Blog Archives

Happy Holidays |The Podiatrist and yourfeetnz

holidays

 

 

http://www.thepodiatrist.co.nz

 

Flat feet- Children’s feet | The Podiatrist and yourfeetnz

 

podiatrist-podiatry-feet-auckland-caron-orelowitz1.jpg

Children with flat feet, also called pes planus, have a flattening of the arch during standing and walking.

Flat foot is normal in infants and young children. At this age, in the absence of any associated symptoms, treatment is highly debatable.

Flat foot usually naturally corrects itself as muscles strengthen and soft tissues stiffen. The height of the arch in the foot increases with age until about 9 years. The problem is when flat foot persists, spontaneously occurs in older children or later in life, or is associated with pain and disability.

Flat feet can be flexible or rigid, painful or painless and associated with a tightness of the calf muscles (Achilles tendon). The majority of flat feet are painless, but when pain is present it is usually during weight-bearing activities such as walking and running. The pain can be in the sole of the foot, the ankle, or non-specific pain all around the foot area.

 

What causes flat feet?

A complex and sophisticated interaction of bones, ligaments, muscles and nerves within and above the foot defines its anatomy and function. Anything that interrupts the integrity of these structures leading to a collapsed arch can cause symptomatic flat feet.

Examination of the foot begins with an examination of the entire child, because the flat foot may have an underlying cause.

Flat foot can also originate from unusual anatomy such as a tarsal coalition (bones joined together), ligament or muscle damage, restricted ankle movement, outward rotated lower legs, and knock knees (where the legs bow inwards at the knee). Obesity can result in collapse of the arches by the increased load on the foot. If knock knees also develop, the middle of the foot will tend to turn out (abduct). The foot will point outwards when walking, instead of straight ahead, which is inefficient and can cause early fatigue.

Footwear in early childhood has been thought to cause flat foot. It is likely that children who wear shoes, are not physically active and have flat feet will have decreased muscle activation in their feet and thus impaired foot function and weakness.

Some older children and adolescents develop flat feet in the absence of any disorder or associated factors.

 

Does flat foot need to be treated?

Flat feet require treatment only if clearly associated with pain or decreased function. Managing the underlying cause or disease is of highest priority; just treating the symptoms should be secondary.

If flat foot is observed in a child who is overweight and has knock knees, or in a child with excess joint flexibility and poor footwear, each of these factors could be contributing to the symptoms, and each should be addressed.

If a child’s quality of life is affected by how their feet look, feel or function, then the associated issues should be addressed.

For any foot problems, contact The Podiatrist.

http://www.thepodiatrist.co.nz

http://www.kidsnmotion.co.nz

5 quick and easy tips to healthy feet and legs | The Podiatrist and yourfeetnz

one pair has to last a lifetime

There are many causes of leg pain right from muscle cramps and inflammation of tendons to arthritis, varicose veins and nerve damage. Leg pain due to muscle strain following an injury or wearing tight shoes for a long time can be prevented by following few simple tips:

  1. Stretch the leg muscle: One of the most effective ways to prevent leg pain due to a sudden muscle twist or cramp is to stretch the muscle. This not only improves blood flow to the injured muscle but it also helps in reducing muscle tension thereby relieving muscle soreness.
  2. Take a warm shower: If you suffer from leg pain, then take a warm shower to relax the muscles. If taking a bath is not feasible, then placing a heating pad on the affected areas can also help. A heat pack works best if the pain is due to a previous injury as it not only relaxes blood vessels but also improves blood circulation, alleviating leg pain.
  3. Wear a proper fitting athletic shoe: Most people fail to choose the right fitting shoe, which is one of the common causes of leg and heel pain. To get the right fit, determine the shape of your foot using the ‘wet test’. For this, step out of the shower onto a surface that will show your footprint, like a brown paper bag. If you have a flat foot, you will see an impression of your whole foot on the paper. If you have a high arch, you will only see the ball and heel of your foot. When shopping, look for athletic shoes that match your particular foot pattern.
  4. Choose the right sports shoe: Not many people are aware that different types of shoes are specially designed to meet your sports requirement. Did you know running long distances in court-style sneakers can contribute to shin splints? It is important to choose the shoes according to your sport or fitness routine.
  5. Go slow if you are a beginner at the gym: One of the common mistakes that most people commit is to overexert on the first day of the gym, which not only exerts pressure on the knee but also causes muscle soreness and leg pain. The key to preventing leg pain and sticking to your workout routine is to build your fitness level slowly. You can start off with less strenuous workouts and then gradually increase the duration, intensity, and frequency of your exercise regimen.

