| How to Recover From Plantar Fasciitis Surgery Posted: 19 Aug 2016 05:00 PM PDT Plantar fasciitis is a degenerative change in the fascia that spans the bottom of your feet from the ball of the foot to the heel. This condition affects 10 – 15% of the population and usually manifests as pain when you start walking after an extended period of time at rest. Surgery to relieve plantar fasciitis is recommended for only a small number of patients when all conservative treatment has failed.[1] Surgery is usually done as an outpatient procedure. The recovery time can vary depending on whether it was open or endoscopic fascia release surgery. The type of surgery often depends on the surgeon, but a recent study has found that endoscopic fascia release surgery is a safer alternative that is associated with faster recovery times and greater patient satisfaction.[2] EditRecovering from Endoscopic Surgery - Wear your postoperative shoe or walking cast. Since an endoscopic procedure is less invasive than an open surgery, the recovery time is shorter as well. Your surgeon will bandage your foot after the surgery, and she will then wrap it in a walking cast or postoperative boot. You can expect to wear this for three to seven days after the surgery.[3]
- Your doctor may end up recommending you wear the boot or cast for longer. Always wear it according to your surgeon's postoperative directions.
- Stay off your feet for the first week. While you are not forbidden from walking, your surgeon will recommend that you stay off the foot as much as possible for the first week after the surgery.[4] This will limit your pain, recovery period, and potential for complications such as soft tissue damage around the site.[5]
- Your surgeon will likely tell you to stay off your feet for everything but getting up to use the restroom and eat.[6]
- You should also keep the foot and bandage completely dry to reduce the risk of infection.[7]
- Use supportive walking shoes once your surgeon removes the cast or boot. At your first follow-up appointment, your surgeon will decide whether or not to remove your cast/boot yet. If your surgeon removes it, then he will recommend that you wear shoes with plenty of arch support for the next several weeks while still minimizing the amount of weight you place on your foot.[8]
- Podiatrists and surgeons will typically prescribe custom orthotic shoe inserts before ever performing plantar fasciitis surgery. Return to using your orthotics as directed to provide the additional support as your foot heals.[9]
- Have your surgeon remove your sutures. Your surgeon will remove any sutures from the procedure at your next appointment, which will likely be anywhere from 10 to 14 days after your initial procedure.[10] Once the sutures are out, you are free to resume bathing your foot. You can also resume placing your full weight on the foot.[11]
- Do not try to resume your normal walking routine for at least three weeks. Even with your sutures out and using your orthotics, you are likely to experience some discomfort from walking for around three weeks.[12]
- If your job requires you to spend long hours on your feet, then you may have to take this time off work.[13] You should arrange this with your employer before scheduling your plantar fasciitis surgery.
- When you do have to be on your feet, you may find relief from discomfort in icing and elevating your foot afterward. By placing a frozen water bottle on the floor and using your foot to roll across it, you can perform a good stretch on the area as well as icing it.[14][15]
- Go to all of your doctor and physical therapy appointments. You will have additional follow-up appointments with your doctor at her discretion. You can also expect to meet with a physical therapist who will teach you how to stretch the muscles and tendons in your foot safely for the best outcome after your surgery. Always schedule these appointments based on the suggestions of these professional providers and attend each appointment.
- Stretches include massaging your plantar fascia by using a small, hard object such as a golf ball to roll under your foot.[16][17]
- Another easy way to exercise the corresponding muscles and tendons is to flex your toes down and in to grasp a towel or even the carpet beneath your feet.[18][19]
- Consult your physical therapist before resuming any strenuous exercise routines. Even after you're walking normally without any discomfort, your doctor or physical therapist may recommend easing yourself back into high-impact exercise routines. Consult them about the best exercises and schedule for resuming your workout regimen.
- Don't be surprised if they suggest switching to lower impact exercises, such as swimming and cycling, for several months after your procedure.
EditRecovering from Open Surgery - Wear your cast or brace for the entire time designated by your surgeon. Consistent use of your cast or brace is necessary in order to allow your fascia to fully recover. Even if you feel better and there is little to no pain when you put your full weight on your feet, it is still necessary to allow complete recovery. No pain and increased mobility does not mean your body has healed 100 percent. You can expect to wear the cast or boot for two to three weeks. [20]
- Your surgeon will likely tell you to stay off your feet completely except for when eating or using the bathroom for the first week or two.[21]
- You should also keep the foot and bandage completely dry to reduce the risk of infection.[22]
- Use the crutches provided. Though you should stay off your feet completely as often as you can manage it, your doctor will provide crutches for you to use when you must get up.[23] Use them consistently to help aid you in keeping weight off your foot.
