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.

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.

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!

Shoe Selection

Choosing the “right” shoe for walking, or any activity for that matter, can prevent needless foot related injuries and discomfort. If the average person takes 8,000 to 10,000 steps a day, it becomes clear, selecting the “correct” shoe is paramount. Here’s how to select a walking shoe that’s right for you.

Analyze your feet

Not all feet are the same. They are complicated and intricate structure of bones, joints, ligaments, and tendons working in concert to support our body weight on varying surfaces. And they come in many different sizes and shapes. For the most part, feet fit into three categories:

• Low arched, straight foot
• Medium arched, slightly curved foot
• High arched and usually more curved foot

Know your body weight

Body weight can factor into the shoe selection process. Increased weight places more demands upon your feet. Since this is the case, consider increasing the level of protection a shoe can offer by selecting a shoe from a greater controlling category (see “select running shoe type”). For example, you may opt for a motion control shoe rather than a stability shoe or a neutral shoe. Just remember to make sure the shoe fits comfortably on your foot before you purchase it. Consider trying on shoes near the end of the day when your foot is at its largest. And use the socks or stockings that you intend to wear with those particular shoes.

Select a running shoe type

Running shoes can usually be divided into three overall functional types

• Motion Control shoes are typically based upon a straight design and are usually suited for people with low arched, straight feet
• Stability type shoes are for those individuals with a medium arched foot (typically deemed “normal”) and have a slight curve to the shape of the shoe.
• Neutral Type shoes are based upon a curved design and best fit those individuals with a high arched foot.

As you examine shoes from each of these categories, you’ll notice the motion control shoes become the most rigid and resistant to twisting and bending. Several shoe manufacturers, including Asics, Brooks, Etonic and Reebok make walking shoes are approved by the American Podiatric Medical Association’s Seal of Acceptance.

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!

Ugliest Shoes of All Time!

This morning in our Blacksburg office, I came across this slideshow on MSN picturing the ugliest shoes of all time. Can I just say, they are some weird looking shoes available and I'm going to hope the designers did this for fun and not to actually sell them!

So let's take a vote- which pair of shoes do you think is the ugliest? In the comments, write the name of the shoe and we'll tally them to up to find the absolute ugliest shoe in the world!

Ugliest Shoes in the World!

- Dr. Kate

Why Do Diabetics Need Special Shoes?

There’s a question that we get in our Blacksburg and Roanoke offices quite frequently – and that is, “Why is it that your diabetic patients require special shoes?”

To understand the answer to this question, one must first understand the diabetic foot. One big reason why it is important for any diabetic person to carefully monitor and control blood glucose levels is that when uncontrolled, many complications can arise. Some complications that are frequently seen in our office are nerve damage, decreased blood flow, and foot and joint problems. All of these problems can and do affect the feet.

Besides the bladder, bowel and stomach issues that can arise from diabetic neuropathy, poor sensation can have devastating effects on a patient’s feet without proper care and attention. Inability to feel pain, pressure or temperature can easily allow for rubs, blisters, burns and other injuries to go unnoticed.

Feet are sensitive and the blood supplying oxygen to the lower extremities may be reduced without you even being aware of it. The decreased oxygen delivery to the feet from poor circulation results in slower healing and nail growth.

Uncontrolled blood glucose levels can be inherently dangerous. “Rollercoaster” blood sugar levels can damage tissues and cells. An elevated blood glucose level can cause dehydration and dryness of the skin as well as promote the growth of bacteria and fungi (since sugars are a good food source for these organisms). Because of this, bladder, gum, and skin infections are common in our diabetic patients with high sugar levels. 

So, Why Special Shoes?

-          Proper shoes are the first line of defense against injury and infection.

-          Well fitting shoes are comfortable and allow proper circulation in the feet.

-          Proper shoes will allow your feet to breathe while still protecting them.

-          Proper shoes can prevent the development of ulcers, blisters and fungus.

How are these shoes different?

-         Deeper and wider to accommodate diabetic inserts, allow more room for feet, and reduce possible pressure points.

-         These shoes provide excellent support which is recommended for anyone buying shoes.

-         Most have a breathable fabric upper to promote good air circulation within the shoe.

