I should let you know Mr or Mrs reader, in the business of feet, there is no such thing as a perfect foot. I have yet to come across a person who has never had foot pain (or at least discomfort) of some sort at some point in time. It’s the nature of the body part.
There is a unique chain of events that occur in the lower extremities in order for us to move, groove and shake to get us to where we’re getting. If you remember the rhyme, the hip bone is connected to the leg bone, the leg bone is connected to the knee bone, and all the way down to the foot. It all ends in the foot. When the stress of holding and supporting the entire body becomes too much for the foot, things start to break down.
Most injuries, no matter where they are, will heal with a little time. Problems with the feet present a different challenge when a musculoskeletal injury occurs. Bend a finger the wrong way and you can use the other hand for a few weeks. Hurt your shoulder? A sling and some advil will fix you up. Chronic issues in the lower extremities, especially the feet, are more difficult to treat because very few humans walk on their hands. Every step taken will cause further pain and swelling once an issue arises in the foot.
The best way we can control the mechanics of the foot is with a custom orthotic, fabricated for the individual. I’m sure you’ve seen similar products on the shelves of most shoe stores, but: a) these aren’t medical devices, and b) these aren’t customized to the anatomic contours of the patient. To properly support the foot, an orthotic needs to be made of materials strong enough to reposition the foot, and padded well enough to make the device comfortable.
Through my extensive training in sports medicine and experience rehabilitating a wide variety of musculoskeletal injuries, I have seen many different formulations of orthotic devices. I say without reservation that those offered by Advanced Podiatry are far superior to most I’ve seen. They will talor the device to suit the patient’s lifestyle and shoe choices to allow for the best combination of function and fit.
A Lisfranc fracture is a common injury of the foot, usually suffered in a high impact fashion. This causes the 1st and 2nd metatarsal or long bones of the foot to separate. A Lisfranc injury is sometimes complicated to treat as this is one of the most important supportive ligaments to the structure of the foot.
It’s that time of year again- back to school and fall! Leaves are changing color, sales are going on in stores, and trends are changing! School is back in session and we are constantly being bombarded by sale coupons, circulars and ads about shoes and sales. Our kids always need more shoes; whether they are participating in team sports, gym, or just every day comfortable shoes to wear as the school year progresses. We always forget one group of individuals who are very important in going back to school- TEACHERS!
We always discuss picking the right shoe for you or your child but for once, we would like to devote a blog to foot care for teachers!
Dear Teachers: You are always on your feet all day and constantly walking back and forth in front of a classroom or down the hallways, it is important to realize that teachers need comfortable supportive shoes too- shoes that are as supportive and reliable as you are! But just because you need supportive shoes we understand that it is important to be comfortable and still look professional. You do not have to forego fashion for support!
We recommend that you do not wear flip-flops or high heels! To reduce your incidence of injury, foot pain or injury we recommend supportive shoe gear such as:
- Supportive flats
- Kitten heels
Please keep in mind, if there are shoes that you love and cannot live without-- you can always place orthotics in your shoes to provide support when there is none! We recommend you wear your custom orthotics regardless to realign and support your feet. Don’t have them? Don’t worry! Make an appointment at one of our three offices to come see us today! We will be more than happy to help you and evaluate your shoe gear and discuss what you may need.
How many times have you purchased a pair of shoes only to find that they do not fit right, are giving you blisters or calluses, and causing you pain? Don’t worry you are not the only one out there! To help with these common issues, follow these tips for a better fitting shoe.
- If the shoe fits, wear it! Make sure that both the width (the sides of your feet should touch the width of your shoes but NOT push against them) AND the length of the shoe fits. If you are unsure about your shoe size, don’t be afraid to ask for your feet to be measured. Too big of a size can cause your foot to slide around which can lead to blistering, calluses, and even toenail trauma!
- Check the size of your shoes. Manufacturer sizing may vary so don’t just assume you are the same size across the board. A half size or size up may drastically affect the fit of the shoe. In addition, shop in the afternoon for shoes! Everyone’s feet swell as the day progresses; the shoe you bought in the morning may be too tight at the end of the day!
- If you wear an orthotic, bring them with you to the store! Always try on shoes WITH your custom orthotic. If you do not have a custom orthotic, read our blog and see what a custom orthotic can do for you! Do not just assume every orthotic is created equal.
- Get a shoe that is made for the activity you want them for. There are shoes especially designed for specific sports, for example: running, basketball, tennis, golf, and soccer just to name a few! Each shoe is designed with specific and different properties for that activity or sport.
- Always wear socks with shoes! Wear the socks that you would normally wear with the shoe. If the sock is too thin (i.e a dress sock), don’t wear it when trying on a sneaker. This may affect the fit of the shoe.
If you have foot pain that is not alleviated with change in shoe gear or if you would like us to evaluate your feet- call us and make an appointment today! We offer same day appointments and look forward to meeting you!
Do your toes curl under? Do they look crooked in your shoes?
Hammertoes, claw toes or mallet toes are toes that appear bent towards the floor. They look like they are curled underneath your feet and can look weird or unsightly. These toe problems usually occur in your lesser digits (toes 2 through 4) and can cause you pain, discomfort and you may even notice thickening of skin (a corn or a callus) forming on the top of your toes. It is not uncommon to have redness and swelling as well.
What causes hammertoes?
Hammertoes are usually caused by a muscle imbalance and over time this imbalance changes the structure of the foot which causes the toe(s) to bend. This condition can even be genetic! Additionally, hammertoes can be caused by wearing too-tight shoes that cause toes to curl under.
Luckily, there are treatment options available to you to help take care of your hammertoes:
- Change your shoe gear! You can prevent worsening of hammertoes by avoiding tight or constricting shoes.
- If there is a corn or callus on the top of your toes, you can prevent irritation by protecting it from pressure and friction caused by shoes. You can use pads or shields to do so. We have them in the office, ask us about them!
- Your muscle and tendon imbalance can be helped with the use of custom orthotics. Custom orthotics can help to reduce the amount of pressure applied to the parts of your feet to reduce the contracture and symptoms of painful hammertoes. Talk to us about custom orthotics and whether or not they can improve your condition.
- Have you tried all of the above and are still experiencing pain and discomfort? You may be a surgical candidate. However, a thorough consultation is needed in order to determine if you are a candidate.
Please schedule an appointment today to discuss what can be done about your toes! We have an office located in Manhasset (516) 869-3300 and Huntington (631) 427-3678 serving the Long Island community! We look forward to meeting you!
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