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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.

 

Good Posture: The “800-Pound Gorilla” of Health and Wellness

Good Posture: The “800-Pound Gorilla” of Health and Wellness

gorilla
gorilla

Good posture isn’t exactly a high priority for many Americans. For millions of us, the number-one priority is working to provide for our families—and sitting all day at a desk is how we achieve that. However, poor posture while sitting at work for many hours every day can actually lead to poor posture while standing the rest of the time—and that’s a more serious problem than one might think.

A Wall Street Journal article entitled “How Bad Sitting Posture at Work Leads to Bad Standing Posture All the Time” talks at length about this phenomenon.  Allston Stubbs, an orthopedic surgeon at Wake Forest Baptist Medical Center who treats patients with back or joint pain, puts it this way: “[Posture] is probably the 800-pound gorilla when it comes to health and wellness…  We see the spine and overall skeletal structure being critical to a patient’s functionality and their satisfaction with their life and health care.”

This means that many Americans’ habit of sitting all day with no thought to their posture has severe consequences—without good posture, many people can develop serious neck, shoulder, and back pain, leading to a sharp decline in their quality of life. Sitting all day with poor posture can lead to muscular back pain, herniated discs, and even pinched back nerves.

Poor sitting posture can also cause tension headaches, diminished breathing, and fatigue. It can even make you look older, according to the LA Sentinel. “Never underestimate the beauty and health benefits of good posture. Often poor posture is just a bad habit that is easily corrected. Poor posture not only makes you look older, but could be the first step toward dowager’s hump, double chin, potbelly, and swayback as well as some internal problems too. When a person is hunched over or not standing straight, that person may be perceived as older than they actually are. Good posture is not only beneficial to your body; it also makes you look taller and slimmer. What’s more, good posture can convey self-confidence, which may just be the best accessory you can have.”

Additionally, good posture is essential for a healthy spine. It can reduce or eliminate back (and shoulder and neck) pain, and it can even improve your mood.

However, there are millions of people today who simply have not learned what good posture is—and it’s not standing rigid, with shoulders thrown back, as many may have learned in childhood. Rather, as the WSJ articles says, “Good posture doesn’t just mean standing with the shoulders thrown back. More important is maintaining good alignment, with ears over the shoulders, shoulders over hips, and hips over the knees and ankles. Body weight should be distributed evenly between the feet.”

While workplace-related posture problems are getting a lot of attention in the media these days, the importance of good sitting posture to office workers’ health is hardly news to the U.S. government. The United States’ Occupational Safety & Health Administration (OSHA) offers a number of tips for good sitting posture, including keeping your head in line with your torso as well as keeping your elbows close to your body and your thighs and hips parallel to the floor. OSHA also recommends using a well-padded seat, keeping your shoulders relaxed, and making sure your forearms, wrists and hands are straight and well-aligned.

 

When it Comes to Posture, the Little Things Matter. Like Sitting on Your Wallet…

When it Comes to Posture, the Little Things Matter. Like Sitting on Your Wallet…

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You know the big things that impact your posture, such as the height of your keyboard or whether you slouch on the couch, but it’s easy to overlook the little things. By the way, where is your wallet right now? If it’s currently in your back pocket, we need to have a talk…

Little Things Matter When it Comes to Posture

Your wallet fits so perfectly in your back pocket. Certainly it can’t hurt to keep it there, right? Unfortunately, sitting on your wallet can cause a host of posture problems, which can lead to pain in your back, shoulders, and neck. When half of your posterior is higher than the other, your pelvis twists, the spine becomes misaligned, and your shoulders have a tendency to slump. This isn’t good, but there is a simple solution: just keep your wallet in the front!

Now that your wallet is in the right place, it’s time to look at your feet. What kind of shoes are you wearing? If you’re a woman wearing high heels, think about giving your back a break. Tall heels put you off balance, which your body compensates for by flexing at the hips and spine. The forward curve in your lower back decreases, your knees are stressed, and the muscles in your back, hips, and calves tense. All of this can lead to poor posture and back pain. Switch to flats to solve the problem.

Guys, you aren’t off the hook in the footwear department. If it’s been a while since you’ve bought a new pair of shoes, take a closer look at your soles. Wear and tear in this area can throw off your gait, leading to posture issues and—you guessed it—back pain. Maybe it’s time for some replacements…

Women with large breasts might find it particularly difficult to maintain proper posture. This is more likely to be true without the support of a proper bra. If this situation is causing you to slouch or experience back or shoulder pain, consider looking into a posture bra. These bras have bands that are designed to carry your chest’s weight, reducing pull on the shoulder straps and allowing you to sit or stand straight and without strain.

Do you carry a heavy bag or purse with you? If you’re constantly carrying a heavy weight on one side of your body, you are also constantly shifting to the side to compensate, which can lead to back pain and even nerve trauma. Take some time to clean out your bag, and try to alternate the side you carry it on to reduce the damage.

Correcting the Damage

Life is full of little things that can lead to poor posture and pain, many of which you might not be aware of. Consulting with a chiropractor can help you gain a better understanding of how your daily life affects the way you sit and stand. If your posture has already been compromised or you are already experiencing back or neck pain, chiropractic care can also help to correct it. With expert guidance and a few changes, little problems can stop being a big deal.