For any foot problems, contact The Podiatrist.

http://www.thepodiatrist.co.nz

 

Shopping for School Shoes | The Podiatrist and yourfeetnz

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  1. To avoid in-store arguments, parents and children should discuss in advance the style and brand of shoes they want to look for.
  1. Remember that a good fit is more important than the size of the footwear. A good fit allows for a 1/2” of space between the end of the toes and the end of shoe. Shop at retailers who provide a fit specialist for extra assistance.
  1. Avoid hand-me-down shoes; improperly fitted shoes can support feet in unhealthy positions.

4. Avoid shopping online or estimating a child’s shoe size.

  1. Remember that not all shoes of the same size fit alike. While foot measurement is a starting point, how the shoes fit is more important.
  1. Match the shape of the shoe to the shape of the foot.
  1. Remember that while a low arch is normal in young children, in children older than age seven, the lower the arch the more important it is to have shoes with good support. Look for a firm heel counter and stiffness when trying to twist shoes lengthwise.
  2. If a child wears orthotics, select shoes with removable foot beds and try the shoes on with the orthotics in place.
  1. Remember that price is not necessarily commensurate with quality. If price is a consideration, last year’s models can offer all the features needed at a discounted price.
  1. Check the fit on your child’s shoes on a regular basis as children’s feet grow at irregular rates.

For more information, or if you have any questions, contact The Podiatrist

http://www.thepodiatrist.co.nz

Keep those feet happy | The Podiatrist and yourfeetnz

foot-care

The importance of our feet has been understood for centuries. Even the Greek philosopher Socrates is reputed to have said, “To him whose feet hurt, everything hurts.” So, what comprises foot care that promotes comfort at any age?

  • Wear shoes and socks that fit and are comfortable.
  • Be sure your toes are not cramped.
  • Change socks daily and if possible have two pairs of shoes in everyday use so that you can alternate the pairs daily.
  • Elastic laces are handy if your feet swell.

Shoes should be worn that cover, protect, provide stability for the foot and minimize the chance of falls.

Whatever your age – student or grandparent – foot care is important.

  • Remember to cut or file your nails straight across and never shorter than the end of your toe.
  • If you are older, and particularly if you are diabetic, it is helpful to get The Podiatrist to do your foot care.
  • It is best to wash feet daily and always test the water’s temperature beforehand. Pat, do not rub, your feet dry and remember to dry between and under the toes. If your feet are bothering you you’ll find that short soaks of even ten minutes are soothing.
  • Use a lanolin (ointment base) moisturizing cream for dry and cracked skin. If your feet perspire, dust lightly with talcum powder. Remember to remove excess cream of powder from between your toes to avoid skin problems. If you are diabetic it is wise to examine your feet daily.
  • Exercise each day if possible. Walking is always good but there are also special foot exercises that can be done like rolling your feet over a rolling pin several times daily or picking up a crumpled towel with your toes.

Despite reasonable care throughout life, however, the older foot is subject to problems. Heredity is a factor as are the stresses over the years and complications from systemic diseases. It has been estimated that at least 80 percent of people over 50 have at least one foot problem.

The most common are corns and calluses, ingrown toenails, bunions, hammertoes, strained arches, heel pain and arthritis including gout.

In many cases there can be improvements jus by switching shoes to the type with wider, box-type toes. Also. shoe size can actually change with added years.

Feet carry our body’s weight, help hold us erect, co-ordinate and maintain balance in walking. We need to give them tender, loving and skilled care.

The returns are high, including the joy of a walk.

Make an appointment with The Podiatrist today.

www.thepodiatrist.co.nz

 

Help your feet in 2016 | The Podiatrist and your feetnz

gehwol

We all start out with a clean slate on New Year’s Eve. It’s a time when most of us make a resolution to stop doing something that is making us unhealthy or unhappy; and to go in another direction for something new that will make us improve our quality of life. Time is not slowing down and it is taking a toll on our feet.

I encourage all of you to pay more attention to your feet this New Year and to take action for improvement. Here are some health tips that will help your feet feel younger and beautiful in 2016!

 

Tip 1: Wear Proper Footwear and be Size Smart!

Choose proper footwear for all occasions this year and be size smart. Pitch the old trainers that have been lying around in your closet. Ask The Podiatrist for some tips to select a shoe that is designed for the fitness activity and for your foot type.

Whenever possible, leave the stilettos in your closet. At least try to wear them less or scale down the heel height. Try to wear them on alternate days or slip into a pair of foot friendly flats when you get to work. There is nothing beautiful about painful feet and shoe wear that may lead to ankle sprains, bunions, hammertoes, plantar fasciitis, ingrown toenails, neuromas, and surgery.