- Take any pain meds prescribed by your doctor. Though not highly invasive, the open nature of the procedure will still result in pain during your recovery. Your doctor will likely prescribe pain medication to help keep you more comfortable during the initial recovery time. Take your pain meds as directed when you are experiencing pain. If the pain is unrelieved, contact your doctor.
- Your doctor will have you switch to over-the-counter pain medication once your prescription runs out. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help manage pain.[24]
- Schedule and attend your follow-up appointments. Your surgeon will schedule follow-up appointments to monitor the progress of your recovery and to determine when to remove the cast or boot on your foot. Make sure you attend these appointments, and do not remove the cast or boot before your doctor gives the okay.
- Start wearing shoes with proper support. Once your doctor removes the cast/boot, he will give the okay for you to start wearing shoes again as soon as it's comfortable for you to do so. Since surgery is a last resort, you will likely already have custom orthotic inserts for your shoes. Continue to use them after the surgery to provide the proper form and support to your foot as it continues to heal.[25]
- Use ice to reduce discomfort. Once your foot is out of the cast, you can also ice it to help reduce discomfort, especially after being on your feet for a long period of time. One method is to place a frozen water bottle under your foot while rolling your foot along it. This stretches the area around your plantar fascia while icing it at the same time.[26]
- Attend any physical therapy appointments. If your doctor sees the potential for complications or evidence that you've been putting too much weight on your foot, she may schedule more appointments to monitor your foot. However, you will likely only have to meet with a physical therapist at this point to learn some stretches and exercises to aid in your recovery time.
- These types of stretches include massaging your plantar fascia by using a small, hard object such as a golf ball to roll under your foot.[27][28]
- Another easy way to exercise the corresponding muscles and tendons is to flex your toes down and in to grasp a towel or even the carpet beneath your feet.[29][30]
- Restrict all running and impact sports for at least three months. Even after you can walk normally without any discomfort, your doctor or physical therapist may recommend easing yourself back into high-impact exercise routines. You'll want to restrict high-impact running and jumping for as long as three months.[31] Consult them about the best exercises and schedule for resuming your workout regimen.
- They won't stop you from exercising completely, but they will likely suggest low-impact routines such as swimming.
- This article covers a general set of guidelines for plantar fascia release surgery. You should always follow your own doctor's advice and instructions.
- Contact your doctor immediately if you have severe pain or signs of infection after surgery. Signs of infection include redness, swelling, drainage from the wound, and fever.
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| How to Change Your Name in Oklahoma Posted: 19 Aug 2016 09:00 AM PDT In Oklahoma, legal name changes must be approved by the court. The reasons you may want to change your name are as varied as the citizens of the Sooner state. An adopted child may want to return to their birth name, someone may want to take the name of a step-parent, or you may want to have a different name for religious or other personal choice. Regardless of the reason, the state of Oklahoma allows any resident over the age of 18 to petition the court to legally change their name. EditPreparing and Filing the Petition for Name Change - Verify your eligibility to file to change your name in Oklahoma. Before you can file your name change petition with the appropriate court, you must be at least 18 years old and have lived in the state of Oklahoma for at least 30 days immediately before the filing date of your petition. [1]
- Determine where you will file your name change petition. You must file at the courthouse in the county where you have lived for at least 30 days even if another courthouse is closer. For the purposes of this statute, living on a military base counts toward the 30 days, even if you've kept your legal residence in another state.[2] The courthouse will be located in the city or town that is the county seat. [3]
- Estimate the fees and other costs. You do not have to have an attorney to change your name, but you must pay a filing fee to the court and a publication fee to the newspaper. There may also be miscellaneous costs for the notary and photocopies.
- Court filing fees change often, so contact the court clerk to verify the current fee and about their payment methods. Each court has its own rules on payment and many courts do not accept personal checks or credit cards. A money order or cash in the exact amount may be your only options.
- If you cannot pay the filing fee, the court may waive it by a showing of good cause. Print out and complete a financial statement called a Pauper's Affidavit and include it when you file your application. The judge will accept or reject it before issuing your name change order. The judge may also require proof of your income and expenses. [4]
- Gather the information you'll need to compete the petition. Oklahoma is very specific about what information is required to be submitted to the court. Most of it is basic, including your name, address, county of residence, birth date, state of birth, and phone number. [5]
- Include both your exact legal name as shown on your birth certificate and the exact legal name you are requesting from the court. Do not use nicknames or initials or they will become part of your new legal name. For example, say "Thomas Daniel Smith," instead of "Tom D. Smith."
