Lisfranc Fractures and Dislocations – Sourcing Useful Information About Lisfranc Injuries

This is a foot injury, which although extremely rare, is most often suffering by horse riders and other Extreme Sport types eg mountain bikers, skiers, surfers, skateboarders, kite and wind surfers etc …

In recent years there have also been several high-profile instances of Lisfranc injuries amongst National Football League (American Football) players.

The injury is most commonly caused by the foot being trapped while a solid object (strap, fixings or stirrup) continues to rotate, causing the middle of the foot to shear and some or all of the five bones within the foot to dislocate and / or fracture.

The treatment of the injury has evolved significantly in recent years and the prognosis has improved hugely as a result. However the injury is naturally unique with regard to the length of time it takes to treat and recover from – around 9 to 12 months is a fairly normal timescale for a healthy, fit individual who is correctly diagnosed, and who is (fairly LOL!) sensible in following the advice of their medical team.

This long recovery period – including long stretches of both immobility and very restricted mobility – combined with the typical profile of someone who has suffered a Lisfranc, ie: –

  • an active, physically fit individual
  • who is used to taking risks
  • and accustomed to 'beating the odds' when working through 'normal' injuries and pain

can lead to immunity frustration and personal challenges in addition to the medical issues …

It is currently very difficult to find the right sort of information regarding the injury, such as what level of recovery can be expected and in what timescales, not least because of its rarity. The most commonly used estimates are that: –

  • only 1 in more than 50,000 fractures
  • and approximately 1 in 200 of those foot fractures which merit medical treatment

are Lisfranc injuries.

In addition, the medical consultants' view of acceptable foot functionality will generally be based on 'normal' activities eg ability to once again walk on a pavement (sidewalk), or jog round a well-maintained park, rather than: –

  • flying moguls at speed
  • performing mid-air 'tricks'
  • or persuading half a tonne of argumentative equine to accompany you across a rutted, muddy field !!

Research amongst Lisfranc sufferers has confirmed that many express a need to share: –

  • information
  • experiences
  • and, above all, HOPE

with others who are either: –

  • currently undergoing this 'journey'
  • and / or those who have walked (ouch !!) this path before them.

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Can Green Salads Pose Health Risks?

Health threatening elements harvest all around us. It's not possible to avoid them all the time. Health problems through food contamination is a common phenomenon. Sometimes you get exposed to them unintentionally, and sometimes you make a mistake knowingly. So it's up to you whether you want to be safe by increasing awareness or just want to take risks. Today we're here to share a new topic about food safety. Do you know sometimes a green salad can also be very risky for your health. What? You can get sick from eating green salad? Is that true? Yes, you heard it right. Your favorite green salad can also be a potential threat to your health.

So how that all can happen? Survey results say that most common food illness comes from green sources. A recent study says that leafy vegetables can be a source of food contamination. If any of the leafy vegetables used in the salad is contaminated, you will not recognize that through smell or its appearance. To be very precise, contaminated green vegetables are not identical at all. That's why, the risk is always high.

One reason why the green salads can be reason for food contamination is that vegetable growers are dependent on harsh pesticides. The man made pesticides are spread on the plant or vegetables to protect the crop from insects. Unfortunately, an unsuccessful use of pesticide can spoil the quality of soil and the foods, too. Further, if you do not wash the green leaves thoroughly before making a salad, you are getting exposed to pesticides directly. You're eating the chemicals that are known to create a toxic effect in the human body.

That's why we say it's always good to increase awareness. Wash the green leaves with water multiple times. Then only use them for the salads. Bacteria develop in a few green vegetables very quickly. So there is no way you should take any chance with your health. Green salads are good for health only when you know they come from a good source and they are clean. Foods grown in an improper way can be a reason for food poisoning. When you're sure that you're buying vegetables or other food products from a right source, make some extra efforts to for safe preservation.

Foods preserved in an inorganic temperature can trigger bacterium growth. So be careful and try to learn the ideal food preservation methods to keep the ill effects of food poisoning away.

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Ways to Gain Relief From Plantar Fasciitis

One health condition that often is not talked about is plantar fasciitis. This is a condition that causes severe sensitivity and inflammation on the soles of one's feet. It can lead to pain and a great deal of discomfort, making it hard to wear socks, shoes and even walk. Although it is fairly common and can happen to anyone at any time in their life, it is perfectly treatable if is diagnosed correctly during the early stages.

Most people who have developed the condition often do not recognize it for what it is at first. Many assume that there is something wrong with their shoes or they have simply been on their feet too long. The most common reasons why people develop the condition include incorrect foot position when walking, prolonged standing, being overweight and wearing poorly fitted shoes. While this condition is certainly not a death sentence, there are ways you can manage it so that it goes away and your feet heal properly.

Start resting more often. Too much pressure and weight on the feet for extended periods of time are a major factor in the development of plantar fasciitis. Not only do your feet need to rest, they need to have proper circulation. Keep in mind that resting may not stop the pain altogether or right away, but it will prevent it from getting worse. You may want to take an anti-inflammatory medicine like aspirin or ibuprofen for additional relief.

Soak your feet in some warm water. Not only does this help to relieve some of the swelling and pressure you may feel, but also softens the skin on your feet as well. That way if you decide to use an anti-inflammatory pain cream, it will absorb better and offer you more relief.

