Plantar fasciitis is the most common cause of heel pain in runners, eventually affecting 10 percent of the running community. While running, the plantar fascia works with the Achilles tendon to store and return energy. Because of its powerful attachment to the base of the toe, the plantar fascia stabilizes the inner forefoot as forces peak during pushoff. Unlike bone spurs and stress fractures of the heel, plantar fasciitis tends to produce pain during the pushoff phase while running, not during initial contact. A simple way to tell if you have plantar fasciitis versus a heel spur/stress fracture is to walk on your toes: heel spurs and heel stress fractures feel better while you walk on your toes, while plantar fasciitis typically produces more discomfort when you shift your weight onto your toes.
This is a problem of either extreme, so people with high arches or those that have very flat feet are at risk of developing pain in this region. This is because of the relative stress the plantar fascia is put under. In people with excessive pronation, the plantar fascia is put under too much stretch, as their range flattens and strains it. People with a stiff, supinated (high-arched) foot lack the flexibility to appropriately shock absorb, so this too puts extra strain on the plantar fascia. Clinically, we see more people presenting with plantar fascia pain who have excessive pronation than those with stiff, supinated feet. But while the foot type is the biggest risk factor for plantar fasciitis, the whole leg from the pelvis down can affect how the foot hits the ground. A thorough biomechanical assessment will determine where in the kinetic chain things have gone wrong to cause the overload.
Pain tends to start gradually, often just in the heel, but it can sometimes be felt along the whole of the plantar fascia. The symptoms are initially worse in the morning and mostly after, rather than during, activity. As the condition becomes worse, the symptoms become more persistent.
Plantar fasciosis is confirmed if firm thumb pressure applied to the calcaneus when the foot is dorsiflexed elicits pain. Fascial pain along the plantar medial border of the fascia may also be present. If findings are equivocal, demonstration of a heel spur on x-ray may support the diagnosis; however, absence does not rule out the diagnosis, and visible spurs are not generally the cause of symptoms. Also, infrequently, calcaneal spurs appear ill defined on x-ray, exhibiting fluffy new bone formation, suggesting spondyloarthropathy (eg, ankylosing spondylitis, reactive arthritis. If an acute fascial tear is suspected, MRI is done.
Non Surgical Treatment
Your doctor will determine what treatment is best for your condition. The most common treatments for plantar fasciitis include icing the affected area, inserting custom-made orthotics into your shoes, massaging the plantar fascia, nonsteroidal anti-inflammatory drugs (NSAIDs), steroid injections, strengthening the foot, wearing a night splint, wearing shoes with arch support, physical therapy, stretching the calf muscles, shockwave therapy or radiotherapy. To keep the plantar fascia lengthened as you sleep, your doctor may ask you to wear night splints. In the morning, taking your first steps is less painful because the plantar fascia remains stretched throughout the night. Avoiding activities such as walking or running helps the healing process. Losing weight, if it is a factor in the condition, may help to reduce the stress placed on the plantar fascia.
In very rare cases plantar fascia surgery is suggested, as a last resort. In this case the surgeon makes an incision into the ligament, partially cutting the plantar fascia to release it. If a heel spur is present, the surgeon will remove it. Plantar Fasciitis surgery should always be considered the last resort when all the conventional treatment methods have failed to succeed. Endoscopic plantar fasciotomy (EPF) is a form of surgery whereby two incisions are made around the heel and the ligament is being detached from the heel bone allowing the new ligament to develop in the same place. In some cases the surgeon may decide to remove the heel spur itself, if present. Just like any type of surgery, Plantar Fascia surgery comes with certain risks and side effects. For example, the arch of the foot may drop and become weak. Wearing an arch support after surgery is therefore recommended. Heel spur surgeries may also do some damage to veins and arteries of your foot that allow blood supply in the area. This will increase the time of recovery.