- Include the registration number from your birth certificate. If you do not have a copy of your birth certificate, you will need to contact the vital records department of the state or county where you were born and order a certified copy. [6]
- Add a concise, no more than one sentence, reason why you want to change your name. For example, "I was adopted as a child and want to go back to my birth name," or "I want to take my grandfather's name as my middle name." Keep it clear and simple.
- Choose the newspaper for publication and verify the cost of the notice. Oklahoma law is clear. You must publish the notice of your intent to change your name with a "legal notice" newspaper for your county or a newspaper that is in general circulation throughout the state. [7] [8] The Oklahoma Press Association keeps a list of its members that meet the state definition of a legal notice newspaper. [9]
- Complete the application for legal name change. Legal Aid of Oklahoma has created a straightforward fill-in-the-blank application that will work in all counties. Print it out and fill in all the information on the forms (petition, verification, notice of hearing, and order.) Do not leave anything except the signature blocks blank. You can print clearly in dark ink or use a typewriter. [10]
- Sign your petition and other documents with your current legal name in front of a Notary Public. You will need one form of identification showing your current legal name so the notary can verify your identity. [11] Blue ink is preferred because it makes it easy to distinguish the original from a copy. Make at least two copies of the completed and signed documents.
EditFiling and Publishing the Name Change Application - File your documents with the court clerk at the county courthouse. At this time you must pay the filing fee or include your Pauper's Affidavit.[12] When you file your documents, they become part of the public record. The clerk will assign a case number, a judge, and add the official stamp of the court. Once the petition is filed, you can't change it without difficulty, so make sure you've double-checked all the information. After you receive your copy of the file-stamped documents, keep them in a safe place. If you lose them, the court may charge you for another copy.
- Request a hearing date. This is the day you will appear in front of the judge to formally ask to change your legal name. The date must be far enough out to allow you to publish your notice and wait 10 days after it has published. The clerk will fill in the information on your notice of hearing. [13]
- Publish notice of your intent to change your name. Take your file-stamped documents to the newspaper that is a legal notice publication for your county. You will have to pay the publication fee before the newspaper will accept and run your notice. Keep the receipt in case the judge asks to see it during your hearing. Oklahoma requires your notice to run in the newspaper once. [14] This is to give general notice to the community of your intent to change your name and to notify anyone who may object. Ask the newspaper if they will send your proof of publication or if you need to come into the office.
- Submit proof of publication to the court before your hearing. Oklahoma legal notice newspapers have a publication affidavit you can submit along with a clipping of the notice. Unless publication is explicitly waived, the judge will not grant your name change without proof of publication.
- The judge will only waive publication of your notice if it would put you in danger. If you are a victim of domestic violence, at the time of filing, ask the court clerk about going before the judge to ask for a publication waiver and to seal the case.[15]
EditAttending the Court Hearing for Your Name Change - Be on time and do not miss your court date. If you fail to appear in court when your case is called, the judge may dismiss your petition. If this happens, you lose your filing fee and publication fee and must start completely over. Give yourself plenty of time to get to court, get through security, find parking, and find your courtroom. Depending on the county, you may be on a docket with 5-50 other cases, so it is critical for you to be ready when your case is called. Bring your copy of the petition for reference.
- Cooperate with courthouse security procedures. Each county has its own procedure ranging from passing through a metal detector to a search of all bags and pockets. In Oklahoma, it is unlawful to bring any weapon, including firearms, into the courthouse. If you have any questions, contact the county sheriff before your court date. [16]
- Dress neatly and obey court rules. While counties will vary, Oklahoma courts generally have strict rules regarding appearance and behavior in the courtroom. Failure to comply could result in anything from a reprimand to dismissal of your case.
- Behave professionally in court. For example, Rule 9 of the Tulsa district court includes, standing when speaking, do not sit on the tables, no food or drinks in the courtroom, and to not approach the judge unless instructed. This rule is typical of all counties. [17]
- Dress conservatively with shirts tucked in and buttons fastened. You should remove your facial jewelry and cover tattoos. Do not wear t-shirts with designs, flip-flops, sports jerseys, halter tops, jeans shorts, pajamas, gym clothing, or any garments that could be misinterpreted by court personnel as being gang-affiliated. Remove hats before entering the courtroom.
- Leave your cellphones in the car. Cellphones and pagers are generally not allowed in the courtroom even when turned off. They may be subject to confiscation. Photos, videos, and voice recording devices are not allowed in the courtroom.