Start exercising with your legs and feet in mind. Most people exercise to lose weight, in this case you should do so to help reduce the pain and discomfort you have from plantar fasciitis. Do some toe stretches when you warm up. Add some calf stretches as well. These exercises can help to strengthen the ligaments and muscles in your feet. They will help to increase circulation and reduce the opportunities of your feet swelling up from lack of proper movement.

Regardless of when you suspect that you have plantar fasciitis, do not hesitate to tell your doctor. Even though you may have found relief by trying a few things on your own, your doctor should still be aware of the problem so they can monitor you for improvement. They can also recommend medical treatment options such as therapy and surgery if you can not seem to find the relief you want and need from your own methods. Just because you have this condition now, does not mean you have the live with it for the rest of your life.

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See a Podiatrist About Your Feet

Many people think that the very first person they should go and see for any type of ailment is their primary doctor. While there is nothing wrong with this assumption, you need to realize that depending on the kind of ailment, you may be wasting your time. If you have trouble with your feet, ankles or legs and are tired of self-medicating for relief, then you need to go and see a podiatrist.

All too often people tend to surrender their pains because they feel that it is caused from them standing too long. While that may be the reason why your feet and legs hurt, sometimes you will need to see a podiatrist so they can treat the condition that has developed. You should not assume that your symptoms and discomfort will go away on their own. Even though they may not happen as often as some weeks, you still should get your feet, ankle and legs checked out. Every part of your body needs to be in good health in for you to feel your best and live a long life.

No matter how old or young you are, it is not normal for you to experience any discomfort while you are walking or standing. If you have shoes on that do not fit right, you need to get some that do fit better right away as well. There are many things that can affect how well your legs, ankles and feet feel. These things can include your diet, your weight, lifestyle, physical activity, clothing and shoes. While there is no such thing as being perfect, there are ways you can minimize your chances of needing medical attention from a podiatrist.

Maintain a healthy weight. Even though you may be tempted to eat things that taste good but are not strictly healthy for you, you need to exercise some sort of self-control. Over indulging now can cause you to gain excessive weight and greatly affect your health in a negative way. If you do not want to end up having to get surgeries and use assistive devices to help you get around, pay attention to what you eat.

Know when to rest. No matter where you are, even if it is at work, you need to give your legs and feet a break periodically. If you have to stand on a really hard surface, see if you can bring a safety mat that is designed to give a little cushion to the floor and reduce your discomfort. Do not stand in the same spot all day. If necessary, pick up your legs and move them as if you are marching to help keep the blood flowing and to give them some relief. Have your feet and ankles checked by a podiatrist at least once a year so they can rule out any health issues.

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Get Metatarsal Orthotics To Treat Metatarsalgia

Metatarsalgia is a common term used for pain in the foot in the metatarsal region, involving the bones and joints at the ball of the foot. This pain is typically felt under the 2nd, 3rd and 4th metatarsal heads or sometimes near the big toe. Therefore, metatarsal orthotics could form an important part of the treatment for metatarsalgia, which is not easy to diagnose exactly. Interestingly, metatarsalgia is just a symptom and not a diagnosis. It's a challenge on the part of a podiatrist to treat this problem due to its vague signs and the vast conditions it covers such as, stress fractures, Morton's neuroma, capsulitis, intermetatarsal bursitis, rheumatoid arthritis, etc. In any case, the main principle followed in treating metatarsalgia is non-surgical management, as far as possible.

Orthotics is the crucible component while stimulating metatarsalgia and the podiatrist can use various orthotic modifications or corrections after detecting the basic etiology. Injections, shoe configurations, manipulation and surgery are other options in treating this problem which the clinicians employ along with or in place of metatarsal orthotics.

What exactly causes metatarsalgia?

With this condition, it so happens that one or some of the metatarsal heads can become painful and at times inflated, usually due to too much pressure over a long period of time, resulting into chronic or chronic pain. This pain is usually caused by faulty footwear, party wears – during social events – or any other restrictive or uncomfortable footwear. Any footwear with a limiting toe-room forces the ball-of-foot region to be compressed into confined space. Consequently, this can affect a person's normal gait and cause untold discomfort in the forefoot, leading to metatarsalgia over a period. This fact also applies for people that use footwear with very high heels. It can also happen to people that take part in high impact activities without wearing suitable footwear or orthotics.

There is one more reason that can trigger metatarsalgia. With advancing age, the fat pad in our feet can become thinner, and chances of developing pain in the ball-of-the-foot can not be ruled out. Proper footwear with a high, wide toe area and a rocker sole would be suitable for dealing with metatarsalgia. The wide toe area will allow the foot to move and spread out without any discomfort and the rocker sole can minimize the pressure on the ball-of-the-foot.

Reducing the pressure on the ball-of-the-foot can be done with various foot care products. Metatarsal orthotics looking to reduce ball-of-the-foot pain normally comes with a metatarsal pad. This type of orthotic is made by placing the pad behind ball-of-the-foot to reduce stress and distribute the weight from the painful region to more ending regions. Other kinds of orthotics advised consist of metatarsal cushions and bandages. When these products are introduced in the right footwear, the person suffering from metatarsalgia should find good relief from the pain. Custom-made foot orthotics has thus become an important component of metatarsalgia treatment. The onus is on the podiatrists, therefore, to study each case thoroughly before prescribing the right course of treatment for the patient.

