The Road to Shin Splints

(Photo credit: Wikipedia)

Shin splints is an injury that results from cumulative stress brought on by physical activity without benefit of proper conditioning or warm up. It is characterized by pain usually felt in the outer front of the lower leg. Because of the pain location next to the tibia, shin splints are also referred to as medial tibial stress syndrome. Shin splints are a common complaint of athletes whose rigorous physical activity includes a lot of sudden starts, stops and running like football, basketball or soccer. The pain may tend to cease when you stop exercising and ease up with rest, but eventually it will probably return if not treated. Thankfully, shin splints respond well to:

• Rest
• Ice
• Over-the-counter pain medication

If you have tried conservative treatment methods and your pain has intensified and does not improve with rest, you should see Dr. Blaakman. By questioning you, Dr. Blaakman may find that your shin splints can be traced back to:

• Running downhill or on a slanted or uneven surface
• Running in footwear that lacks the proper cushioning, or is worn beyond usefulness
• Rigorous sports activity
• Running too hard, fast and long to avoid stress overload

Sometimes shin splints can be caused by biomechanical weakness or abnormalities. In these instances, after a complete evaluation, Dr. Blaakman may be able to prescribe custom orthotics that would correct faulty movement, bring your body back into correct alignment and allow you to move pain free. Other treatment options include taping, bracing, stretching and medication.

Shin splints can be avoided or prevented from returning by paying close attention to the surfaces you walk or run on, the condition of your shoes and adequate warm up activity. If running is the cause of your shin splints, there is no need to completely give up the activity. Limit the time spent and intensity of running. Change to a more mild form of aerobic exercise such as swimming or bicycling until you are healed enough to resume regular activity. Return to normal routine slowly and with proper conditioning and take a couple of days off running and do some strength training, including a workout for your toes. Slowly rise up on your toes, and slowly lower to the floor. Repeating this ten times can gradually build up strength.

Call Dr. Blaakman at (877) 941-3338 if your pain persists. He has great treatment options just right for getting you off the round-a-bout of pain and on the road to recovery.

References:

http://www.upstatefootcare.com/new-patients/video-library/
http://www.mayoclinic.com/health/shin-splints/DS00271

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Football and Soccer Cleats - Prepare Now for Autumn Sports

F50.9 TUNIT (Photo credit: Wikipedia)

It may seem like school just let out, but time is fleeting and the beginning of the school year is closer than you think. If you have a young student that participates in football or soccer, take a little time out and begin to prepare. Chances are you will need to consider new cleats, specific to their sport. Seldom can a growing youngster or teen get two seasons out of a pair of shoes. They grow too fast!

Any concerned and involved parent is going to be concerned with the safety of their child. Shoes are a major consideration. They go a long way to protect the foot and ankle regardless of the sport. For football, shoes that allow for running, the proper amount of side to side motion as well as flexion are important. Prior to investing money, make sure you are in synch with the regulatory agencies that govern safety for the age group or divisions your child plays in. You may wish to consult a coach or school official for information, but consider the following:

• Purchase new shoes. You may think hand me downs or used will save you money. They may look good on the outside, but be completely worn on the inside. If the cushioning and inner structure is lacking support, it is a wiser decision to go with new shoes.

• Make sure that the cleats or cleat patterns are in compliance and are appropriate for the surfaces your youngster will be playing on.

Purchasing the best quality cleats available is not going to make anyone a star. It’s not about the money. Shoes that fit snug, but not tight are important. A sport store that specializes in what you are outfitting for has knowledgeable staff familiar with fitting shoes. If shoes do not fit appropriately or if they hurt the feet, it can prevent the athlete from playing up to their potential. Leather shoes are usually preferable, but in wet conditions they become weighty and burdensome. Cleat lengths vary, so you need to carefully consider the surface. Consult a local professional for recommendations.

If your child experiences an injury, consult with Dr. Blaakman at (877) 941-FEET. His knowledge and experience can guide you and help to maintain foot health and safety.
 
References:

http://www.livestrong.com/article/14240-choose-soccer-cleats/

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The Doctor and the Physical Therapist

(Photo credit: Wikipedia)

The primary concern of the podiatrist should be treating the injury, and seeing to the comfort and care of the patient. If rehabilitative services are needed, this would be done by a physical therapist. There is no way to predict the number or frequency of visits that it may require for a patient to recover full use after sustaining an injury, but the primary goal of the physical therapist is to see that function is restored. Some foot and ankle specialists operating state of the art facilities may have affiliation with a physical therapist at their location. This is usually provided for patient convenience so that patients can receive all required services at one location.

