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Carolina Foot and Ankle

Huntersville 704-987-9585

Mooresville 704-235-0474

Mountain Island 704-971-4000

Thursday, 27 June 2024 13:57

Pregnancy & Your Feet

pregnancy-your-feet.jpgOne of the most common complaints during pregnancy is foot pain and swelling. Both are very normal and extremely common. Read on to learn more about what the heck is going on, and how to stay comfortable!

During pregnancy, your body increases circulation of certain hormones, like relaxin, which cause ligamentous laxity.

Your feet may widen, lengthen, and become painful from the stretch in your ligaments and loss of structural support. To prevent discomfort from these changes, wear supportive shoes at all times. Over-the-counter insoles or custom orthotics can help provide the arch support and cushion you need. Wide toe box athletic shoes and open toed, but supportive, sandals can help accommodate your growing feet. (Spoiler alert: your feet may never go back to their pre-pregnancy size.)

As your baby grows, your center of gravity changes, increasing the pressure on different areas on the bottom of your feet.

Protect yourself from heel pain and plantar fasciitis throughout your pregnancy by paying attention to the type of shoes you wear. Early in your pregnancy, your weight increases but your center of gravity hasn't shifted much. Shoes with padding in the ball of your feet will help accommodate the increased pressure from weight gain. Look for shoes with more substantial heel cushioning later on in your pregnancy, when your center of gravity moves backward, shifting pressure to your heels.

As your baby grows, your body holds more fluid, but also becomes less efficient at filtering and moving fluid throughout the body, leading to swelling. Here are recommendations for keeping your swelling in check throughout your pregnancy:

  1. Wear compression socks. Graduated compression is best, and avoid styles with a tight band at the top of the calf. Put them on first thing in the morning, before you start your day.
  2. Avoid standing for long periods of time. Prop up your legs without crossing them when lounging. The best position for quick relief later in pregnancy is to lie down on your left side with your legs slightly elevated.
  3. Try to exercise. If you have access to a pool, aquatic therapy helps reduce swelling and back pain!
  4. Keep cool. Try soaking your feet in cold Epsom salt bath or similar to provide some relief.
  5. Massage your feet and roll your ankles throughout the day. Try to massage UP the leg to decrease swelling.
  6. Stay hydrated. If your body thinks you're not getting enough water, it will retain more!
  7. Refrain from sleeping on your back during the third trimester. The weight of your baby compresses a large vein that slows your circulation, worsening swelling.
  8. Decrease salt intake (sorry!)

 

Notify your doctor when:

  1. You have pain only on ONE side.
  2. Sudden onset of swelling inconsistent with your typical "end of day" swelling.
  3. Swelling in only ONE leg.

why-dynamic-warm-ups-improve-performance-and-reduce-injuries.jpgModern research tells us that "old school" static stretching doesn't cut it before sports or intense exercise. We now know that dynamic stretching is the key to improving agility, speed, performance and decreasing injuries.

 

Benefits of a Dynamic Warm-Up:

  1. Increases heart rate and blood flow ➡️ more oxygen and nutrients available for muscles to use
  2. Increases core body temperature ➡️ lower tissue viscosity, increased muscle elasticity, increased range of motion, and more forceful muscle contraction
  3. Simulates nervous system ➡️ primes neural pathways to improve your coordination and movement

 

Dynamic warm-ups decrease injury by prepping your body for the work. Sensors in your muscles start sending signals to your brain to communicate their needs. This results in increased responsiveness, so your body is primed for peak performance. Tailor your dynamic warm-up to your sport or activity so that the proper muscle groups are turned on and ready to go.

Is there still a place for static stretching? Yes. Incorporate slow, static stretching into your cool down routine.

Thursday, 27 June 2024 13:37

Benefits of Practicing Yoga

benefits-of-practicing-yoga.jpgA routine yoga practice can reel in benefits like:

  • Increased endurance, flexibility & muscle strength
  • Improved core strength, athletic performance & balance
  • Injury prevention
  • Mental relaxation & focus, and more!