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Dr. Stephen L. Barrett, DPM, FACAS, Phoenix, On Sports Injuries And Their Treatment

Dr. Stephen L. Barrett, DPM, FACFAS, Phoenix, is considered to be one of the world's experts in the treatment and diagnosis of heel pain. Dr. Barrett is the first surgeon to introduce minimally invasive endoscopic surgery to the foot in addition to several other surgical techniques which he has invented.

Dr. Barrett is an accomplished physicist certified in foot and ankle surgery by The American Board of Podiatric Surgery. He is the US Patent holder for the development of two endoscopic surgical procedures: endoscopic plantar fasciotomy (EPF) and endoscopic decompression fasciotomy (EDIN). He has trained over 5,000 surgeons through the word in his surgical techniques. He is a contributing editor for The Journal of the American Podiatric Association and Practical Pain Management as well as serving on the board of Podiatry Today.

We were fortunately enough to take a few minutes of Dr. Barrett's time to ask him about the diagnosis and treatment of common sports injuries to the foot and ankle.

Dr. Barrett, what is the most common sports injury you encounter in your practice?

DR. BARRETT: Easily it would be a sprained ankle.

What is the usual cause and treatment? What are some of the misconceptions people have usually about this kind of injury?

DR. BARRETT: Something they do in their sport causes their ankle to roll in. For example, in basketball, they may come down on somebody else's foot or land on the inside of their foot. We call that an inversion ankle sprain. For a runner, a little hole in the sidewalk or that type of thing will cause the same effect.

The way to treat it if it's mild is just with what we call RICE – Rest, Ice, Compression, and Elevation. If it's a very mild crime, this regimen usually will resolve the inflammation and pain within a few days. If it's a moderate sprain or strain, it could take longer to start to feel better. You can usually tell how bad it is by the amount of bruising and the amount of pain and swelling. If it's more than just a mild ankle sprain, still very painful after a day or so with no change in pain, then they should get it evaluated. It is important to have x-rays taken and make sure there's no fracture or any other type of injury.

Do you find that individuals will let something like an offense go for too long? In other words, they think that it's small but in reality it's something that needs to be addressed?

DR. BARRETT: Everybody's different, everyone has different pain tolerances and athletes are usually more tougher individuals than non-athletes. They try to get back to their program quicker than someone who is not as hardcore of an athlete. But what happens occasionally is that, with an inversion ankle sprain, there are a few injuries that will not show up until the sprain itself has healed.

One such possible injury is called an osteochrondral lesion of the talus (ankle) bone. What that means is a little piece of the top of the ankle bone where there's cartilage on top of it gets bumped or impacted, and it often times this will not show up until maybe six weeks after the injury.

By that time, the sprain has healed but the area is still nagging them and the patient can not figure out why, why is this still hurting after this period of time? Most sprains or strains are completely cured after six weeks, so pain that persists past that time is a red flag. There are two other injuries that are commonly associated with this type of problem. One is called Sinus Tarsi Syndrome. There's a little hole between the ankle bone and the heel bone and there's some little tiny nerves in that area that will get stretched and filled with that type of injury.

These nerves can send pain signals back to the brain. It's not really the ankle joint that's affected, it's actually the joint below the ankle joint called the subtalar joint but it's so close anatomically that most patients can not figure it out. They just think “well, my ankle” because it's possibly a centimeter or two centimeters from the ankle joint itself. So that's another injury that's very common. Usually six months down the line they'll come in and say “you know, my foot just hurts on the outside top of it and I had this ankle injury or ankle pain six months ago, and it's still bothering me …”

The third condition is what we call a common peroneal nerve injury. If you go just below your knee to the outside of your leg you can feel a little bump. That's the fibular head, or the top of the long, skinny bone of the leg. There's a nerve that runs right around that area called the common peroneal nerve. It's a very important nerve because it allows people to be able to bring their foot up. When that nerve gets injured, sometimes a person will develop what is commonly called a “drop foot.” They are almost paralleled, so to speak, from not being able to bring their foot up.

That injury can sometimes be very latent, from months to even years where a patient will just have a nagging sensation or they may feel a little weakness. Sometimes the patients describe that they “feel like my foot is slapping on the floor”. Over time, the nerve damage, if left untreated, causes the nerve to degenerate, and then we have less options for helping the patient. If a few months after a strain, you are having trouble bending your toes towards your ankle, please see some one trained in peripheral nerve.

So, those are some of the things that you have to factor in with that particular injury.

Doctor, let's talk a little bit about footwear for athletes like runners. How important is the right footwear for injury prevention for someone who is active like a runner?

DR. BARRETT: It's extremely important. There's different biomechanics just like we have different genetics. Every foot is different. If you put a foot in the wrong shoe and you put enough mileage on it, you're going to get some biomechanical breakdown. That's pretty intuitive, I think, that everyone would agree with that. The shoe companies have become extremely sophisticated in what they're trying to do with controlling people's biomechanics.

The problem is that more of a generic type of blanket coverage, so to speak, and the shoe varies may not actually take care of the user from a stress standpoint, number of cycles standpoint, or it may in fact be the wrong shoe for them absolutely. You need to look at that from a biomechanical standpoint, what kind of foot does this patient have and is that shoe that's really suited for them?

