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Some people choose their shoes because they like the style or color. Other people choose their shoes because they fit the requirements by their job. Then, there are the people that choose shoes based on the comfort and support provided. A combination of these things can often contribute to the choice of shoes. However, many people do not realize the importance of properly fitting footwear.
When choosing shoes is it important to look for a few things. Some people do not know why the fit of a shoe really matters. Improperly fitting footwear is a common cause of foot and ankle injuries. They can also further exacerbate other health conditions that are common. Seeing a podiatrist to assist in the process of choosing properly fitting footwear is also a great idea. It will help eliminate some of the guesswork for what kind of shoes to get.
First, it is important to choose shoes that take the natural shape of the foot. The heel should not be slipping around and the ball of the foot should fit into the widest part of the shoe. Pointed toes often cause the foot to be squished into the shape of the shoe, which is not good.
Signs Your Shoes Don’t Fit
- Pain and discomfort
- Bruising on toenails
- Skin irritation (especially around toenails)
- Bruising on the tips of toes
Here are some tips when going to the store to buy footwear:
- Keep heels less than 2 ¼ inches tall. Too high of a heel can put unnecessary pressure on the ankle and balls of the feet which can cause injuries over time.
- Consider shopping at the end of the day after walking around. This means your feet are more swollen than usual, and thus it is easier to be sure the shoes still fit, even with swollen feet.
- Make sure the shoes are not ones that have to be broken in later. Walk around in them to make sure they are comfortable both walking and standing.
- Remember that not all shoes fit the same way, so do not rely solely on size, and be sure to try on both shoes to ensure they do not only fit one foot properly.
Another thing to consider if foot pain persists no matter what type of shoe, is a custom orthotic. Many people think it is only important to get orthotics if they have a specific condition such as plantar fasciitis, arthritis or diabetes. However, custom orthotics are a good idea for most people. A custom orthotic will help provide the kind of comfort needed for the individual. A certified podiatrist would be best suited to help each individual find the orthotic that works best for each individual’s feet.
Shoes and orthotics cannot solve everyone’s foot problems. They can help reduce some of the pain, but it is important to see a podiatrist to understand what things are causing the issues. Podiatrists can help devise a diagnosis and treatment plan to help reduce foot pain or injuries. Dr. Panesar is a Board Certified Podiatric Surgeon who can provide advice on what kind of shoes or orthotics would work best for each individual, and he can determine whether the problem goes deeper than just improperly fitting shoes. Even if a custom orthotic or shoe is not ordered, a podiatrist can help provide recommendations for things to avoid or to purchase in order to help avoid any further foot problems that might occur from improperly fitting shoes.
Do you have pain in your feet? Our foot and ankle specialists are here for you. Click here to contact Miller Orthopedic today for a consultation.
An ankle sprain can happen to anyone at any age. Walking on an uneven surface or even wearing inappropriate foot wear can cause this type of injury. Many times a sprain occurs when the foot suddenly twists or rolls, forcing the ankle joint out of its normal position. This movement can stretch or tear the ligaments that hold the ankle bones and joints together.
If you have recently injured your ankle and are noticing the following symptoms you may have a sprained ankle:
- inability to put weight on the affected ankle
- skin discoloration
The ankle can sustain many different types of injuries. It’s important to see your doctor when you’re experiencing problems with your ankle as they can determine whether the injury is a sprain or something more severe. Your physician will perform a physical exam to determine if ligaments have been torn. During the exam, your doctor may move your ankle joint in various ways to check your range of motion.
Imaging tests, such as X-rays, may also be ordered to rule out a bone fracture. An MRI may be done if your doctor suspects a fracture, a serious injury to the ligaments, or damage to the surface of the ankle joint allowing your physician to make the proper diagnosis.
Your doctor may tell you to stay off of your injured ankle until the pain subsides. For mild sprains, this may take a week to 10 days, while more severe sprains may take up to several weeks to heal
Treating a sprained ankle promotes recovery and prevents further discomfort. You may be able to treat mild sprains at home.
Recommended home care treatments include:
- using elastic bandages (such as an ACE bandage) to wrap your ankle, but not too tightly
- wearing a brace to support your ankle
- using crutches, if needed
- elevating your foot with pillows as necessary to reduce swelling
- taking ibuprofen (such as Advil) or acetaminophen (such as Tylenol) to manage pain
- getting plenty of rest and not putting weight on your ankle
It’s also helpful to apply ice to the injured area as soon as you can to reduce swelling. On the first day, you should apply ice every 20 to 30 minutes, three to four times per day. Afterward, apply ice every three to four hours for the next two days.
