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Torn Ligament In Wrist – Radiocarpal Joint Injuries

Radiocarpal or wrist joint is one of the most complex joints in our body. It is build up of distal (lower) sections of the two forearm bones and another 7 bones of the hand.

These bones are linked with numerous ligaments (which we will cover in the next section) which can get damaged through wear and tear that comes with age, but injury-induced torn ligament in wrist is more common.

In the following text you will learn more about:

Anatomy – Bones, Joints and Ligaments of the Wrist

If you look at most anatomy text books, you will see that wrist joint is referred to as the joint between lower end of the radius and upper surface of three carpal ( carpus – a group of bones connecting hand with forearm) bones – navicular (scaphoid), lunate and triquetrum (triangular) 1; as you can see on the image below:

Wrist---Radiocarpal-Joint
Image 1: Wrist or Radiocarpal Joint

But when we talk about the wrist in “layman`s terms”, we usually imply joints between the radius and ulna, and joints between two rows of carpal bones. For this reason we are going to cover all these joints now:

Distal Radioulnar Joint

This is a joint between distal ends of the ulna and radius, connected by two ligaments – anterior (front) and posterior (back) radioulnar ligaments. Movement in this joint is fairly limited and it consists of the radius rotating around the head of the ulna. When the radius rotates forward, result is a movement called pronation (thumb is closer to the body) and supination (thumb away from the body).

Radiocarpal Joint – Wrist Joint

This is the joint we mentioned above – between distal radius and scaphoid, lunate and triangular bones. The joint is strengthened by many ligaments, which is why torn ligament in wrist is such a common injury. Those ligaments are:

  • Volar Radiocarpal
  • Dorsal Radiocarpal
  • Ulnar Collateral and
  • Radial Collateral

Movements this joint permits are: flexion, extension, abduction and adduction. You can check out the short video below for the demonstration of these movements:

Intercarpal Joints

This is a group of joints which we can divide into three subgroups:

  1. Joints between the top three bones of the carpus – secured with a set of three ligaments
  2. Joints between bottom four bones of the carpus – also secured with a set of three ligaments and
  3. Joints between the top and the bottom row of bones – secured with 4 ligaments

I know that many of you reading this article, are not doctors or medical students and you might think all this anatomy is redundant, but I wanted to help you fully grasp the complexity of the wrist joint. There are so many different structures in this confined space, so an injury can cause a lot of damage, of course, tear one (or more) wrist ligaments.

Most Common Causes Of Torn Ligament In Wrist


The most common cause of injury, or in our case a torn ligament in wrist, is physical trauma. Two of the most common traumas resulting in a ligament tear are:

  • Falling onto your outstretched hand – if the force is substantial this can be a serious injury, causing strains, sprains, ligament tears but also break bones
  • Bracing yourself on the dashboard before a car collision – this is usually just a natural instinct, extending your arms and bracing on the dashboard in order to stop your body from going forward
  • Repetitive stress – most sport activities involve some sort of repetitive motion. In basketball, for example, during a jump shot a player is required to flex his joint (to propel the ball forward and give it a backward rotation); and in tennis, players are constantly flexing and extending their wrist joint, depending on the type of shot they choose. These repetitive movements can weaken the ligaments, put a lot of strain onto them and, eventually, cause tears
  • Aging – aging is, of course, a natural process our body goes through, and there is nothing we can do about it. Ligaments problems in, healthy adults, will usually start around the age of 40
  • Arthritis – arthritis is not so much a cause of torn ligaments in wrist, more a collateral damage. When ligaments become weaker bones start to move abnormally, the wear and tear becomes more intense and bone and joint damage intensifies, resulting in pain, at first, and eventually arthritis

Weaken ligaments may go undetected for some time, because they will present with no symptoms. But, as the time goes by, the damage can add up and result in unstable joints, pain, limited range of motion and complete or partial ligament tears.

How To Diagnose A Torn Ligament Yourself?

To summarize it into one word – don`t! There is a common misconception in people… they think that you can read a few articles online and become an expert. If that were the case, there would be no need for higher education… The truth is that nothing can replace a well trained expert`s eye, backed up with years of experience, not to mention MRIs and X rays. This is why I always advise people to talk to their doctor, if they experience pain, swelling or any other problem with their wrist.

What will the doctor ask you?

No need to worry about it, you probably already know the all the answers you doctor will need. Most common questions are:

  • When did your symptoms started?
  • How did the injury occur?
  • Is the pain becoming more intense?
  • Have you tried to treat it yourself?
  • Do you think you have a torn ligament in wrist?

Next comes the physical examination, and I have to warn you that it may hurt a bit. Your doctor will try to access the severity of the injury, move your wrist to see if there are any problems with the range of motion, how are bones aligned and to pinpoint the exact location of the pain.

What Medical Tests Can You Expect?

Doctors will usually order an X ray of your wrist – to see whether any bone is broken, and MRI – to see what is the condition of the ligaments and other soft tissues around the joint; they can also do blood tests or an EMG to measure the electrical activity of the muscles.

In some rare cases, doctor may even require an arthroscopy. This is a procedure where a tiny camera is inserted into the wrist joint to show the surgeon exactly which ligament is damaged/torn, and can also assist during the surgery itself, to grant a better view of the ligaments that are being repaired.

