Wednesday, January 11, 2012

Time for new shoes?

Have you checked your running shoes lately? Chances are, if they are more than six months old and worn on a regular basis whether it be for daily errands or dedicated exercise, you may be due for a new pair of shoes.

Typically, running shoes last anywhere from three to six months with four and half to five months on average. Replacing your shoes will greatly reduce the chance of overuse injuries such as Achilles tendinitis, hamstring strains, heel pain, illiotibial band syndrome, knee pain, shin splints, stress fractures, and tight calves to name a few.

Although your shoes may look fine on the outside and even on the bottom of the shoes, it’s the interior components that break down first. Inside your shoes, there is a mid sole. The mid sole will provide cushioning or that bouncy feeling along with stability. The levels of stability vary based on the type of shoe you are wearing.

We recommend visiting with your local Podiatrist for a yearly foot exam or Certified Pedorthist especially if you wear orthotics with your shoes to ensure you are wearing the appropriate category of running shoe.

When you visit your local running shop, make sure you try on all brands of the category of shoe you are wearing. Your feet should be measured each time you purchase shoes as they can change in size and width. Don’t be surprised you may take a slightly different size from what the associate measures your feet as styles can vary in sizing.

Enjoy the New Year with new shoes; your feet will thank you for it!

Friday, December 2, 2011

Why Diabetic shoes?

It is well known the importance of properly fitting shoes for persons diagnosed with diabetes. Everyday use of diabetic (also known as therapeutic) shoes along with customized inserts will support and protect feet from injury thus reducing ulceration which can lead to amputation of part or all of the foot.

Properly fitting shoes and inserts can help a diabetic manage areas of excess pressure, reduce shock and shear, stabilize and support deformities and limit joint movement.

Excess pressure. When areas of excessive pressure reside at the bottom of the foot, ulceration can occur. The use of customized inserts can help spread out the areas of pressure throughout the foot.

Reducing shock. This is especially important for the foot especially those with bony areas or abnormal bone structure. Limiting the amount of vertical pressure by wearing a shoe with appropriate cushioning can reduce shock.

Shear reduction. Horizontal movement of the foot within the shoes is an additional area of focus in ulceration prevention. Proper measurement of the width and length of the shoe during a professional shoe fitting is an important part of shear reduction.

Stabilize and support deformities. Many feet not only have diabetic related issues, there can be structural issues as well. Ensuring the feet are supported and stabilized often with the use of customized inserts and supportive shoes can avoid pain or further destruction.

Limit joint movement. Limiting joint movement can reduce swelling, reduce pain and allow for a more functional foot. The combination of the shoe and customized insert can assist in limiting joint movement.

Now that you know the factors of the diabetic shoe, here are a couple of additional tips to consider:

It is best to have at least two pair of shoes one can change daily or even in the middle of the day.

Diabetic shoes should be seamless and allow for both the foot and insert to fit properly. Even a tiny seam can cause pressure leading to an ulcer. When multiple pairs of shoes are worn, the chances of continued pressure are reduced.

The shape of the shoes matters as well. Shoes that are tapered or have a pointed toe box are undesirable choices for a diabetic. Wearing too narrow of shoes can cause callousing, ulcers and in some cases, alter the foot shape. We see many patients at the practice particularly those with neuropathy (loss of sensation) in the feet wearing too tight of shoes or a smaller size of shoe.

Properly fitting shoes should offer a shock absorbing sole and depending on the type of foot, a depth shoe such as an oxford or athletic shoe style. Depth shoes can accommodate foot deformities such as hammer toes, claw toes and other types of bony prominence.

Let’s not forget about socks. Socks should be seamless, nonbinding and constructed of breathable materials. Check your local specialty footwear store or pharmacy for diabetic specific socks.

Being armed with the right tools to protect diabetic feet is key. It could very well save your life!

Wednesday, October 19, 2011

Pedal in comfort...

Cycling is a rapidly growing sport with all shapes and sizes joining in on the fun. Whether you ride every day or on the weekends, cycling is a great way to burn calories, reduce stress and enjoy the beautiful outdoors.

Proper fitting cycling shoes are a key component of your cycling gear and can greatly reduce the chance of foot pain or injury. Visit with your local bike shops and learn about the brands offered. Discussing factors such as the amount of use, type of riding, budget along with foot size and shape will help the specialist fit you in the right brand for you.

Cycling cleats are typically stiff soled devices. The advantage is the foot is held securely in place allowing for even distribution of pressure as you complete each rotation and have better efficiency. Your bike should be with you when you are shopping for cycling shoes as the fit is not only important on your feet, it is also important positioning while riding on the bike especially if you select the clip in style cleats.

Hot spots, numbness or burning in the forefoot may be in relation to forefoot nerves. Wearing cycling shoes too tight or too thick of a sock could be the culprit. Typically, those with narrow feet can wear a thicker sock and those with fleshier feet may find comfort with a thin sock.