One of the things that I always recommend is that if somebody has an unusual foot condition, have it evaluated by someone who knows biomechanics. Then, instead of trying to have the shoe take care of the problem, have a custom orthotic made by somebody who understands your specific biomechanics. That orthotic can be transferred from shoe to shoe so it actually ends up saving you money in the long run.

Invariably, there are a lot of folks out there who will come in with a bag of 8 or 10 pairs of different shoes, and they'll try to find a shoe that fixes their problem when in fact no shoe will fix their problem. They actually need more of a significant treatment.

To wrap this up, what do you feel is the most important consideration that one should make when choosing a podiatrist for treatment?

DR. BARRETT: Well, I think that there are a couple of things. Podiatry is a very interesting profession because it's a young profession and it's a highly specialized profession so there are people within the podiatric profession that specialize just in children, people who specialize just in biomechanics, people who specialize specifically in surgery, included very specific areas such as peripheral nerve surgery for the lower extremity. If the patient really knows what their problem is, they should do a little bit of research to find out that that particular doctor has a focus or an interest in that area.

That makes perfect sense. Thank you, Dr. Barrett, for taking the time to speak with us today.

DR. BARRETT: You're very welcome.

Dr. Stephen Barrett, DPM, FACFAS, Phoenix, can be contacted at his clinic in Phoenix at 480-478-0780. His business website is your-feet.com.

By Kevin Nimmo –

Kevin Nimmo is a writer and online media strategist. He interviews subject matter experts and educates his readers based on information provided by experts in their relevant fields. He is also Executive Editor of The Western Medical Journal.

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Dr Kelley Gillroy, DPM, Glendale, AZ, Discusses Proper Footwear

Dr. Kelley Gillroy, DPM, Midwestern University, Glendale, AZ, completed her undergraduate education at Northern Arizona University and obtained her doctorate from Des Moines University, College of Podiatric Medicine and Surgery, in Iowa. She then completed a three year surgical residency program before beginning practice. She practiced as an associate in private podiatric practice in Sun City West, Arizona for a few years before accepting her present position at Midwestern University in Glendale, Arizona where she serves as assistant professor for the Arizona School of Podiatric Medicine and is a clinician at the Foot and Ankle Clinic at Midwestern University. She is also director of CME for the podiatry department at Midwestern University.

Dr. Gillroy is interested in all aspects of foot care but has taken a keen interest in trauma and in surgery of the foot and ankle. We were fortunately enough to take a few minutes out of Dr. Gillroy's dayfto ask her about footwear and how it can make a difference in the health of your feet.

Doctor, most people do not seem put a lot of thought into their choice of footwear. What kind of long-term effects does this have on the health of your feet and what do you recommend as far as footwear choices are concerned?

Dr. Gillroy: Well, as far as long-term effects of wearing shoes that are not supportive enough, most people over-pronate when they walk and there's usually not appropriate stability or arch support in the shoes which can lead to a lot of problems like plantar fasciitis, tendonitis, stress fractures and a lot of overuse type symptoms as time goes on.

Do you think that's a matter of misinformation?

Dr. Gillroy: Not necessarily. You can walk into some high-end athletic stores and assume what you find there will be appropriate. You can not trust a brand name now with the new trends in minimalist shoe wear and barefoot running trends. I think if it's on the shelf at these stores, people think automatically that they're purchasing something that's a good fit for their feet.

I do have a few tests that I usually like to tell patients to use to test their shoe wear before buying it to evaluate it for stability. First, you take the shoe and you try to fold it in half. The only place the shoe should bend is at the toe area where you're going to get a natural bend in your toes when you walk. If it folds up in the arch, you know that it's not stable enough because your foot does not fold there. So your foot is going to be doing a lot of extra work trying to be stable inside that shoe.

The second test that I have is to try to wring out the shoe or twist it side to side. You should not be able to do that. The sole of the shoe should provide significant resistance to that and then, the third test is trying to pinch the heel together. There should be resistance. It should not just collapse. That's to make sure that there's a nice heel support in the shoe. If the shoe passed those three tests, usually you're okay in regards to stability and then, you need to think about the arch support inside the shoe.

Most shoes are manufactured flat because they do not know what type of person is buying the shoe. If that person has flat foot or higher arches the will not like the fit of the insole so you have to take the lining out that comes in the shoe and supplement it with something that fits your arch better, which is usually a custom device if you have foot problems.

The next question is geared more towards women. Is it really possible for somebody to maintain foot and spain health and still wear stylish shoes?

Dr. Gillroy: Yes. They're definitely getting better as time goes on with what's available on the market for women. There are a lot of companies that are trying to produce different kinds of sandals, and flip-flops, and dress shoes that are less bulky and more pleasing that actually do fit appropriate guidelines for a stable shoe, but they are not as easy to find. A lot of high heels on the market, depending on the height of the heel, are very unstable for the ankle and if you wear heels a lot, you can risk spraining your ankle or develop tightness or contracts on your Achilles tendon just from always being on your toes.

You can get problems in the ball of the foot like a Morton's neuroma or pain under the metatarsals. There are shoe stores available now that carry sandals and dress shoes that you can wear to towork that are a little bit better. Look for a heel with more width or a platform for more stability. There are even orthotics made now to fit inside dress shoes.

Do you recommend different footwear for somebody who is on their feet all day as opposed to someone who is more sedentary?