Most Common Symptoms Of Ligament Injury In Wrist

Wrist-Pain

Of course, there is no one specific symptom to confirm a torn ligament in wrist, but there are symptoms which will point us in that direction. They are:

  • Initial localized pain and swelling
  • Ecchymosis – this is a hematoma, commonly called a bruise, larger than one cm (0,39 in) in diameter. Discoloration and bruising will last a few days, but will eventually subside on its own
  • The pain that does not go away – after that initial intense pain is gone, patients might experience pain which is not as intense but it last for a long time (several weeks). Patients might also feel the pain which intensifies with movement, or becomes more intense on its own as the time goes by. If you experience this type of pain, you should go see a doctor
  • Joint instability – joint instability will become more noticeable after that initial pain period, when you start using your wrist and hand more. If the injury was severe enough, it might have damaged the ligaments to the extent where they are not able to secure wrist joint and bones properly. The bones may slide incorrectly, pop out of place (clicking and snapping noises may appear) and start to grind against each other
  • This grinding can lead to arthritis of the wrist. This is a severe condition where the pain can appear during an activity (involving this joint), but it can also intensify after the activity itself, and cause the joints to become stiff.

Treatment

Doctors usually say that accurate diagnosis is the key in efficient treatment, which is 100% true! Why? Well, most people don`t really like going to their doctor. They tend to diagnose themselves and assume injury is not severe: “It`s just a sprain, the ligament is not torn.” Then they rest for a few days (until the pain goes away) and resume with their daily activities. They only visit their doctor after several months, when they start noticing something is not right.

As for the treatment, it can be non-surgical or surgical.

Non-Surgical Treatment

Non-surgical treatment is usually reserved for patients with partial wrist ligament tear. It involves:

  • Taking painkillers and/or anti-inflammatory medication
  • Applying gel to the injured area
  • Splints or a cast to immobilize the joint and allow the ligament to fully heal (up to six weeks)

After the ligament is fully healed, patient will usually require physical therapy to regain the range of motion and strength within the muscles and joints.

 Surgical Treatment

Surgical treatment is for patients where the ligament is completely torn; it may also be required if the bones are not aligned properly. It is vital that the surgery (if it is required) gets done as soon as possible, before scar tissue forms and bones fall out of their place.

There are several surgical procedures that can be done and surgeon will usually choose the best one based on your current situation.

Bone Pinning

Bone pinning is a procedure where the surgeon will insert a metal pin to hold the bones in place, until the ligament is fully healed. This procedure is good for partial torn ligament in wrist, but it needs to be done within couple weeks after the injury, before the scar tissue starts to develop.

Ligament Repair/Reconstruction Surgery

This surgery is usually performed after six or more months after the injury occurred. The goal of this surgery is to identify the torn tendon and insert a tendon graft (a tendon taken from another place) in its place.

Recovery Time After Surgery

Recovery time will depend on the type of surgery that was performed, but patients are usually able to use their hand within the first couple days after the surgery. After two weeks stitches are removed and patients are advised on which exercises to perform and in an effort to regain full mobility.

Reference:

  • (1912.) Gray H. Radiocarpal Articulation, Anatomy of the human body, page 327
  • Image 1 – source: Gray H. Anatomy of the human body, page 327
Last updated: August 3, 2018 at 23:03 pm

Hip Pain After Sitting Goes Away After Walking – Here’s Why


We often take our hip joint for granted; it is massive, and it bears a lot of our body weight, allowing us to walk, move around, stand, sit down and get up. But, just like any other joint in our body, it is susceptible to wear and tear.

As the years go by, structures of the hip joint suffer more and more damage until one day you try to get up and feel a sudden, sharp pain. This intense pain is usually brief; it appears after we’ve been sitting for extended periods of time, and it goes away after walking.

Another important point you need to take when talking about this short-term hip pain is that it can lead to osteoarthritis, so it is vital that you take it seriously.

Before we go ahead and jump to the causes of this condition, we’d like to take a moment to talk a bit about hip anatomy.

The Anatomy Of The Hip

The hip joint is where the thigh bone (femur) connects to the pelvis. Believe it or not, the hip joint is second most mobile joint in the human body (second only to shoulder joint) because of the specific way it is built.

Cross Section Of The Hip Joint
Image 1: Cross Section Of The Hip Joint

We call this type of joint a ball-and-socket joint because the ball-like top of the thigh bone (femur head) fits into the cup-like area on the pelvis (acetabulum).

But, because it carries such a heavy load (our entire upper body) it is designed for stability, rather than a range of motion.

The capsule of this joint is sturdy and thick, locked in place by robust ligaments and muscles.

Why Do You Have Hip Pain When Sitting?


It is important to stress out that hip pain is not normal! Some people acknowledge it as an integral part of aging process, but this is not the case – any time the pain is present, it means something is wrong.

The good(bad) thing about hip pain is that it will not go unnoticed. The hip joint allows us to move around, sit, get up or stand, so if there is a problem with cartilage, tendons, ligaments, or bones, it will manifest itself as sharp radiating pain, stiffness in the joint, or referred pain felt in the groin area, down the inner thigh. Interestingly enough, lower back can cause the pain to radiate to the hip.

So what is causing this pain when sitting that goes away after walking? Here are some of the causes:

  • Hip impingement syndrome
  • Stiff joint
  • Hip bursitis
  • Arthritis
  • Piriformis syndrome
  • Sciatica
  • Tendinitis

Hip Impingement Syndrome

Also called femoroacetabular impingement, it occurs when acetabular labrum(a ring of cartilage surrounding the hip joint – Source: Medicinenet1) is damaged. The damage may be caused by a deformity, wear and tear damage, or by a mechanical injury.

