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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Hot Tips To Protect Your Cool Feet

Flip Flops, Blue (Photo credit: Wikipedia)

Spring break is behind us now and school will let out shortly - if not already!  The lazy days of summer are stretching out before you, just begging you to come outside and play. If you’re like everyone else, this will probably mean some time out of shoes, maybe running on the beach or just wriggling toes in the sand. Whatever your pastime, let’s just take a couple of minutes and talk about foot protection over the summer.

• Pay special attention to your leather sneakers. Perspiration causes the damp warm dark environment in shoes that toenail fungus loves. And although shoes are a good thing for protecting your feet from lacerations and other injuries, toenail fungus is a hidden danger. Light and fresh air are natural enemies of fungus. Keep your shoes dry and aired out in the sunshine. Use an antifungal spray for an added source of protection.

• Sandals are a fresh and welcome choice for summer months, but don’t equate sandals with flip flops. Although they are bright, colorful and fun, flip-flops don’t provide any support or stability for your foot as they easily slide off and cause you to overhang them. They also break after a couple wearing’s.  Hit your local shoe store for a pair of leather sandals that has a formed heel cup and arch support. They’ll stay in place and conform better to your foot. There are a lot of styles available out there, so go shopping.

• If you have a steady hand with the polish and can give your nails a trimming now and then, you shouldn’t need a pedicure over the summer. The sand is a natural exfoliate. Just use caution as glass and bottle caps hide under beautiful white sand.

• When you’re at the beach, remember that the skin on the top of your foot has been protected by shoes and socks over the winter and early spring. The skin is tender and needs to be protected from the harsh burning rays of the sun, just like other parts of your body. Slather on the sunscreen and reapply after a swim to make sure of adequate protection.

Enjoy the summer, but remember if you have an accident or sustain a foot or ankle injury, call Dr. Blaakman at (877) 941-3338. Put your feet in his capable hands. Never allow pain to stand between you and what life has to offer.

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It Takes More Than Two Alike to Make a Good Pair of Socks

Rainbow striped toe socks worn with thong sandals (Photo credit: Wikipedia)

That’s a fact. Just because you can match up a pair, doesn’t mean it’s a good pair of socks. Shoes are dark. Add feet and you suddenly have warmth. Once an environment is warm and dark, when perspiration starts, the environment becomes a haven for fungus. Socks form a barrier between feet and shoes, but unless the socks are the right kind of socks, it may add to the problem and create new ones. In order to protect the feet from harmful bacteria and the elements, socks should have specific characteristics.

Some traits a good sock may exhibit:

• Synthetic fibers or blends

• Correct construction and length

• Tactile stimulation

• Appearance

• Cushioning

• Temperature

• Longevity

• Smooth seams

Socks should have moisture wicking capability to keep the foot as dry and comfortable as possible. In the winter damp feet can become very cold and no one wants hot sweaty feet in the summer. They just stink up your sneakers. Socks should be constructed to fit the foot. Tube socks may have a purpose. A tube sock is apt to slip down, bunch up and possibly cause blisters. Of course, everyone wants a sock that’s soft and pleasant feeling and if it’s not solid color and design is important then check out the work and pattern. Socks have areas of cushioning knit into them, so a good sock should have extra padding on the ball of the foot, along the arch and under the heel. If the socks are designed with a specific sport in mind, this may change the way the sock is padded.

A good pair of socks will help keep the feet warm in the winter and cool in the summer. This is due to fiber content and wicking capabilities. Some natural fibers such as Marino wool and silk have this ability, but once cotton gets damp, it stays damp and has a long drying time. Damp socks will bunch up and cause lumps. Look for synthetic or blends. Perhaps check out Aetrex socks that have copper ions embedded in the yarn.

Good socks perform a function. All things considered, they take care of your feet and form a barrier between your feet and shoes that provides healthy comfort. Keep your feet safer by changing socks to keep feet dry. Dark warm moist environments may allow fungus to gain a “foot hold,” and no one needs that.

If you think your socks may have let you down and you have corns from seams that have caused irritation, or the beginning of toenail fungus or any one of many other concerns, call Dr. Blaakman at (864) 487-3338. No need to get your socks in a bunch. Get an appointment and he can evaluate your concern and have you leave a happier and healthier person.

References:

http://www.askandyaboutclothes.com/forum/showthread.php?78201-More-Than-You-Ever-Wanted-To-Know-About-Top-Quality-Socks-2010-Update

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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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Nail Fungus - Kill It Now!

(Photo credit: Wikipedia)

Toenail fungus, also known as onychomycosis, is an unsightly and embarrassing condition that affects millions of Americans. The tendency is to want to hide the feet once a fungus appears, but the problem is that fungus thrives in dark, warm and moist environments such as the insides of shoes. There are many treatments available, but this is a persistent fungal infection that is resistive to treatment, therefore it is important to begin treatment at the first sign of nail fungus infection.

Symptoms of toenail fungus outbreak include:
   
•    Discoloration (may begin as a white or yellowish spot in the nail)

•    Thickening

•    Disfigurement

•    Dry and crumbling nails

Nail fungus tends to affect more men than women and age is a factor due to lower blood circulation and greater time of exposure to fungus. Other factors that increase the likelihood of infection include:

•    Damp environments

•    Heavy perspiration

•    Going barefoot at public pools, gyms and shower rooms

•    Athletes foot

•    An injured or damaged nail that allows infection to enter body

Dr. Blaakman will examine your feet first and may take a small scraping from under the nail. This can be examined through a microscope to determine the origination of the infection and better guide him in prescribing your treatment.

As previously mentioned, nail fungus can resist treatment and re-infection is common. There are over-the-counter medications available, but traditionally these have little effect. Dr. Blaakman may prescribe an oral medication, the most popular of which is Lamisil. The oral medications take a while to work, and it may take the nail months to grow back. However, persistence and patience is necessary.

Topical nail treatments are also a consideration either in the form or paint on or creams that are applied. Again, these take months to work, so they may be prescribed in conjunction with an oral medication. Dr. Blaakman may file away some of the affected nail so there is less area to treat and medication can be more easily absorbed. In the worst cases, Dr. Blaakman may recommend surgical removal of the nail, but the latest treatment using laser therapy to attack the fungus is showing promising results.

If you have nail fungus symptoms, don’t delay. Contact Upstate Footcare by calling (877) 941-3338 and let Dr. Blaakman evaluate your condition and determine the course of action appropriate for you. 

If you have experienced the horror of nail fungus, and have successful treatment results, please share your story below.

References:
 
http://www.mayoclinic.com/health/nail-fungus/DS00084

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Helpy Selfy Pedicures

(Photo credit: Wikipedia)

It probably feels so wonderful to sit in one of those over sized spa chairs and soak your feet in the warm swirling water, allowing the stress and aches to slowly ease out of your body, right?  Well, what happens when the nails need grooming and you can’t get to the salon for whatever reason? Oh! Sudden revelation! You do it yourself. Up until 25 or so years ago, many people did their own pedicures, or helped each other. But just in case you’ve forgotten, here’s a little refresher on tools, technique and precautions.

First, assemble the necessary tools and make sure they are sterile. You will need toe nail clippers, an emery board, pumice stone, cuticle softener, an orange stick and some cotton. Ladies, in preparation, remove old polish.

Now, here comes the good stuff:

• Allow yourself a warm soak, minimum of 5 minutes, but longer is nice too. Here’s a trick, if you’d like to add a little milk to your soak, the lactic acid will help remove dead skin.

• Use a pumice stone to gently scrub away the calloused and dried skin.

• Completely pat the feet dry, making sure you dry between the toes too. 

• Apply an emollient rich lotion, but not between the toes!

• Trim the nails straight across. Nails should be clipped short, but not too short. They should never extend past the end of the toe, and never clip the sides. This can lead to ingrown toenails.

• Use the fine grain side of an emery board to smooth the nails. A steel file is more likely to damage the nail. Smooth the nail, working from the outer edge toward the center, only filing in one direction.

• Apply a dab of cuticle softener to the base of each toenail and let it work for a minute.

• Cover the end of an orange stick with a small amount of cotton and gently push back the cuticle. Caution: It is difficult to trim cuticles at home and should probably be left for the pedicurist, as it is easy to cut yourself.

For polishing techniques, go to: http://www.youtube.com/watch?v=KTZ2_qIua0U. They have an excellent video on home pedicures. Just have a few more thoughts on pedicures to share. If you have that awful nail fungus, don’t polish. The polish coats and traps the infection. Instead, there are a variety of antimicrobial coatings that you can use.

Also guys, man up. This is not sissy stuff. If you looked at your feet or asked your lady she’d say that you need a pedicure too. It’s a part of good foot health care.  And if you ask nice, she might even help.

If you are diabetic, get some assistance from Dr. Blaakman. Your feet may lack sensation and putting them at greater risk if injured. Call him at (877) 941-3338 (FEET).
 
References:

http://www.healthyfeetblog.com/the-25-best-pedicure-tips-ever
http://www.wisegeek.com/what-is-an-orange-stick.htm

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