There IS something for everyone... from simple stretches to advanced power poses.

Got a desk job? Focus on your posture with seated twists, shoulder rolls, wide-leg forward bend, seated figure 4 stretch, seated backbend stretch, seated crescent moon, stork pose, wrist rolls. Or start with this video.

Commute much? Try these seat-friendly stretches when you're at your destination: Seated mountain pose, seated cat/cow pose, seated cobra pose, seated spinal twist, neck rolls, seated forward fold, and anterior shoulder stretch.

Need more cardio? Try power yoga vinyasas that include chaturanga dandasana, warrior poses, and arm-balancing poses.

Constantly stressed? Check out restorative yoga and use props to help you relax, clear your mind, and decompress.

Not sure what's right for you? Learn more about different yoga practices here.

Tips for beginners:

  1. Breath. Pay attention to your breath and breathe deeply. Fill up your lungs! Inhale when opening the front of the body, and exhale when compressing the front of the body. (Or follow your instructor!)
  2. Slow down. Focus on intentional movement.
  3. Listen to your body. Make modifications if something doesn't feel right. Start with beginner poses and work your way up to advanced.

Get started today and feel the benefits of yoga for yourself!

Wednesday, 26 June 2024 20:51

Foot Cramps 101

foot-cramps-101.jpgWhat are they?

Foot cramps are a common, involuntary muscle spasm with a sharp or deep aching sensation, lasting seconds, minutes, or even days. Common causes include:

  • Dehydration
  • Overuse/ overexertion
  • Prolonged sitting or standing
  • Pregnancy
  • Tight footwear
  • Electrolyte imbalances/ poor diet

How to manage:

  1. Apply heat to increase blood flow, improve flexibility and relax muscles.
  2. Stretch slowly to help alleviate symptoms.
  3. Massage the affected area to increase blood flow and decrease lactic acid buildup.
  4. Wear supportive shoes that are properly sized with space to wiggle toes.
  5. Stay hydrated! Drink water throughout the day.
  6. Eat a healthy, balanced diet to provide adequate vitamins, minerals, and nutrients to your body.

Foot cramps may also be a sign of nerve damage or an underlying health condition. Some medications have side effect profiles that include cramping. Talk to your healthcare provider if your foot cramps aren't improving.

Wednesday, 26 June 2024 20:36

Surprising causes of leg cramps

leg-cramps-surprising-causes.jpgLeg cramps are more common than you think. Some reasons you may be familiar with, but others might surprise you:

  • your weight
  • dehydration/ low levels of electrolytes
  • lack of blood flow
  • nerve compression
  • pregnancy
  • under-training / overexertion
  • medications (diuretics, NSAIDs, statins, birth control pills, and more)
  • medical conditions involving your kidneys, thyroid, liver, circulation, and more
 

Suggestions for prevention:

  1. Check your weight. If you're over a healthy weight and need help putting together a weight-loss plan or diet, talk to your doctor. We're here to help!
  2. Drink enough water. Check out my blog post on personalized water consumption: https://www.ezfootankle.com/post/you-are-what-you-drink
  3. Warm up with dynamic movements and stretching before exercise. Heat can be applied during/after cramping episodes to help increase blood flow and relax the muscle while stretching.
  4. Focus on proper training, form, and getting adequate rest. Muscle imbalances can also cause cramps, so be sure your training regimen is balanced (agonist/antagonist, eccentric/concentric, etc.)
  5. Replace electrolytes! Replenish through foods like low-fat yogurt, bananas, spinach, and lentils. Increase your intake of vitamin D, B (1 & 12), magnesium, zinc, and potassium. Sports drinks (low sugar options!) and supplement powder forms are convenient options.

To treat:

  1. Stop the movement that triggered the cramp
  2. Apply heat + gently stretch or massage the area
  3. Hydrate and replace electrolytes. (Pickle juice can work in a pinch!)
  4. Once the cramping episode subsides, continue to work on stretching and massaging that area over the next 24 hours.
  5. Work on prevention tips above!