Warm up properly. This means not only stretching prior to a given athletic event, but a gradual rather than sudden increase in volume and intensity over the course of the training season. A frequent cause of plantar fasciitis is a sudden increase of activity without suitable preparation. Avoid activities that cause pain. Running on steep terrain, excessively hard or soft ground, etc can cause unnatural biomechanical strain to the foot, resulting in pain. This is generally a sign of stress leading to injury and should be curtailed or discontinued. Shoes, arch support. Athletic demands placed on the feet, particularly during running events, are extreme. Injury results when supportive structures in the foot have been taxed beyond their recovery capacity. Full support of the feet in well-fitting footwear reduces the likelihood of injury. Rest and rehabilitation. Probably the most important curative therapy for cases of plantar fasciitis is thorough rest. The injured athlete must be prepared to wait out the necessary healing phase, avoiding temptation to return prematurely to athletic activity. Strengthening exercises. Below are two simple strength exercises to help condition the muscles, tendons and joints around the foot and ankle. Plantar Rolling, Place a small tin can or tennis ball under the arch of the affected foot. Slowly move the foot back and forth allowing the tin can or tennis ball to roll around under the arch. This activity will help to stretch, strengthen and massage the affected area. Toe Walking, Stand upright in bare feet and rise up onto the toes and front of the foot. Balance in this position and walk forward in slow, small steps. Maintain an upright, balanced posture, staying as high as possible with each step. Complete three sets of the exercise, with a short break in between sets, for a total of 20 meters.
Orthotics are shoe insoles, custom-made to guide the foot into corrected biomechanics. Orthotics are commonly prescribed to help with hammer toes, heel spurs, metatarsal problems, bunions, diabetic ulcerations and numerous other problems. They also help to minimize shin splints, back pain and strain on joints and ligaments. Orthotics help foot problems by ensuring proper foot mechanics and taking pressure off the parts of your foot that you are placing too much stress on. Dr. Cherine's mission is to help you realize your greatest potential and live your life to its fullest.
If you see just a thin line connecting the ball of your foot to your heel, you have high arches. If you have flat feet or high arches, you're more likely to get plantar fasciitis, an inflammation of the tissue along the bottom of your foot. Without proper arch support, you can have pain in your heels, arch, and leg. You can also develop bunions and hammertoes, which can become painful,” says Marlene Reid, a podiatrist, or foot and ankle doctor, in Naperville, IL. Shoes with good arch support and a slightly raised heel can help ward off trouble. Laces, buckles, or straps are best for high arches. See a foot doctor to get fitted with custom inserts for your shoes. Good running shoes, for example, can prevent heel pain, stress fractures , and other foot problems that can be brought on by running. A 2-inch heel is less damaging than a 4-inch heel. If you have flat feet, opt for chunky heels instead of skinny ones, Reid says.
Another solution is to wear custom foot orthotics, like ezWalker ® Performance Custom Orthotics, in your shoes to help correct your body posture, stabilize your balance, relieve pain during follow-through and evenly redistribute your weight on your feet. EzWalker® Custom Orthotics are specifically made for each of your feet to properly support your arches while reducing pressure on the balls of your feet. With ezWalker® Custom Orthotics, you'll walk from lateral heel to medial forefoot for better biomechanics of your entire body. This condition manifests as a skin lesion that assumes a ring-like pattern. It can affect any region of the body, right from the scalp to the foot. One such common home remedy is the use of bleach. Many people claim that this is a very effective ringworm treatment.
During the average lifetime our feet cover over 70,000 miles, the equivalent of walking four times around the world., so it's not surprising that problems can occur. Indeed around three-quarters of all adults will experience some sort of problem with their feet at some time. And without treatment most foot complaints will become gradually worse with time. This means people often endure painful conditions for far too long, and the problem can get worse. People often assume nothing can be done to help their condition, but in fact these conditions are extremely treatable. Swollen lump on big toe joint; lump may become numb but also make walking painful.
You?re a prime candidate for acquiring Achilles Tendonitis if you?re a runner or some other kind of athlete requiring heavy use of your calves and their attached tendons. Then again, -anybody- can get tendonitis of the Achilles tendons. All for very predictable reasons. Perhaps you have Achilles Tendon pain from cycling. Or standing at work. Or walking around a lot. Anything we do on our feet uses our lower leg structures, and the Achilles tendon bears LOTS of torque, force, load, etc. The physical dynamic called Tendonitis can show up anywhere. On the Achilles Tendon is as good a place as any. Repetitive strain injury can show up anywhere in the body that there is repetitive strain. It's an obvious statement, but worth paying attention to.
