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Category: Flat Feet

Healthy Feet: Why They Matter for the Rest of Your Body

Healthy Feet: Why They Matter for the Rest of Your Body

Did you know that fully a quarter of your body’s bones are in your feet? These complex marvels of engineering by Mother Nature provide your body with a firm foundation, and are constantly in demand to help move the body from one place to another. With 19 muscles and 26 bones each, your feet are important for the balance and health of the entire body.

Dr. Brian Jensen, a chiropractor, offers this perspective: “By age 20, an estimated 80 percent of people develop some type of foot imbalance. By age 40, foot imbalances plague virtually everyone.” If the foundation is out of balance, then the rest of the structure (the body) is thrown out of balance. Invariably, this means the ankles, knees, hips and spine are adversely affected. A misaligned spine can cause chronic pain and can increase the risk of other musculoskeletal problems.

One key way the feet can cause spinal problems is by causing an imbalance in your gait—the way you walk. If your stride is off a little, it can eventually cause the supporting structures of your spine to be subject to stress in the wrong places, eventually pulling your spine out of alignment. According to Dr. Jenson, collapsed arches (“over-pronation”) are the most common source of problems with the feet, causing them to roll inward as an individual walks. Excessive supination (“under-pronation” or the foot rolling to the outside) is the opposite problem.

Both over-pronation and under-pronation often leave telltale signs in the uneven way a person’s shoes wear over time. Typically, a shoe’s heel or sole will become noticeably more worn on either the inside or outside edge. Some pronation is normal, but when both feet pronate too much and for too long a period, then your musculoskeletal health is at risk.

The U.S. Centers for Disease Control and Prevention (CDC) warns of two other health problems involving the feet—obesity and diabetes. Carrying lots of extra weight obviously increases the wear and tear on your body’s joints and is particularly hard on the feet. Diabetes can affect circulation as well as the peripheral nervous system—especially in the extremities—making it more difficult to walk and more difficult to heal after injuries. Both of these conditions set up a vicious cycle where pain and dysfunction often lead to reduced mobility, which in turn often leads to additional weight gain and diabetic symptoms.

Depending on your particular situation, your chiropractor can assist you in finding the proper orthotics for your feet to help correct these kinds of mechanical issues and increase the amount of healthy cushion for absorbing the shock of walking.

And remember—the condition of each foot can change over time, so visit your chiropractor regularly to see if you need special insoles to protect your feet, ankles, knees, hips and spine.

Women’s Feet Are Paying a High Price for Fashion

Women’s Feet Are Paying a High Price for Fashion

high-heels
high-heels

Fashion before comfort… and health! That seems to be a prevailing attitude in the United States, particularly among women out shopping for new shoes. And while there are a number of shoe styles that can cause foot problems, the high heel (especially the ultra-high heel) is by far the biggest culprit. According the American Podiatric Medical Association:

  • 72% of women wear high-heeled shoes (39% wear heels daily, while 33% wear them less often).
  • 59% report toe pain as a result of wearing uncomfortable shoes; 54% report pain in the ball of the foot.
  • 58% of women purchased new high-heeled shoes in the last year.
  • Younger women are more likely to experience blisters and pain in the arches of their feet than older women. Older women are more likely to experience corns, calluses, and bunions.

Ultra high-heels have many podiatrists concerned: According to Hillary Brenner, DPM, a spokeswoman for the American Podiatric Medical Association, “Heels are getting higher and higher,” she says. “We podiatrists like to call it shoe-icide.” Ultra-high heels often result in an array of injuries, short- and long-term, from ankle sprains to chronic pain and many issues in-between.

“Ultra-high heels force the feet into a position that puts stress on the ball of the foot,” continues Brenner. “At this critical joint, the long metatarsal bones meet the pea-shaped sesamoid bones, and the toe bones (phalanges). Too much pressure can inflame these bones or the nerves that surround them. Chronic stress to the foot bones can even lead to hairline fractures.”

However, heels in general, whether they’re stilettos or mid-heels, are hobbling women all around the country. High heels are known for producing a tender knot on the back of the heel, called the “pump bump” by some. This is a result of the pressure from the stiff, unyielding high-heel on the back of the foot. Blisters, swelling, bursitis, and even discomfort in the Achilles tendon can follow.

Additionally, all high heels increase the danger of an ankle sprain. The issue most seen by podiatrists is a lateral sprain, which occurs when a walker rolls onto the outside of their foot, stretching the ankle ligaments beyond their usual length. A serious sprain may even tear the ligaments and increase the risk of developing osteoarthritis.

In podiatrists’ and other medical professionals’ offices across the country, women are presenting with mild to severe foot problems due to wearing the wrong shoes. Other shoes that can cause foot pain and other issues include:

  • Ballet flats, which provide no support whatsoever.
  • Flip-flops, which provide almost no protection from splinters and other injuries.
  • Platform shoes, which often have rigid foot beds, putting unnecessary pressure on the foot.
  • Pointy-toed shoes, which can result in nerve pain, bunions, blisters, and hammertoes.

So what can a woman do to stay fashionable and keep her feet healthy and pain-free? For those who love high heels, consider performance pumps, which most often come with reinforced heels, athletic shoe construction, and more wiggle room for the toes.