Many HIS sufferers are those individuals that spend most of their day in the seated position. When we assume this position, there is typically enough space between femur head and acetabulum to allow full range of motion.

But if there is an anatomical anomaly present they can bump into each other, limit the range of motion and cause pain. Common causes of these anatomical anomalies are:

  • Shorter femoral neck
  • Enlarged acetabular surface
  • Increased depth of acetabulum etc.

But even people with no anatomical anomalies might suffer from hip impingement if they increase their flexibility to the extreme. This is why a lot of athletes also suffer from this condition – football, hockey, and baseball players for example.

Diagnosing Hip Impingement Syndrome

The syndrome can be relatively easily diagnosed based on your description of the symptoms and physical examination. Other common symptoms include:

  • Groin pain associated with physical activity
  • Painful clicking in the joint
  • Reduced range of motion

In addition, your doctor will probably order imaging tests, just to make sure. These include:

  • X-ray
  • MRI or
  • A CT scan

How To Treat It?

Nonsurgical treatment for hip pain when sitting will involve changing your routine – avoiding activities which cause pain, in combination with physical therapy and medication.

Surgical treatment usually steps in when physical therapy is not enough to relieve pain. In this case, arthroscopic surgery is required, where the surgeon will make small incisions, insert a small camera (called arthroscope) to try and pinpoint the anomaly and address/remove it.

Keep in mind that it is still unknown whether the surgery can prevent or even delay osteoarthritis, there is still some research to be done concerning this issue.

Stiff Joint

Stiffness2 can grab hold of every joint of our body; it is not only limited to the hip. In most cases, this is just a short-term condition brought up by a mechanical injury, such as a hip fracture, dislocation, or tight hip flexor muscles.

On the other hand, it can also be a part of a long-term, chronic medical condition. Some of the most common conditions are:

  • Osteo and Rheumatoid arthritis – osteoarthritis is a chronic condition where cartilage(protective tissue at the end of the bone) starts to deteriorate, and the bones start rubbing against each other. Rheumatoid arthritis, on the other hand, is an autoimmune disease(a condition where your immune system mistakenly attacks your own body) that damages joint tissue
  • Tendinitis – tendons are thick cords of tissue that join muscles to the bones. If for some reason, they become inflamed or irritated, a person will develop a condition called tendinitis
  • Ankylosing spondylitis – AS is a type of arthritis primarily affecting your spine, leading to pain, and disability
  • Lyme disease – this is an infectious disease caused by a bacteria called Borrelia burgdorferi, transmitted by an infected tick. The disease advances in three separate stages with a different set of progressing symptoms. A localized rash characterizes the first stage; chills, fever, fatigue, and sore throat characterize the second one while the third one may lead to severe headaches, brain disorders and arthritis

Symptoms And Diagnosis

The main symptom is, of course, a stiff joint, but you will also notice localized pain, limited range of motion and hear a clicking sound as you move.

A physical exam is usually enough for a correct diagnosis, but your doctor might need some additional information such as a clear list of symptoms, existing medical conditions, injuries, etc.

X-ray and MRI are usually not needed to make the right diagnosis, but they can be used to pinpoint the location of the problem or rule out other, unrelated conditions.

Treating A Stiff Hip


Treatment will depend on the underlying cause. In most cases of hip stiffness, a doctor will advise his patient to adopt some light stretching exercises to release tension within the muscles, walk, and rest when the pain appears.

Arthritis, on the other hand, is not a curable medical disease, so appropriate medication is prescribed to help patients manage the condition and reduce the pain.

Hip Bursitis

Hip or trochanteric bursitis is an inflammation of the trochanteric bursa on the outside of the hip joint.

Bursa3 is a small, fluid filled sack situated in places in tissue where friction would commonly occur. So, its main role is a protective one.

Trochanteric bursa is located on the outside of the hip joint, where the pelvic bone meets the top of the thigh bone. When this bursa gets inflamed, the patient will experience some of the following symptoms:

  • Hip pain
  • Inability to lie on the affected side
  • Pain when getting up
  • Pain when remain seated for longer

There are numerous ways of addressing the inflamed hip bursa, depending on the severity of the condition. In its early stages, doctors usually prescribe physical therapy, ice, and painkillers to help reduce the swelling and pain. This is why you might feel the pain going away after walking.

Doctors will treat more severe cases with injections and bursa draining; if that doesn’t help, they might even use surgery as a last resort.

Arthritis

Arthritis4 is a term we use for the conditions affecting out joints and the surrounding tissue. Early signs of arthritis are swelling in the joints, pain, and stiffness; over time, the disease will progress and cause severe joint damage.

Here are the six most common types of arthritis:

  • Osteoarthritis
  • Autoimmune arthritis
  • Juvenile arthritis – a type of athritis affecting children
  • Infectious arthritis – arthritis as a result of an infection within the joint
  • Psoriatic arthritis – psoriasis is a skin disease causing patches of thick, red, itchy skin. Some patient suffering from psoriasis can also develop a type of arthritis we know as psoriatic
  • Gout

Osteoarthritis

OA is severe, degenerative disease (most common in hip, knees, spine and small joints of the hand) that breaks down the cartilage in the joints.

It is more prevalent in older individuals, people that are obese and often come as a result of a direct injury.