Achilles tendinitis can be caused by overly tight calf muscles, excessive running up hill or down hill, a sudden increase in the amount of exercise, e.g. running for a longer distance, wearing ill-fitting running shoes, such as those with soles that are too stiff, or wearing high heels regularly, or changing between high heels all day and flat shoes or low running shoes in the evening. Overuse is common in walkers, runners, dancers and other athletes who do a lot of jumping and sudden starts/stops, which exert a lot of stress on the Achilles tendon. Continuing to stress an inflamed Achilles tendon can cause rupture of the tendon - it snaps, often with a distinctive popping sound. A ruptured Achilles tendon makes it virtually impossible to walk. An Achilles tendon rupture is usually treated by surgical repair or wearing a cast.
People with Achilles tendinitis may experience pain during and after exercising. Running and jumping activities become painful and difficult. Symptoms include stiffness and pain in the back of the ankle when pushing off the ball of the foot. For patients with chronic tendinitis (longer than six weeks), x-rays may reveal calcification (hardening of the tissue) in the tendon. Chronic tendinitis can result in a breakdown of the tendon, or tendinosis, which weakens the tendon and may cause a rupture.
A podiatrist can usually make the diagnosis by clinical history and physical examination alone. Pain with touching or stretching the tendon is typical. There may also be a visible swelling to the tendon. The patient frequently has difficulty plantarflexing (pushing down the ball of the foot and toes, like one would press on a gas pedal), particularly against resistance. In most cases X-rays don't show much, as they tend to show bone more than soft tissues. But X-rays may show associated degeneration of the heel bone that is common with Achilles Tendon problems. For example, heel spurs, calcification within the tendon, avulsion fractures, periostitis (a bruising of the outer covering of the bone) may all be seen on X-ray. In cases where we are uncertain as to the extent of the damage to the tendon, though, an MRI scan may be necessary, which images the soft tissues better than X-rays. When the tendon is simply inflamed and not severely damaged, the problem may or may not be visible on MRI. It depends upon the severity of the condition.
Massage therapy improves blood flow to the muscles and tissues of the affected area while increasing range of motion and can prevent recurring injury. The healing process can be quickened using ultrasound heat therapy to improve blood flow to the affected area. Wearing a night brace keeps the leg flexed, preventing stiffening of the tendon, which would impair healing. Stretching exercises increase flexibility and allow the tendon to heal without shortening, a deformity resulting in chronic pain. Persistent Achilles pain may warrant the use of a cast or walking boot to be worn for 4-6 weeks stabilizing the tendon so it can heal. After removal of the cast or boot, physical therapy will be ordered to increase functionality of the affected limb. To reduce chronic inflammation of the tendon, corticosteroid injections may be prescribed. It?s important to note that this corticosteroid treatment increases the risk of tendon rupture. Ultrasound imaging may be used by the physician administering the steroid injection, in order to help visualize the affected area. When all other therapies have failed to or tendon rupture occurs, surgical intervention and repair of the muscles and tendons is the last treatment option.
Chronic Achilles tendon tears can be more complicated to repair. A tendon that has torn and retracted (pulled back) into the leg will scar in the shortened position over time. Restoring normal tendon length is usually not an issue when surgery is performed within a few weeks of the injury. However, when there has been a delay of months or longer, the treatment can be more complicated. Several procedures can be used to add length to a chronic Achilles tear. A turndown procedure uses tissue folded down from the top of the calf to add length to the Achilles tendon. Tendon transfers from other tendons of the ankle can also be performed to help restore function of the Achilles. The results of surgery in a chronic situation are seldom as good as an acute repair. However, in some patients, these procedures can help restore function of a chronically damaged Achilles.
Regardless of whether the Achilles injury is insertional or non-insertional, a great method for lessening stress on the Achilles tendon is flexor digitorum longus exercises. This muscle, which originates along the back of the leg and attaches to the tips of the toes, lies deep to the Achilles. It works synergistically with the soleus muscle to decelerate the forward motion of the leg before the heel leaves the ground during propulsion. This significantly lessens strain on the Achilles tendon as it decelerates elongation of the tendon. Many foot surgeons are aware of the connection between flexor digitorum longus and the Achilles tendon-surgical lengthening of the Achilles (which is done to treat certain congenital problems) almost always results in developing hammer toes as flexor digitorum longus attempts to do the job of the recently lengthened tendon. Finally, avoid having cortisone injected into either the bursa or tendon-doing so weakens the tendon as it shifts production of collagen from type one to type three. In a recent study published in the Journal of Bone Joint Surgery(9), cortisone was shown to lower the stress necessary to rupture the Achilles tendon, and was particularly dangerous when done on both sides, as it produced a systemic effect that further weakened the tendon.
