A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing) of the foot and lower extremities, pelvis, and back while standing and walking [ingrown toenail?, leg length discrepancy?, deformities?, foot deformities?, warts?, swelling?, scoliosis?, color changes?] … Heel Pain: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose), sediment if necessary. Fasting glucose … Heel Pain: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Radiographs of the affected region – to demonstrate arthritis (joint inflammation), osteomyelitis (bone marrow inflammation), march fracture, etc. Skeletal scintigraphy (nuclear medicine procedure that can represent functional changes in … Heel Pain: Diagnostic Tests
The following symptoms and complaints may occur along with heel pain: Leading symptoms Acute versus chronic foot pain Sharp versus dull pain Radiating pain Load-dependent pain Associated symptoms Movement restriction Neurological symptoms such as paresthesias (misfeeling). Redness Overheating Warning signs (red flags) Anamnestic information: Peripheral arterial occlusive disease (pAVD) + nocturnal footpad pain → think: … Heel Pain: Symptoms, Complaints, Signs
To the extent that foot pain or a heel pain can be attributed to a specific disease, see drug therapy, surgery, and “other therapy” under that disease. General measures Cool and spare Avoid predominant activities while standing! Nicotine restriction (refrain from tobacco use). Aim for normal weight! Determination of BMI (Body Mass Index, body mass … Heel Pain: Therapy
Acute measures against migraine focus on drug therapy or treatment, which should be started as early as possible. Drug therapy for migraine Frequently used as medication in the treatment against migraine are triptans: serotonin receptor agonists, which pretend to the brain to be the messenger substance serotonin and thus develop its effect. In therapy, they … Migraine: Treatments and Remedies
In the past, a lot of research has been done to find out the causes of migraine and its symptoms. Nevertheless, the origin is still unclear. Scientists largely agree that several factors must interact to cause migraine or a susceptibility to it. It is possible that the predisposition to migraine is inherited. Triggers for migraine … Migraine: Causes and Risk Factors
According to current knowledge, a migraine cannot be cured. But it can succeed to mitigate attacks and course and prevent. Due to the unclear causes, there are countless, partly different recommendations on how sufferers can prevent migraines. Finding individual migraine triggers In principle, the individual causes should be found and avoided first and foremost to … How to Prevent Migraine
Throbbing in the head, nausea, vomiting and temporary dejection – one third of all women suffer from migraine. Fluctuations in hormone levels due to the female menstrual cycle appear to play a partial role in migraines among women, according to scientific evidence. For some women, migraines disappear with the onset of menopause, but for some, … Migraine during Menopause
Neck-shoulder-arm syndrome, cervical syndrome, cervicobrachial syndrome, cervicocephalic syndrome – all these terms come from the context of neck pain. What to do about neck pain? We provide information about the causes, symptoms, course and treatment of neck pain. Definition of neck pain Neck pain is pain in the neck region of different causes, which can … When the Neck Hurts
In whiplash, a sudden force on the cervical spine (C-spine) – for example, in a car accident – causes injuries to the neck area. As a result, symptoms such as neck pain and headaches may occur. In most cases, whiplash does not require any special treatment. Painkillers and muscle relaxants can be used to relieve … Whiplash: What to Do?
Throbbing pain can occur in various parts of the body, for example in the ear, head or eye. Often, the throbbing is in the same rhythm as the heartbeat (pulse synchronous): so you can feel your own pulse. This is usually an expression of increased or altered blood flow in the affected region – for … Symptom Throbbing: Harmless or Dangerous?