Surgery for a sprained ankle is rare. It may be performed when the damage to the ligaments is severe and there is evidence of instability, or when the injury doesn’t improve with nonsurgical treatment.
In most cases, an ankle sprain isn’t very serious and will completely heal with proper treatment. The amount of time required for a full recovery will depend on the severity of the sprain. Most ankle sprains take a few weeks to fully heal. A more severe sprain may take months.
Although pain and swelling will eventually go away, your injured ankle may not be as stable as your unaffected ankle. Your doctor may suggest certain exercises to help strengthen the muscle about the ankle. However, you shouldn’t proceed with exercises until your doctor has told you to do so.
If you have recently sustained an injury to your ankle, contact Miller Orthopedic Specialists for more information or to set up an appointment.
Podiatry for Bunions!
Even though bunions are a common foot deformity, there are numerous misconceptions about them. A bunion (also referred to as hallux valgus) is a bony bump that forms on the joint at the base of your big toe. The classic bunion bump forms when your big toe pushes against your next toe, forcing the joint of your big toe to get bigger and stick out. Bunions are a progressive disorder that can become very painful and are most often caused by:
- Heredity – some people have certain foot types that make a person prone to developing a bunion.
- Medical condition – inflammatory condition, such as rheumatoid arthritis, or a neuromuscular condition, such as polio.
- Wearing poorly fitting shoes – in particular, shoes with narrow, pointed toe box that forces the toes into an unnatural position.
Bunions can also form at the base of the little toe – this is referred to as a “tailor’s bunion” or bunionette.
Symptoms of bunions may include:
- Pain and soreness
- A burning sensation
- Swelling at the joint of the affected toe
- Skin thickness at the base of the affected toe
- The presence of corns or calluses
- Movement restrictions within the affected toe
The presence of bunions can lead to other conditions developing such as pain and swelling (bursitis), arthritis, difficulty walking, hammertoe and much more.
Bunions are readily apparent—the prominence is visible at the base of the big toe or side of the foot. However, it is recommended that someone that suffers from the condition see a podiatrist to fully evaluate the degree of the deformity and asses the changes that have occurred. Once the doctor has made an evaluation, a treatment plan can be developed that is suited to the patient’s needs.
Contact Miller Orthopedic today if you are experiencing bunions so we can develop a treatment plan!
Diabetes is a growing epidemic in the United States. According to the American Diabetes Association there are 26 million adults and children living with disease and an additional 7 million who have prediabetes. Diabetes complications in the feet can be dangerous and is the leading cause of non-traumatic lower limb amputation. These complications and amputations can be prevented with proper foot care from a podiatrist.
The connection between a podiatrist and diabetes is an important one as proper foot care can help avoid serious limb injury or loss. Podiatrists specialize in caring for feet so they can offer the best possible treatment and recommendations to their patients. This care improves patients’ outcomes by catching problems at an early stage and providing access to appropriate treatment. A podiatrist will complete a full examination looking for signs and symptoms representative of potential diabetic foot problems. Some examples to look for on your feet and ankles include:
- ulcers or non-healing wounds
If you have diabetes you are more vulnerable to foot problems because of possible nerve damage and poor circulation to your leg and foot. This can lead to loss of sensation in the feet, meaning that the damage is more likely to go unnoticed. In addition, high blood glucose leads to dry skin, making your feet more prone to cuts and tears. You are also more susceptible to foot infections, toenail fungus and athlete’s foot.
It’s important to educate yourself and your family on your condition. They can play a vital role in helping you control your diabetes. If your family has a history of diabetes, the chance of you developing diabetes also increases.
Your podiatrist will instruct you on proper self-exam and care for your feet. This could include how to properly wash and dry your feet, why it is important to keep your feet moisturized, what to look for when examining your feet, taking care of your toenails and exercising tips. They may also recommend special footwear, such as socks that pull moisture away from your feet or shoes specifically designed for people with diabetes. Educated patients with the right tools can prevent foot and lower extremity problems by controlling their diabetes effectively and taking some simple steps to care for their feet.
A podiatrist can perform vascular, neurological and functional tests which will tell you your foot health status. It is important to have your feet checked regularly, and you should be checking your own feet daily if you are diabetic. A podiatrist’s education, training, and experience qualify them to diagnose and treat conditions of the foot, ankle and related structures of the leg as well as perform surgery if needed.
If you have diabetes and would like to start a relationship with a podiatrist to ensure the health of your feet, make an appointment to see one of our physicians today.
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