Properly fitted shoes will help prevent corns, calluses, blisters, chafing, and foot or ankle injuries. Make a healthier choice of shoes this year. Foot-friendly shoes will help your feet; and your body will appreciate this.

 

Tip 2: Don’t Ignore Heel Pain!

The heel bone (calcaneus) is the largest bone in the foot that is subjected to the weight bearing load when walking. Heel pain is not something to ignore. It’s a signal that there is something that needs to be checked by your podiatrist.

Although the most common form of heel pain is plantar heel pain. It may be caused by arthritis, a stress fracture, a heel spur, an irritation of the nerves, or problems in the arch. Once The Podiatrist diagnoses the cause, the proper treatment can be selected.

In most cases, heel pain may be resolved with conservative treatment like non-steroidal anti-inflammatory medications, different footwear that provides better support, stretching exercises, cold therapy, and rest. Other treatments may include corticosteroid injections, orthotic devices, removable walking casts, night splints, padding and strapping, and physical therapy.
Tip 3: Stop Bunion Discomfort and Pain!

If you are experiencing severe pain and discomfort because of a bunion that is interfering with your daily activities, it’s time to explore your surgical options. If your anxiety has caused you to avoid surgery, you may be doing yourself more harm than good. An altered gait (walking) pattern can contribute to other mechanical problems in your feet and put unwanted stress on your ankles, knees, hips, and spine.

 

Tip 4: Support your Feet with Custom Orthotics!

Custom orthotics are made from cast impressions of your feet and inserted into your shoes. Orthotics are designed to properly provide support for your arches and to distribute your weight bearing loads more uniformly. They are especially helpful for people with foot deformities, athletes, pregnant moms, and seniors who are experiencing greater changes in their feet.

A wide range of orthotics is available for various activities and shoe types, and for children and adults. Orthotics are not a permanent correction for a mechanical foot deformity but it can help slow down the progression of a deformity and need for surgery. New orthotics are generally needed every two years and should be checked for wear and tear.

 

Tip 5: Start Moving but Start Smart!

Physical activity contributes to your health and can provide benefits to your feet. Select activities that you enjoy and get your feet moving. Don’t rush into fitness. Start smart to avoid injuries like shin splints and plantar fasciitis (heel pain). A steady, gradual program is more beneficial in the long run than an intense program that puts undue stress on your feet. Avoid running on uneven surfaces and terrain; and incorporate cross training into your fitness program to reduce the stress on your feet.

Exercising your feet and ankles is also important to keep them strong and flexible. Talk with your podiatrist about easy exercises that can be done in your home. Strong feet will also have a positive effect on reducing pain in your back, hips, and knees.

 

Tip 6: Say Goodbye to Ugly Toenails!

If you are tired of having to deal with the embarrassment of toenail irregularities cause by fungus, we have some solutions for you.

 

Your feet deserve the very best in 2016! If you are interested in seeking help, call The Podiatrists.

We also have a huge range of foot care products- only the best for your feet.

http://www.thepodiatrist.co.nz

Which shoes? | The Podiatrist and yourfeetnz

World Running day June 1. Helpful tips to help stay injury free

What Shoe Should I Wear for What Sport?

  • Basketball, tennis, and volleyball: Thick, stiff sole that gives support. Also, for basketball, look for high-top sneakers to support the ankle during quick changes in direction. For volleyball, consider a lighter shoe with less midsole support.
  • Football and lacrosse: With frequent sideways movements, good high ankle support is important. Also, traction on both wet and dry fields is important. Proper traction on shoes can help prevent injury.
  • Soccer: Shoes with good quality footbed to provide proper arch support are recommended. Also, consider using molded rubber cleats instead of the screw-on options.
  • Baseball/softball: Shoes with arch support are important for baseball. Consider using inserts called orthotics to help with arch pain. There should be no more than a half-inch of space between the big toe and the end of the shoe.
  • Running: A good shoe will give you maximum shock absorption. Don’t forget to match your shoe to your foot’s arch type and replace shoes after 300-500 miles!

Always remember, hand-me-down shoes and ill-fitting footwear can increase the danger of ankle injuries. Applying these tips to daily life will help insure you maintain the ability to walk comfortably for a long time!

For all your foot problems, visit The Podiatrist

www.thepodiatrist.co.nz

Children and Orthotics |The Podiatrist and yourfeetnz

childrens orthoses are not like adults

From a Podiatry perspective children cannot be treated like smaller versions of their parents, and neither can their feet. Foot orthotics for children present a unique opportunity to control the growth and development of the foot.

