Happy Holidays

Wishing everyone Happy Holidays and a Happy and Healthy New Year

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Top Doctors in Mainline Today

We wanted to congratulate Dr Chad J Friedman for being listed in the December 2010 issue of Mainline Today as one of the areas Top Doctors in Podiatry.

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Chilean Miners

What great news to hear that all the Chilean miners are safe and well after their historic rescue! One of the amazing components of their rescue was the supplies sent down to them to enable a safe and healthy return to civilization. One of the items that caught our attention was the importance of the 33 miners getting to wear socks with copper soles. The advantage to this is the active ingredient, Cupron, will remove moisture from the feet which will inhibit bacteria, fungi, and yeasts from attacking the foot. At Podiatry Care Specialists, we have long been supporters of copper sole socks and have had them in stock at our offices for a number of years. If  more information is desired, please stop by our offices in West Chester, PA or Newtown Square, PA to see them what makes them so special or visit our web site.

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For more information please click on the article about the miners and the copper socks.
http://www.infobae.com/salud/534290-0-0-Chile-mineros-usaran-ropa-cobre-su-calidad-bactericida

Health Fair in West Chester PA

Podiatry Care Specialists in West Chester, PA and Newtown Square PA, were happy to join the 1st Annual Health Fair at Hershey's Mill. The Senior Helpers of Chester County ran this spectacular event. Dr Theodore Mushlin, Dr Alexandra Grulke, and Fay Mushlin, Practice Administrator, attended the event to help spread the word about Podiatric foot care. In addition, Mark Fallecker from Aetrex Shoes, brought in the iStep Scanner (Please see previous blog on this) to scan the feet of the residents at Hershey's Mill. Some other attendees at this event were Genuardi's, (located on Boot Road in West Chester, PA), offering flu shots and giving out food, and Bayada nurses checking blood pressure and talking to the residents. It was a wonderful opportunity for the residents and very well attended.

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Toning Shoes...Fad or Bad?

There has been an increase lately in the number of shoe companies that are producing these toning shoes. Some of the common ones that are out are the Skechers Shapeups, Reebok EasyTone, New Balance and the MBT's. There are also making these in sandals now. These shoes are claiming to help solve knee and back problems, tone your legs, relieve tension in the neck and ease joint pain. What are all the thoughts on this? Since some of these products are fairly new, we dont have long term studies on them. Once more long term data is out on these we will get a better idea on how these products work over the long term.

I would not recommend these shoes/sneakers to run in. I am going to post a link to a study that was done on them. A team of exercise scientists from the Exercise and Health Program at the University of Wisconsin had studied the 3 shoes above.  They evaluated muscle activation in the toning shoes vs a New Balance Running shoe as well as exercise responses.

For the exercise response the researchers had 12 patients complete 12, 5-minute exercises on a treadmill that with different speeds and gradients(inclines) with the toning shoes and a running sneaker.  For the muscle activation response, 12 patients rotated shoes at random while having electrodes tied to different muscles on the body while doing similar exercises on the treadmill.

The results showed that none of the toning shoes showed a statistically significant increase in exercise response or muscle activation on the treadmill.

As of now, I think there needs to be even more research on these toning shoes. I like how this study was performed and how it showed that there was no difference in muscle activation or exercise response on a treadmill.

Here is the link for further reading.

http://www.acefitness.org/getfit/studies/toningshoes072010.pdf

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Pregnant Women and Shoe Gear

I recently saw an article published by the NY Daily Times on pregnant women and their shoe gear. I will include the original link at the end of this blog.

The British Society of Chiropodists and Podiatrists performed a study on 1,000 pregnant women and found  many women wear fashionable shoes while being pregnant. 7/10 women had swollen ankles, feet, heel, and arch pain during their pregnancy. 66% wore flip-flops regularly,  32% high heels, 30% Uggs, and 53% ballet pumps.

What I didnt see listed in the study is when along their pregnancy they wore the above. When the feet swell it becomes more difficult to find a comfortable pair of sneakers/shoes. Typically the further along pregnancy we may recommend Crocs. It is not a good idea to wear high heels. pumps, and Uggs. These shoes do not have the proper support for the foot as well as the shock absorption. The high heels can also aggravate your back and other joints. Its always a  good idea to wear comfortable and supportive shoes to prevent any foot pain especially while being pregnant.

For more information please visit our website.

http://www.podiatrycarespecialists.com/

Here is a link to the original article:

http://www.nydailynews.com/lifestyle/health/2010/06/15/2010-06-15_stilettoclad_momstobe_risk_longterm_foot_problems.html

Exercise With Care

Recently as I have been going to the gym for a workout, or walking outside, I cant help to notice ones footgear. Whats amazing is what I see people wearing when running on the treadmill or using the elliptical. I see different forms of footwear ranging from what should be used, sneakers to things one doesn't want to wear in loafers, shoes, sandals and flats.  Its very important when exercising and going for walks or runs to have your foot supported and have good shock absorption.  You will not be able to get this with loafers, shoes, or sandals. You should always be in a good supportive sneaker when you are very active at the gym. You will not be as fatigued and you can prevent less problems with your feet!