If you're taking any medications that increase the risk of muscle spasms or cramps, talk to your doctor about options including switching to a different medication, changing your dose schedule, or re-evaluating its necessity. If you're experiencing cramping that persists despite lifestyle changes, or start to experience muscle weakness, skin color changes, leg swelling, increase in frequency of cramps, or severe pain, it may be a sign of something more serious and you should seek medical care immediately.

Wednesday, 26 June 2024 20:32

Back pain: How shoes affect your Spine

back-pain-how-shoes-affect-your-spine.jpgThe normal curvature of your spine functions to dissipate ground reactive forces (Newton's 3rd law #biomechanics). If your center of gravity changes due to an abnormal gait pattern, inadequate support, or lack of shock absorption, the spine can no longer disperse forces effectively, and your spinal curvature adapts. This adaptation, or malalignment, causes back pain.

Your center of gravity shifts as you walk from heel to toe, evenly distributing your weight through the feet. Normal walking mechanics are achieved with footwear that supports your body weight. Without proper support, your center of gravity is thrown off, causing an abnormal gait, leading to stress and strain up the kinetic chain (from your feet up to the spine). Good posture and proper alignment & support keeps the body happy and pain-free.

 

Final thoughts:

  1. Shoes should contain a shock absorptive material to help disperse forces from the ground as you walk, run, jump, or participate in activities. Many thin, flimsy flip flops don't provide this layer of protection, which is why you may experience pain after hours of wearing this type of unsupportive shoe. If you wouldn't want to wear the shoes to walk a mile, you probably shouldn't be wearing them at all!
  2. High heels change our center of gravity, increasing our spinal curvature (hyperlordotic lumbar spine) causing back pain. When you feel it's absolutely necessary to wear heels, limit your heel height to 1-2 inches and always bring a pair of comfortable shoes to change into.
  3. Flat shoes (ballet flats, flip flops, etc.) lack proper support, shock absorption, and also require your toes to flex or pinch to keep them on your feet. This shortens your stride, affects your center of gravity, again leading to back pain.

Your feet are your foundation. Your shoes affect more than just your feet they impact your ankles, knees, hips, and spine. If you experience back pain, the first place to look is down!

Wednesday, 26 June 2024 20:16

Do I need custom foot orthotics?

do-i-need-custom-foot-orthotics.jpgMost people can benefit from custom foot orthotics, but whether you NEED them can be discussed with your doctor. A foot & ankle specialist will examine your feet and evaluate your biomechanics and foot function. Your foot structure, weight, activity level, medical conditions, and foot deformities/ areas of pain (bunion, hammertoe, callus, pinched nerve, heel spur, etc.) all play a role in determining your need for custom orthotics.

What options do I have?

1. Over-the-counter (OTC) orthotics might be a solution for some. Well-made brands can offer support and cushioning, but they're "one-size-fits-all" and won't provide personalized correction. While less expensive, they will need to be replaced more often. Ask your doctor if they're an option for you, and if so, what style they recommend.

2. Custom foot orthotics are recommended when your feet need extra help to function properly. Conditions like flat feet or high arches are common examples. Without support, your muscles, tendons and ligaments work harder to absorb the shock of your body weight. Over time, lax ligaments and instability contribute to conditions like arthritis.

If you experience foot pain, discomfort, or fatigue, it's time to schedule an appointment with a foot & ankle specialist. Custom orthotics may be the solution you've been looking for.

Wednesday, 26 June 2024 20:08

Common causes of heel pain

common-causes-of-heel-pain.jpgHeel pain can significantly impact daily activities and mobility, making it essential to identify the cause and seek appropriate treatment.

Heel pain presents as a symptom of many conditions, and it's crucial to identify the underlying cause before starting any treatment.