Dr. Gillroy: Well, absolutely. The person who is more sedentary can get away with wearing less stable shoes because they're not constantly on their feet, whereas someone who's on their feet all day would need more shock absorption in their shoe and better arch support. That all transfers upwards and can even lead to knee pain and back pain if they're on their feet all day.

What do you feel is the biggest misconception that people have about footwear?

Dr. Gillroy: I know a lot of people have brands that they try and they feel like if they are spending their money on a brand like Nike or New Balance or something like that they are automatically getting the right shoe which is not the case. There are so many different brands out there and it's kind of a whirlwind to try to decide what to buy, each brand has six or seven different types of shoes.

So just buying a Nike for example, does not mean you're getting the shoe that's right for you because they have minimalist shoes, they have shoes for runners, hikers, people who over pronate and people who have high arches. There's a lot of more to the anatomy of a shoe than just pulling it off at the shelf and a lot of people do not understand that.

Doctor, to wrap this up, how should someone go about choosing a Podiatrist?

Dr. Gillroy: Well, that's a tough one. Historically, Podiatrists have had different levels of training, for example, in the past not all podiatrists were surgically trained. Some of them specialized more in general podiatric medicine and palliative foot care and others focused on diabetic foot care and wound healing. The training is more uniform now. Every podiatrist that graduates now has 3 years of surgical training in addition to the general podiatric training. So now that it's more uniform, you can trust that your podiatrist can help with your foot problem and see you through to complete healing.

So in other words what you're saying is that the training and the curriculum is now pretty standardized. If you get someone who is a podiatrist that is licensed in the last 10 years they're going to have that training. Is that correct?

Dr. Gillroy: Yes. Most importantly, I just think you need to find someone that you have a good relationship with you so that if you do have a chronic problem then they are someone that you can trust. Look for a podiatrist that has good bedside manner and who spends time explaining things to you.

Sure, absolutely. When people are dealing with a situation where they're going to have to come back to the doctor again and again, you're right, it does turn into a very personal relationship. They're going to want somebody who they're comfortable with.

Dr. Gillroy: I would just encourage people to be proactive with treating their foot pain. What I come across more often than not are patients who ignore their symptoms when the injury first happens and wait for 2-3 months thinking the pain will go away on its own. Now, the injury has become chronic and more scarred which makes treatment more difficult and often leads to more problems from compensation. I encourage people not to ignore symptoms and seek treatment right away. It's better to find out that it's something minor rather than to try and backtrack through 2 or 3 months worth of pain which often leads to surgery.

Great advice. Dr. Gillroy, thank you so much for taking the time out of your day to answer a few questions about proper footwear. I certainly appreciate it.

Dr. Gillroy: You're very welcome.

Kelley Gillroy, DPM, Midwestern University, Phoenix can be reached at her office at 623-537-6160. She provides medical treatment for conditions such as bunions, heel pain, ingrown nails, foot pain, diabetic foot concerns and deformity correction.

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Fighting Foot Pain And Ingrown Toenails

Many people have complained of an aching foot at some point of their lives. Experts have classified many types of pains that ail the foot and thus foot pain solutions have become just as diverse the conditions they seek to treat.

Ranging from simplistic home based remedies such as foot massages, foot soaks, and wet pads to advanced treatments such as surgery and corrective devices, a person who suffers from a condition that causes foot pain has never had as many options before for their treatment. The thing to notice is that several of the treatments for foot pain have always been related to the underlying causes of the condition.

Take for example, Plantar Fasciitis, a condition that has been noted for causing noticeable pain in the arc and heel of the foot. It has been characterized by the inflammation of the tissue joining the bone bone to the toes. Its causes have been described as overworking the feet, an abnormal gait, obesity that causes excessive stress on the foot, poor fitting shoes that put strain on the toes and heels of the foot etc.

Now, if the pain has been caused by overworking the foot ie excessive walking / running / standing during the day, the best way to cure it is simply lying down and resting your feet, if possible, elevated above the body, by avoiding walking / running on surfaces that are hard and irregular and by modifying your routine to include activities such as cycling that provide a change to your foot muscles. If the pain has been caused by ill-fitting shoes such as those with high heels and pointed ends, then it can be corrected by switching, timely, to comfortable shoes that are designed for walking instead of looking good. If the culprit has been obesity then the cure is to improve your diet and lose the extra fat so that your feet can have some breathing room. For those who have suffered from this condition due to their walking style that puts unusual stress on their feet, doctors recommend measures to correct the gait. Note how the cause is linked to the foot pain solution in each case.

Ingrown toenails are another condition that have affected the feet of many. In this condition, a toenail, usually of the big toe, starts to grow into the skin at the sides of the toe causing inflammation, swelling and infection. Experts have given several opinions on how to ingrown toenails ranging from in-home techniques such as soaking the ailing foot in warm water, placing a cotton ball dipped in disinfectant under the toenail and massaging the toe with oil for mild cases, to oral antibiotics and surgical removal of the offending portion of the toenail for sever cases. Another popular opinion on how to treat ingrown toenails is to be proactive – wearing proper shoes and trimming the toenail properly are simple steps that can be tried in this regard.

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What to Look for in a Podiatrist

Having trouble with your feet is not easy. You feel every pain in this part of your body, because you use your feet so often. A podiatrist can help you if you have a condition that can be repaired. As you look for the right specialist, you will want to find one that has experience, affordability reputation, and good customer service. These areas are essential as you seek the right specialist.