-         Most are custom ordered for size or even custom molded to a patient’s foot.

-         The toe boxes are roomier to prevent pinching or squeezing the toes as well as to allow for more room for foot deformities.

-         Many are easily adjustable or have elastic which makes it easier to put on without making the shoe too tight or too loose.

-         Available with Velcro to make putting on shoes easier for patients with peripheral neuropathy who can not feel their fingers well enough to lace shoes. 

 

If you are interested in a pair of these shoes for a loved one or yourself, please give our office a call at (540) 808-4343!

Foot Exams Help Prevent Ulcerations

diabetic foot syndrome

We urge all of our patients to make sure their primary-care physicians check their feet during every office visit for signs of ulcerations that, left untreated, can lead to infection and ultimately result in lower limb amputations.

It’s a simple exam that takes two minutes to determine if you are at risk for developing a foot ulcer. Perhaps the easiest way to remember to get your feet checked is to remove your shoes and socks in the examining room. Most diabetic patients are vulnerable to foot ulcerations caused by poor blood circulation in the lower extremities and neuropathy that inhibits nerve sensation.

Ulcers are the leading cause of foot amputations among people with diabetes, but they are preventable in most cases if doctors routinely check their patient’s feet.

In a routine foot exam we check for nerve sensation, skin irregularities (corns, calluses, punctures and areas of redness), swelling, drainage, and foot deformities that cause unnatural pressure points that are prone to ulceration.

Patients with diabetes who have their feet checked regularly can prevent foot ulcers or have them treated at early stages by their podiatrist.

How Does He Do It?

Last week Dr. Feeny and I traveled to Las Vegas for a Marketing Summit and had to stop in front of Bally's to watch a performer.

But how do they do that??

I did a little research and here are the steps on how to moonwalk:

1. Get a pair of shoes with flat soles (i.e. converse or keds)
2. Get on a flat surface that won't provide much friction (i.e. wood floor) ideally you would practice at a skating rink
3. Point your left toe on the floor (but it really doesn't matter which foot you use first)
4. Place your right foot ~1 foot in front of left foot
5. Slide your right heel back so it's even with your left foot
6. As soon as you slide it back, snap your right heel up so it's pointed (like step #3)
7. Repeat!
8. You are now a Michael Jackson Moonwalker!

And here is what you can look like if you keep practicing!

Billy Gilman and Soles4Souls

Last year Billy Gilman co-wrote the single, "The Choice," with Dan Murph and Philip Douglas in order to help the charity provide shoes to the world. 

The single was released in April and has already had 35,000 downloads! All proceeds of the single are given directly to Soles4Souls to purchase shoes. 

"The kids looked like they had won the lottery," Gilman, 24, said, after handing out shoes to kids in Jacksonville, Florida, this week. 'You ask them for their size, you wash and dry their feet and then you put on their new pair of shoes.'" 

source

Gilman recorded the song with top artists such as, Keith Urban, Alan Jackson, Reba McEntire, Vince Gill, Kenny Rogers, LeAnn Rimes, Randy Travis, Craig Morgan, Rodney Atkins, Steve Holy, Kellie Pickler, Wynonna Judd, Amy Grant, Montgomery Gentry, Diamond Rio, Ronnie Milsap, Richie McDonald of Lonestar and Josh Turner.

Click here to purchase and download the song so you can provide shoes to someone in need!

Foot Care Myths



Dr Henri Lelièvre (Hallux valgus, Bunion) (Photo credit: Wikipedia)



Old wives' tales and myths like that example are fun to laugh at. We believed them growing up. "Step on a crack and you'll break your mother's back." But there are other myths that are no laughing matter, especially when they involve your health. Here are four myths about foot care and the realities behind them.

Myth: My foot or ankle can't be broken if I can walk on it.
Reality: It's entirely possible to walk on a foot or ankle with a broken bone. But it's not a smart idea. Walking with a broken bone can cause further damage.  It is crucial to stay off an injured foot until diagnosis by a podiatrist. Until then, apply ice and elevate the foot to reduce pain.

Myth: Shoes cause bunions.
Reality: Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types make a person prone to developing a bunion. While wearing shoes that crowd the toes together can, over time, make bunions more painful, shoes themselves do not cause bunions. Although some treatments can ease the pain of bunions, only surgery can correct the deformity.