 

Common causes of heel pain:

  • Achilles tendinitis
  • Bone contusion
  • Bursitis
  • Fat pad atrophy
  • Growth plate injuries
  • Haglund's deformity/ pump bump
  • Infection
  • Inflammatory arthritis (gout, rheumatoid arthritis, ankylosing spondylitis, spondyloarthropathies)
  • Nerve entrapment
  • Osteoarthritis
  • Peripheral Neuropathy
  • Plantar fasciitis
  • Plantar fibromatosis
  • Posterior impingement
  • Stress fractures
  • Tumors or growths

When to seek treatment

If you experience persistent or severe heel pain, or discomfort that is affecting your daily life and ability to stay active, it's time to see a foot & ankle specialist. A thorough evaluation, physical exam, imaging (e.g. x-rays, MRI), and medical history review will be performed. Based on your diagnosis, treatment recommendations can be tailored to your specific condition and needs.

Failure to identify the cause of your pain can exacerbate the problem and/or delay proper medical care, ultimately leading to a longer road to recovery.

Wednesday, 26 June 2024 19:59

Osteoporosis Prevention

osteoporosis-prevention.jpgHow to prevent Osteoporosis & its progression:

  1. Proper Nutrition: A well-balanced diet rich in calcium and vitamin D is essential for bone health. Calcium strengthens bones, while vitamin D aids in calcium absorption. If needed, consult with a healthcare professional to determine if calcium and vitamin D supplements are necessary.
  2. Regular Weight-Bearing Exercise: Weight-bearing exercises help stimulate bone growth and increase bone density. Activities such as walking, jogging, dancing, and aerobics are beneficial for strengthening the bones in the foot and ankle. Engaging in these exercises for at least 30 minutes a day, several times a week, can yield positive results. Weight lifting or strength training also help stimulate bone growth and increase bone density, reducing the risk of fractures associated with osteoporosis.
  3. Fall Prevention: Preventing falls is crucial for individuals with osteoporosis. Wearing appropriate footwear with good traction and support is important for stability.
  4. Lifestyle Modifications: Avoid smoking and excessive alcohol consumption, as these habits can impair bone health. Smoking has been linked to decreased bone density, while excessive alcohol intake can interfere with calcium absorption. Maintaining a healthy weight and minimizing stress on the feet and ankles through proper body mechanics, posture, and supportive shoe wear can also be beneficial.
  5. Consultation with a Healthcare Professional: Regular check-ups and consultations with a healthcare professional are essential for early detection, diagnosis, and management of osteoporosis. We can provide personalized guidance on preventive measures and recommend appropriate screenings and treatments.

By adopting a proactive lifestyle that includes exercise and healthy habits, you can optimize bone health and reduce risk of osteoporosis-related complications.

Wednesday, 26 June 2024 19:51

Combat sweaty feet this summer!

combat-sweaty-feet.jpgExcess moisture in shoes can hinder performance, cause discomfort, and increase risk of blisters and fungal/ bacterial infections of the skin and nails. Here are some expert recommendations on how to keep your foot-sweat under control:

  1. Choose the right shoes. Shoes made from leather, suede, nubuck, canvas, and other natural materials are breathable, allowing for air circulation and prevention of excessive sweating . If these materials aren't an option, look for synthetic fabrics with breathable technologies like mesh.
  2. Rotate your shoes. Avoid wearing the same shoes every day to allow them to dry completely between wears. To help shoes dry faster, put them in direct sunlight fora few hours and add dryer sheets between wears. You can also add baking soda inside the shoes (if getting white residue on socks/feet won't bother you).
  3. Moisture-wicking socks. Wearing the proper socks for your sport or activity can make a huge difference in comfort-level and dryness. Socks made of materials such as polyester, nylon, and wool wick away moisture and are best for keeping feet cool, dry, and comfortable. (Cotton socks tend to trap moisture and keep socks damp.)
  4. Good hygiene. Wash your feet daily with anti-bacterial soap (like Dial), rinse well, and be sure to dry them completely, especially between your toes.
  5. Powder to the rescue. If you've done all the above and still have excessive moisture, add powder to the mix. Look for products with baking soda, zinc oxide, arrowroot, or kaolin clay for moisture absorption.

If you have specific concerns or conditions, consult with a healthcare professional for personalized recommendations.

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