New Hiking Boots Causing Pain

Beloved patient and avid hiker, WR, came in today after completing a rigorous 80 mile, 6-Day hike in Morocco. Prior to the hike, he purchased new hiking boots, which coincided with his onset of pain and formation of a never-before-seen lump at the front of his ankle. Fortunately, ultrasound and MRI showed nothing seriously wrong in this area other than focal swelling and inflammation consistent with tendonitis.

After evaluating his new hiking boots however, it was apparent that the top hook-lacing combination was crossing at exactly the same point where his pain and swelling was. In short, due to where the laces were crossing, the boot was strangulating the tendon beneath this point.

The easiest solution was to skip the uppermost eyelet on his boot, which was causing the irritation as the following image shows.

Hiking_Boot_Hook_Irritation

If you or someone you know has a sudden onset of swelling or pain in the foot or ankle, seek treatment with your podiatrist right away. If nothing is found to be wrong, you may just need to modify your shoe lacing – or in this case hiking boots, to make the pain go away.

For other lacing tricks and applications, check out my other posts.

Lacing for Heel Slippage, Top of the Foot Bump and Bunions

Modified Shoe Lacing Soccer Cleats

Saucony Grid Stabil – Lock Lacing Design

Heel Slippage – Improper Shoe Lacing

Straight Lacing – Heel Slippage

Shoe Lacing – Narrow Feet & Hiking Boots

Help Texas! Donate your Shoes Today!!

This just in from our friends at Fleet Feet…

Fleet_Feet_Shoes_For_Houston

As part of a coordinated relief effort, Fleet Feet Sports stores across the country are now accepting donations of new or gently-used running shoes and new socks to send to our stores in Texas. Fleet Feet Sports of Greater Houston and Fleet Feet Sports San Antonio will work to get these shoes and socks to organizations and people in need. Our thoughts remain with the people, communities, and businesses affected by Hurricane Harvey and the flooding taking place in its aftermath. #shoesforhouston

If you live anywhere near one of the countries 170 Fleet Feet stores, run, don’t walk and get your shoe and sock donations to one of their stores today.

Post the above on Facebook, Twitter and your Instagram feeds. The more people who know about this, the more people in dire need can be helped.

With deep gratitude.

Dr. Jenny Sanders

 

 

Night Splint for Plantar Fasciitis

Plantar fasciitis is one of the most common conditions we treat in our sports medicine clinic. Inflammation of the plantar fascia causes pain in the heel or the arch.

Plantar_Fascia_Stretch

A hallmark of plantar fasciitis, is pain when you first step out of bed in the morning. If  your first step in the morning is a pain in your heel or arch, you may want to try a plantar fascial night splint.

Night_Splint

Plantar Fasciitis Posterior Night Splint – Medium (Colors May Vary)

A plantar fascial night splint is designed to keep your foot at a 90° angle, which gently and continuously stretches the plantar fascia, minimizing contraction, that can cause morning pain.

In our clinic, we recommend patients wear the night splint three hours before going to bed, which is usually effective in eliminating their morning pain. If your pain is not alleviated with wearing the splint before you go to bed, then wear it to bed.

Here’s a video from our FDFAC YouTube channel showing you how to properly use your night splint.

If you think you have plantar fasciitis or some other similar condition, it’s important to seek treatment with your podiatrist, as a delay in treatment may make your condition worse.

Life happens. Don’t wait.

A Cycling Shoe for Wide Feet

Cycling shoes are notoriously narrow, which is why cyclist with wide feet can have such a hard time finding cycling shoes that fit. TC came in today wearing a new pair of fi’zi:k cycling shoes whose fit he wanted me to approve, to which I immediately did. His model, R5B Uomo Boa, was a perfect fit for his wide feet.