Lack of sensation in the feet increases the risk for unnoticed foot injuries, which may lead to serious infections. Diabetic peripheral neuropathy can affect the muscle-related, or motor, nerves of the feet and lower legs. Damage to these nerves commonly causes weakness of the associated muscles, which can lead to foot deformities, notes the American College of Foot and Ankle Surgeons on the patient information website Foot Health Facts. Claw toe and hammertoe deformities, in which the toes curl rather than lying flat, frequently occur in people with diabetic motor neuropathy of the feet. These deformities often cause bunions, calluses and corns, which may lead to foot ulcers. The University of Chicago Center for Peripheral Neuropathy reports that pain, tingling or numbness of the hands can occur with diabetic peripheral neuropathy, affecting the sensory nerves of the hands. Claw toes result from an inherent muscle imbalance. A terrific skin care regime.
Other toe pain conditions, such as toe misalignment can be easily prevented and treated with the use of good quality Orthotic Foot Beds. What usually leads to such problems include poor posture, sitting for long periods without exercise or stretching, and arthritis. As a matter of fact, a simple correction of posture can provide relief from sciatic nerve pain. Dr. Marble discusses the problem of thick toe nails and its many etiologies. If you know anybody with drug or alcohol addiction and suffering from mental problems, dual diagnosis treatment can help them. Plantar fasciitis mostly occurs in people between 40 and 60 years of age.
Wear whoes that have a high toe box and are wide enough to prevent the pressure that can cause the deformity. Avoid wearing tight-fitting, narrow or pointed toe shoes, such as women's high heels or pumps.Prevent or treat arthritis, diabetes and neurological disorders to help reduce the risk of developing mallet toes.Avoid trauma to the toes, such as broken bones, which can cause mallet toes. It may take a month or two to heel completely.
A special pad to help redistribute your weight and relieve pressure on the ball of your foot. If the toe is flexible, sometimes a simple procedure using no scalpel and no stitiches can relax the toe into a straight position. When the toe becomes rigid, bone needs to be remodeled and corrected, which is done as an outpatient in the OR. If you or someone you love is dealing with foot problems in Sarasota or Bradenton, encourage them to schedule an appointment right away�in our Bradenton Podiatry office or Sarasota Podiatry office. Also, a current target the harm that extremely high or pointed footwear can perform to the ft, shins and back have led many women to restrict their putting on of high heel shoes and reserve them for very official or formal occasions. They finish off a look, they make you appear taller, and they can make the thighs look slimmer than they are.
A bunion is a deformity where the big toe points laterally, toward the second toe when pressure is applied to the side of the big toe forcing it inwards towards and sometimes under or over the second toe. Home Self-Care: It's necessary to wear correct footwear to restore your feet back to their natural shape. Hammertoes vary in shape and size but they generally cause the affected toe to take on a claw-like appearance.
It can also be caused by muscle, nerve, or joint damage resulting from conditions such as osteoarthritis , rheumatoid arthritis , stroke , Charcot-Marie-Tooth disease , Complex Regional Pain Syndrome or diabetes 3 Hammer toe can also be found in Friedreich's ataxia (GAA trinucleotide repeat). The Mayo Clinic refers to it as claw-like" while the American Podiatric Medical Association says that it looks like an inverted V from the side. The skin on top of the joint often becomes irritated from rubbing against the shoe. Sometimes the ball of the foot aches where it meets the affected toe.
