Next Step: Foot Care In Connecticut

Posts for: April, 2013

Washington Wizards player Nene is relieved to see the end of this season. 

His problems began last summer before the Olympic Games when the plantar fasciitis in his feet was so bad he had to withdraw from Brazil's team. All season long his routine after games has increased from resting one foot in a bucket of ice to soaking both feet. 

Nene, tired of giving a mummified look because of the pain in his feet from plantar fasciitis, decided to sit out the last two games for the Wizards. He made it through 61 games in his 11th professional season, no small physical or mental feat. 

"How tough? Tough enough to think about the end of my career? Yeah, that's how tough it was," he said. "It was so hard to play the way I did it. I thought to end my career because it's so painful, my body can't support. I'm glad I finished the season, but the way I suffer, I hope, never again."

Unfortunately we've seen so many players this season fall to plantar fasciitis and have severe pain because they are not resting as long as they should be. When you have a schedule like these basketball players do and suffer from plantar fasciitis, it is necessary to rest more than two or three games. The constant pounding up and down the court just aggravates the condition.

Nene is owed $39 million over the next three years and said conversations with his wife Lauren and business manager Alex Santos convinced him to keep going. The 6-foot-11 Brazilian is motivated by his son Mateos and his faith in God, but acknowledges that he needs to rest this spring and summer in order to be healthy for next season. 

"To play through pain, that's not necessary. For what? I'm going to sit down. Let the young guys play. They need the work," Nene said.

Coach Randy Whitman was surprised to hear that Nene was going to sit out the final two games. "News to me," he said. But he too feels that Nene needs to rest and get healthy. "It's a big summer for him to work on his body and then when the summer rolls around here, we're hitting the floor running right from the start and we didn't have that luxury with John (Wall) or him this year," Whitman said. "We have to have our main guys healthy and playing as many games as you can to get to that level of playoffs."

Nene was acquired from Denver in March 2012 in a three-team deal and has missed 44 of 117 possible games, largely because he has not been able to properly rest his left foot. This season he has shot just 48 percent from the field, his lowest in any season he has played more than 35 games. He averaged just 12.6 points per game and committed more than two turnovers per game for the second season in a row. 

Reference: Washington Post

If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.

Connecticut Foot Care Centers

Podiatrists in CT

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When we have a patient in the office who is a cancer survivor, you cannot help but have the utmost respect and sympathy for them. To know the struggles they have gone through, beating the odds, makes you humble. 

Typically we don't see cancer patients for foot or ankle related problems, but sometimes we will see them after their treatment is over. They've often come in because of toenail problems, but have no idea where those problems came from. 

Often doctors will forget in their long list of side effects of chemotherapy to tell them that toenails will become disfigured, discolored, grow thick, smell, and even fall off. Patients will usually expect hair loss of some sort, but don't usually expect other things to fall off, like toenails. 

Chemotherapy drugs like AdriamycinTaxol5-Fluorouracil will cause damage and bombard the tissue that keeps our toenails in place, a process called onycholysis. When the nail becomes detached, it allows dermatophytes , the bugs that cause fungal toenails, to burrow under the nail and cause fungus. And these are not the kind of bugs anyone would like. 

Here are some things you can do to help keep your toenails looking their best while you have chemotherapy:

  1. Clip your toenails straight across. This will prevent splitting of the toenail, which can allow bacteria and fungus in.
  2. Keep your toenails clean and moisturized. If you insist on getting pedicures while you have chemotherapy (which we would caution against), make sure the instruments have been properly sterilized in an autoclave, not just in a solution.
  3. Don't pull or pick at loose cuticles. Carefully cut them with scissors.
  4. Wear wide shoes that have plenty of room in the toe box to avoid bruising toenails. Wide shoes also allow your feet to breathe. 

If you get a toenail problem, see a podiatrist right away, as an infection around or in the nail can be very painful.

If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.

Connecticut Foot Care Centers

Podiatrists in CT

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There is nothing worse than spending a long day at work on your feet, and getting home with terrible foot pain. Picking out the right shoes for work is not only as important as matching your outfit, but making sure your feet will be comfortable throughout the day. Wearing stilettos may be a good idea in the morning, but factor in your walk from the parking garage to your building, getting to your office, and all of your daily walking and by the end of the day you'll want to throw those stilettos down 18 flights of stairs.