Myth: A doctor can't fix a broken toe.
Reality: Nineteen of the 26 bones in the foot are toe bones. There are things that can be done to make a broken toe heal better and prevent problems later on, like arthritis or toe deformities. Broken toes that aren't treated correctly can also make walking and wearing shoes difficult. A foot and ankle surgeon will x-ray the toe to learn more about the fracture. If the broken toe is out of alignment, the surgeon may have to insert a pin, screw or plate to reposition the bone.

Myth: Corns have roots.
Reality: A corn is a small build-up of skin caused by pressure or friction. Many corns result from a hammertoe deformity, where the toe knuckle rubs against the shoe. The only way to eliminate these corns is to surgically correct the hammertoe condition or wear extra depth orthopedic shoes that eliminate the pressure. Unlike a callus, a corn has a central core of hard material. But corns do not have roots. Attempting to cut off a corn or applying medicated corn pads can lead to serious infection or even amputation. A podiatrist can safely evaluate and treat corns and the conditions contributing to them.

For more foot care myths, visit http://www.shenandoahpodiatry.com/

Low Heels = High Style, Less Pain?

Kitten heels have appeared on the fashion scene, and fashionistas are rejoicing in the most comfortable footwear trend in quite a while! These shoes, a morph of stilettos and flats, offer the sophisticated look of high heels but with less discomfort. Kitten heels may have had their stuffy days, worn in bland styles in the workplace by 1980s working women, but the new styles are far from frumpy. In candy colors, pretty peep toes, or toughened up with hardware, these shoes are fun and, compared to last year's sky-high stilettos, comfy.

The New York Times is raving about this smart new style. “They give you the posture. They give you an elegant attitude right away,” says Giovanna Battaglia, fashion director of Italian Vogue accessories mags Vogue Gioiello and Vogue Pelle.

Low heels may be high on style, but how healthy are they for your feet? The real answer is all in how you wear them. While they give the wearer less immediate pain than high heels, there is still little support in most ladies’ dress shoes, even low-heeled or flat ones. Check that your dress shoes have sufficient arch support; if they don’t there are plenty of comfy (and stylish) orthotic options available in the foot care section of your local shoe store or drugstore. Some will fit invisibly into peep-toe or open-toe shoes; others are printed with fun patterns that you'll want to show off. Also, let your feet rest! Put your feet up or go barefoot when you get a chance, and wear more supportive footwear out in the yard, when running errands, etc.

In our offices we often see patients with foot pain due to wearing improper shoes constantly for long periods of time. You can prevent painful foot conditions if you make smart choices for your feet!

The Origin of Shoes

Shoes have come along way since their invention. Some anthropologists believe that the invention of shoes happened as early as 40,000 B.C. These anthropologists noted substantially different toe bone sizes between different generations. The older generations had very big bones; the kind that are associated with a lot of hard work. Then fairly suddenly, the toe bone size got a lot smaller. A very possible explanation to this change is the invention of shoes.

Shoes had an open toed sandal design until about 1600-1200 B.C. when people in colder weather climates created ‘soft shoes’ made out of leather, similar to moccasins, covering the whole foot, and therefore inventing the first close toed shoe. The next major advancement in shoe technology was made by the Egyptians who where the first civilization to make shoes ornate. When the Pharaoh’s where dressed in all their glory, their outfits would be incomplete if they where wearing boring shoes. Shoemaking became a profession in the Egyptian society, making shoes more like jewelry than simply for necessity. Necessity for a hardier shoe brought about the invention of the boot during the ancient Greek era. They needed boots to keep their soldiers protected from different elements in nature and in war. Shoes where not particularly sturdy until about the Middle Ages, when due to the Crusades and the great deal of walking associated with those events, shoes needed to be more durable and more comfortable. Since then shoes have progressed into the styles we know and love today.