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Torn Achilles Tendon-David Beckham

David Beckham, world known soccer player and who is married to former Spice Girl Posh Spice, sustained a devestating injury to his foot. He had ruptured his Achilles Tendon. The inury occurred during one of his recent games. The Achilles tendon connects the calf muscle to the back part of the heel bone. There is a common area in the Achilles tendon that has a decreased amount of blood supply called the watershed area. This usually occurs about 2cm-6cm from the area it originates in the heel bone. The injury can occur from a direct trauma to the area or a quick contraction from the calf muscle. This is most likely what has caused his rupture. It may take up to a year to gain full recovery from this type of injury. Conservative measures include being in a cast or brace for a few months to surgery where the tendon is repaired. Even with surgery, a cast or brace is usually needed. Physical Therapy is paramount after this type of injury to strengthen back the calf musle. There is always a risk of a re-repture of the tendon in any case of conservative or surgial treatment options. Athletes typically will have the surgical route because of a quicker healing time and may be more durable. It is always best to see your doctor to see which treatment is best for you. For more information please visit our website

Chad Friedman, DPM

http://www.podiatrycarespecialists.com/

Spring is Almost Here

Wow, what a great weekend we had and a nice Monday. With the warmer weather also brings different shoe gear. Please remember, even if you were previously treated for Plantar Fasciitis or other heel pain, you may have a recurrence of this if you are back in your sandals, flip-flops, or going barefoot. As we have talked about many times before, the heel, the arch, and the whole foot need to be supported properly in order to prevent foot pain from recurring.
There are new sandals that are out there that actually have removable foot beds that we are looking into to see if these can help relive foot pain. We will keep you posted on these. One that we will have in our office are the Aetrex Sandalistas. The foot bed can removed to place in insert or an orthotic in there to help out.
For more information please visit our website or call to make an appointment

Enjoy the warmer days,

Chad Friedman, DPM
http://www.podiatrycarespecialists.com/

Pain after Inactivity

WIth plantar fasciitis, some people will talk about pain first thing in the morning, after a long drive and first putting weight down on the foot, and sitting down for a while and then getting back up again.  This is termed post static dyskinesia. The reasoning behind this when at rest, the plantar fascia and your calf muscles are at rest as well. They are plantarflexed (pointing in the downward position). They are relaxed.  When you go to bear weight or take those first few steps they are now being used and this is what causes the pain. One of the goals to prevent this pain from happening can be used with such a device called a night splint. The night splints can be worn while sleeping and while sitting down. They help in stretching the plantar fascia and the calf muscles. They put your foot and your leg in the dorsiflexed position (pointing up). Also a massage of the plantar fascia and a stretch before putting any weight down on the foot after a  long period of inactivity can also help you out.
Please see our website for more details on this condition.

Chad Friedman, DPM

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Barefoot Running Part 2

We briefly mentioned last week about the potential hazards and dangers of barefoot running. I thought that I would just add a few more interesting things about it. A study published in The Journal of Sports Medicine and Physical Fitness said that barefoot runners had less impact than runners in shoes. On the flip side to this, there has been no documented studies that show running with sneakers can cause foot problems or lead you to an injury. But if you can think about some of the stuff that I had posted last wee I will not recommmend doing it.  This is because it can lead to stepping on something, lacerations, increase in pain, and blisters just to mention a few.

Happy Running/Walking, but of course with sneakers on :)

Chad J. Friedman, DPM

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Barefoot Running

There has been a lot of talk in the literature recently on barefoot running. In fact there was even a book written on the topic (Born to Run). Its going to be something that many people will begin to try or continue to do. For me, I will not be recommending it. Some of the reasons for this is the risk of stepping on something, contusions, sprains, strains, and possible fractures. Depending on your foot type, the foot should be constantly supported through all phases of gait. If not, it can cause other muscles to compensate for other muscles and lead to tendon problems or other stresses in the feet. The feet need good support to support the rest of the body. Think about this as well; could you imagine running on a track, concrete, or gravel barefoot? Imagine this even on a hot sunny day. Your feet would burn and increase your chance of developing blisters. And of course this would never be good in a diabetic or someone who has developed neuropathy of their feet(loss of sensation). We will continue to update you on more information that will come out with the topic, but for the time being it is something that I will not recommend.


Happy Running/Walking, but of course with sneakers on :)
Chad J Friedman, DPM

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Happy New Year

Podiatry Care Specialists, would like to wish everyone a Happy and Healthy New year!

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