Experience is very important as you look for the right podiatrist. The feet are full of small bones and much of your life depends on them working correctly. So many issues can come up on your feet, so it is important to have them handled correctly. Finding a specialist who has the experience will help you to have confidence that you will be able to have your feet repaired.

Affordability is something else to consider as you look for a specialist. If the problems with your feet are just something that you do not like with the appearance, then your insurance company will probably not help you out with this. If your issues are completely physical, then your insurance will likely cover problems of this type.

Reputation is another area to be considered as you look for a podiatrist. In order to find out about the reputation, you will want to go online and read up on a variety of specialists in this field. There are reviews online that will tell you various results of a specialist. You may not always be able to trust reviews, so you will need to use discretion. You should also ask others who have had trouble with their feet and have needed this type of specialist.

Customer service is another area to look into as you seek a podiatrist. Having a specialist that cares about the customer is important. It is an aspect of finding a specialist that many people do not consider important enough to make a necessity. It is essential, and it creeps into every area including how you are treated at the front desk all the way to how long you come to wait for the specialist to come and treat you.

After looking at these areas, you should have enough information to help you choose a podiatrist that will work for you. Your feet are important wherever you are on them all of the time for work or only to clean your home a few hours a week. Whatever the case, it is essential for them to work properly and not give you pain.

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The Foot Doctor Is An Ancient Profession

One of the most important parts of your body and the one that you typically rely on the most is your feet. Feet are what you support your body with. They allow you to stand erect. They allow you to walk, run and are the primary reason you have the ability to easily move around. They are also the one part of your body that you can scarcely ignore when you are having problems with them. Normally feet would be nothing to ever worry about except that there are in fact many common diseases and injuries that can seriously impair their ability to function normally. And if you have problems with them all it is immediately noticeable because some of these problems can make it all but impossible for you to use them.

This has been a constant issue with humans since the dawn of civil society. Evidence of foot problems plaguing the ancients have actually been found in ancient Egyptian bas-relief carvings on structures that date back to 2400 BC Writings by the Greek Physician Hippocrates, the father of modern medicine, describe the process of removing corns and calls of the feet from patients around 300 BC All through the ages there have been written examples of these sections of procedure that many people including royalty have taken advantage of to repair problems with feet.

Up until the 1900s the foot doctor was completely separated from other doctors. They were generally classed as independents that only treated the feet, ankles and legs of patients. This, however, all changed in the 20th century with the development and inclusion into the general practice of medicine of the podiatrist or foot doctor.

A foot doctor or Podiatrist is a special branch of medicine that concentrates on the diagnosis, and medical or surgical treatment of the feet, ankles and lower body extemities. A DPM or doctor of podiatric medicine is a specialist that has been trained in a variety of skills, which can include human anatomy, physiology, pharmacology, general medicine, and surgery. This intensive training allows him to successfully diagnose and treat disorders of the feet. In their schooling it is common for a student podiatrist to rotate in and out of several related medical fields such as sports medicine, biomechanics, geriatrics, orthopedics and others to gain a wider range of specific knowledge and skills designed to help him become a more competent and effective physician.

Although diseases or injury to your feet can be serious and quite painful most of the common conditions do not carry any serious threat to your health. These can also be easily taken care of by a competent foot doctor. Two of the most common issues that a foot doctor sees are patients with corn or calluses. A callus or corn is nothing more than the build up of hardened skin that forms over points of pressure on a bone prominence on either the top or bottom part of the foot. These can be caused by irritation from poor fitting shoes or other causes. They are generally nothing to worry about and do not pose any serious health threat. They can be easily deal with by trimming or scraping them or in severe cases that they can be removed with an outpatient surgery.

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Track Spikes and Sports Injuries

Track spikes are worn by runners to maximize their grip during competition and training. The spikes screw into the sole of the shoe and the length and configuration of the spikes depends on the running surface and event. Track shoes are extremely light and have very thin soles and low heels to maximize your running performance. Although track spikes are an essential part of most runner's equipment, they can also be the cause of injury. Below are some of the common injuries:

• ACHILLES TENDON INJURIES: Regular running shoes have a raised heel, whereas track spikes have a much lower or even nonexistent heel. When you change from running in the basic running shoes to track spikes, it can cause Achilles tendon problems. Your Achilles tendon connects your calf muscles to your heel bone. Achilles' tendon injuries are slow to heel and, in the case of ruptures, can even require surgery. To avoid Achilles tendon injuries, gradually increase the duration and intensity of your workouts when first using track spikes.

• FOOT INJURIES: Because track spikes are much less cushioned than regular running shoes, this keeps the weight of the shoe as low as possible to enhance your feel for the ground. This lack of cushioning can cause a variety of injuries including bruised feet, plantar fasciitis, and heel spur growth. To minimize the risk of foot injury, only wear your track spikes for competitions or the most important training sessions. There is also the option of customizing your track spikes by adding padded shoes inserts and / or heel pads that will protect your feet.

• SHIN SPLINTS: The most common running injury is shin splints. Shin splints are caused by an excess of impact to the lower legs, created by heel striking. In the mildest cases, shin splints are the inflammation of the fascia (connective tissue) that covers and connects muscles of the lower to the bone (the tibia). In worst cases, the fascia is under such stress that it actually separates from the tibia, which can be very painful and can involve a rather slow healing process.