In 1850 the first shoe was designed to fit specifically the right or left foot. Soon after that, inventors created special sewing machines that made it able for someone to sew the soles of shoes to the uppers. This new machine expedited the time it took for shoes to be made, leading to the first mass manufacturing of shoes. In 1892 shoes started to look more like the shoes we wear today. Nine rubber companies used their resources and creativity to come up with a new kind of shoe, one that is very quiet and easy to bend. This new rubber sole shoe, a sneaker, was a huge success! Since then, shoes have progresses to fashion as well as necessity, being manufactured and computer engineered instead of handmade, and now mostly made from man made material instead of natural material. Though styles of shoes and techniques of how shoes are made have changed drastically over time, peoples love for shoes and desire to keep inventing haven’t.


Learn more at http://www.shenandoahpodiatry.com/

What You Wear Can Hurt You

When it comes to feet, we are often our own worst enemies. From high heels to pointy toes, our shoes often pinch, pressure, and bind. Bunions, corns, and calluses are just a few of the problems that can result. To avoid painful and potentially serious foot problems, make sure the shoes you buy fit in width, length, and overall shape.

Even though the bones in our feet stop growing when we are in our late teens, our shoe size will change over our lifetime. Have your foot size measured at least once a year. There should be a thumbs width between your longest toe and the end of the shoe. Leave high heels to the fashion models-and let them deal with the consequences.

Although shoes are meant to protect our feet, too often we choose them for style rather than comfort and function. Whether shopping for sandals or hiking boots, let common sense dictate– if they aren’t comfortable, don’t buy them. If you do buy them, at the least you’ll end up not wearing them and wasting money; at the worst, they do damage and cost you even more.

To learn more visit http://www.shenandoahpodiatry.com/

If The Shoe Doesn’t Fit…Make the Foot Fit the Shoe??

As the fashion trends for shoes continuously change, these changes are very persuasive in convincing women they need to change their appearance in order to wear them. As this is may be difficult for many to fathom, many women are considering the option of elective cosmetic foot surgery. If surgical intervention is the only reason for foot surgery, in order to fit into a shoe, then maybe the shoe is not for you. But you have to have the latest spring collection of Jimmy Choo or Manolo Blahnik sandals, but that little pinky toe is just not fitting into the shoe. So what do you do? Well, some women are resorting to cosmetic foot surgery, which is becoming more popular since you can nip and tuck just about everything else, some figure well why not the feet?

A growing number of women are considering shortening their toes, narrowing their feet, or enduring collagen or silicone injections in an effort to have the “perfect” foot to fit the “perfect” shoe. One has to consider that there are complications that can occur with any surgical procedure, not to mention the pain, swelling and discomfort that may be experienced post operatively. Surgically changing the dynamics of your foot when there is no underlying injury or pathology to a shape that is not natural may cause potential difficulty down the road. What will you do if the shoe trends change again? Will you remove another toe? There has to be some reasonable options that don’t involve removing appendages. If surgical intervention is necessary, be sure it is for medical reasons. If you have a condition that cannot be treated conservatively, experiencing pain, or if overall quality of life is affected, then surgery may be necessary.

Remember trends go in and out of style, your toes never do. Be an advocate for your foot health.

For more information visit http://www.shenandoahpodiatry.com/

Women's Traveling Feet Feel The Pain

Researchers recently found a strong link between packing uncomfortable shoes and suffering foot pain while traveling. Young women are the most common victims of foot pain on the road. Not surprisingly, they are also the most likely to pack and wear uncomfortable, even dangerous shoes— high heels, flip flops, etc. —when traveling.

Eighty percent of the surveyed women under age 25 and 60% of surveyed women under 35 acknowledge that they sacrificed comfort for fashion on their last pleasure trip. While 60% of women, compared to 32 % of men, spent time planning their shoe selections for their trip, women were more likely than men to suffer foot discomfort related to poor shoe choices on their trips.

Switching shoes may not always be the best solution for correcting foot problems, but wearing appropriate footwear can prevent some problems from ever happening or alleviate others from continuing. As your foot care specialists, we can diagnose and recommend a course of treatment that may include a change in footwear, regular general care, medications, physical therapy, or orthotics. If your feet are tired of ill-fitting shoes, or if you are just tired of feet that hurt, we welcome your call at ShenandoahPodiatry.

P.S. Close to one-third of travelers admitted to packing either brand-new shoes, uncomfortable shoes, or both.