Posts for: July, 2018

If you're an adult with an open, swollen, or painful foot wound, or a callus or bunion that doesn't seem normal, doctors say patients too often delay getting a professional opinion. And the risk can be even more dangerous if you have diabetes. If not caught early or controlled, diabetes can lead to serious health complications including premature death, vision loss, heart disease, stroke, kidney failure, and amputation of toes, feet, or legs. This is why it's so important to take action and get tested.
Dr. Christopher Winters
"If they sit on this for even weeks, they can get very, very infected, get into the bone...and then that is very difficult to treat with just antibiotics alone, and then that usually becomes a surgical problem that leads to the hospitalization, the amputation, and then it just becomes a downward spiral after that," Dr. Christopher Winters explained. He's a podiatrist with St. Vincent. "They may lose a toe, a half a foot, a leg, and a life ultimately, so they can't delay."
Source: Anne Marie Tiernon, WTHR 13- TV 
Courtesy of Barry Block, editor of PM News.
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotics Clinic.


"Although losing weight through exercise is slower than by calorie restriction, it is more effective. An excellent form of exercise for improved health is jogging. It is simple, requires no special skills, and can be enjoyed at any age. It is convenient and involves a minimum of time each week. From a physiological standpoint, it is an excellent form of exercise as it puts a moderate amount of stress on the cardiovascular and respiratory systems," says podiatrist Dr. Robert Weiss."

"The more you jog, the more muscle imbalances can occur. Daily exercise for stretching and strengthening of the muscles is very important in your jogging program. The calf, hamstring (back of the leg and thigh), and lower back muscles can become contracted and shortened, as well as tight and inflexible. Therefore, it is extremely important to stretch these muscles. Also, the shin, quadriceps (front of thigh), and belly muscles can become weakened. It is therefore important to strengthen these muscles," says Dr. Weiss.

Source: NCA News of New Canaan 

Courtesy of Barry Block, editor of PM News.

Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotics Clinic. 

"Limb length discrepancies of the lower extremity often cause disabling problems of the hips and lower back," says podiatrist Dr. Robert Weiss. "It is also known as the short leg syndrome. This problem may affect as much as 75-80 percent of the population, resulting in pain in the lower back, pelvis, or hip. Pain may also radiate down the thigh (sciatica nerve)," says Weiss.
"The majority of symptoms are usually found on the side of the longer limb because it is in contact with the ground longer and thus absorbs a greater amount of pressure and stress. The short limb also develops various symptoms such as shin splints, which are usually a result of the short leg overstraining while walking or running. A functional limb length discrepancy will respond well to biomechanical orthotic therapy.
Source: Westport News 
Courtesy of Barry Block, editor of PM News.
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotics Clinic. 


Which is the best type of summer shoe? Foot doctors say it's better for your feet to mix up your shoes, and not wear one type all the time. Flip-flops and ballet flats are nice for short periods of time. But because they don't have much support, wearing them too much can lead to knee, hip, and back pain. Podiatrist Dr. Joy Rowland of the Cleveland Clinic explains how: "The arch tends to fall, which causes the legs to rotate inward. Once that knee starts to go, then your hips start to go, so it actually takes your posture and changes your posture."
Dr. Joy Rowland
High heels can cause tightness in the back of your leg and Achilles tendon, so Dr. Rowland recommends wearing them sparingly, and mixing your heel heights. If you switch from heels to flats and get foot cramping, Dr. Rowland says stretching can help over time. "Sometimes we even recommend that they take their toes and draw out the letters of the alphabet before they get out of bed," she says. "That will help not only the Achilles tendon, but also all of the intrinsic muscles of the foot," she adds.
Source: WPVI [6/24/15]
Courtesy of Barry Block, editor of PM News.
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotics Clinic. 


Stress fractures -- or "March" fractures, as they are known in the military (because they frequently develop from marching) -- are common injuries that can occur in the lower extremity, especially among athletes. There is a disruption in the continuity of normal bone caused by repetitive microtrauma to an area. A stress fracture develops over a period of many days, weeks or months. By contrast, acute trauma typically results from one incident -- a fractured ankle from a severe twist, for example, or a fractured metatarsal from a heavy object falling on it.

The typical scenario is that an athlete develops localized pain and swelling. The pain worsens with activity and improves with rest. The onset of pain and swelling is usually gradual and may hardly be noticeable at first. There is generally no history of an obvious injury to the athlete. Usually the athlete will tell of participating in a new strenuous activity, increasing the intensity of an old activity or participating at a very high level for a long period. 

Treatment for stress fractures consists of relative or absolute rest. This will depend on the bone or bones involved, and the severity and stage of the fracture. The activity that caused the injury must be avoided to prevent delayed or improper healing. Athletes wishing to maintain their fitness level may participate in low-impact activities such as swimming, biking or water running – but, again, this would depend on the bone fractured and the stage of healing. Casting or bracing may be indicated for stress fractures that are at risk of complete fracture or displacement. A period of non-weight bearing with crutches may be helpful along with the use of anti-inflammatory medications. 

When the rest period is complete and the patient has remained pain-free for two weeks or so, supervised rehabilitation is initiated along with a gradual return to activity. Returning to activity too early or increasing the amount of activity too quickly may initiate the stress fracture process again. Care should be taken during the first four weeks since this is the most vulnerable time during a fracture’s reparative process.

Stress fractures can be difficult to manage, especially in the competitive athlete. Failing to recognize the possibility of a stress fracture or to follow a supervised rehabilitation plan can seriously delay athletes’ return to competition and/or predispose them to future stress fractures.

Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotics Clinic.

Academy Clinics has a special interest in high quality custom orthotics.



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