Hunting & Hiking



Blue diamond-shaped sign used to designate hiking trails in provincial parks in Ontario, Canada. (Photo credit: Wikipedia)



Walking up and down steep hillsides and tramping through wet, slippery fields and wooded areas puts stress on the muscles and tendons in the feet and ankles, especially if you haven't conditioned properly before hitting the trail. Also, many don't realize that sneakers aren't the best choice for extended hiking and hunting. Had some of my patients worn sturdy, well-constructed hiking boots, they wouldn't have suffered sprained ankles or strained Achilles tendons.

Make the investment in top-quality hiking boots. Strong, well insulated and moisture-proof boots with steel or graphite shanks offer excellent ankle and foot support that helps lessen stress and muscle fatigue to reduce injury risk. The supportive shank decreases strain on the arch by allowing the boot to distribute impact as the foot moves forward. So if a boot bends in the middle, don't buy it.

In wet and cold weather, wearing the right socks can help prevent blisters, fungal infections and frostbite. Synthetic socks should be the first layer to keep the feet dry and reduce blister-causing friction. For the second layer, wool socks add warmth, absorb moisture away from the skin, and help make the hiking boot more comfortable.

For more information on taking care of your feet, visit http://www.shenandoahpodiatry.com/  


As brightly colored leaves dazzle the fall landscape, hikers and hunters nationwide will migrate to mountains, woods and fields, but many, unfortunately, are ill prepared for the beating their feet will take.

Hikers, hunters and others who love the outdoors often don't realize how strenuous it can be to withstand constant, vigorous walking on uneven terrain. Lax physical conditioning and inappropriate footwear bring scores of outdoor enthusiasts into our office each fall for treatment of foot and ankle problems such as chronic heel pain, ankle sprains, Achilles tendonitis, fungal infections and severe blisters.

Dancers Starting Pointe Earlier and Earlier

Yesterday I went to Dance-Tech in Blacksburg, VA to talk to the owner about Shenandoah Podiatry, she was so relieved to find out we are located just around the corner! She started talking to me about how so many of the young girls want to start Pointe classes earlier and earlier in age. The owner herself started at the young age of 8 and now shows the girls just what starting so young can do to your feet.

I think this is definitely a positive preventative measure to try to hold the girls off a couple more years, however, more than likely it goes in one ear and out the other!

After talking with the owner yesterday, I did a little research on common foot and ankle injuries dancers’ experience.

•  Dancer’s Fracture (5^th metatarsal fracture)- results in landing awkwardly on the outside  portion of the foot or twisting the ankle
• Ankle Sprain- occurs by stretching or tearing one or more ligaments on either or both sides of the ankle.
• Bunions- are caused by your big toe joints becoming incorrectly aligned. This causes the one bone on your big toe to slant outward and the second bone then angles towards your other toes.
• Stress Fractures- results from too much repetitive activity of the foot which causes the bones to weaken
• Ankle Impingement Syndrome- results on the front or back of the ankle and is related to bone structures that pinch the soft tissue when the ankle is pointed in one direction or the other
• Turf Toe- a sprain caused by overuse or hyperextension
• Heel Pain, Achilles Tendonitis, Sesamoiditis and Hallux Rigidus are all related to overuse and repetitive trauma

As much as we don’t mean to scare you with all of these common injuries, any daily activity can result in an injury so this is no announcement to stop your daily activities.

Shenandoah Podiatry is here to aid in foot and ankle health; if you hear any scary noises after a fall don’t do the “I’ll wait a couple days to see if the pain is still there.” The sooner you make an appointment the sooner you’ll be back on your feet!

Ankle Injuries: More than just an annoyance

Though ankle injuries are painful when they first occur, the long term damage that is caused can be even more detrimental. Ankles that have suffered an injury are seven times more likely to become arthritic that ones that have seen no trauma. Injuries can very in severity and still have the same long term affects. From inconspicuous reoccurring ankle sprains to more seemingly detrimental ankle fractures or broken bones, the damage that is caused is irreversible. Ankle cartilage is quite strong and can usually withstand a life time of movement but when the cartilage gets damaged its cells are unable to be repaired. Cartilage is made to glide smoothly to create movement but when it becomes worn or frayed the movement is not fluid. This leads to swelling, inflammation, and pain in the ankle joints. If proper treatment is not attained after the injury, post-traumatic ankle arthritis could very well occur in the future.

A study taken from 1991-2004 at the University of Iowa, studying 639 patients with grade 3 or 4 arthritis concluded that ankle injury is the most common cause of ankle arthritis. Trauma was the primary cause of arthritis in 445 patients out of the 639 patients surveyed. That is about 70%. The other 30% was caused by rheumatoid disease and primary osteoarthritis.

Symptoms of ankle arthritis include: pain or tenderness, stiffness or reduced motion, swelling, difficulty walking, bone spurs, and instability. No matter what stage of arthritis is present, or if arthritis is just a possible threat in the future, professional care should be sought. Podiatrists everywhere have many surgical and non-surgical options to help cope with the pain, prevent arthritis from over running everyday life, and catch arthritis before it become a problem.

Obese children are more prone to leg, ankle, and foot injury.

A new pediatric study reveals that obese children are more prone to leg, ankle, and foot injury than other children their age. Dr. Wendy J. Pomerantz of Cincinnati Children’s Hospital in Ohio and several of her colleagues studied the patient records from the emergency room in their hospital from January 2005 to March 2008. They noticed some very interesting trends. About 30% of obese children in their study had suffered from lower extremity injuries verses the 18% of normal weight children. On the other side of the spectrum the study showed that 15% of the normal weight children suffered from head injuries compared to 10% of the obese children. The study showed that over weight children often had a longer recovery time than other children. They also found that ankle sprains where twice as common among obese children as other children their age. Although the researchers didn’t have the information explaining how these children became injured the group hypothesized that obese children are more vulnerable during walking or running while normal weight children have an easier time playing sports that carry the risk of head injury.

Of course parents want to protect their children so these numbers might scare some parents into not letting their children be active. But this is not what the study was meant to do. We want children to be active but we want them to be safe about it. Obese children (just like adults) should ease into exercise and sports instead of jumping right in.

Pomerantz’s steps following this study are to figure out why these numbers are slated this way and try to find some protective measures to help keep children safe.