You may be familiar with orthotic therapy because you may have a diagnosis or problem related to your feet. Many common foot problems are thought to have a genetic component and your child’s feet play a crucial role in their development. This is especially true when considering the growing number of children increasing their activity levels and entering organized sports at a young age.

The possibility of improved outcomes when your child is skeletally mature, and the prevention of future problems are great reasons to consider having your child evaluated for custom foot orthotics.
Research has shown that the early use of foot orthotics in children can have beneficial results that can be seen clinically and on an X-ray. Problems with foot development and biomechanics can eventually lead to problems higher up in the ankles, knees and hips.

Some common problems that can be addressed with a foot orthotic include flatfoot, the overpronated foot (Ankles turning in), torsional deformities of the lower leg, juvenile bunions and other biomechanical inefficiencies of the foot.

In all likelihood your child will adapt wonderfully to his or her new orthotics. As we know, the ligaments and bone structures of a child have a unique ability to adapt to new or corrected positions, and their feet are no different. A custom foot orthotic is different than other off-the- shelf orthotics in that it is precisely calibrated to your child’s foot. This means that the orthotic is designed based on your child’s foot type and weight to provide just the right amount of flexibility. Tolerance issues in children are extremely rare.
When your child is undergoing rapid growth, his or her orthotics will need to be replaced approximately every two shoe sizes, or every one to two years.

Re-evaluation of your child as he or she develops will often lead to changes in the orthotic prescription .Just as your child experiences unique clinical situations, his or her orthotic is a unique and custom device. Some problems can be prevented without life-long wear, some developmental problems may require longer-term use, and some children would simply benefit from prevention their whole lives.

Consider the use of eyeglasses in children. The concern that a child will become dependent on the prescription eyewear is not a valid reason to dismiss the correction needed to improve visual function. In addition The Podiatrist may prescribe exercises for the foot to give your child every opportunity to develop a muscularly sound foot.

If your child does not complain about any foot pain but obvious problems are observed by the parent, chances are the child will not just outgrow it. To treat the child with the proper tools to lead a future normal, pain-free life is an individual decision that every parent has to make with the assistance of their health care provider.
Considerations in this decision should include the preventative payoffs for instituting such therapy weighed against any potential down-side, which is often primarily financial.

Get started on resolving your child’s foot problem today.

Call The Podiatrist.

http://www.thepodiatrist.co.nz
http://www.kidnmotion.co.nz

Which Shoes Are The Worst For Your Feet? | The Podiatrist and yourfeetnz

table of suitable footwear
We all know the pain of high heels after a long day or the soreness of walking several miles in flats. But what are our shoes actually doing to our feet — and which shoes are the ones we really should be wearing?

STILETTOS
Wearing heels shifts your weight to the balls of your feet, which puts pressure on your foot. This also creates a balance problem: It forces your knees and hips forward, hurting your back and legs. Wearing these shoes can cause: hyperextension, ankle sprains, midfoot fractures, neuromas,pinched nerves, bunions and hammertoes.
PLATFORM WEDGES
Wedges also have heels, which puts pressure on your foot and juts your body forward. But the heels tend to have more cushioning, plus they often have platforms which protect the ball of your foot and reduce the incline. This helps with balancing. Wearing these shoes can cause: Hyperextension, ankle sprains, midfoot fractures, neuromas, pinched nerves, bunions and hammertoes.

HIGH-HEEL BOOTIES
Depending on the heel height, these can cause similar issues to stilettos. Keeping heels to two inches or below is best. There’s a rule of thumb: 25% of your body weight gets increased for every inch that you go, in terms of your body weight on the front of the foot. But in booties, the material around the ankle helps hold the foot steady, putting you at less risk for injuries. When you incorporate the ankle into the shoe, you add stability. Wearing these shoes can cause: hyperextension, bunions and hammertoes.

THIGH-HIGH BOOTS
If the heels are high, you’re going to have the same issues as with stilettos — hyperextension of the back, pressure on the balls of your feet and lack of balance. But the casing around the leg creates more awareness of the leg in general, which can help with stability. Wearing these shoes can cause: hyperextension, midfoot fractures, neuromas, pinched nerves, bunions and hammertoes.

BALLET FLATS
There is such a thing as too flat. Shoes that are too flat don’t provide adequate arch support, cushioning or shock absorption, which those with flat feet need. However, flats are flexible and cause the muscles to work harder, making them stronger — that’s a good thing. Another problem: There’s a higher risk of the sole being pierced by a foreign object. Wearing these shoes can cause: inflammation, tendonitis, heel pain, strains, stress fractures and external injuries (e.g. stepping on a nail).