Are Stand-Up Desks Really Any Healthier for Office Workers?

Are Stand-Up Desks Really Any Healthier for Office Workers?

Handsome African American male writing at desk with laptop, phone, clipboard. Shot with a Canon 20D.
Handsome African American male writing at desk with laptop, phone, clipboard. Shot with a Canon 20D.

Standing desks or stand-up desks are not a new fad. They’ve been around since at least the time of Benjamin Franklin, the founding father who used one over two hundred years ago. However, there remains a great deal of controversy regarding the benefits and drawbacks of stand-up desks.

A number of sources agree that standing up while you work gives you more energy and keeps you more alert. The University of Chester performed a study in 2013 that showed heartbeats rose by ten beats per minute because of standing. This increased the number of calories burned each day. In addition, blood glucose levels after lunch returned to normal far faster in those study subjects who stood as they worked.

Others have found that standing helps reduce lower back pain. Users of stand-up desks found that they engaged more fully with their colleagues and felt more ready for action if something called them away from their desk. They felt their minds wandered far less and they stayed more focused. Some users even found that stand-up desks lent themselves to certain “power poses” that benefited physiology, increasing testosterone and decreasing cortisol, the stress hormone.

Stand-up desk users seemed to agree, though, that leg and foot soreness can be a problem. This may be a particular problem for individuals who are just starting to use a stand-up desk user and whose bodies aren’t yet accustomed to the new way of working. More comfortable shoes and an anti-fatigue mat can help reduce this problem. Gradually building up the amount of time spent at a stand-up desk can also help.

If you do opt for a stand-up desk, it’s important to get one at the right height. Because each person is different, getting a custom desk built can be prohibitively expensive. A better alternative is to get an adjustable desk. One with hydraulic power can be lowered for occasional sitting and increased to a custom height to suit your individual needs.

Sitting for long periods each day can lead to all manner of illnesses—heart disease, diabetes, vein disease and more. But standing for long periods can also create health risks, especially vein disease.

A Cornell University ergonomics team found that the real solution was simply to move around regularly. If you’re sitting at a desk, stand up every 20–30 minutes and move around for two minutes. The movement gets the blood pumping, increases calorie burn, and decreases the risks for heart disease, diabetes and other ailments. This doesn’t require vigorous exercise. Simply pacing for a couple of minutes will be enough to undo the damage of sitting for half an hour. This, of course, requires an awareness of the time and a measure of discipline to move when the appointed time arrives. Adding some moderate exercise to your daily routine can do wonders for your health, even without the use of a stand-up desk.

 

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

chiro_counseling-whiteboard-200-300According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.”  What beliefs is Dr. Wilkes referring to?  He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated.  One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest?  And why are so many patients inclined to comply?  Simple—pain avoidance.  Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.”  Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body.  However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy.  Restricted movement can result in lost strength and can make it harder for the spine to recover.  When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain.  Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain.  And the results aren’t limited to inappropriate guidance about bed rest.  They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain.  Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find.  Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck.  Chiropractic treatment has been shown in studies to be both safe and effective.  Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available.  Remember—you have options!  We encourage you to call or visit our office today!

Choosing the Right Lumbar Support

Choosing the Right Lumbar Support

red-chairs-200-300Lumbar back support products are designed to help prevent neck and back pain, which can lead to pain in other parts of the body as well. Many of these products are pillows or cushions that offer additional support when you are seated for long periods of time.

The lumbar region of the spine is usually referred to as the lower back. It is the area just above your tailbone and below the thoracic (middle back) region. The lumbar area includes your spine and all the muscles, ligaments and tendons surrounding your spine. If your ligaments are pulled or torn, you will experience a lumbar sprain or strain, which can lead to muscle spasms and significant pain in your lower back.

What can cause lumbar sprains and strains? Poor posture, poor lifting technique, obesity, and other health-related factors can contribute. In fact, sitting for long periods without lumbar support can itself aggravate lumbar pain. Finally, one of the greatest contributors to back pain is using the wrong type of chair for your body. Surfaces that are too hard or too soft do not encourage proper posture and do not provide adequate support for your back.

Usually all that is required to relieve lower back pain is sufficient rest, but most of us are unable to rest for long enough to overcome lumbar problems. So preventing these problems with a good lumbar support is essential, especially if you spend significant amounts of time sitting down.
The first step to choosing the right lumbar support is to ensure that it fits perfectly in the chair you spend the most time in. An even better option is to choose an ergonomically designed chair that includes a built-in lumbar support, or an individual lumbar support that is specifically designed to be used with your chair. “One size fits all” lumbar support products rarely provide any benefits and should be avoided.

Make sure you test the product in the store before you buy it. If you can, sit with the lumbar support for at least 15 minutes to see if it feels good or aggravates back pain. The best lumbar supports are adjustable, so you can fit it to the chair’s height. Ergonomic chairs with lumbar supports included usually allow you to adjust the height and width of the support. Adjustable separate supports are particularly useful if you use more than one chair throughout the day.

Good health is a combination of many factors including your nutrition, preventative care, appropriate corrective care and the small choices you make every day in the course of living. If you have questions about this article, your general or spinal health, please ask. We are here to help!