, says Karen Asp in Readers Digest’s “Fitness Update”, is that “your nose is suddenly a leaky faucet”. At our Indiana sinus and allergy clinics, the next step might include an allergy assessment in addition to both over-the-counter and prescription medications such as antibiotics, decongestants, and even steroids.
Only after those options have been explored – and failed to work – our otolaryngologist might move patient treatment to the second stage of sinus and allergy treatment – surgery. If your nose is interfering with your workout, Readers Digest advises you to ask your doctor to prescribe a nasal spray and to pack plenty of tissues in your pockets.
We’ve seen it over and over again at our Gillum Sinus and Allergy Institute.  Patients who have forgotten what it was like to breathe freely and to live without sinus pain and congestion are amazed at how much their lives improve after having balloon sinuplasty. Still, surgery of any type is warranted only when patients have continued to suffer from problems that impacted their lives significantly continue to have problems that impact their life significantly.
You have frequent headaches, with deep and constant pain in the cheekbones, forehead, and bridge of the nose.  The pain intensifies with sudden head movements or with straining. Fall allergy triggers are different, but they can cause just as many symptoms as you have in spring and summer,” according to WebMD.   Having reached the end of July, we realize, we’re on the cusp, looking at three months when fall allergy triggers abound. Even then, matters are hardly simple, as we’ve learned over the years at our two sinus and allergy clinics.
At Gillum Sinus and Allergy, we’re happy to report, modern medicine is helping patients not only know the sinusitis and allergy “enemies” but win the war! What’s the connection between allergies and sinusitis?  Our sinuses are hollow pockets connected to our nasal passages. And now that Endoscopic Sinus Surgery with Balloon Sinuplasty technology has been approved by the FDA, most won’t have to. Now that’s a way to “trivialize” the problem of chronic sinusitis and rhinitis allergies and get  patients breathing normally and getting a good night’s sleep, for a change! You know when your sinuses are plugged up, and you just want to pull your sinus out through your eyeballs to relieve the pressure? Oregano –  Provides immune-enhancing benefits, supports healthy digestion and respiratory function, and is an excellent source of antioxidants. Melaleuca – Promotes healthy immune function and protects against environmental and seasonal threats.
Put 2 drops of Lavender, Lemon, and Peppermint in a veggie capsule, and take with water once a day.
Put 15 drops of each oil into a 10 ml roll-on bottle, fill with Fractionated Coconut Oil and rub on the bottom of your toes, morning and night. If you want to learn more about the essential oils we use email me at seekingwellness at fabulesslyfrugal dot com or text me at 208-907-OILS. If I breathe it in until I’m breathing clearly, a couple to several hours, depending on how bad the sinus problems are. Historically, plantar fasciitis was considered an inflammatory syndrome; however, recent studies have demonstrated a noninflammatory, degenerative process,3 leading some to use the term plantar fasciosis.
Medial heel pain may be triggered by the posterior tibialis, flexor digitorum longus, or flexor hallucis longus tendons.6 Lateral heel pain can originate from the peroneal tendon. Chances are,our ENT physician will conclude the problem originated in your ethmoid sinuses.
Allergic disease can also lead to sinusitis because of the swelling of the nasal tissue and increased production of mucus.

Jefferson goes so far as to claim that orthodontia can be, in many cases, the best solution for mouth-breathing problems. At Gillum Sinus and Allergy, you might say our motto is: For good mental health, keep an open mind.  But for good overall health, keep an open nose! Timothy Gillum developed a strong interest in facial plastic and reconstructive surgery, and he followed his residency training with an elective year of specialized training with the American Academy of Facial Plastic and Reconstructive Surgery in Indianapolis.
Gillum’s Marion, Indiana clinic have one goal in mind – helping you achieve your most beautiful, healthy face. When patients first visit our Gillum Sinus and Allergy Institute, they are typically suffering from congestion, and fatigue. Then a tiny balloon attached to the catheter is gradually inflated to remodel the blocked passages. Active mother and grandmother Linda Greenwell is breathing easy, while her sinuses are no longer “making damage” to Lana Sviridona’s body. A potentially very serious problem with mouth breathing is that the tongue can fall back and block the airway, causing snoring and even sleep apnea. Conversely, adults who are overweight with broad necks may have more trouble breathing at night. Gillum.  Balloon sinuplasty is clinically proven to be safe, effective and improve the quality of life. You need healthy, unblocked sinus cavities and nasal passages in order to breathe through the night.  At Gillum Sinus and Allergy Institute, our goal is to help put you to sleep.  Then you can wake up each morning refreshed and ready to put your best face forward!
At Gillum Sinus and Allergy Institute, we explain to patients that the way the Neti pot works is that it thins mucus and clears away crusting inside the nasal passages. The liquid inside the Neti-pot is typically purified or filtered water with salt added (tap water shouldn’t be used, because it contains bacteria).