OA is usually diagnosed using a combination of physical exams, medical imaging technology, and blood tests. And as for the treatment, the doctor will often prescribe topical creams, physical therapy and exercise and, in more severe cases, operation or even a complete joint replacement (hip replacement surgery).

Autoimmune Arthritis

Autoimmune diseases5 occur when there is a malfunction in our immune system. Usually, our immune system protects us from diseases and infection, but in some cases, it can produce antibodies that attack healthy cells and tissues within our own body!

This is precisely what happens in RA patients. Unlike OA, RA can affect even your eyes, mouth and lungs; it is not strictly a “joint disease.”

Noone still knows what exactly causes RA, but the good news is we can slow down the progress of the disease with medication and lifestyle changes.

Gout

Gout is also a common type of arthritis occurring when there is an increased uric acid build up in the body. It causes intense pain, stiffness, swelling, and increased the temperature in the joints.

Uric acid6 is a substance resulting from the breakdown of purines7, commonly found in meat products.

Usually, uric acid gets dissolved in our blood and passed through the kidneys out of our body in urine. Sometimes though, this uric acid can build up within the body in a needle-like crystal form. When these formations accumulate within the joint, they can cause tremendous pain.

Gout will first “go after” your big toe, but it can also spread to ankles, knees, wrist, fingers, and elbows.

Risk groups for gout are:

  • Men
  • Oveweight individuals
  • Those that drink alcohol
  • Or eat foods rich in purines

Piriformis Syndrome

 The Path Of The Sciatic Nerve
Image 2: The Path Of The Sciatic Nerve

Piriformis syndrome is a condition caused by a comppression to the sciatic nerve by the piriformis muscle.

Piriformis muscle is a flat, pyramid-shaped muscle located in the pelvic region. Its primary functions are to rotate the thig outward, abduct it(move away from the midline of the body), and to hold the acetabular head in place.

A gap at the lower border of the muscle allows for the neurovascular structures to pass(along with the sciatic nerve). This gap can become tight and put pressure the passing nerves, causing piriformis syndrome.

Some of the main causes of this condition are:

  • A blow to the region
  • Tightness in the muscle
  • Sitting for long
  • Various sport activities
  • Penetrating wounds etc.

Sciatica

We refer to sciatica as a symptom of one or more problems with the sciatic nerve.

We’ve already written extensively on the topic sciatica, to find out more about the condition, please visit our article titled “13 Ways To Get Natural Pain Relief From Sciatica”.

Tendinitis

Tendinitis8 is characterized by pain, swelling, and stiffness in a tendon and the surrounding joint. A tendon is a thick band of tissue connecting the muscle to the bone.

Tendinitis is a common condition, usually caused by repetitive motion; such motions occur in professional sports such as tennis, but may also be found in carpenters and musicians.

There are many different types of tendinitis, mostly named after the activity that is causing them or the location:

  • Golfer’s elbow – an injury to the inner tendon of the elbow caused by a golfer’s swing
  • Tennis elbow – possibly the most “well-known” type of tendinitis. It is an injury to the outer elbow tendon
  • Rotator cuff tendinitis – here pain is present at the tip of the arm and may be worsened when reaching, pushing, or pulling heavier loads
  • Achilles tendinitis – tendinitis in the tendon at the back of the heel
  • Jumper’s knee – mostly affecting individuals who play sports that require jumping. As the name suggests, these activities cause knee tendons to become inflamed

Tendinitis Treatment

Some of the most successful forms of tendinitis treatment are:

  • Rest and elevation of the affected limb
  • Taking medication to reduce pain and swelling
  • Gentle stretching and strengthening exercises
  • Massage
  • Brace or a splint


References:
1. Medical Definition of Acetabular labrum
2. What Causes Hip Stiff?
3. The Free Dictionary/Medical Dictionary – Bursa
4. MedlinePlus – Arthritis
5. National Institute of Environmental Health Sciences – Autoimune Diseases
6. Uric Acid
7. Purines
8. Tendinitis
Image 1 Source: Gray H. Lower Limb, Atlas Of Anatomy, page 278
Image 2 Source: Gray H. Lower Limb, Atlas Of Anatomy, page 282

Best Heated Foot Spa Machines With Water – 2018 Reviews

Carepeutic-Deluxe-Motorized-Foot-and-Leg-Spa-Bath-Massager
The Best Foot Spa! Click the image to read our review

Sometimes you just want to sit down, relax and pamper yourself! You know what`s good for pampering … a heated foot spa machine with water! Our feet are full of reflex and acupressure points which affect the entire body…so, relaxing your feet will give you a deep sense of relaxation through your entire body.

In the following article, we will be talking more about the benefits of heat therapy and recommend some of the best machines you can use to relax your feet, in the comfort of your own home!

If you are in a hurry and don`t have time to read, we`ve created a list of the best heated foot spa machines with water (click the link)!

Benefits Of Using Heat

In most cases people talk about heat therapy only in the context healing an injury. Sure, heat therapy will be beneficial in relaxing injured muscles or warming them up before physical activity. But can you benefit from heat therapy if you haven`t injured yourself?