Athletes usually appreciate referrals to physical therapists. They know that treatment by a therapist will expedite their recovery and restore their function to pre-injury condition more quickly. The back yard sports enthusiast, or adolescent playing high school sports, may not have that luxury. Insurance benefits may be limited to what coverage is provided, so they may need to spend their available dollars more wisely.

From the perspective of a person on the outside, looking in, the relationship between a podiatrist and physical therapist may be somewhat simplistic in its appearance. The doctor might be the equivalent of a head coach, calling the plays from the sidelines, and the physical therapist is the quarterback, provided with the knowledge, necessary to execute the play.

If you have sustained a foot or ankle injury, make no mistake about it, the doctor is calling the shots. It is his knowledge and diagnostic expertise that is getting to the root of the problem. He may then need to refer his patient to a physical therapist who will carry out his prescription and instructions pertaining to physical therapy that provides the quickest path to recovery for the patient. Call Dr. Blaakman at (877) 941-3338 (feet) if you are having a foot or ankle problem that requires treatment. His knowledgeable staff is there to answer any questions you may have to get you on the fastest road to recovery.

Visit Dr. Blaakman’s website, http://www.upstatefootcare.com/ for more information about the services he provides.

References:

http://www.physicaltherapyschdy.com/ASP_Pages/podiatry.asp
http://www.aapsm.org/plantar_fasciitis.html
http://www.podiatrytoday.com/article/6946?page=1

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Here Come the Summertime Warriors

Marahon shoes (Photo credit: Wikipedia)

With the first 90 plus degrees of the summer, it’s great to be out there to reacquaint yourselves with the outdoors and get back into shape. Constant beach weather is just around the corner, so you’ll want to get rid of that mid-line flab and show off those six packs. It doesn’t matter what your favorite outdoor pursuit is - just do it!

However, it’s important to start slow and gradually condition yourself. You don’t have to run a race this week, and while you might have quite a ways to go, you have don't have to rush your conditioning. It is impossible to emphasize enough the importance of a slow and reasonable pace when it comes to starting any exercise program. You can’t just start out making outrageous demands on the body without risking a serious injury.  Regardless of the exercise you choose, there are certain to be pre-requisites for consideration. 

Do you have the appropriate footwear to take you where you want to go? 

Whether you are cycling, kayaking, running or swimming, there are shoes designed to meet your specific needs. Even within the sport you choose, there may be options for shoes. You need to make sure you are purchasing footwear at a dealer who specializes in that sport. They have the product knowledge and expertise to guide and fit you.

Making sure you have appropriate footwear is almost half the battle. It can save a lot of pain and problems for your feet.  But remember that conditioning and warm up are just as important. You need to plan 10 minutes of stretching and warm up exercises prior to your chosen activity. This is your opportunity to talk to your body and advise it on what you are going to ask it to do. Warm and gently stretched muscles are far less likely to become injured than cold tight muscles. So take the time and get loose.  You also should modify your program if the heat index reaches 90.  Take frequent water breaks or save exercise for the early morning, or evening, when the temperature is a bit more agreeable.

If you find that you have somehow caused an overuse injury, call Dr. Blaakman at (877) 941-3338. If you are in pain, rather than give up the exercise program, let Dr. Blaakman put his experienced hands to work. Remember to ask him all of your questions about conditioning for your favorite sport. He can help you avoid the strains, sprains and fractures commonly associated with ramped up physical fitness programs.

Also, you can like us on Facebook for more updates on foot and ankle news! Check out our Duncan office and Gaffney office Facebook pages!

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It Used To Be Wet Shoes Were Ruined Shoes

Canoe-kayak-marathon (Photo credit: Wikipedia)

Years ago it used to be a kid had one pair of shoes. Two pair perhaps if they were from an affluent family, one pair for the work week and one for Sunday worship.  No wonder it was so often heard, “Don’t get your shoes wet.”  Wet shoes meant cracked leather and that shortened the usefulness of a pair of shoes.

Time marches on and things change. Now a person probably has five or six pair available to them or perhaps more. Shoes are becoming highly specialized. It’s almost like there is a pair for every function and keeping shoes dry is a thing of the past because there are shoes designed specifically to get wet - water shoes. Even water shoes are becoming specialized to the point where they may have multiple pair. Water shoes are designed with specialized mesh linings for quick drying and channeling systems that allow water to flow out of the shoes. Under what circumstances would you choose water shoes?  Well, to wear around the deck of a pool. This may be done for different reasons such as foot protection from injuries, traction to prevent slip and fall injuries or hygienic purposes. There are even shoes designed with specific water sports in mind, such as kayaking.

When kayaking, you should consider the weather and performance demands of the shoes.  A water sandal is good if the weather is warm because they allow for drainage and quick dry, while providing some protection for the foot. They have a snug fit and not a lot of straps to get tangled. Water booties are a better choice if the water is cold. They help keep the feet warm, have zippered or hook and loop closures to adjust for a snug fit. Serious kayakers may choose water boots that offer protection from water and cold all the way up to your knees.