The technical term is exercise-induced rhinitis, which comes about because increased nasal breathing during exercise dries out the nose’s mucous membrane. One of the most-often reported symptoms we hear about at our Gillum Sinus and Allergy Institute is a constantly runny – or constantly stuffed-up, trying-to-run nose. Timothy Gillum’s otolaryngologist colleagues admits.  Instead, people often adapt to living with their sinus problems, believing they have no choice.
Most patients who have in-office balloon sinuplasty can return to normal activities within two days. Being able to breathe freely and go about your life without debilitating headaches and congestion! It’s time, we know, to help a whole new round of patients seek relief at our Gillum Sinus and Allergy Clinic in Marion, Indiana.
Three quarters of people who are allergic to spring plants are also allergic to ragweed, WebMD notes. Oral allergy syndrome results from a cross-reactivity between seasonal airborne pollen proteins (i.e.
Damp bathrooms and mud room, repositories for all those wet beach towels and bathing suits, are ideal mold-growing environments (It’s best to throw those items into the dryer.) As we get further into fall, we caution our sinus and allergy patients to watch out for piles of damp leaves, which become mold-breeding grounds.
Eliot spoke of April as “the cruelest month”, but for many adults and children who visit Gillum Sinus and Allergy seeking our help, we know the cruelest month can actually be August. Allergies make for elusive, even tricky foes, assuming a variety of forms in different patients. While the battle may appear “stacked” in favor of the enemy, the medical is not without its weapons and tactics, as physicians take arms against allergies, beginning with the correct diagnosis of each patient – and of each patient’s environment at home and at work. The majority of patients who visit our clinics had been suffering from sinusitis and nasal allergies for many years, had visited many doctors and undergone several unsuccessful treatments before they met our ENT Dr. When those passages are clogged with mucus, the sinuses are blocked off and can’t drain.  Air and mucus become trapped inside, leading to pain and pressure.
Griffin, going on to talk about the way people get used to the disturbed sleep, the fatigue, and the congestion and mouth breathing. Cathy and Monica started blogging about coupons and grocery store deals to help friends and family learn about their new money saving hobby couponing! Regardless, the condition usually stems from multiple causes and can be debilitating for the patient.Plantar fasciitis causes throbbing medial plantar heel pain that is worse with the first few steps in the morning or after long periods of rest. Review of common and unusual causes of lateral ankle pain [published ahead of print October 24, 2010]. With normal drainage restored, it won’t be difficult to put a name to the results – our patients call it Relief! Timothy Gillum explains to his patients, moves oxygen over the mucous membrane and into the sinuses, which is where nitric oxide is produced to help keep our hearts and blood vessels functioning properly.
This in-office, non-invasive procedure involves threading a guide wire equipped with a tiny balloon into the nostrils and up to the area of blockage, and inflating the balloon just enough to open the passageway. That plastic surgery fellowship was focused entirely on cosmetic surgery of the nose, eyes, face, head and neck under the American Academy of Facial Plastic and Reconstructive Surgery.
They report pain and pressure behind their cheekbones, and many must miss work because of migraine-like headaches. Nasal irrigation, besides cleaning out mucus, cleans allergens, irritants, bacteria, and viruses.  Now there’s a case, he points out, where an ounce of prevention is worth a pound of cure!
And, while some cases of rhinitis may be exercise-related, if that nasal condition is really due to either allergic rhinitis or sinusitis, treatment becomes critical.  Dr.
For certain patients, FESS remains their only treatment option, in which an Indiana ENT physician removes small amounts of bone or polyps using a thin, lighted tool called an endoscope. Gillum, certified from the American Board of Otolaryngology, welcomed the FDA’s approval of balloon sinuplasty.
Timothy Gillum, the first step is determining if the symptoms are being caused by factors other than exercise – the common cold, allergies, something in the patients’ environment, or by anatomical factors such as a deviated septum or polyps. Almost unbelievably, allergy-related diseases affect as much as 40% of children in the U.S.! When the “enemy” has reached beyond the “front lines” into the sinus cavities, it may be time to bring out one of the most effective modern counter-measures, balloon sinuplasty.
As patients of our two sinus and allergy clinics often tell us, sinus headaches can feel as bad as migraines and include the same horrible nausea. They have taught thousands of women (and men) how to coupon in their popular coupon seminars and coupon class on DVD.
The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, especially with the first weight-bearing steps in the morning and after long periods of rest.

The pain usually decreases after further ambulation, but can return throughout the day with continued weight bearing. That means that when we’re not breathing properly, our blood fails to get the oxygen it needs.
In a report Jefferson published in the Journal of General Dentistry, he describes “long face syndrome”, in which children position their jaws unnaturally to take in more oxygen.
Gillum may recommend allergy testing in addition to a physical examination of the neck, ears, nose, and throat.
In fact, the use of saltwater to clear the nose and sinuses can trace its origins back thousands of years to the traditional Indian medicine called Ayrveda. Gillum frequently reminds us that inside our noses are tiny hair-like structures called cilia which help move mucus.  Crusted mucus makes it difficult for the cilia to do that job.