• LACERATIONS: The spikes in track shoes are very sharp and can cause injury to you or anyone you accidently come into physical contact with. This injury is more common when runners bunch close together during long distance races.

• BONE BRUISES: Bone bruises occur when someone is injured through falls, accidents, sports and blows from hard objects. They may be accompanied by bleeding and painful swapping and last from several days to months, depending on the severity. Custom orthotics may be fitted to be worn inside the racing spikes to prevent further irritation.

Essentially, many injuries can be avoided with warm up, careful stretching before and after workouts, massage, proper footwear and avoiding over-use. Athletes should notify their podiatrist at the first sign of foot pain.

Podiatrists can help athletes address injuries and help prevent them from becoming more serious.

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Ingrown Toenails: Painful, Ugly, and No Laughing Matter

Ingrown toenails are no laughing matter. Painful and ugly, onychocryptosis, the medical term for the condition, is a common ailment that afflicts people from all walks of life. Potential causes for this emergency and often painful condition are many; however, usually it's brought on by something so simple as to be overlooked as insignificant. Let's have a brief look at just a few of the most ordinary causes, and remedies, of the common ingrown nail.

Causes of Ingrown Toenails

• Poorly Fitting Footwear – Poorly fitting, or low-quality, footwear is the most common cause of ingrown nails. Shoes that are too small or too tight force the foot and toes to cramp and bend in unintended and undesirable ways. When a shoe is too short or overly tight, the toes are bunched together, uncomfortably, which can cause nails to become bent downwards, or inward. From this point, ingrown nails are just around the corner. Socks and hose, when overly tight, can also be contributors to the problem.

• Improper Nail Trimming – Improper trimming of the toenails can also result in onychocryptosis. When the nails are trimmed too short, they often will turn downwards and grow into the toe.

• Poor Hygiene – Poor hygiene is another factor in the formation of ingrown nails. Basically, if the toes are continuously kept in a moist, warm environment, such as sweaty socks or shoes, without proper cleaning, the nails can become soft and more easily susceptible to deformation which, when combined with overly restrictive footwear, can lead to ingrown nails.

• Injury – Injuries caused by dropping a heavy object on the toes, tripping, or kicking, can often contribute to the development of onychocryptosis.

Remedies for Ingrown Toenails

Take Care of Your Feet – Generally, ingrown nails can be prevented by taking good care of your feet.

• Foot Care Tip # 1 – Choose and wear shoes that are a good fit for your feet. Never wear shoes that are too small or narrow. Be sure your shoes have adequate toe space to keep your toes from bunding together. When trying new shoes, ensure that your toes, and toenails, do not touch the interior end of the shoe.

• Foot Care Tip # 2 – Keep your feet clean and free of sweat and other moisture. Wear clean socks and change them often. Wash your feet conscientiously each morning and night. If your feet are prone to excess sweating, consider using absorbent pads to soak up the extra sweat; however, if you do, be sure to change the pads regularly as old, worn out absorbent pads are really no better than nothing at all.

• Foot Care Tip # 3 – Trim your toenails, and do it correctly. Basically, you should cut your toenails straight across, avoiding any curvature in the cut. Curved nails are more likely to become ingrown.

See a Podiatrist – In some cases, ingrown nails are the product of disease, like diabetes. If you suspect this might be the case for you, do not attempt a home remedy. See a podiatrist, instead. An accurate diagnosis might be beneficial to more than just your toes.

Ingrown toenails are always unwanted guests. They're unsightly, painful, and sometimes indicators of a more serious condition. To avoid ingrown toenails, take good care of your feet, and see a doctor when necessary.

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The Painful Truth About Foot Pain

Foot pain is not something any of us look forward to with happy anticipation. A day amidst the grips of foot pain can be simply unbearable. Shoes that are too tight, injuries, and disease are all possible causes of foot pain. Some of these can be remedied easily, while others may require a visit to your doctor. Here's a brief look at some of the more common causes of foot pain.

Footwear – Poorly-fit footwear is often the cause of foot pain. Shoes that are too tight, or too loose, can cause the muscles and bones of the foot to bend and adjust in ways for which they were not designed. Too little space in the toe box can cause toes to cramp and bend which creates further problems through the rest of the foot.

Shoes that are too tight across the top, whether too small or simply tied too tightly, can bring pain to the upper foot that, over the long-term, may result in far more than simple discomfort. High heels, also, are a major contributor to foot pain, as is well-known to most wearers of fashion footwear. Heels force you to carry all of your body's weight on the balls of your feet, which then forces toes forward to the pointed, foot-unfriendly, front of the shoe.

Microtrauma Injuries – Running, jogging, or other exercises involving repetitive impact with surfaces that are too hard, soft, or otherwise uneven, can cause microtrauma injuries to the foot. Microtrauma injuries are those caused by repetition, like jogging on concrete, as opposed to macrotraumas that are borne on by a single heavy blow or impact. Poorly-fitting footwear is another culprit for microtrauma injuries.

Disease – Foot pain can also be taken about by disease.

For example:

• Gout – Gout is a condition bought on by the overconsumption of rich foods. In the past, gout was considered to be a rich man's disease; but, these days, it has no income associations and may be suffered by almost anyone for what a poor diet is the norm. Gout is characterized by a buildup of uric acid in the bloodstream, which, in turn, causes crystals to form in the blood. These crystals then go on to accumulate in the joints of the foot and ankle causing significant pain and swelling.

