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!

source

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.

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!

Foot Problems? Get them in shape for summer!

Come learn ways to get your feet in tip top sandal shape for summer! Dr. Kate will give suggestions on ways to treat bunions, hammertoes and heel pain as well as running tips (are you a heel striker?) to reach your PR!!

Bring your questions and get answers!
No pre-registration required, this is a FREE event!

Gearing up for Triathlon Season?

Whether you're brick training for a triathlon, showering at the gym after your sweat session or taking the kids to the pool, never go barefoot! With our feet finally getting some fresh air after being bundled up during the winter, people hesitate to take precautions, because it's just so nice for the little piggies to be free!!

However, it's in your best interest if you want your feet to be fungus free for the rest of the summer! So step up (pun intended) and keep flip flops on those feet in these wet & warm environments!

Here are a few symptoms of Athlete's Foot:

• Dry skin
• Itching and burning, which may increase as the infection spreads
• Scaling
• Inflammation
• Blisters, which often lead to cracking of the skin

Take your precautions:

• Wash feet daily with soap and water; dry carefully, especially between the toes
• Avoid walking barefoot; use shower shoes
• Reduce perspiration by using talcum powder
• Wear light and airy shoes
• Change shoes and hose regularly to decrease moisture
• Wear socks that keep your feet dry, and change them frequently if you perspire heavily

When to make an appointment:

If you are taking the preventitive measures suggested and aren't seeing the fungus clearing up, call Shenandoah Podiatry in Blacksburg (540) 808-4343 or Troutville (540) 904-1458 to find out your treatment options!

source: apma.org

Sinus Tarsi Syndrome

The sinus tarsi is an opening on the outside of the foot between the ankle and heel bones. Sinus tarsi syndrome refers to localized pain, instability, and difficulty with weight-bearing activities. This condition commonly occurs after an inverted ankle sprain, (the foot rolls out), or it can be caused by a pinching of soft tissues in the area from a pronated (rolled inward) foot. Patients have trouble navigating uneven surfaces and feel pain when the area is touched. The ankle and foot joints often feel loose and unstable. Because treatment for sinus tarsi syndrome differs from that of other foot and ankle problems, an accurate diagnosis is important. Treatment may include anti-inflammatory medication, injections, supportive shoes, immobilization of the area, and/or orthotics.

Pain may be one of the first signs of a foot problem, but it doesn’t always reveal the cause of the condition. The best way to determine the exact cause, location, and seriousness of foot pain is to have a podiatrist evaluation that includes medical history, examination, and tests. And at Shenandoah Podiatry, complete instructions for follow-up care and prevention are also an integral part of any treatment plan we formulate.

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/