Thursday, June 30, 2011

4th July

Wishing all my patients a safe and fun 4th!!!

4th July

Wishing all my patients a safe and fun 4th!!!

Monday, June 20, 2011

Achillies Tendonitis

Achilles Tendonitis

Achilles tendonitis causes inflammation and degeneration of the Achilles tendon. The Achilles tendon is the large tendon located in the back of the leg that inserts into the heel. The pain caused by Achilles tendonitis can develop gradually without a history of trauma. The pain can be a shooting pain, burning pain, or even an extremely piercing pain. Achilles tendonitis should not be left untreated due to the danger that the tendon can become weak and ruptured.

Achilles Tendonitis is aggravated by activities that repeatedly stress the tendon, causing inflammation. In some cases even prolonged periods of standing can cause symptoms. It is a common problem often experienced by athletes, particularly distance runners. Achilles Tendonitis is a difficult injury to treat in athletes due to their high level of activity and reluctance to stop or slow down their training.

Individuals who suffer from Achilles tendonitis often complain that their first steps out of bed in the morning are extremely painful. Another common complaint is pain after steps are taken after long periods of sitting. This pain often lessens with activity.
Cause

There are several factors that can cause Achilles tendonitis. The most common cause is over-pronation. Over-pronation occurs in the walking process, when the arch collapses upon weight bearing, adding stress on the Achilles tendon.

Other factors that lead to Achilles tendonitis are improper shoe selection, inadequate stretching prior to engaging in athletics, a short Achilles tendon, direct trauma (injury) to the tendon, and heel bone deformity.
Treatment and Prevention

Athletes, particularly runners, should incorporate a thorough stretching program to properly warm-up the muscles. They should decrease the distance of their walk or run, apply ice after the activity and avoid any uphill climbs. Athletes should use an orthotic device, heel cup, or heel cradle for extra support.

A heel cup or heel cradle elevates the heel to reduce stress and pressure on the Achilles tendon. The device should be made with light-weight, shock absorbing materials. An orthotic device can be used to control over-pronation, support the longitudinal arch, and reduce stress on the Achilles tendon.

Thursday, June 2, 2011

Keep on Your Toes: How to Wear Flip-Flops Safely

Avoid Foot Pain and Other Flip-Flop Fiascos with These Simple Tips

Bethesda, MD--It’s an unwelcome fact that warm weather lovers don’t want to hear: your favorite pair of flip-flops is bad for your health. The health of your feet, that is.

A survey by the American Podiatric Medical Association (APMA) found that 50 percent of Americans have experienced foot pain or discomfort at some point. Improper footwear is often a chief cause of this pain, and many types of flip-flops can directly cause foot problems due to lack of support and other factors.

“During the warmer months of the year, many podiatrists treat a greater number of foot problems that can be traced back to wearing flip-flops,” said Michael King, DPM, president of APMA. “However, people don’t have to give up wearing this type of footwear altogether. There are certain types of flip-flops that offer a superior amount of stability and support than others.”

Looking to avoid a flip-flop fiasco? View the video below for a list of helpful flip-flop tips:



For a list of flip-flops with the APMA's Seal of Acceptance, click here.

Wednesday, June 1, 2011

Are Your Feet Healthy? Make Sure by Performing the "Foot Self-Exam"

What should you look for to make sure your feet are healthy? Here are some general guidelines:

Balance. A good test for balance involves standing on one foot, with your arms out to the side and your eyes closed. If you are less than 30 years old, you should be able to balance for 15 seconds, 30 to 40 years old for 12 seconds, 40 to 50 years old for 10 seconds and over 50 years old for seven seconds. This can be improved with exercises.
Circulation. Look at the color of your toes. Do they look like a normal nail color or are they leaning towards red, white, purple, or blue? Press down on the nail of your big toe until the color blanches. Now let go and allow the blood flow to return to your toe. The return of normal color should take 2 to 5 seconds in a person with average circulation.
Flexibility. How flexible are your toes? Try to pick up a marble or a small dish towel with your toes. To test your ankle flexibility, hang your heel off of a stair. Now let the heel go below the level of the stair. If this causes pain, stop the test. If your heel goes below the level of the stair without causing strain in your calf, that is a good sign. If there is some strain, this can be improved with flexibility exercises.
Pain. A healthy foot does not produce any pain.
Sensation. Take a pencil eraser and lightly run it on the top, bottom, and both sides of your feet. The sensation should feel equal in all quadrants. It may tickle on the bottom of the feet. That is normal.
Skin. Check your skin for calluses, blisters, or areas of irritation. Stand next to your shoes. Are they shaped like your feet or are they causing areas of constriction that may result in irritation? Put your hand inside your shoe. Are there seams, tacks, or rough places in the shoe that correspond to calluses or blisters on your feet?