Columbia Advanced Chiropractic, LLC

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SoftWaves for Plantar Fasciitis Work!

SoftWaves for Plantar Fasciitis Work!

Extracorporeal Shockwave Therapy (ESWT) is cleared by the FDA for use on a few conditions, one being plantar fasciitis.  This is very exciting as plantar fasciitis is the most common form of heel pain and it can be quite debilitating condition.  Podiatrist, orthopedists, PTs, and sports chiropractors all work with patients who suffer from plantar fasciitis, and we are always looking for more and better ways to help these patients.  When a proper diagnosis is made (and this means being quite sure to R/O calcaneal stress reaction), the faster we can address a problem and the faster we can fix it. Continue Reading →

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How To Identify and Address Tarsal Tunnel Syndrome

How To Identify and Address Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist.  We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’  Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness.  In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.

The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →