Does Turning 30 = Foot Pain?

I'm sure by now you've seen the hit website, Buzzfeed, which displays popular social content on the web. Well, the other day I was scrolling through and an interesting title, 30 Unexpected Things You Learn in Your Thirties, caught my eye.

Working at Shenandoah Podiatry, naturally #16 jumped out at me:

I love the reference to orthotic shoe inserts as they really are an investment and they really do help with back pain (in addition to knee and foot pain!)

So our question is, when you hit the big 3-0 did you experience back and foot pain out of the blue? If you are experiencing any pain or discomfort, give our office a call! We do our best to work with your schedule and get you in quickly to see one of our doctors! We are conveniently located in Blacksburg (right off of 460) and in Troutville (North Roanoke right off 81).

Worker's Hand Attached to Foot!

A worker's hand was cut off by a machine late last month and was temporarily attached to the man's foot in order to preserve the hand! Who knew you could do that?? After doctors worked on other injuries for the man, they removed the hand from the foot to reattach to his wrist. Despite having to wait for him to recover in order to complete the reattachment, the man is doing well and will need to have several other procedures conducted once the hand is reattached.

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So basically we want to stress, if your hand gets cut off in an accident, let the docs know they can attach it to your foot to prevent it from dying (temporarily).

What Causes Gout?

"Gout is caused by an increase, or build up, of uric acid in the body.  It is usually a result of a decreased excreation of uric acid in our urine.  Initially the uric acid is found in the blood, but over time it will defuse throughout the body.  This includes the joints.  As uric acid increases in concentration in the joints it is more likely to crystallize.  These crystals can cause a lot of pain during an acute gout attack. 
 

The question can be asked: Why is gout usually seen in the feet?  Uric acid is not water soluble.  This means that it will crystallize if given the right conditions.  First, in high enough concentrations it can crystallize.  Second, as temperature decreases it is more likely to crystallize.  Gout can be found in any joint, but I believe it happens more in the feet because of the decreased temperature found in the feet.  The feet are the structures in the body that are furthest from the heart, making them the coolest. 

Symptoms of an acute gout attack include pain, edema (swelling), and erythema (redness) around the joint involved.  It is common to see a patient that was drinking alcohol or eating a steak dinner one evening to wake up the next morning with an acute gout attack.  The pain is usually 10 out of 10 and can be so painful it hurts to even let the bed sheets rest on the affected area.  An acute gout attack can mimic different arthritic conditions, including septic arthritis.  A diagnosis is made definitively through joint aspiration, which is then sent to a pathology lab."

- Dr. Marshal Gwynn

Leo DiCaprio with a Cane!

Did you recently see Leo walking around with a cane? Apparently he was showing his architect a design and wound up popping a few ligaments, spraining his ankle. Besides his upcoming premier of The Wolf of Wall Street, DiCaprio doesn't seem to be phased of his ankle injury. Luckily he looks pretty good, even with a cane!

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So how do you sprain your ankle? Well, just as DiCaprio experienced, it's caused by stretching or tearing one or more ligaments on either or both sides of the ankle. Many patients are seen in the winter with ankle sprains due to weather related injuries and of course a plethora in the spring as kids are starting up their sports and running starts up again with the warmer weather.

In order to prevent ankle sprains:
- always wear proper footwear
- warm up prior to exercise
- carefully run or walk on uneven terrain

Treat ankle sprains with RICE therapy- Rest, Ice, Compression and Elevation. If you are experiencing pain or swelling even a week after the incident, give our office a call! We are accepting new patients in both our Blacksburg and Troutville (North Roanoke) offices!

Heels, Yeah!

Extracted from Shape Magazine November 2013

After one hour and six minutes of wearing heels, most women are in pain, a new U.K. survey found. Still, more than 40% say they're willing to suffer for fashion. Sound familiar? Lessen the hurt with these tips from heel-wearing podiatrists in New York City:

1. Find the Right Fit: Narrow feet can slip around in shoes, so choose a heel with an ankle strap for added stability, Krista Archer suggests. If you have wide feet, your best bet is a wedge with a rounded toe box, which is more forgiving on joints than pointy-toed stilettos.
2. Be a Pencil Pusher: "Slip off your shoes under your desk at work, put your feet together and try to pick up a pencil with your toes to activate the 38 muscles in each foot and strengthen your arches," Suzanne Levine advises.
3. Stretch It Out: "Over time, wearing heels of the same height will cause your Achilles tendons to tighten and shrink, which can lead to pain," Jacqueline Sutera says. Do a few downward dog stretches each night to release tension in the back of your legs. 

foot with narrow flats on

foot without shoes on

If you notice deformities developing (hammertoes, bunions, taylor's bunion) or pain from your current deformities, don't hesitate to give us a call. There are plenty of conservative and surgical treatments available!

Are You Wearing the Wrong Shoes?

Tone It Up (#TIU), a website dedicated to educating people on fitness and nutrition, features a member of their "community" every Tuesday. One of the questions the TIU team asks the members on the feature is "Did you have any setbacks along the way? How did you overcome them?" A recent members response is as follows:

"I did actually have a pretty big set-back. In May 2012, I ran the 500 Festival Mini Marathon, but I ran in the wrong shoes (minimalist shoes). Shortly after finishing, my left foot began hurting badly. I went to the doctor and found out that I had two stress fractures in my foot, which forced me to stop just about all types of exercise for several months. I've just recently reintroduced running back into my routine. Even though it's been over a year, still bothers me. Now, I'm a huge advocate for making sure people wear the best shoes for their body!"

As this member states, you do need to find the best shoes for YOU. A doctor or shoe salesman can't say, "this is the perfect shoe for all runners, walkers, etc." Each person needs to be evaluated in a few different ways and seeing a podiatrist is the first step in a successful exercise regimen.

Alec Baldwin's Wife with Twisted Ankle!

It looks like Mrs. Baldwin went for a run and wound up being chased by paparazzi on bikes! Crazy! One wound up getting too close to her and she twisted her ankle. Her instagram feed shows her icing her ankle (way to go!).

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Have you ever twisted you ankle? It certainly isn't a pleasant injury but completing RICE therapy (Rest, Ice, Compression and Elevation) can help you get back on your feet sooner than you think!

In addition to treating twisted ankles in our Blacksburg and Roanoke offices, we also treat patients with sprained ankles, fractures, broken bones and of course ingrown toenails, warts and much more!

If you or a loved one is in need of foot and ankle care, either

It's Turkey Day Craft Time!

Are you looking for some crafts for the kiddos while dinner is preparing this Thursday? Well look no further, below our craft is easy and you probably have most of the supplies laying around your house.

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Of course we had to pick our craft by choosing the one with a foot involved! The only supplies you need are:
- red/maroon washable paint
- yellow washable paint
- brown washable pain
- bubble/wiggly eyes
- paper
- glue
- paper plates

Instructions:
1. Press your hands into the red paint and press them onto the paper with palms next to each other to create a feather look
2. Repeat step 1 with yellow paint
3. Now press your foot into the brown paint then on the paper with your heel at the top of your paper
4. Adhere bubble eyes with glue at the top of your heel
5. Dip your finger into the yellow paint and press a dot just below the eyes
6. Dip your finger into the red paint and drag it a couple centimeters next to the nose

Ta-da! You now have fun turkey art and a fairly easy clean up :)

Did you know we treat children in both our Blacksburg and Roanoke offices? Well, we do! Everything from ingrown toenails, warts, broken bones, fractures and much more! If you your child is suffering from pain or discomfort, give us a call and we'll work with your schedule for your preferred date and time!

2014 Gently Used Footwear Drive!

I hope all of you haven't been tossing those gently used shoes and are saving them for our 3rd Annual footwear drive! This year not only will we be donating GENTLY used shoes and NEW socks & flip flops to the New River Family Shelter, we will be donating Troutville's collectiong to the RAM House located off Campbell Ave in Roanoke, VA.

Dr. Feeny Keller showing off our collection during the 1st Annual Footwear drive!

I recently spoke with two representatives from the RAM house (Hi Martha & Debbie!) at the Green Ridge Wellness Fair in Roanoke and they were so pleasant and supportive of the program they were representing. While at the fair they were holding a food drive, the ladies stated this time of year they get extremely busy what with the holidays and cold weather.

I informed them of our annual footwear drive and can't wait to start collecting and donating what we can to help the community. Last year we were able to collect footwear for children and adults which makes our practice so proud of the kind patients and community that surround us!

So when you're unwrapping those sweet new kicks in just a couple (short!) weeks, please set a side your (older) shoes for our drive starting in a few months. If you want to get them out of the house sooner, feel free to drop them by either office and we'll get our collection started early!

Thank you for your support this year and make sure to think of those in need as the holidays get closer and the cold gets tougher to bear.

Metatarsalgia

Metatarsalgia translated means pain in metatarsals or ball of the foot.  In other words it is medicines junk term/diagnosis for pain in the ball of the foot.  It doesn't describe the location or cause of the pain making it more difficult to effectively treat. 

For example if a patient presented with pain in the ball of the foot (metatarsalgia) and radiographs revealed a fractured bone then I would diagnose a broken bone not metatarsalgia.  On the other hand if a patient presented with pain in the foot with no obvious diagnosis after a physical exam/radiographs then I would diagnose metatarsalgia.

If you feel you have any questions or concerns, or you have a foot or ankle concern give us a call at 808-4343!

- Dr. Marshal Gwynn

Fall Foot Blues

Do your feet hurt more than ever since summer has ended? If so, you are not alone. We see a lot of patients like you each fall. When it comes time to put the summer shoes away, these people get the shoe blues. 

In summer, sandals provide the freedom which allows your feet to feel comfortable. If you start wearing closed shoes again in autumn, the shoes can rub against bunions and hammertoes and cause you pain. Sometimes the friction of shoe against skin can cause painful corns and calluses to build up. Your first line of defense is to wear comfortable, well-fitting shoes. Pick footwear with a toe box wide enough so that your toes aren’t crowded together. If you wear shoes with heels, keep the heel height to two inches or less to avoid putting pressure on bunions. Wear socks to reduce the friction of shoes against your feet. You may also want to take your shoes to a shoe repair shop and get them stretched in the areas that are bothering you. Using the pads to shield the corns may help, but avoid medicated pads, which contain acid that can be harmful. 

If you try our tips to no avail, contact our office. There are several types of conservative treatments we can offer before we suggest surgery including:

• Trimming corns and calluses professionally- don’t attempt this yourself because you run the risk of injury or infection.
  
• Providing custom shoe inserts
  
• Injecting corticosteroids, which ease pain and inflammation or prescribing pain medication

If conservative measures like these don’t give you results, surgery may be your next alternative.

Don’t let painful feet and toes keep you from enjoying all that fall has to offer, visit our www.ShenandoahPodiatry.com!

Foot Cream to Kill HIV?

Ciclopirox, a drug commonly used to treat foot fungus, has been suggested to kill HIV cells. "In a study performed at Rutgers New Jersey Medical School, not only does the drug Ciclopirox rid infectious HIV from cell cultures, but the virus also doesn't bounce back when the drug is withheld." - CNet.com

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However, because the drug is a topical it does not treat the whole body (a systematic treatment) meaning it only prevents HIV not actually treating it.

Luckily, since the drug is already FDA approved for human use, the process of approval for HIV use might be sped up!

To learn more about the research and interviews head to cnet.com

½ Marathon Training: The Decision

April 20^th is the day I decided to start training for a ½ marathon. Lately I’ve been seeing a lot of
advertisements about the 1^st Hokie Half Marathon (and 5K) coming up in September and decided I need to push myself a bit. My fiancé, Kevin, and I are getting married in October and typically along with wedding planning is wanting to get in shape (hello pictures!).

My favorite part is the ½ is a few weeks prior to the wedding and it’ll give me more opportunities to de-stress! However, someone did tell me this is either the best decision I’ve made or the worst, so I guess we’ll find out!

Register!

So about my background of athleticism:

I played sports including t-ball, softball, lacrosse and field hockey from elementary school to my last year of high school. Once I left for college, playing sports was out of the question (too much of a commitment!). It crossed my mind having an intramural women’s lacrosse league at VT but there weren’t enough fields for that to happen.

Since then I’ve been working out on a very irregular basis. Now you know my background and reasons for signing up. This is the first post of the series I’ll be writing until the Hokie Half Marathon! Hopefully the next one on the schedule will be the Disney Princess Half Marathon!!!

Up next: 1/2 Marathon Training: Week One

Avoiding Heel Pain

Heel pain is the most common condition leading patients to both our Roanoke and Blacksburg offices. Pregnancy, improper shoes, and overly strenuous exercise are some of the factors contributing to heel pain. Any heel pain that persists for more than a week should be evaluated by one of our podiatrists. To avoid heel pain, always consult a podiatrist before beginning any exercise program, especially if you have been inactive for a long time. Start any exercise program with moderation, gradually increasing the duration and intensity of your workouts.

Always stretch before and after exercise including calves and Achilles tendon. Vary the incline on a treadmill to avoid heel strain. Maintain properly fitting shoes in good condition, wearing appropriate shoes for various activities. When your feet cause you pain, there are many steps you can take to get relief. The first, and probably most important, is a visit to the podiatrist. If heel pain or any other foot problems have got you down, let us do what we do best- diagnose and treat the problem so you’re back on your feet quickly!

Kristen Stewart on Crutches

Did anyone watch the Oscars last night? I typically only watch E! news to see all of the fancy dresses but did wind up watching the beginning of the show last night. So what's this about Seth MacFarlane hosting? That's just a bit out of left field, don't you think?

Anyway, while watching the red carpet, I caught a glimpse of Kristen Stewart on crutches! Apparently she seriously injured the ball of her foot by stepping on a piece of glass a few days prior to the event.

Kristen also had to hop along the stage in order to present the Production Design Oscar with Harry Potter star, Daniel Radcliffe.

Super Bowl 47 Injuries

As the two teams lined up for their grand entrances into the Superdome last night in New Orleans, some of the players were facing questionable injuries. Let's break them down (not literally):

• Ravens: WR Tandon Doss (ankle)
• Ravens: LB Dannell Ellerbe (toe, back)
• Ravens: FB Vonta Leach (knee, ankle)
• Ravens: LB Terrell Suggs (achilles, bicep)
• 49ers: TE Garrett Celek (foot)
• 49ers: S Dashon Goldson (foot)
• 49ers: RB Frank Gore (ankle, shoulder)

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It's unfortunate it doesn't matter which sport you play, you're likely to get injured. However, in order to not keep you off your feet for too long with an injury, stop playing when it hurts. We don't like to hear, "play through the pain," it's more likely the injury will get worse if you just ignore it! Both our Blacksburg and North Roanoke offices see athletes of all levels daily. From Virginia Tech players to Hollins, our goal is to get them back on the playing field in the appropriate time frame. If you are having any kind of discomfort in your lower extremity, please take our advice and seek professional help. It may be a quick fix or a boot may be necessary- but the sooner the better!!

New Floors!

Happy day for Shenandoah Podiatry's Blacksburg office! We installed new floors in our treatment rooms! Take a look and while you're at it, 'Like' our facebook page!

People Running Backwards?

Apparently a new technique to avoid injury and to help recover from common injuries is to run in reverse. You might have tried this (by walking) on the treadmill a time or two to work your calves a bit more or even on the elliptical but this is suggesting flat out running backwards!

Some other benefits are:

• Burning extra calories (2.5% more body fat is burned)
• Sharpen balance
• Mix up daily routine

A study at the University of Milan (in Italy) “found that...the runners struck the ground near the back of their feet when going forward and rolled onto the front of their feet for takeoff. When they went backward though, they landed near the front of their feet and took off from the heels. They tended to learn slightly forward even when running backward. As a result, their muscles fired differently.”



Backwards Running!

Since running backwards causes far less impact to the front of the knees, it is a good option for those runners with knee complications.

Personally, I am going to start doing it a little. I like the idea that it decreases body fat by 2.5% versus running forward the same amount of distance! I do recommend running with a partner in case someone falls and hurts themselves. I see a bit more runners in our Blacksburg office versus our Roanoke office, and will keep it in mind to bring up to patients who seem to be interested in a challenge!

Dedicated to your healthy feet,

Dr. Kate Steklachich

World Diabetes Day

diabetic foot syndrome (Photo credit: Wikipedia)

World Diabetes Day is held to raise awareness of how diabetes can affect your everday life. We stress how diabetics should routinely visit our office because they tend to lose feeling in the feet and therefore may have stepped on something, developed an ulcer, have a wart and aren't aware of it. Also, diabetics need to be especially careful about clipping their toenails and removing any calluses on their feet. Extreme complications can arise if this isn't done correctly.
Here is more information on what diabetic foot care entails.

Also, younger diabetics should annually visit our both our Blacksburg and Roanoke offices as well! They need to make sure their feet are healthy and there aren't any complications that have happened in the past year which could have harmful side effects.

What Does a Podiatrist Do?

A Podiatrist is a foot and ankle specialist- we offer all services listed below and more!

Dr. Kate Steklachich

Dr. Jennifer Feeny

• Surgeries- everything from removing a bunion to reconstructive surgeries 
• Bunions
• Warts
• Ingrown Toenails
• Routine/Diabetic Foot Care
• Custom Orthotics & Over the Counter Orthotics
• Heel Pain/Plantar Fasciitis
• Heel Spurs
• Bone Spurs
• Neuropathy
• Neuroma
• Corns/Calluses
• Athlete's Foot
• Nail Fungus
• Injuries

The list can really go on and on! Our Blacksburg and Roanoke offices want to stress that we specialize in feet and ankles. A lot of people may think going to a general surgeon or orthopedist for surgery is a better idea than a podiatrist for a problem they are having with their feet or ankles. However, because we specialize and are day in and day out dedicated to this specific area- we know it best! If you have a question about a condition, pain or something else you are experiencing and it isn't listed here or our website- give us a call! We are happy to answer any questions you may have.