- Arrange for childcare before the hearing. Judges will generally not allow children in the courtroom.
- Go to the front of the courtroom when your case is called and take a seat at the table. After the judge looks over your petition, you will be asked questions about your request, including the reason for your name change and if the change is to avoid debts. Stand when speaking. Answer clearly, concisely, and honestly. If you do not understand the question, ask the judge to explain. Failure to be honest could result in being charged with a criminal misdemeanor. [18]
- Receive your name change order. If the judge is satisfied with your answers, the law requires that your petition be granted. [19] When the judge signs the order changing your name, you must take it to the court clerk for filing. You will receive a file stamped copy of the judge's order that you are free to copy as many times as you need to submit to get a new birth certificate, drivers license, etc. As soon as the clerk file stamps the order, you can legally start using your new name.
- Transgender persons who have had reassignment surgery cannot be denied a name change solely on the basis of gender. [20]
- If possible, don't let your Oklahoma driver's license or state ID card in your current legal name expire before you change your name. With your current unexpired license and name change order it may be easier to get a new license or card. If expired, the procedure to establish your identity may be more complicated. [21]
- It is not necessary to petition the court to change your last name when you get married. The marriage certificate acts as a legal judgment for Social Security, driver's license, and other government and business entities.
- A last name can also be changed during a divorce if your request it in the divorce petition. When the judge grants the divorce, he will also grant you a name change and the divorce decree will be your legal order. [22] However, if it is not included in the divorce documents and you later want to go back to your maiden name, you will have to file a separate application for legal name change.
- If you were born in another country and do not have a hard-copy birth certificate or if you were born at home and the birth was not registered, you should consult an attorney before attempting to change your legal name in Oklahoma.
- The judge will refuse name change requests that are intended to avoid debts, child support, and other legal obligations. You must be honest if the judge asks about these issues. Lying to the court court result in criminal charges.
- While it's rare, if someone objects to your name change, they may show up in court. The judge will listen to both sides. Stay calm and answer the judge's questions. Do not be rude while the other person is speaking.
- A registered sex offender may not petition the court for a name change. [23]
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| How to Use Content‐Aware Scale in Photoshop Posted: 19 Aug 2016 01:00 AM PDT Content-Aware Scale resizes an image without changing important details such as people, buildings, or animals. While normal scaling (transforming) affects all pixels uniformly when resizing an image, content-aware scaling mostly affects pixels in areas that don't have important visual content. Content-Aware Scale lets you up-scale or down-scale images to improve a composition, fit a layout, or change the orientation. If you want to use some normal scaling when resizing your image, there is an option for specifying a ratio of content-aware scaling to normal scaling. You can use these techniques to transform a landscape image to portrait and a portrait to landscape. EditScaling an Image Up - Open Photoshop and your image (or).
- Make a duplicate of the background by pressing in Windows and in Mac. Content-Aware Scale does not work on a background image, so a copy has to be made.
- Make the canvas big by cropping it up. Content-Aware Scale will make the image large, so a large canvas is required.
- Go to Edit → Content-Aware Scale. Click on Content-Aware Scale.
- The 4 corners of the image will change to points.
- Drag one of the corners "outside" as you click one of the points. You can also press , while dragging, on the keyboard to maintain the ratio of both the sides of the image.
- Press or the "Right sign" when done.
- Use this technique to transform any portrait image to a landscape image.
EditScaling an Image Down - Open Photoshop and an image (or).
- Make a duplicate of the background by pressing in Windows and in Mac. Content-Aware Scale does not work on a background image, so a copy has to be made.
- Go to Edit → Content-Aware Scale. Click on Content-Aware Scale.
- The 4 corners of the image will change to points.
- Drag one of the corners "inside" as you click one of the points. You can also press , while dragging, on the keyboard to maintain the ratio of both the sides of the image.
- For this image, pressing is not necessary.
- Press or the "Right sign" when done.
- Crop the image. After you have made it small, the background image can be seen, so you have to crop it.
- Use this technique to transform any landscape image to a portrait image.
- You can also select the area using the selection tools and then use the Content-Aware Scale inside the selection to stretch it out.
- You can press , while dragging, on the keyboard to maintain the ratio of both the sides of the image.
- You can also (Content-Aware)scale the image vertically(upwards or downwards).
- Click on the Protect skin tone icon when there are persons in the image, located just beside the "Right sign".
- Add a blur and then add a Layer Mask where it looks bad.
- Content-Aware Scale does not work limitlessly, but it does work very well. Just don't go too far with it, or it will will look bad.
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