"If you don't work with heavy equipment or aren't on your feet a lot, you may think the most important thing to consider when choosing work shoes is how professional they look. But even if you're just walking from meeting to meeting or from the train station to your office, ill-fitting or non-supportive shoes can cause discomfort, injury, and long-term health problems. It's important to make good footwear choices, whatever your profession," said president of the American Podiatric Medical Association Joseph Caporusso, D.P.M..

Here are some tips the APMA recommends when looking for dress shoes that are both professional and comfortable:

  • Get your feet professionally fitted. Your shoe size will change over your lifetime, and the size you were when you were 20 may not necessarily be the same size you are when you're 40. Feet should be measured once a year. If you have one foot that is large than the other, go with the larger foot. And get fitted at night, when your feet are at their largest. 
  • Check to make sure the shoe is supportive. The padding in the sole should be thick under the ball of the foot and conform to your foot's shape. Shoes should only bend at the ball, and should not easily twist. 
  • Look for natural materials, as man-made materials cause the foot to sweat, rub, and chafe in the shoe.
  • Look for the APMA's Seal of Acceptance on certain models of shoes, which means they have been evaluated by podiatrists and found beneficial for your foot's health.

"Women may be especially at risk of footwear-related discomfort. A recent APMA survey found that 53 percent of women experience foot pain. High heels are a must-wear for many female professionals, but can cause discomfort and injury if precautions aren't taken," says Caporusso.

Women who still want to wear heels but are looking to decrease their discomfort should follow these tips:

  • Stick to wedges instead of stilettos. The wider heel has better support for the ankle.
  • Limit heel height to no more than 2 inches. 
  • Avoid shoes with pointy toes. Look for shoes with rounded or square toe boxes that provide plenty of room for your toes. If you can't wiggle your toes in pointy shoes, then forgo them.
  • Wear your heels for just a few hours during the day. Consider bringing flats or athletic sneakers with you to wear from the car to the office or during lunch time. 
  • If you're having pain in your back, legs, neck, or shoulders, take a look at your shoes. Extreme heel heights cause changes in pelvic alignment. 

Remember, foot pain is not normal and you do not have to suffer! By making good, smart choices in footwear you can avoid many foot ailments your colleagues will face.

If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.

Connecticut Foot Care Centers

Podiatrists in CT

Visit our website, like our page on Facebook, and follow our tweets on Twitter.

Many Americans will be heading off to warmer locales during the spring vacations this month, looking to get an early start on their summer tan, and get away from it all for a bit. They've packed their bags with every thing they need, from bathing suits, to beach blankets, to sunscreen, and shorts. They know to stay away from tap water in some vacation destinations and have likely packed Pepto-Bismol just in case.

But the one thing those going on vacation are probably not thinking about is the most important thing to ensure they have a good time: their feet! Think about it: without your feet how will you get to the beach, walk around Disney, or get through airport security?

"Foot health is especially important to travelers," says American Podiatric Medical Association president Dr. Joseph Caporusso. "If your feet hurt or you sustain an ankle injury, your whole vacation could be ruined. Plus, poor foot health can have a detrimental effect on your overall well-being."

Here are some tips to keep your vacation foot and ankle healthy!

When getting ready to arrive at the airport, remember that you will have to remove your shoes for airport security. However, don't be tempted to wear flip-flops just because they're easy to slip off and on.

"Flip-flops are never a great walking shoe, and if you have to walk long distances from gate to gate or from your gate to ground transportation, or if you have to hurry, flip-flops could lead to problems," Caporusso says.

Wearing flip-flops means that you will go barefoot through airport security- yuck! You'll leave your feet exposed to sharp, exposed, or uneven surfaces, and of course, germs. If you think shoes with laces will be too cumbersome, select shoes that can slip off and on easily and always wear socks.

If you're driving to your destination, foot comfort is key, especially when going long distances. Look for shoes that won't slip off the gas or brake pedals and potentially cause an accident. And don't take your shoes off when driving, as they can become lodged under the pedals. In some states it is illegal to drive barefoot.

After months of cold, dreary, snowy weather, nothing can be better than a warm, beach location during April vacation. Your spirits immediately brighten and you're more carefree. In your moments of "Let's go to the beach now!" you may forget to apply sunscreen to your feet and ankles. Cover the tops, toes, ankles, and even soles of your feet. Limit how long you walk barefoot, as you can be exposed to ringworm, plantar warts, athlete's foot, sunburn, and other infections and injury. Never walk barefoot in pool areas or locker rooms, as these are breeding grounds for fungus and infection.