As every ear, nose, and throat physician can attest, allergic nasal conditions, left untreated, can lead to sinusitis. Timothy Gillum is never satisfied with patients “getting used” to life with allergies and sinusitis.
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I have tried many things, but I do not like the way most of them make me feel, especially the drowsiness. This way I know that what I put in my body is pure and will be therapeutic, and that every batch has been rigorously tested. Other causes of plantar heel pain include calcaneal stress fracture (progressively worsening pain following an increase in activity level or change to a harder walking surface), nerve entrapment (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), neuromas, and plantar warts. Tenderness is noted on the medial calcaneal tuberosity and along the plantar fascia (Figure 2). Yet there continues to be widespread confusion among patients about whether they are suffering from common colds, allergies, or a sinus condition, each of which would require a unique form of treatment. At Gillum Sinus and Allergy, we’ll be encouraging you to add nasal care using a Neti-pot to your daily routine. Pain often increases with stretching of the plantar fascia, which is achieved by passive dorsiflexion of the foot and toes. Surgery is available if conservative measures are ineffective.13SINUS TARSI SYNDROMEThe sinus tarsi, or talocalcaneal sulcus, is an anatomic space bound by the calcaneus, talus, talocalcaneonavicular joint, and posterior facet of the subtalar joint.
Louis University School of Medicine explains the potentially dangerous chain, with allergic rhinitis leading to sinusitis, which in turn can trigger asthma.
Other tendinopathies demonstrate pain localized to the insertion site of the affected tendon. Radiography is usually not necessary, although weight-bearing radiography can help rule out other causes of heel pain. Add to that the reality that there’s no one treatment that works for every patient, and you begin to appreciate the obstacles ear, nose, and throat physicians must overcome in the war against allergies. Posterior heel pain can also be attributed to a Haglund deformity, a prominence of the calcaneus that may cause bursa inflammation between the calcaneus and Achilles tendon, or to Sever disease, a calcaneal apophysitis in children. Approximately 50 percent of patients with plantar fasciitis have heel spurs,4,5 but they are most often an incidental finding and do not correlate well with the patient's symptoms. We also searched Essential Evidence Plus, Cochrane Database of Systematic Reviews, and the Clinical Journal of Sports Medicine. Fabulessly Frugal boasts a team of women who all work hard to bring you the best, Amazon deals, freezer meal recipes, frugal living tips, frugal crafts, and freebies the internet has to offer. Medial midfoot heel pain, particularly with continued weight bearing, may be due to tarsal tunnel syndrome, which is caused by compression of the posterior tibial nerve as it courses through the flexor retinaculum, medial calcaneus, posterior talus, and medial malleolus.
The tight Achilles tendon begins to pull on its insertion site with repetitive running or jumping activities, causing microtrauma to the area. Sinus tarsi syndrome occurs in the space between the calcaneus, talus, and talocalcaneonavicular and subtalar joints. There may be swelling and tenderness around the Achilles tendon insertion site, and passive dorsiflexion may increase pain. The pain initially occurs only with activity, but often progresses to include pain at rest. Differentiating among causes of heel pain can be accomplished through a patient history and physical examination, with appropriate imaging studies, if indicated. Examination may reveal swelling or ecchymosis; point tenderness at the fracture site is usually indicative of a calcaneal stress fracture. The differential diagnosis of heel pain is extensive (Table 1), but a mechanical etiology (Table 2) is most common. Heel pads or walking boots are also used.NERVE ENTRAPMENTHeel pain that is accompanied by burning, tingling, or numbness may suggest a neuropathic etiology. These symptoms most commonly indicate nerve entrapment caused by overuse, trauma, or injury from previous surgery. Affected nerves leading to plantar heel pain are typically branches of the posterior tibial nerve, including the medial plantar nerve, the lateral plantar nerve, or the nerve to the abductor digiti minimi.
If conservative measures are ineffective after six to 12 months, surgical decompression should be considered.HEEL PAD SYNDROMEPain from heel pad syndrome is often erroneously attributed to plantar fasciitis. Patients with heel pad syndrome present with deep, bruise-like pain, usually in the middle of the heel, that can be reproduced with firm palpation.
The syndrome is usually caused by inflammation, but damage to or atrophy of the heel pad can also elicit pain. Decreased heel pad elasticity with aging and increasing body weight can also contribute to the condition.12 Treatment is aimed at decreasing pain with rest, ice, and anti-inflammatory or analgesic medications. Heel cups, proper footwear, and taping can also be used.SOFT TISSUE ETIOLOGIESNeuromas may develop on the branches of the tibial nerve, causing plantar heel pain.
Patients often present with symptoms similar to plantar fasciitis, although pain can sometimes be a more burning or tingling sensation. Neuromas should be considered when treatment for plantar fasciitis is ineffective.6,11,13Plantar warts are sometimes a source of heel pain. Plantar warts are usually self-limited; however, patients often need quicker resolution to return to activity.

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