Wednesday, August 25, 2010
Monday, August 23, 2010
Thursday, August 19, 2010
Wednesday, August 18, 2010
Fashion and Feet
We seem to suffer a disconnect between what logic dictates is good for our health and what we do. We exercise, but we also sunbathe. We eat large salads instead of dinner, but snack on high-calorie, high-cholesterol junk foods.
This habit extends down to the toes, or at least the toes of many women. Just ask the podiatrists and foot and ankle surgeons who do a brisk business in repairing feet wounded by the fashion industry’s love affair with high-heeled shoes.
“The current trend in fashion is very bad for women’s feet,” said Dr. Ted Cohen, president of Quail Feet Corp. who practices in Las Vegas, NV. “Superhigh heels with very narrow toes create problems and exacerbate existing conditions.”
Round-toed shoes with five- or even six-inch heels, fashionable this season, are hardly better; likewise the popular thong sandals, which completely expose the feet.
“Flip-flops are close to horrible for the feet,” Dr. Cohen said. “They are totally flat, soft and squishy, and offer no support and no protection,” not to mention their penchant for causing accidents by catching on things or inviting being stepped on. Even athletic shoes, experts say, occasionally lead to problems that require medical intervention.
Medical experts agree that the best shoes for healthy feet mimic the foot’s natural shape, while offering support in the arch and a flexible sole underneath the toes, the way most athletic shoes do.
“A good shoe has a relatively flat sole and something that fits the heel snugly,” Dr. Cohen said. “There is lots of room in the toe box for the toes, and the uppers are of soft materials. Ideally laces make the shoe adjustable.”
So-called healthy shoes manufactured by the athletic industry bring in $11 billion annually, nearly one-third of the $35 billion Americans spend on shoes each year, said Marshal Cohen, chief industry analyst for the NPD Group, a fashion market research organisation.
But Cohen said sales data indicated double-digit growth for women’s dress shoes in the last four months.
High heels can be bad for wearers for several reasons, said Dr. Tzvi Bar-David, a doctor of podiatric medicine at Columbia Presbyterian Medical Center in New York.
An elevated heel lifts the foot out of its natural position and shortens the Achilles’ tendon. Such shoes also pitch the weight of the body forward disproportionately onto the ball of the foot, which in turn upsets the stabilising mechanics of the foot.
“High heels have a narrow area of contact and they point the toes downward, which puts the foot in an internally rotated position and makes their wearer more prone to spraining an ankle,” Dr. Bar-David said.
Pain in the back, neck and knees can be the result of shock that travels up the skeleton from a non-resilient heel.
“When you start playing around with shoes that take away from the natural functions of your feet, you start to have problems,” Dr. Bar-David said.
In addition, fashionable shoes that try to convert the foot into an ideal form, with the toes narrowed or tapered to a point, often require cramming the foot into less space than it would normally occupy.
Friday, August 13, 2010
Why do we fall
Falls,Foot Care and Footwear
Aging brings change to the way we walk. We begin to slow down spending more time with both feet on the ground. There is a marked increase in body sway which promotes instability. The angle of toe clearance gets smaller and the lower angle of the foot at take off, the easier it is to catch unseen objects. These changes are made more obvious with arthritis or painful knees, hips, neck and spine. Balance problems and blood pressure also add considerably to the safety of walking as does failing eyesight and sore feet. Men slip and ladies trip. Less frequently misplaced steps such as standing in a hole, legs giving way, or loss of balance can also cause falls. Inattentiveness or not taking time are also contributory factors. Experts believe most falls in the elderly are preventable and the more care you take the less likely you will have a fall.
One in four people aged 60 plus will have a fall in the year. One fall can be the beginning of a falls career and the associated injuries are a leading cause of hospitalization in older people. Men slip and women trip. Anyone can fall but those living with long term conditions such as heart conditions, diabetes, Parkinson’s disease, arthritis, osteoporosis, high/low blood pressure, depression and dementia do have an increase the risk of falling. Sore feet can also lead to unsteadiness, poor posture and imbalance. Things which contribute include: muscle or joint stiffness, poor vision, pain and lack of energy and or concentration. Inattentiveness or not taking time is also contributory factors. Consequently most falls are preventable and the more care you take the less likely you will have a fall.
Prevention includes maintaining a healthy lifestyle, keeping physically fit, being mentally alert as well as being involved in a social network. Most falls are caused by personal issues such as life style; physical and mental state; and environmental hazards. Reduce falls risk by staying mobile and improve movement in joints. Be active and strengthen muscles. Improve walking patterns and balance and monitor your medications. Physical activity helps maintain leg and hip strength and ankle flexibility. It also improves bone strength and slows osteoporosis. Regular exercise increases cardiovascular stamina, assists joint movement and stability as well as improve balance, co-ordination and walking patterns. Increased energy levels helps maintains a healthy weight and improve sleep patterns. Putting together 30 minutes per day is enough. If you have a medical condition chat to your doctor first.