If you need a shoe to take you close to the pools edge, you may wish to try something like Crocs. It gives you a little something to prevent slip, falls and keep your feet off the pool deck so your feet are away from fungus.  However, if you are in the pool for an aqua class and are going to be moving a lot, try a sneaker type shoe that offers a bit of support, stability and protection from impact. Then, hit the water’s edge. There isn’t anything more refreshing than a quick dip, when the mercury rises.

Water shoes offer protection at times when other shoes aren’t appropriate, but if an accident or injury occurs, contact Dr. Blaakman at (877) 941-3338. He provides caring and compassionate full service podiatric care to help keep you active.

References:

http://www.galttech.com/research/sports/best-water-shoes.php
http://www.livestrong.com/article/427103-good-water-shoes-for-kayaking/

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Plantar Fasciitis - A Real Pain

children foot - plantar (Photo credit: Wikipedia)

The plantar fascia is a thick and wide band of tissue that connects the heel band to the toes forming the arch of the foot. When this tissue becomes inflamed and irritated due to overuse or over stretching, it is called plantar fasciitis. This is a common complaint and most often affects patients between ages 40-60.

The pain ranges from minor to severe and is usually more noticeable:

• When you first get up in the morning

• After vigorous exercise

• After long periods of standing or sitting

This is a common ailment of distance runners, and can also affect pregnant women, people who are overweight and those who do not wear shoes with adequate support. The pain usually develops gradually.

Treatment for plantar fasciitis ranges from simple non-invasive to surgical in extreme cases. Pain will usually diminish with conservative treatment methods which may include:

• Rest

• Icing

• Heel stretching exercises

• Over-the-counter pain medication

• Shoes with better arch support

• Inserts or orthotics

• Reduce mileage if you are a runner, alternate with swimming and bicycling

Generally pain diminishes with persistent treatment. Occasionally when all other methods have failed, Dr. Blaakman may recommend surgery, but surgery has risks that he will discuss with you.
As with so many foot ailments, prevention is the best medicine. Start early by keeping your weight under control, wear quality and supportive shoes. Just because your shoes look good on the outside does not mean they aren’t worn out on the inside. If you are a runner or walk aggressively, buy new shoes at 300-500 miles. You may think your old comfy shoes are your best friends, but this is not true.

If you believe you have symptoms of plantar fasciitis, see Dr. Blaakman at once. Chances of treatment being successful are greater with early intervention. During your examination, Dr. Blaakman will likely look for swelling, redness and tightness in the bottom of the foot. He may want an x-ray to rule out other conditions and he will ask questions about your medical history, if you have other pain and also ask about your physical activity. The treatment plan he develops for you will take all of this into consideration. Call him at (877) 941-3338 (FEET) so he can get you back on your feet.

References:
 
http://www.mayoclinic.com/health/plantar-fasciitis/DS00508/

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Haglund’s Deformity-A Walking Nightmare

Image via WikipediaHaglund’s deformity, sometimes referred to as the “pump bump” is a bony protrusion in the heel area, which is thought to be caused primarily by pressure from shoes, although there may be other factors involved. Between the bone and the Achilles tendon is a small sac of lubricating fluid which allows for easier movement. A prominent heel bump can squeeze the soft tissue between the bone and the shoe. This can cause inflammation and a build-up of tissue that creates even more pressure.

The most notable symptom of Haglund’s deformity is pain in the back of the heel. The tissue that thickens in this area and forms a callus type buildup doesn’t usually impede function or interfere with walking, but the bursitis, which causes swelling and inflammation, can create a great deal of pain when shoes are worn.

Diagnosis of Haglund’s deformity can usually be made visually, but our office will probably want to get x-rays to have a better picture of how the heel bone is shaped, and rule out other possibilities that might cause your heel pain.

Treatment can be either non-surgical or surgical. However, much of that depends upon your diagnosis.  Below are some non-surgical options, which include, but not limited to:

    •    Taking over-the-counter medications - such as Ibuprofen to reduce swelling and discomfort.

    •    Icing the area – you can use a towel between ice and skin, and apply it  to the inflamed area for 20 minutes, then wait at least 40 minutes before applying again.

    •    Exercising – this will help relieve tension in the Achilles tendon.

    •    Heel lifts or heel pads – these may help relieve pressure and lessen irritation.

    •    Changing your shoes – wearing a backless shoe will help to avoid irritation.

You can find more information by clicking here.

If non-surgical treatments fail to provide relief, surgery may be required. Dr. Blaakman will determine what course of treatment best suits you.

If you have swelling and pain in one or both heels, call our office at (877) 941-FEET (3338).

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