Another solution for the pump enthusiast is a chunky-heeled shoe. Chunky heels allow better balance with a wider surface area, which gives the foot much more stability thereby diminishing the risk of ankle sprains.

For other shoes such as ballet flats, orthotic inserts can offer the support that the shoes lack. If you’re unsure about what kind of insert is best for your feet, talk to your podiatrist to get an informed opinion on how to best take care of your feet—and look good doing it.

 

Top 5 Ways to Keep Your Knees Younger Longer

Top 5 Ways to Keep Your Knees Younger Longer

footballSome aches and pains are normal as we age, but there’s no reason why we should not try to keep them to a minimum. Knee health is important in keeping you mobile as you get older, and experts agree that the best way to keep them in good shape is (ideally) to avoid receiving a knee injury. Even old injuries to the knee that may have happened when you were in your 20s can come back to haunt you in your retirement years. You may not be able to go back in time and avoid the injury, but there are some things you can do to help keep your knees from being prone to injury. Following are the top 5 ways experts recommend to keep your knees younger longer.

Wear the proper shoes for your needs – If your feet are overpronated (roll to the inside) or supinated (roll to the outside), or if you have fallen arches, it can affect your knees. You can buy orthotic inserts for your shoes to help correct the problem and take the pressure off your knees. You should also avoid wearing high heels for long periods of time, as studies have shown that wearing them leads to an increased risk of knee osteoarthritis.

Don’t overdo it on the exercise – This can be a particular problem with “weekend warriors” who feel they must fit in as much exercise as possible over the weekend because they don’t have time during the week. This can contribute to an overloading of the muscles, tendons and ligaments of the knee that are not accustomed to regular exercise, leading to an injury or even micro-tears that may not show up immediately, but which increase over time.

Lose weight – Any high-impact activities are extra hard on the knees if you are overweight. If you are overweight, running and other sports that have great impact on the knees should be avoided until you have achieved a normal weight. Practice other forms of exercise in the meantime that take the pressure off the knee, such as swimming or cycling.

Increase strength and flexibility – Concentrate on stretching and strengthening the hamstrings, quadriceps, hip flexors and the vastus medialis oblique (VMO) muscles, as these provide the greatest support to the knees and ensure that the patella tracks properly. Women are especially prone to improper patellar tracking, which places more stress on the ligaments of the knee. This creates a popping or grinding sound when you bend the knee, often accompanied by pain. Yoga and pilates are good ways to keep the muscles, tendons and ligaments of the leg and knee strong and flexible.

Have regular chiropractic adjustments – If your spine or hips are misaligned, the stress your knees have to bear is much greater. Sacroiliac and lumbar misalignments can make one leg shorter than the other so your gait is not straight. A study of 18 people who had knee pain due to muscle tightness showed there was a significant improvement of the condition in all subjects after having a chiropractic adjustment to the sacroiliac joint. Regular chiropractic care can help keep excessive strain off your knees and increase range of motion.

What Are “Flat Feet”?

What Are “Flat Feet”?

feet-crossed-in-grass-200-300Flat feet (sometimes referred to as “fallen arches”) are not difficult to spot. It is a condition where there is either no arch or a very low arch to one or both feet. Whereas the inside of the foot is lifted off the ground in people with normal arches, someone with flat feet will have their entire foot flat on the ground. This can sometimes lead to over-pronation, in which the foot rolls over towards the inside. You can often see the effects of over-pronation if you look at your shoes from the back. The insides of the heels will show greater wear than the outsides.

Flat feet are somewhat common, with approximately 20% of the population having them. They can occur at any age, and are sometimes due to a congenital problem. In adults, it is often caused by a lack of physical activity or can be a result of obesity. If the foot is subjected to repetitive micro-trauma, such as when walking or running on hard surfaces on a regular basis, this can cause damage to the posterior tibial tendon (PTT). This tendon is responsible for keeping the arch in position. Other conditions that can weaken this tendon are pregnancy, arthritis and trauma or foot fractures.
Some people experience no pain from having flat feet. However, flat feet can cause misalignment elsewhere, leading to other musculoskeletal problems. These problems may include plantar fasciitis (pain in the heel), Achilles tendonitis, knee pain, shin pain, low back pain, bunions, corns and calluses. The feet may also tire easily.

Many young children have what is called “flexible flat feet,” meaning that their feet are flat when standing, but if they rise up on their toes, the arch appears. These children will usually develop an arch as they grow into adulthood.

If flat feet cause no pain and there is no evidence of other problems being created, there is nothing to worry about. If this is not the case, there are a few treatment options. First, although it may be a good idea to get special orthotics for your shoes for support, it is equally important for your feet to get exercise. If your feet are constantly supported by orthotics, the muscles supporting the arch will atrophy even further. When you are at home, try to go shoeless as often as possible. And if you are lucky enough to live near a beach, walking on sand is one of the best workouts there are to strengthen your feet. Avoid high-impact sports that may put a strain on your feet, and if you are a woman, do not wear high heels.
Your chiropractor can perform adjustments to realign bones that may have become misaligned due to your flat feet. Misaligned bones can contribute to the problem and may cause secondary pain in areas such as the knees, hips and lower back. In addition, your chiropractor can provide you with exercises to stretch and strengthen the relevant muscles, in addition to suggesting appropriate orthotics, if necessary.