After loosening the shoes and/or changing the socks yet the issue is still present, return to your specialist for a review of the foot positioning while on the bike. An adjustment of the cleat is sometimes all you need for a better fit. If however the fit is still an issue, it may be a foot related problem. See your local Sport Podiatrist or Pedorthist in your area for further treatment or advice.

Monday, October 3, 2011

Getting the Right Fit

Tis the season of change from hot muggy temperatures to cooler fall weather. This change brings on the need for warmer clothing and shoes. For most, clothing is pretty easy however shoes can be a completely different experience. To make the most of your shoe shopping, being prepared can help you alleviate stress and give confidence you are buying the right shoes for your foot type.

Here are a few tips to help you get the right fit:

1. Take inventory of your current shoe selection. Are the shoes worn and in need of replacement or repair?

2. How old are your shoes? As a rule of thumb, sport shoes particularly running shoes should be replaced every six months or 300-500 miles. Dress and casual shoes should be replaced on a yearly basis if seasonal or every 8 months if worn every day.

3. Do you wear orthotics? Bring them along when you shop for shoes. This way, you will be able to judge if the shoe will accommodate your feet and the orthotics. Remember, not all shoes are created for orthotic wear.

4. Keep your feet healthy by having your feet examined at least once a year by a Podiatrist.

5. Consider your shoe shopping location. Pulling shoes off the shelf can be convenient however many times; the wrong shoe type is selected. Shop at a shoe store where fitters are available to fit you in the shoes. Ask if there are certified shoe fitters on staff. You will have a better shoe shopping experience working with a person who is familiar with shoe fit.

6. Always have your feet measured each time you shop for shoes.

7. Shop in the late afternoon when feet tend to swell from the day’s activity.

8. Bring socks for trying on shoes. Dress socks for dress shoes, everyday socks for casual shoes and athletic socks for sport shoes.

9. Be prepared to advise the fitter of your activity level, how often you will wear the particular shoes and any style requirements (i.e. business dress code or color requirement).

10. Spend time in the store and walk around in the shoes. If you have small children, consider a babysitter so you are not distracted from making purchase decisions.

Being prepared can make or break your next shoe shopping experience so get ready and have fun!

Wednesday, September 28, 2011

Love the Right Shoes for Tennis!

Tennis is a great activity especially for youngsters developing coordination along with cardio fitness. The body movements in tennis required start and stop actions along with side to side movements. Wearing the right shoes for the game is important to overall foot health.

Tennis shoes are much different than running shoes in that tennis shoes have specific qualities to support the foot type and protect feet. Tennis shoes have more cushioning along the sides of the shoe for added stability for side to side movements. To assist in moving players serving to moving up toward the net, the shoes have a thicker sole.

For those starting out in the game, cross training shoes may be an option. If however the athlete progresses in the sport, tennis shoes ultimately would be a better choice.

Running shoes should not be worn while playing tennis. A running shoe is meant for forward propulsion as with the action of running. Running shoes have a narrower base and cannot adequately support side to side movements resulting in ankle instability. Injuries such as ankle sprains, tendonitis, and stress fracture as well as growth plate injuries are common when running shoes are worn for tennis activity.

There are many tennis shoes on the market. First, start by visiting with your local Podiatrist or Certified Pedorthist to know your foot type, shoe size and the type of support needed based on your level of activity.

Next, shop around from local pro shops to sporting stores to try on different brands. Tennis shoes vary based on the manufacturer. The shoes you select should give you proper support and feel comfortable on your feet and not what fellow players are wearing. Remember, your feet are unique.

Based on the amount of play will determine how often you replace your tennis shoes. Anywhere from three to six months is typical. Inspect your shoes weekly for proper wear of the treads. While wearing the shoes, make sure you untie your shoes after use and tie your shoes when putting on the shoes. Tennis shoes should never be slipped on and off as support is weakened.

Keeping your tennis shoes in check will let you feet love the game!

Sunday, June 19, 2011

Pedicures aren’t just for ladies….men have feet too!

More and more men are indulging in pedicures and with good reason. Pedicures can be very helpful with proper nail growth and enhancing overall foot health. Proper nail maintenance can reduce foot issues such as ingrown toenails when properly groomed on a regular basis.

So what does a mens pedicure consist of along with a chance for him to relax? Here are basic steps:

A foot soak.
Buffing of dead skin for callous removal.
Shaping of nails and cuticle push back.
Lotion applied to the foot and calf with massage.
Buffing of all toenails and if desired, clear nail polish may be applied.

It is recommended pedicures are completed on a monthly basis. Many spa menus are now offering male specific treatments with treatment rooms for privacy. Choose the spa location carefully ensuring cleanliness. Look for a location that offers a certified medical nail technician(MNT). MNT’s obtain additional training beyond a nail technician license and are specifically trained in aseptic techniques.

So if you have a guy in your life that has everything.....treat his feet with a men’s pedicure. He along with his feet will thank you for it!

Here's to his foot health!
Janet Dixon, C.Ped.

Wednesday, May 25, 2011

The Road to Ironman Texas: Part Two

The race is not officially over until the FAANT girls get their Ironman tattoos!