Of course you can, we already said that our feet are full of acupressure points which have a profound effect on our entire body. Some of the most common benefits of using a heated foot spa machine on your feet are:

  • Boosting your immune system
  • Reducing stress
  • Increasing concentration
  • Increasing your energy levels
  • Relaxing your muscles
  • Relaxing your entire body
  • Increasing peripheral circulation
  • Soothing foot inflammation due to arthritis and
  • Relieving pain

Another surprising, yet interesting benefit of keeping your feet warm is improved quality of your sleep. Scientists  showed that body’s heat regulation affects sleeping. Heating up your legs and feet can help with the body`s heat distribution, help you fall asleep faster and have a more restful night`s sleep.

Another huge benefit of using a heated foot spa machine with water is that your feet will absorb essential oils and moisturizers better, providing a faster relief for your painful, sore feet.

Reviews Of The Best Heated Foot Spa Machines With Water For 2018!

If you`ve reached this section of the article it means you did not click the link we included at the beginning, which is a good thing. Making hasty decisions usually ends up badly. We did give you a list of the best heated foot spa machines with water currently on Amazon, but you might have some special requirements and need more information before you pull out your credit card; which is totally understandable, I would have done the same.

In the following few paragraphs, we are going to do just that – not only give you our list of the best foot spas you can use at home but give you all the necessary information that go along with them; this will ensure you have all the necessary data before making your choice. OK, let`s start!

Dr. Scholl’s Invigorating Pedicure Foot Spa

Dr.-Scholl's-Invigorating-Pedicure-Foot-SpaDr. Scholl`s was a renown orthopedic specialist who, during his lifetime, shared over 1,000-foot care products with people all around the world! He started his company in 1904, at the age of only 22 and, not only thrived in this field but produced many innovative solutions back in the day.

He died in 1968, but his legacy was kept alive through those who came after him and continues to live on in the makers of Dr. Scoll`s products being manufactured today.

Today, we will be focusing on one of those products – Dr. Scholl`s Invigorating Pedicure Foot Spa. If you look at the price of this product, you will see that it is on the “lower end” of the market, making it a decent budget spa for your feet!

The fact that it`s on the lower end of the market doesn`t mean it`s bad, it simply means it is not equipped with all the latest “gadgets,” bells and whistles… It was designed to do its job, which is:

  • To give a soothing, bubble massage
  • Revive your tired feet
  • Warm up the water to ensure better relaxation and
  • It even comes with a 5-piece pedicure set

As you can see on the picture, this foot spa was predominately designed to appeal the ladies. It is also a bit smaller, when compared to other foot spas out there, for delicate lady feet; that being said, you can also fit in your man feet in there :)  If your feet are size 12 (11 British, 46 European or 29.5 cm) and lower, you will fit in this spa, but if your feet are bigger, you should probably look for something a bit bigger.

One of the features I really like was the bubbles, it really does help with relaxation even more, especially if you add bath salt… Your feet will get so relaxed, you will want to have it on your feet all the time. And, of course, rolling massagers will work their magic and relieve painful muscles, help them rejuvenate and relax, and help you rid of tension you build up after a hard day.

One thing we need to mention, before the final verdict, is the heating “problem.” If you talked to other people, who owned Dr. Scoll`s Invigorating Foot Spa in the past, you will get pretty much the same answer – it`s good, but the heating doesn`t last long. And this is, sadly, true. You need to keep in mind that this is a budget machine, most machines in this price range don`t even hold the water hot half as long as this one. You may get a solid 10 minutes, which is what you would expect. If you want more, you will have to pay more.

After all said and done, we have to say this machine is not the worse, but there are certainly better ones. At the end of the day, this is a budget foot spa and costs next to nothing. As we`ve said before, we do not recommend it anymore but if you are interested in buying it, you can do so HERE.

PIBBS Foot Bath Massager

PIBBS-Foot-Bath-MassagerThis heated foot spa machine with water is a bit more expensive than the model we discussed previously (we are still in that mid to lower range, cheaper category). Why? Well, because it`s better!

For starters, it keeps the water hot, really hot! Some users actually complained that the water is too hot :)

PIBBS massager offers three different programs:

  • Only massage – you can use this one in the summer when you want to cool your feet (and yourself) down. Just pour some water and dip your feet!
  • Waves and heating – they introduced this new weaving feature, awesome for those moments when you don`t want a massage; instead, you just want to close your eyes and let that gentle, relaxing motion take you away
  • Heating, waves and massage – a killer combo, if I may say so! Massage for deep muscle pain relief and tension relaxation, combined with a therapeutic effect of warm water and soothing waves.

This foot spa is also built to be sturdier than the previous one and also comes with three detachable attachments, to give you a “more personal” massaging experience.

This is a solid foot massager, ergonomically designed and capable of accommodating people with larger feet.

<<<Click Here To Buy PIBBS Foot Spa>>>

Aqua Jet Foot Spa – Best Value For Money

Aqua jet foot bathThis is a mid-range foot spa and it`s perfect for those who are looking for top quality and functionality, but don`t want to spend top money to get it! It will relieve tight muscles and relax your feet using two rotating aqua jets with two adjustable speeds. What this means is that you will be able to adjust the massage depending on the sensitivity of your feet.

As you can see on the image, this foot spa is quite large so you won`t have to worry about water splashing, spilling over and making a mess. It is also large enough to accommodate your feet.

Another great feature, the manufacturer proudly proclaims is that this machine is able to “heat the water instantly,” and heat up the water to 115 degrees Fahrenheit (46 Celsius). First of all, there is really no need to heat up the water so much and secondly, it probably won`t happen instantly, you will have to give it a bit of time… But, this is not a major drawback (at least for me), there is really no need for such high temperature or “instant” heating.