The best kinds of activity are those which use all parts of the body like walking, swimming and dancing. So too is active gardening, housekeeping and walking the dog. There are many walking groups like Walk there today to find thirty. Activities which focus on balance include: tai chi, yoga, palates; and for strength training and fitness try aerobics or acqua-aerobics.
Sore Feet
Many people accept sore feet come with age but that is not always true. A high percentage of first time fallers have foot problems. The vast majority are women and many recurrent fallers are more likely to suffer foot problems. A routine vist to the podiatrist can put paid to more recurring foot ailments.
Monitor your medications and eyesight
Make a list and know what medication you are prescribed form your doctor and what they are for. All medicines have side effects and sometimes these can affect balance. Talk to your GP or pharmacist if you experience:
• Drowsiness
• Dizziness
• Light headedness
• Unsteadiness
• Blurred or double vision
• Difficulty thinking clearly
Have your medicines reviewed regularly and check for any interactions with no prescribed drugs you may be taking .
Eat healthy
• Eat a wide variety of nutritious foods
• Drink alcohol in moderation
Stop smoking
Poor balance accounts for upt to 25% of falls among elderly people. . Factors that can effect balance include:
• Loss of muscle strength
• Reduced joint mobility and stability
• The side effects of some medicines
• Ear problems
• Sudden movements particularly rising quickly (postural hypertension)
• Post hip and knee replacement
Footwear
According to Menz, Morris and Lord (2009) footwear characteristics were not significantly associated with falls either inside or outside the home. They found falls were associated more with going barefoot or wearing socks only indoors. Menant et al (2008) found elevated heels of 4.5 cm height did significantly impair balance in older people. The potential benefits of wearing shoes with a hard sole or a high heel-collar on balance in older people warrant further research in ambulatory tasks. Based on findings of a systematic literature review, older people should wear shoes with low heels and firm slip-resistant soles both inside and outside the home. Further findings suggest older adults are slower terminating gait rapidly than their younger counterparts and that footwear is likely to influence whole-body stability during challenging postural tasks on wet surfaces.
Whilst the characteristics of shoes have been shown to influence balance in older people, the relationship between footwear and slips, trips and falls is still unclear. According Menant et al (2008) the relationship between changes to the somatosensory feedback from foot and ankle combined with modifying frictional conditions at the shoe/floor interface many be related. To date however no one is sure which shoe features are beneficial or detrimental to balance in older people. Always wear well fitting shoes which is appropriate to the activity.
According to Chari et al (2009) athletic and canvas shoes (sneakers) were the styles of footwear least associated with falls in older adults during everyday activities. Going barefoot or in stocking feet was associated with sharply increased risks .Bare feet might provide better slip resistance than socks or stocking feet but previous studies have associated barefoot mobilization with increased falls in the elderly.
Common hazards inside include:
• Slippery floors
• Clutter or obstacles on the floor
• Loose mats or scatter floors
• Different floor surfaces
Hazard outside are:
• Uneven paths
• Clutter
• Poorly lit areas
• Wet surfaces
What to do if you fall
* Don’t panic
* Check for serious injury
* Get up slowly and safely
* If seriously injured call for help / ambulance
Aging brings change to the way we walk. We begin to slow down spending more time with both feet on the ground. There is a marked increase in body sway which promotes instability. The angle of toe clearance gets smaller and the lower angle of the foot at take off, the easier it is to catch unseen objects. These changes are made more obvious with arthritis or painful knees, hips, neck and spine. Balance problems and blood pressure also add considerably to the safety of walking as does failing eyesight and sore feet. Men slip and ladies trip. Less frequently misplaced steps such as standing in a hole, legs giving way, or loss of balance can also cause falls. Inattentiveness or not taking time are also contributory factors. Experts believe most falls in the elderly are preventable and the more care you take the less likely you will have a fall.
One in four people aged 60 plus will have a fall in the year. One fall can be the beginning of a falls career and the associated injuries are a leading cause of hospitalization in older people. Men slip and women trip. Anyone can fall but those living with long term conditions such as heart conditions, diabetes, Parkinson’s disease, arthritis, osteoporosis, high/low blood pressure, depression and dementia do have an increase the risk of falling. Sore feet can also lead to unsteadiness, poor posture and imbalance. Things which contribute include: muscle or joint stiffness, poor vision, pain and lack of energy and or concentration. Inattentiveness or not taking time is also contributory factors. Consequently most falls are preventable and the more care you take the less likely you will have a fall.
Prevention includes maintaining a healthy lifestyle, keeping physically fit, being mentally alert as well as being involved in a social network. Most falls are caused by personal issues such as life style; physical and mental state; and environmental hazards. Reduce falls risk by staying mobile and improve movement in joints. Be active and strengthen muscles. Improve walking patterns and balance and monitor your medications. Physical activity helps maintain leg and hip strength and ankle flexibility. It also improves bone strength and slows osteoporosis. Regular exercise increases cardiovascular stamina, assists joint movement and stability as well as improve balance, co-ordination and walking patterns. Increased energy levels helps maintains a healthy weight and improve sleep patterns. Putting together 30 minutes per day is enough. If you have a medical condition chat to your doctor first.