CONVERSE-STYLE SNEAKERS
These sneakers have a thicker sole than flats, so they do provide a bit of shock absorption and cushioning. For those who do need extra cushioning or arch support, Converse-style sneakers allow you to add extra support internally (to a certain degree). They’re also very flexible — the soft canvas exterior can be more comfortable for those suffering from bunions and hammertoes. The material also protects your foot from the environment. Wearing these shoes can cause: inflammation, tendonitis, heel pain, strains and stress fractures.

RUNNING SNEAKERS
Too much cushion is not the best thing, either. When you have a lot of cushion, you’re not getting the foot-brain feedback that allows you to sense the ground. These shoes are ideal for forward motion, i.e. running, walking, jogging (not hiking, dancing, cycling, etc). Wearing these shoes can cause: chronic stress injuries, particularly to the heel.

JANDALS
Most jandals are too flat, too thin and too open. This exposes the foot to the environment and doesn’t provide arch support or cushioning. The thong that sits between your toes is also dangerous as it forces your toe muscles to over-grip. Plus, when your big toe hangs off the flip-flop, you increase your risk for toe fractures. Wearing these shoes can cause: inflammation, tendonitis, heel pain, strains, fractures and external injuries (e.g. stepping on a nail).

GUMBOOTS
Rain can cause a moist environment, plus gumboots tend to be made of Latex or other thick, non-breathable materials. You sort of walk more like a Stormtrooper, so you just might get more fatigue from walking in them. The top of the boot can also rub uncomfortably against your calf. Wearing these shoes can cause: mould, fungus, bacteria, wart viruses and blisters.

For more information or advice on footwear and your feet, see The Podiatrist
http://www.thepodiatrist.co.nz

Sore Feet and shoes | The Podiatrist and yourfeetnz

You don't need to suffer from sore feet

Have you got sore feet and don’t know what type of shoe is best for you? Here are tips to help you find the best shoes for sore feet. But first before we look into the shoes, it’s important to know more about what sore feet are.
What are sore feet?
This is a condition where individual’s feet get swollen and most often painful. There are those people who are affected by sore feet at any one time or the other.
The soreness and the associated pain prevents the affected person from walking properly, standing, dancing, running, or even carrying out other essential dairy activities.
Sometimes the pain is extreme causing much discomfort. It is important for you to pay attention to your feet because with such kind of extreme feet soreness, you might end up being grounded.
What causes sore feet?
The sore feet can signify that the person might be suffering from an underlying problem. Another cause of sore feet is a condition known as fasciitis. Overuse of your feet and wearing the wrong type and ill-fitting shoes will also cause feet sores.
Other causes are a new set of pair of shoes, sports injury, pregnancy, foot trauma, obesity, muscle strain and age. The soreness is usually located in the arch, the heel, the toes area, or the ball of the foot.
The affected part becomes sore, reddish, inflammation occurs, pain may also be felt in other areas like knees, back, hips, or ankles. All these will cause difficulties in walking and wearing of shoes.
However, sore feet should not prevent you from carrying out your daily activities. It should not be a hindrance to your enjoyment of life.
.How to overcome sore feet problem
You will require going to see The Podiatrist so that you can be examined and given the required treatment. But even as you go through your treatment, you will require choosing best shoes for sore feet.
Choosing the best shoes will definitely help you to alleviate much of the pain caused by the sore feet. The best shoes for sore feet ought to support the feet well. With well supported feet you will be able to walk more comfortably and reduce further injury to the affected parts.
Using the right shoes will aide your healing process and allow you to continue with your day to day activities. Good quality shoes are thus a must to have so as to be able to tackle this problem of sore feet.
Yes it is possible to carry out with your sporting activities even when you are suffering from sore feet. You can also be able to carry out other various strenuous activities such as running by simply making the right choice of your shoes.
Thin soles shoes will not be good for sore feet. This is because they give your feet shock as you walk or carry out your activities. Thick soled shoes are the ideal ones.
They mostly come with extra padding layers and air bubbles that help in absorbing the shock preventing it from harming your feet or reaching the affected areas.
There are many designs of comfortable shoes to choose from. When shopping for the best shoes for sore feet it is important to check the key features of the shoes type you want.
The most important will be the cushioning the shoe will offer. Light weight shoes will also be ideal but with a thick sole capable of absorbing any shock.
So, with the right kind of shoes, you will be able to prevent the sore feet problem and if you already have it, see The Podiatrist.

Contact The Podiatrist if you have any problems.
http://www.thepodiatrist.co.nz