All in all, Aqua Jet is the perfect for those of you who want to “dip their feet” and give these sort of machines a try.

<<<Click Here To Buy Aqua Jet>>>

Carepeutic Deluxe Motorized Foot and Leg Spa Bath Massager

Carepeutic-Deluxe-Motorized-Foot-and-Leg-Spa-Bath-MassagerThis is where things get a bit more interesting. We are venturing into those “high-end” heated foot spa machines with water, with the bells and whistles we mentioned earlier.

Carepeutic is specially designed to give you traditional reflexology! Reflexology is the application of pressure to the specific areas of your feet (in this case). It is believed that these areas are linked to different organs, organ systems, and our overall health; so, applying pressure to these areas can manifest a beneficial effect on our entire body!

You can control the heat of the water via thermo-control which will quickly balance and match the temperature of the water to the value you choose in the control panel.

One of the features I like the most on this machine is its dual water jet system which “shoots” out air bubbles to stimulate these reflex zones, we mentioned earlier. This system mimics the hot-tub healing massage and will relieve pain and stress that has accumulated through the day!

One thing to note and pay attention to is the depth of this machine. It allows it to cover, not only your ankles but your calves as well. Calves can get incredibly tense, especially if your job requires a lot of walking or you enjoy playing sports/working out on a daily basis. This foot spa machine will relax your entire lower legs and literally take the pain away.

Carepeutic also includes built-in drainage valve which makes it easy to drain the water; and (an optional) set of wheels to help you move it around more easily.

<<<Click This Link To Buy Carepeutic Deluxe>>>

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Effectiveness Of Tenotomy In Piriformis Pain Relief

A while back we published an article titled “Do You Really Need A Back Surgery?” Even though the data used in the article is not that fresh (information used refers to the year 1995.), a more recent research  in the Ohio Bureau of Worker`s Compensation showed that disk fusion surgery performed to relieve/cure lower back pain had an incredible 74% failure rate (you can read more about it at Chiro.org)!

As you can see, surgery is not always the best solution, unfortunately. But, if the pain does not go away after non-surgical treatment, surgery is the only remaining option…

Today, we decided to talk about the effectiveness of another kind of surgery – Tenotomy for piriformis syndrome pain relief. Tenotomy is quite different, compared to the disk fusion surgery we mentioned above, and the reason we decided to talk about it is because it has proven to be a fairly successful procedure to deal with pain from piriformis syndrome.

What Is Tenotomy?

Simply put, tenotomy is the cutting of a tendon; it is also called tendon release 1. But why would anyone want their tendon cut? Well, usually because the muscle became shortened and resistant to stretching, or if the muscle developed improperly.

In these cases, the tendon is cut (partially through or entirely), to allow the muscle to be stretched.

The procedure is usually performed under general anesthesia but in some cases (such as Achilles tendon tenotomy), it can even be done under local anesthesia. The aftercare depends on the severity of the surgery and the patient will usually receive pain medication ranging from over-the-counter pills to stronger, intravenous meds.

Good thing about this surgery is that it carries a small risk of infection or bleeding.

Tenotomy For Piriformis Syndrome

The study we will be talking about today is a 1 to 16-year follow-up study which involves 19 patients with piriformis muscle syndrome 2.

Both sciatic nerve and piriformis muscle (along with gluteal vessels and surrounding structures) leave the pelvis through the greater sciatic foramen. Close proximity of these structures can cause pain and lead to piriformis syndrome. Most common, non-surgical, treatment for PS includes:

  • Nonsteroidal antiinflammatory drugs
  • Muscle relaxants
  • Physical therapy and stretching exercises
  • Massage
  • Injections and
  • Surgery

There have been studies describing successful operational treatment but long-term follow-ups (such as this one) are rare.

This study was conducted on 19 patients, operated between 1981. and 1997. There were 14 women and 5 men, between the ages of 24 and 64. They all complained of deep buttock pain and posterior thigh pain.

All the patients had a tenotomy of the piriformis muscle at the attachment on the greater trochanter (see the image below, ignore the X`s and dashed line).

Piriformis-muscle---greater-trochanter-attachment

Results

Follow-up showed that 8 patients were relieved from pain, while in others results varied: five had fair while six had  poor results.

And here is a breakdown based on the type and cause of pain:

  • When the pain was initiated by a trauma, 7 out of 9 patients were relieved
  • When the pain was caused by the anomalies in the relation between the sciatic nerve and the piriformis muscle, three out of four patients were relieved and
  • When pain was present as a result of adhesions, two out of three patients were relieved

As you can see, the study showed favorable results in more than two-thirds of the patients treated with tenotomy; however, there was a great difference in preoperative duration of the symptoms (1-30 years) and time of the postoperative evaluation (after 1-16 years), which is why this study group can`t be considered homogenous.

References:

Find Out What Causes Waist Pain And How To Treat It

It is quite difficult addressing the causes of waist pain since waist is the part of the abdomen located between hips and bottom of the rib cage. Due to its location , many of the waist pain causes are linked to the lower back problems, poor posture and lack of exercise.

Of course, there are other causes of problems in this area, and we will be going over some of the most common ones in the following text. So, if you want to learn more, keep reading.

Most Common Causes Of Waist Pain

Lower Back Pain


Lower back pain is the leading cause of problems in the waist area. It is so common, in fact, researchers estimate that there are 31 million US adults experiencing it at any given time! I don`t know about you, but to me this figure is quite alarming, and the first step in fighting it is educating people about it.