A good exercise that you can perform before sitting up is to stretch your foot by moving it up and down ten times. An alternative exercise you should do while sitting is to roll a rolling pin or tennis ball with the arch of your foot. Once you can, move on to doing this exercise as you are standing up. After these exercises, put on your shoes with arch support inserts inside them, or wear supportive sandals. Don’t start the day walking without shoes on hard floors or tiles, or it can be guaranteed that your heel pain will come back. In addition to reduced fat padding, ball of foot pain can be caused by certain foot abnormalities, arthritis, ill-fitting shoes, wearing high heels too often, or any abnormal pressure to the ball of the foot. Other foot problems, such as hammertoes, can also cause incorrect pressure distribution" My only issue with the inserts is that the sticky part, doesn't stay sticky for very long. You can't transfer these to a different pair of shoes, because they won't stay put anymore. Jun 21, 2010 By Martin Hughes Photo Caption There are numerous types of foot pain conditions and symptoms. Photo Credit woman"s foot image by Piter Pkruger from Fotolia.com It is said only the people who share the migraine pain could understand its severeness.There are around 10% of the whole American population who have been troubled by migraine headache attacks during certain age of their life. Most migraine sufferers are women. We have seen quite some characters on sitcoms who claim they have got a migraine headache and need some rest. It is so hard for most men to understand the pain, some migraine sufferers have to bear the name "drama queen". That is so unfair. read more You can also relieve painful inflammation by icing the area or taking nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen or aspirin. Though almost nobody has heard of them until they've injured them, the two small sesamoid bones in the human foot play a very big role in human ambulation. The sesamoids sit in the ball of the foot, just behind the big toe, and are located within the tendons that connect to the big toe. They, as the American Academy of Orthopeaedic Surgeons' webpage on the condition states, act as a "pulley" that makes the tendons connecting to the big toe more efficient. They also assist in weight-bearing. A basin full of warm water, or a foot spa with added tea tree oil isa good soother for the feet. If home therapy does not improve the Morton's Neuroma, the podiatrist may opt to inject the ball of the foot with a numbing agent that will alleviate the pain you are feeling and also give the nerve some relaxation. An orthotic may also be required to alleviate your foot pain and to control the walking mechanism of the foot affected. Stretching exercise for the arches is the best way to go. In fact, mild to moderate exercises help in maintaining a healthy course of life. It also keeps the feet in good health. Ensure that stretching affects the calf muscles as well as Achilles tendon for best result. Article body (HTML version) I've got the ball of foot pain blues! I really do! I have had them on and off for over a year now and it is time to come out and share with you all why things like this happen and what keeps me pain-free and happy! Dr Marybeth Crane is a board certified podiatric foot and ankle surgeon specializing in sports medicine. Your feet should last a lifetime! For more foot health tips, a copy of her FREE BOOK and doctor-approved foot care products, visit her website or read her blog Your body will thank you for it!
The diagnosis of plantar fasciitis is usually made by clinical examination alone. The clinical examination may include checking the patient’s feet and watching the patient stand and walk. The clinical examination will take under consideration a patient’s medical history, physical activity, foot pain symptoms and more. The doctor may decide to use Imaging studies like radiographs, diagnostic ultrasound and MRI. Neuhaus Foot & Ankle believes that informed patients are better prepared to make decisions regarding their health and well being. That is why we've included an extensive section on our website covering the full array of topics associated with podiatric diagnoses and treatment. Visit our YouTube channel Sexy heels! – Something that fashion dictates and foot specialists forbid. Almost every woman would have used or wanted to use one at some time in her life. Why would so many women be sold on to uncomfortable shoes with heels over three inches in height? To start with, a high-heeled shoe changes the way a woman walks, making her sway her hips and assume postures that can be enticing. High heels are also a fashion statement that few women can resist. Try out your shoes before buying them preferably late in the evening. Take a few steps in them and make sure you feel comfortable walking in them. Is one of the hallmark symptoms of the condition. This occurs because when you sit or sleep the foot is in a relaxed position and the foot is effectively pointed in a downward position. This relaxes and takes tension off the Plantar Fascial ligament, the muscle group in the back of you leg and the Achilles tendon. The ligament and the tendon get used to the relaxed position. When you stand and put weight on your feet the ligament and the tendon are put under sudden stretch and there is sudden pressure on the heel. This is when you may feel severe sharp piercing pain. Medial tibial stress syndrome (shin splints) and tibial stress fractures are both due to biomechanical and structural conditions of the foot. These include outward tilting of the heel, rolling down and in of the arch (overpronation) among other structural deformities. Both conditions typically occur in athletes participating in high impact sports such as