• Diabetes – Diabetes is another disease that can bring foot pain and discomfort. Diabetics are often afflicted with corn, blister, sores, and other wounds. These are, in diabetics, usually the result of nerve damage brought on by the disease.

Pregnancy – Pregnancy, also, can be a major contributor to foot pain. As the body grows outwards and balance is upset, a woman is forced to carry the increasing weight in ways that are far from beneficial to the feet. Changes in stance and gait all force the body, then the feet, to make adjustments that are extremely harmful. Additionally, fluid buildup in the feet can also bring significant pain and discomfort.

One Final Note

If you suspect disease to be the culprit, the best course of action when suffering from foot pain is to see your doctor. An accurate diagnosis may be beneficial in more ways than one. If diabetes is behind those painful walks in the park, visiting your doctor might just save your life!

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Custom Orthotics for Plantar Fasciitis

Plantar fasciitis is a condition of the foot which is common among athletes. When there is a sharp pain that is usually felt in your heels then this is a clear sign of this condition. Most of the time, this kind of pain which is caused by plantar fasciitis is usually felt during the first few steps you make every morning. If you are looking for a way to treat this kind of condition then a good pair of custom orthotics can help you eliminate the pain and treat your existing annoying foot condition for good.

What is an Orthotics?

This is a special kind of material which is inserted and placed inside the shoes of a person suffering from plantar fasciitis. Basically, orthotics acts as shoe insoles, cushioning your boots and providing them with a comfortable feel while you walk or run.

The Benefits of Orthotics to Plantar Fasciitis Patients

Through the years, a lot of people who are suffering from plantar fasciitis are looking for a simple solution for this kind of foot condition. Luckily, concerned individuals have discarded orthotics as a simple yet effective way to deal with and treat plantar fasciitis in the process.

When an orthotics is used, the foot gets the balance and support it needs in relation to the pressure that is exerted on the foot. An orthotics also promotes a well-balanced circulation of blood and provides your foot with a better and a more ideal posture. You just need to take note that when it comes to plantar fasciitis treatment, proper care is highly advised before the condition gets worse.

How to Get a Good Pair of Custom Orthotics?

Always keep in mind that not all orthotics are created the same. You may get yourself overwhelmed by the many different types of foot insoles in the market today and these can be really confusing on your part. Here are some few important guidelines youought to know first before purchasing a pair for orthotics for your plantar fasciitis.

Consider the Comfort it gives?

Since a custom orthotics is made to be worn for a longer time, it really helps to find the ones that provide you with quality comfort. Many online stores today sell insoles of different brands. To get the best results, it is good to pick the ones with good brands as they are the ones which are usually recommended by doctors worldwide. To learn more about the product, it also helps if you spend some time reading customer reviews on orthotics. Some of the popular and trusted types of orthotics for plantar fasciitis include Sulcus orthotic with heel post, quad layer orthotics, Neutral Shell, Full length orthotics, etc.

Another important thing you need to consider when buying custom orthotics is the price. Take note that an expensive orthotics does not necessarily mean that the product is already high in quality. The truth is that many low or poor quality orthotics are sold at a very expensive price. Getting one of such kind can be a total rip off on your part. Choose the branded ones with a good price and good quality. While it is true that you are willing to spend for the treatment of your plantar fasciitis, it is also important not to be cheated out of your hard-earned money.

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What to Look for in Soccer Socks

Soccer socks should better be as rugged as their owner. They get the brunt of the game as much as the player and should support all that physicality. Here are some features veteran soccer players look for in a pair of soccer socks.

Cushioned foot bed
When inspecting a pair of soccer socks, look closely at the foot bed. Soccer pros advise that you look for extra cushion down where your foot is in the shoe. Without sufficient cushioning at the foot bed, the player could sustain foot injuries.

Breathable
A very physical game such as soccer requires breathable soccer socks which allow micro-ventilation to allow evaporation of sweat and exchange of necessary for creating a comfortable degree of coolness. Socks which are not breathable get too hot right in the middle of the game that players often have to take them off for a while.

Right length
Soccer socks should be long enough to fit right above the calf so as not to let the shin guard slide down during the game. Socks which fall slowly below the calf run the risk of rolling down. They should not be too long as to create unsightly bunches along the sides. The bottomline is to look for socks with just the perfect length for you.

Perfect support
Perhaps the one feature most soccer players look for in soccer socks is the fit or support level. Soccer players want socks that fit just right-enough to offer sturdy compression without causing constriction or discomfort.

Dries fast
Some recommend soccer socks that are made of synthetic material for the reason that they dry fast. This feature eliminates odor issues associated with socks that dry slowly. Socks that can be washed in the sink, hung for just a day and then be dry enough to be used the day after is certainly a convenience.

Seamless toe seams
It is bothersome to have soccer socks that bunch at the toe seams. The nature of soccer allows for some serious kicking at the toes so that socks with a smooth, almost seamless toe design would be a good pick.

Personal preference
Some features of soccer socks can be left for the players themselves to choose. Designs, colors and brands are personal preferences which reflect the player's personality and quirks. Some prefer simple and classic socks while others want team socks as a way of routing for their favorite soccer team. Typically, a soccer player collects several types of socks, moving from simple to flamboyant according to his mood.

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