Wide-Cycling-Shoe-1

Surprisingly, I had never heard of the fi’zi:k brand before, but their description impressed me as much as their shoes did. I found the following information on their website:

Fizik
Fizik: Born in 1996 as a brand made for high performance fi’zi:k was designed in the USA, and handmade in Italy by the world’s largest saddle manufacturer, Selle Royal. Fi’zi:k is the phonetic spelling of the word physique, referring to the form or state of the human body.
Fizik_Cycling_Shoe_2

If you have wide feet and are at a loss for a well-designed, well-made cycling shoe, check out fi’zi:k. Several specialty cycling stores carry this brand as does Amazon.com.Fizik R5B Uomo Boa, Black/Dark Grey Although this model is sized medium, it runs wide.

With an MSRP of approximately $150, this is definitely one shoe you will want to try on if you have wide feet.

Stay tuned for my next cycling post where I’ll be discussing the top 5 most common cycling foot injuries I treat. In the meantime here’s a link to some of my previous cycling posts:

Cycling Shoes And Sesamoid Pain

Spin Class and Forefoot (Sesamoid) Pain

Cycling Shoes and Bunions

Cycling Shoe Brand Review – DZR

Life happens. Don’t wait.

Big Toe (Pinch) Callus

At least once a week I treat a runner with painful calluses under one or both big toes. This type of callus is known as a pinch callus and typically goes unnoticed until it gets so thick a blister forms underneath it, or causes pain due to lack of cushioning from the running shoe.

Blog_Hallux_Pinch_Callus_2

Removing the pinch callus alleviates the pain, however understanding the cause is key to preventing a recurrence.

Today, a runner came in having a pinch callus and didn’t realize the cause was his unsupportive running shoes. When the foot collapses, or pronates, during running, push-off of the big toe occurs on the side of the toe as opposed to the bottom. This in turn creates friction, and when there’s skin friction, there’s callus. Using our scientific gait analysis video software, you can see how this runner’s right foot pronates significantly. This is made worse by wearing the wrong type of running shoe for his alignment.

Pronated_Runner

If you or someone you know suffers from pinch callus, don’t wait until it causes pain. Make an appointment with your Sports Medicine Podiatrist to have it shaved down. Also ask them to check your gait for excessive pronation, which may be the underlying cause.

Sometimes a more supportive shoe is all that’s needed to reduce a pinch callus buildup and sometimes custom orthotics will be necessary to reduce excessive pronation. Either way, pinch callus is not protective and should not be ignored.

Life happens. Don’t wait.

IAFF Unanimously Supports Olympic 50 KM Race Walk (yay)!

It’s official – IAFF strongly supports the 2020 Tokyo Olympic 50 KM race walk event. Additional details can be found in the attached Press Release as well as an interview with Olympian race walker Evan Dunfee after he heard the news.

50km_Race_Walk_Press_Release

Canadian Evan Dunfee elated IAAF keeping 50K race walk

Thank you to EVERYONE who signed Chris Erickson’s petition and supported this important effort.

Special thanks also to Paul DeMeester, who flew to London to the IAFF Council meeting site, booked into the same hotel the IAAF were meeting in and delivered his impassioned plea for the saving of his event. Paul’s efforts were nothing short of heroic and represent the kind of commitment we should all have for causes that really matter.

 

Help Keep the 50km Race Walk in the Olympics

Patient and competitive race walker Paul DeMeester has been rigorously training to qualify for the 50km Race Walk Olympic Team Trials.

DeMeester-Perth-10k-October-2016

On 4/12/17 the IAAF will be meeting to vote on whether or not to abolish the men’s 50km race walk at the Olympic Games and IAAF World Championships and the 20km race walk moving to a half-marathon distance (21.1km). As supporters of these events, we should not, and cannot let this happen.

Please join us and sign your name on the attached petition to join the fight to save these historic, Olympic events.

https://www.change.org/p/ioc-iaaf-keep-the-50km-race-walk-in-the-olympics?recruiter=705740714&utm_source=share_petition&utm_medium=email&utm_campaign=share_email_responsive

Warmest regards,

Dr. Jenny Sanders