Single most common cause of lower back pain is an injury, or a blow to the back. There are a lot of different types of injuries, so we will not be going into details, but you should remember that the duration and the intensity of the pain will depend on the severity of the injury. But, rather than estimating and diagnosing it yourself, you should pay a visit to your doctor and he will be able to tell you more.

Another common cause is disc herniation. Disc herniation is a condition where the intervertebral disc (tissue located between vertebrae) becomes damaged and slips out of its place and, as a result, starts pressing on the surrounding nerves causing pain. It can also cause numbness, tingling and temporal paralysis.

And even though this injury may seem scary and severe, it will usually heal on its own after just a couple months. But, of course, there are cases where it may take up to 5 or 6 months for it to fully heal.

Other common causes of lower back pain are:

  • Narrowing of the spinal canal – spinal stenosis
  • Deformities of the spine
  • Fractures
  • Bone spurs or
  • Arthritis

If you are looking to try some exercises for pain relief, we recommend you read our article about Lower and Upper Back Exercises Here

Pain Around Belly Button

Since belly button is located in the center of this region called the waist, it is only logical to mention it as well. Before we proceed, we want you to know that pain around belly button might be a sign of something serious going on, so visiting your doctor is never a bad idea.

This pain is commonly caused by:

  • Appendicitis – inflammation of the appendix
  • Hernia
  • Ulcers
  • Gallbladder problems or
  • Something as simple as stomach flu

Depending on the actual cause of belly button pain, treatment will vary.

Poor Posture

We have an article titled “Good Posture Can Change Your Life” and we advise you to go through it. We`ve explained there the importance of proper posture and the impact it will have on you and your body.

Unfortunately, we live in an age where sitting behind your desk for 8, 10 or even 12 hours per day is completely normal. And most of the time, we are sitting in a rather poor posture. We tend to slouch or hunch over the desk, which takes a tremendous toll on our back.

Our muscles start to overcompensate, cramp and start to hurt, which may lead to a feeling of chronic waist pain, or at least in the waist area.

If you are on the lookout for the proper sitting posture, the image below will help you out:

Proper-sitting-posture
This is how you should sit

Muscle Spasms

Muscle spasms are a direct result of poor sitting posture, but can also have many different causes. Basically, muscle spasm is an involuntary contraction of the muscle fibers. They are most common in the back but can affect different types of muscles around the body.

They can be very painful and last anywhere from a couple seconds to a couple minutes. More severe spasms may damage muscle fibers and cause pain for even longer periods of time. The pain is most commonly felt in the lower back, and often described as waist pain by patients.

So what can you do about them? Well, not much really. You should focus your attention to prevention – mind your posture, use correct lifting technique (lift with your legs keeping your back straight, don`t bend over), and keep your body well hydrated since muscle cramps may be linked to dehydration.

Problems With The Nerves

The most common nerve related waist pain cause is sciatica. Sciatica usually manifests itself as pain and tingling in the lower extremity, but the roots of this nerve originate in the lower spine. And if these nerve roots become damaged (compressed) along their path, they can cause pain in the back waist area.

Waist Pain In Pregnancy

A lot of pregnant woman experience abdominal or lower back pain during pregnancy. The pain is commonly felt at the back of the spine, at waist level. Sometimes this pain might radiate to buttocks and spine, so it can be confused with sciatica. In reality, sciatica during pregnancy is extremely rare, and occur in only about 1% of pregnant woman (Source: BabyCenter).

So, what can you do about it? Quite a lot actually! You should engage in activities which will strengthen your lower back while, at the same time, stretching your muscles and making them more flexible. These activities include:

  • Swimming
  • Walking or
  • Pelvic tilts

If you are not familiar with the pelvic twist exercise, you can look at the video demonstration below:

httpv://www.youtube.com/watch?v=moa4h-rjuNE

Waist Reduction

This is pretty self explanatory, but we had to mention it. Weight reduction is an act of wearing a corset in order to reduce your waist line. It can cause all sorts of changes, compress your floating ribs and internal organs and cause waist pain.

Waist Pain Treatment

Again, the treatment will vary depending on the cause of your waist pain, but we will leave you with some general tips you can try straight away.

  1. Rest – basic, most general, yet in most cases, the most beneficial advice we can give you. Especially if you`ve been under any sort of strain, were lifting heavy object or suffered a blow in the waist area
  2. Medication – we don`t usually recommend medication, it is best to leave it up to your doctor, but if the cause of your waist pain are muscle spasms, for instance, general rule of thumb is taking muscle relaxants
  3. Massage – massage can be incredibly efficient, especially if the muscles of your lower back are tense and tight. It would be best to get a professional massage, but if you want to try it yourself you should lay down on your belly and use circular motions on the muscles along the spine and on either side of your back
  4. Pelvic Tilt – even if you are not pregnant, pelvic tilt can do wonders for your back. You should definitely give it a try.
  5. Acupuncture – even though there have been extensive studies conducted on acupuncture, researches are just beginning to understand this ancient Chinese healing technique. Its effects are proven with some painful conditions of the back and neck though, some patients report no effect. In any case, we advise you to try it

References:

Best Anti Fog Spray (Glasses, Goggles and Scopes) – 2018

Having your grasses, googles or any other piece of equipment fog up can be quite annoying. Not only that, your vision can be impaired resulting in an injury!