When packing your bag or pocketbook for vacation, include these items:

  • Moisturizer to keep feet hydrated.
  • Sterile bandages to cover minor cuts and abrasions.
  • Antibiotic cream to treat skin cuts and irritations. 
  • Blister pads to apply to affected area. If you're prone to blisters when walking on vacation, especially when wearing new shoes, apply the blister pad before heading out for the day.
  • Pain relievers like Motrin or Advil to treat pain.
  • Nail clippers and emery boards.
  • Sunscreen and aloe vera in case of sunburn. 

"No one wants to spend their vacation with sore feet- or worse yet, at the doctor's office," says Caporusso. "Taking care of your feet while traveling can help ensure your vacation stays on track and the only things you bring home are great memories and souvenirs."

If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.

Connecticut Foot Care Centers

Podiatrists in CT

Visit our website, like our page on Facebook, and follow our tweets on Twitter.

Why is it celebrities think they can get away with things and it will never catch up with them? 

Jessica Simpson recently said that she's been having foot-related pain during her second pregnancy and has stopped wearing her beloved high heels. A source close to Simpson told US Weekly, "Jessica is no longer wearing heels. Her feet are swollen and hurt, and high heels hurt her back." Oh, cry us a river- no heels for a couple of months! Boo hoo. 

Simpson told Jimmy Kimmel that this pregnancy has been much more complicated than her first. "It's a totally different pregnancy. I just feel awful. I've been vomiting. The crazy thing is I never knew a wiener could make me nauseous," Simpson said, letting slip that she and fiance Eric Johnson are expecting a boy.

She tweeted on March 29th, "Practicing walking in flats around my house" and posted a picture. Yay you, Jessica!

Simpson also gave up her high heels during the third trimester of her first pregnancy as well. She told US Weekly a month after making her first pregnancy public, "I went to the doctor yesterday, and he said, 'You're gonna need to get out of those heels!' I was like 'Excuse me! I'll be delivering in these heels!'" Wonderful attitude, Jessica.

Shortly before her daughter Maxwell's birth last May, Simpson tweeted, "I can't wait for the day I can walk in heels again! My feet feel homesick!"

Besides your feet swelling significantly during pregnancy (who wants to see a swollen foot stuffed into a high heel, anyway?), hormonal changes can loosen joints in the feet, creating the perfect conditions for bunions. The likelihood of tripping in high heels is higher, since your sense of balance has shifted. Has she been hearing any of the Sarah Jessica Parker news lately, about how she gave up high heels because they created deformities and damage to her feet? That'll be you next, Jessica.

We can add to the woe-are-my-high-heels club Kim Kardashian, who has also been spotting without her traditional stilettos. She recently said that she's had to give up her high heels because none of them fit anymore. The adjustment from heels to flats has made her "sad" (really, sad? How do you feel about starving children in third world countries, Kim?) but hopes things will return to normal after the baby is born. "My foot is so swollen. I will say. It really is. And I'm sad. You know, because all my shoes don't really fit me anymore. But I heard it goes back. Hopefully." Good thing you have the money to buy new sensible shoes.

Duchess of Cambridge Kate Middleton originally sparked this talk of wearing high heels during pregnancy when her famous black suede heels got caught in a grate during a St. Patrick's Day festival. An outpouring of opinions from podiatrists and medical professionals all came to the same conclusion- put the heels away during pregnancy.

"When you're pregnant, you're going to change the center of gravity... Fall over you're going to hurt yourself and the baby," said Beverly Hill Podiatric Surgeron Stanley Orwasher.

Pediatrician Jennifer Shu agrees with Dr. Orwasher, saying "As you get further along in the pregnancy you'll probably want to go to a lower heel, because your center of gravity will be constantly changing and walking in heels will be harder to manage. Usually at about 25 weeks I recommend going to a lower heel, especially if you're having a lot of back pain."

Lorraine Jones, a member of the UK's Society of Chiropodists and Podiatrists says that seven in ten British women have suffered heel pain, foot and arch pain, and swollen feet and ankles during pregnancy. "Many of the pregnant celebrities you see wearing high heels in magazines are attending events so, like them, try to keep your high heeled, high fashion shoes for a special occasion and stick to a more supportive shoe on a daily basis."

If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.

Connecticut Foot Care Centers

Podiatrists in CT

Visit our website, like our page on Facebook, and follow our tweets on Twitter.