running, basketball and tennis. Shin splints are usually painful along the inside border of the shin (tibia) close to the ankle, while stress fractures are usually tender at a specific spot on the shin. in shoes must be able to stand up to that dull pressure. In addition to the whole weight of our body, heel pads The posterior tibial nerve is responsible for a large area of sensory innervation, and patients often experience difficulty in pinpointing their discomfort to a specific location in the heel. Unlike patients with heel pain from plantar fasciitis, those with tarsal tunnel syndrome typically describe their pain as being most intense on standing and walking after long periods of rest. They usually do not experience pinpoint tenderness at the origin of the medial band of the plantar fascia. The information and product suggestions on the Orthofeet.com website are not meant to diagnose, prescribe or treat any illness or disease and are strictly for informational purposes only. Recommended Products Of course Frank had no time for womanish gossiping. For the longest while Slikker was happy to stand back and watch. An amalgamator is an eternally busy chap with much to consider. The speed, height and wear of the shoes in the mills. Liming the water. Checking the grade, screen and mix of the ore. Adjusting the slow feed of mercury into each coffer. Replacing splash screens. Clearing and brightening plates. Adjusting bumping tables. Feeding Berdan pans. Assaying waste, and a host of lesser duties. Almost there Eddie, another few seconds an' we'll see about brekky." Trying to sound light and cheery was just the ticket. It steadied the nerves. Since 90% of all patients get better with conservative care, it rarely requires surgical intervention. The surgery consists of releasing the plantar fascia from the calcaneous. This can be accomplished by a very small incision on the inside of the heel. A new treatment modality is now available. Extracorporeal shock wave therapy uses a machine similar to the one used for kidney and gallstones. This machine is indicate only for chronic proximal plantar fascitis. See Foot News for more information. Achilles Tendonitis – in this condition, the tendon along the back of the heel and ankle (Achilles tendon) tears and becomes inflamed causing pain in the back of the heel. Start off by looking at your feet. Wet the bottom of your foot and take a few steps. Gaze back at the water marks. If there is a large gap in the water mark where your arch would be, you have a medium or high arch. If you possess a flat foot, the water spot may illustrate where your arch is touching the ground. The study, carried out by researchers from the Arthritis Research UK Biomechanics and Bioengineering Centre based in the University’s School of Healthcare Studies, shows how backwards running generally exerts less pressure on the knee joint.
That’s not to say that some people aren’t born with bunions, but the majority of bunions can be traced back to poor foot biomechanics and poor environment (flat surfaces). Sometimes it’s the choice of footwear. None of us were born to walk on hard, flat surfaces, rather on soft, unstable surfaces like grass, sand, dirt, rocks. The biomechanics of the feet will not function properly on hard, flat surfaces. They simply can’t. There is a reason your feet are in pain. If you don’t have them, be glad. If you do have them, I suggest having your feet checked for biomechanical malfunctions, and review non-surgical solutions before surgery. The bump or prominence that characterizes this health problem may become reddened and enlarged in people who wear inappropriate footwear, or footwear that does not accommodate your deformed forefoot. Instead of your shoe being the shape of your foot—although it might be in some parts of your shoe—your bunion begins to shape the end of your shoe and an observable expansion develops in that location. This shoe molding is not without its consequences for your bunion, however. The pressure from your shoe on your big toe bump or prominence may irritate the skin on the side and top of your bump. While blisters are usually temporary, bunions can stay around for a while and worsen in their condition. Usually what causes bunions are, like blisters, ill-fitting shoes in the first place! In addition, just the shape of the shoe can cause/aggravate bunions, namely too-narrow toe boxes that push the toes together such as occurs in cowboy boots or pointy high heels. A bunion is a bony bump at the base of your big toe and causes the toe to lean toward the other toes. Corns can range from a slight thickening of the skin to a painful, hard bump, and often form on top of buckled toe joints (hammer toes). Dry feet is a very common and potentially painful condition. I have seen many people suffer from cracked heels, itchy and dry feet. Believe me, it can make even the simple act of walking, very painful. Skin problems dealing with the feet may appear at any age. Whether from work, the environment or a physical condition such as psoriasis, eczema, diabetes, or dermatitis , the skin on your feet is actually very vulnerable to problems. Since there are 2000 pores on the bottom of the feet and they are the largest pores anywhere on the body, great care is essential. Laser bunion surgery is a procedure aimed to help people get treated from this problem. Apart from surgery, there are other approaches that can help this problem even when people are at home. However, bunion problems can be simple problems especially if they're not causing any pain to people. Majority of these people especially women can feel an extreme pain. People who feel minor pain need not to undergo the surgery procedure because of the fact that they can get several procedures done at home to help them solve this pain problem.