For this reason, we’ve decided to cover this topic today; we wanted to give you a better understanding of why the fogging even occurs, what can you do about it, how to prevent it and, of course, what is the best anti-fog spray you can use to clear your lenses!

Why Do My Glasses Fog Up

Your glasses fog up due to water condensation. As we exhale, water vapor comes out of our mouth and comes in contact with the lenses. Lenses then cool down this vapor and turn it into a liquid that fogs them up.

Other sources of hot vater vapor are:

  • Sweat from your forehead
  • Hot coffee you are drinking
  • A meal being cooked on the hot stove
  • Opening warm oven or a dishwasher
  • Phase Transition

    Watr condensation is a part of the process called phase transition. Phase transition is a process where a substance (in our case, water) changes from solid, liquid, or gas state into a different state.

    This change occurs as a result of a change in temperature.

    If we take our “glasses fogging up” as an example, it looks like this:
    – In the winter, the cold air outside will cool down your lenses
    – The temperature of your breath is relatively high (approx 35.5oC – 95.9oF) compared to the temperature outside
    – When we exhale our breath comes in contact with the lenses which cool it down and cause it to shift from a gas to liquid form
    – Resulting in fog appearing on your glasses

    How Can You Keep Your Glasses From Fogging Up?

    Keeping your glasses and goggles for free can be challenging during those winter months but here are 10 actionable tips you can try:

    1. Use anti-fog wipes
    2. Use anti-fog spray
    3. Apply shaving foam
    4. Use a bar of soap
    5. Use glasses that sit far away from your face
    6. Use water repellent spray
    7. Buy anti-fog glasses/lens
    8. Use contact lenses
    9. Use your saliva
    10. Taking them off

    Using Saliva, Anti-Fog Wipes/Lens, Or A Spray

    If you are wearing glasses, you should prepare yourself for winter. Buying a pack of good anti-fog wipes(or a spray) is a cheap, quick fix if you are not looking to spend a lot of money.

    And if you are dirt cheap, you can also use your saliva or your breath. Spitting directly on your glasses is, fortunately, entirely unnecessary. You can just put some saliva on your finger, rub it across the lens and use a wipe(or your shirt) to wipe it all off.

    The best solution to this problem would be to invest in a solid pair of glasses with an anti-fog lens. Investing in a new pair of glasses may require a bit more money, but it will take care of your problem permanently.

    Using Shaving Cream Or A Bar Of Soap

    Shaving cream is a quick fix that has been around for as long as I can remember. What you need to do is just to use a tiny dab of shaving cream and smear it across the lens.

    Let it dry out and then polish it, using a clean cotton cloth. The end result will be impressive and it will last for some time.

    Applying soap is pretty much the same.

    Using A Water Repellent Spray

    Making your lens water resistant by using a water repellent spray is another effective way of preventing them from fogging up.

    The only problem is, anti-fog sprays for glasses are relatively small in size, so you can carry them with you wherever you go; this is not the case with water repellent sprays, which are usually larger.

    Taking Your Glasses Off/Keeping Them Away From You Face

    Choosing a pair of glasses that will sit further away from your face can take care of the fogging up problem(if it was caused by your breath).

    Also, removing them from your face and storing them your pocket for a couple of minutes, will warm the lenses up and may prevent that phase change we talked about earlier.

    Best Anti-Fog Sprays In 2018

    We have to say that, during our research, none of the products really “popped.” There were only a few that we found to be promising, which we will mention in the following paragraphs.

    That being said, our top advice would be to invest in a pair of anti-fog glasses/goggles. You can find some good deals on Amazon by clicking here.

    Another route you can take is to buy wipes. You can find them here.

    And now, for the sprays. Here is our selection:

    Jaws Quick Spit Antifog Spray


    This one proved to be the best one we’ve come across(it is also Amazon.com’s top choice), it is long lasting (approx 200 pumps), contains no toxic chemicals and it will work for both glass and plastic.

    Now, these sprays are mostly for your everyday, regular use. Though they are advertised to be used in water as well, they have not performed the best.

    You can always give them a go, they are relatively cheap, won’t put a dent in your budget, and will help you keep your lens clean.


    >>> Click Here To Buy It <<<

    Jaws Antifog Gel


    You’ve noticed this product is made by the same company as the previous one.

    It also contains no harmful chemicals and is meant for both glass and plastic.

    The only difference we’ve noticed so far was the fact this product works better in water than the previous one. Though there is a disclaimer saying “It is not meant for water goggles,” it performs well in the water environment.


    >>> Find Out More About It Here <<<

    Scuba Mask Sea Drops


    This product is more geared to divers and those individuals who want to coat their goggles, though you can use it for your glasses as well.

    It is formulated to be alcohol and toxic so it won’t damage plastic or rubber parts of your equipment.

    It is made in the US and it comes in a package of three bottles, so it will have you covered for months to come.


    >>> Click Here To Buy It <<<

    Cressi Antifog


    If you take a look at their product page, you will see that Cressi is offering three different choices:

    • A spray
    • Wipes and
    • Drops

    You can choose yourself, but we found that spray offered the most “bang for the buck” as it will outlast the other two.

    Though this product is advertised only for glasses and scopes, you can just as well use it for your goggles. Just make sure you rub it on the inside of the lens prior to wetting them.


    >>> Click Here To Find It On Amazon.com <<<

    NOTE: HelpYourBack.org is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com.

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