The best kinds of activity are those which use all parts of the body like walking, swimming and dancing. So too is active gardening, housekeeping and walking the dog. There are many walking groups like Walk there today to find thirty. Activities which focus on balance include: tai chi, yoga, palates; and for strength training and fitness try aerobics or acqua-aerobics.
Sore Feet
Many people accept sore feet come with age but that is not always true. A high percentage of first time fallers have foot problems. The vast majority are women and many recurrent fallers are more likely to suffer foot problems. A routine vist to the podiatrist can put paid to more recurring foot ailments.
Monitor your medications and eyesight
Make a list and know what medication you are prescribed form your doctor and what they are for. All medicines have side effects and sometimes these can affect balance. Talk to your GP or pharmacist if you experience:
• Drowsiness
• Dizziness
• Light headedness
• Unsteadiness
• Blurred or double vision
• Difficulty thinking clearly
Have your medicines reviewed regularly and check for any interactions with no prescribed drugs you may be taking .
Eat healthy
• Eat a wide variety of nutritious foods
• Drink alcohol in moderation
Stop smoking
Poor balance accounts for upt to 25% of falls among elderly people. . Factors that can effect balance include:
• Loss of muscle strength
• Reduced joint mobility and stability
• The side effects of some medicines
• Ear problems
• Sudden movements particularly rising quickly (postural hypertension)
• Post hip and knee replacement
Footwear
According to Menz, Morris and Lord (2009) footwear characteristics were not significantly associated with falls either inside or outside the home. They found falls were associated more with going barefoot or wearing socks only indoors. Menant et al (2008) found elevated heels of 4.5 cm height did significantly impair balance in older people. The potential benefits of wearing shoes with a hard sole or a high heel-collar on balance in older people warrant further research in ambulatory tasks. Based on findings of a systematic literature review, older people should wear shoes with low heels and firm slip-resistant soles both inside and outside the home. Further findings suggest older adults are slower terminating gait rapidly than their younger counterparts and that footwear is likely to influence whole-body stability during challenging postural tasks on wet surfaces.
Whilst the characteristics of shoes have been shown to influence balance in older people, the relationship between footwear and slips, trips and falls is still unclear. According Menant et al (2008) the relationship between changes to the somatosensory feedback from foot and ankle combined with modifying frictional conditions at the shoe/floor interface many be related. To date however no one is sure which shoe features are beneficial or detrimental to balance in older people. Always wear well fitting shoes which is appropriate to the activity.
According to Chari et al (2009) athletic and canvas shoes (sneakers) were the styles of footwear least associated with falls in older adults during everyday activities. Going barefoot or in stocking feet was associated with sharply increased risks .Bare feet might provide better slip resistance than socks or stocking feet but previous studies have associated barefoot mobilization with increased falls in the elderly.
Common hazards inside include:
• Slippery floors
• Clutter or obstacles on the floor
• Loose mats or scatter floors
• Different floor surfaces
Hazard outside are:
• Uneven paths
• Clutter
• Poorly lit areas
• Wet surfaces
What to do if you fall
* Don’t panic
* Check for serious injury
* Get up slowly and safely
* If seriously injured call for help / ambulance
Wednesday, August 4, 2010
Home Invasion Victim Pleads for Help by Typing With Toes
Tied to her bed by a gun-wielding masked intruder, an Atlanta woman was able to summon help using her feet to type messages to her boyfriend.
Woman tied to her bed by a burglar used her toes to type a message for help.
It was a stroke of genius, and definitely a stroke of luck, that led police to find Amy Windom after she had been spent hours screaming for help.
Windom, 39, was was sound asleep when the armed robber broke into her home Tuesday around midnight.
"For the next hour he was in my house," she told "Good Morning America." "He, at one point, had me dragged through the house to find all my valuables."
But when the intruder, wearing a ski mask, hit her in the forehead with his handgun and used shoelaces to tie her hands to the corners of her bed, she found herself defenseless -- until she realized she might be able to reach her laptop.
The intruder took off with her cell phone, her iPod and her car but left her laptop behind. Still tied to the headboard, Windom managed to grab the laptop with her feet and, using a power cord between her toes, instant messaged her boyfriend for help.
"I pulled the comforter over and then dragged the laptop over with my feet," she said. "I was able to pry it open."
Hitting a snag when she needed to hit the Control, Alt and Delete buttons to get her computer started, Windom made a few missed attempts, before realizing that she could hit Control and Alt with her right toes and the power cord between her left toes to hit Delete.
She was able to instant message boyfriend John Hilton shortly after.
"CALL 911 POLICE," she wrote.
Hilton's response: "Crap."
"I'M HOME TIED TO BEED (sic) ROB," she wrote back.
"First thing I got was help in capital letters. Then, 'Call the police,'" Hilton said. "I was in shock. I couldn't believe it."
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