Toning shoes are shoe like the MBT and Skecher Shape Ups that are supposed to help you tone up. they get endorsed by celebrities and promoted on late night television. They also get sued a lot as they do not deliver on the health gains that were promised and a lot of injuries happen while wearing there. They do appear that they may be helpful in some clinical conditions. Some research has shown they may have a potential for medial compartment knee osteoarthritis. A number of clinicians are using them for painful hallux rigidus. If you ignore the marketing hype, these shoes do have their uses.
A rupture of the Achilles tendon can be dramatic when it happens and there are plenty of videos on You Tube of it happening! It is more common in sports that put demands on both the ankle joint and knee joint at the same time such as tennis and football. What is interesting about the Achilles tendon rupture is all the discussion and research regarding the best approach to the treatment. The two options are the conservative one of putting the leg in cast or the surgical option of mending the tear. There are no clear guidelines as to which one is the best option and there has been plenty of research comparing the two. To date, it all shows that the outcomes of the two approaches are the same, so the choice of treatment really comes down to the personal preferences of the treating clinician.
Chinese foot binding is an old method used in China to bind the foot of girls and keep them bound so that the foot would not grow in size. This Chinese foot binding was that the small foot in Chinese culture was considered more erotic and a higher price could be obtained for a bride with a smaller foot. The foot binding practice has not been used in several generations, but there are still some older Chinese female still alive that were subjected to what really was a torture.
Posterior tibial tendonitis is a problem that is more common in athlete who spend more time on their forefoot (eg tennis; basketball; runners who forefoot strike). The discomfort of posterior tibial tendonitis usually occurs around the medial or inside ankle bone and sometimes down into the arch of the foot. The treatment of posterior tibial tendonitis is to alter the training routine in the athlete to within tolerance levels and use modalities to reduce the load in the tendon such as strapping and foot orthotics.
The Austin bunionectomy is probably the most common procedure used for treating bunions associated with hallux valgus. The Austin Bunionectomy is a combination procedure that involves the removal of the lump of the bunion and a wedge osteotomy of the first metatarsal to alter the alignment of the bone. Additionally, the Austin Bunionectomy also involves some soft tissue work around the first metatarsophalangeal joint to alter the pull of the tendons. A screw fixation is needed for the Austin Bunionectomy.
Toe walking is common in kids and can be insignificant or it can be of great importance. Many kids just like to walk around on their toes and have a full range of ankle joint motion so they can get the heel down to the ground and have no underlying problems causing the toe walking. However, in some kids the toe walking can be a sign of and underlying neurological problem (eg cerebral palsy) or behavioural problem (eg Autism). For that reason toe walking needs to be taken very seriously and thoroughly investigated to rule out any of those underlying causes. If there is no underlying problem, then the child will generally stop toe walking in due course.
We have been seeing more of the condition ‘TOFP’ (top of foot pain) as it has become known around the barefoot running community. This top of foot pain is a common injury in the barefoot or minimalist runner which is someone unusual given all the claims made that running this way is supposed to reduce injury. A cursory look at any number of the barefoot or minimalist running website and you see plenty of runners asking about this injury. The basic problem in this top of foot pain is that with the forefoot landing the dorsiflexion forces on the forefoot are too high and there is some jamming of the bones ad joints on the dorsum of the foot. The best way to manage this is to get back to heel striking so the forces causing it are not so high.
Baxters nerve entrapment is a problem that occurs at the heel and can often be misdiagnosed as plantar fasciitis. Complicating this is that he inflammation associated with plantar fasciitis can actually cause the Baxters neuritis! Differentiating between the two is important so that the treatment can be better directed. Plantar fasciitis is more painful in the morning compared to the Baxters neuropathy. The pain of a Baxters nerve entrapment tends to radiate more than the pain from plantar fasciitis. A unique feature of Baxters is that that those with it tend to have a problem abducting the little toe, however so do a lot of people so it is not that accurate.
The high arched or pes cavus foot provides challenges in clinical practice. The first thing that needs to be established is the cause of the pes cavus. Neurological causes need to be ruled out initially as this condition can be first sign of several different problems. The treatment of pes cavus will depend on the cause of any symptoms. The pain in pes cavus can be from pressure on the metatarsal heads, so accommodative type foot orthotics are often needed. If the pain is in the arch or heel, then more supportive foot orthotics are indicated. If the pain is further up the lower limb, functional foot orthotics may be needed to change the function of the foot. If the pain is on top of the foot, then footwear advice is often needed. If all else fails then pes cavus surgery is indicated.
Unfortunately there is no secret best running shoe! They are all good. Every runner is different. Every runner has a different foot type and structure. Every runner has a different running style. Every runner has different needs. Every running shoe make and model has different design features all designed to achieve different things and meet different characteristics. The secret (if there is one) is to match the characteristics and needs of the runner to the correct running shoes. Theoretically of you get the match wrong, there is a potential for increased injury risk and decreased performance. If you get the match right, then there is possible a decreased injury risk and a potential for increased performance. The challenge in running shoe prescribing is to get the match between the two right. It is not an easy task and best left to the speciality running shoes stores.
The Australian Podiatry Council (APodC) is the peak body for the podiatry profession in Australia. There are only six members, which are the State Podiatry Assocaition (NSW, Vic, Tas, SA, WA, Qld). APodC are headquartered in Melbourne, Victoria. The staff at the APodC office carry out national activities and goals whereas the state associations are responsible for state activities. See also ANZPAC.
The Ponsetti method for clubfoot is becoming the most popular method for treating clubfoot. It is a manipulative technique that does not need surgery. Gradual corrections are achieved through gentle manipulation and then plaster casts are applied to maintain that correction. This is repeated regularly for several months in the infant to achieve full correction of the deformity. A lot of research now supports the Ponsetti method for clubfoot.
I just noticed several questions being asked in some online forums about pitted keratolysis (see: pitted keratolysis). Pitted keratolysis is a condition that affects the soles of the feet. It mostly happens in those who sweat more especially if they wear closed in footwear. It is caused by corynebacteria infection that develops in the moist environment. It affects either the forefoot or the heel or both and appears as white with areas of punched-out pits or small cavities. They look a lot worse when the foot is wet. The primary treatment for pitted keratolysis is to deal with the hyperhidrosis or sweaty foot first. Occasionally a topical antibiotic, either topical or oral is needed if control of the hyperhidrosis is not successful in the treatment of pitted keratolysis.
The Weil Osteotomy is a common surgical procedure for problems in the forefoot such as plantar corns and calluses, plantarflexed metatarsals and problems commonly lumped under the term ‘metatarsalgia’. While the Weil Osteotomy is commonly used, it is also controversial and opinions are clearly divided on its usefulness. There have been a couple of online polls about this. Podiatry Online TV has some video clips on the Weil Osteotomy.
When we are first developing before birth, the foot is just a lump of cartilage. Inside that cartilage the individual bone develop separate from each other and the joints between them develop, so at birth we should have all the bones well on their way to being developed and the joint form. Sometimes a joint or joints between bones does not form and are joined by a bridge or cartilage. This is called a tarsal coalition. There are several types of tarsal coalitions, depending on which bones are involved. Two common one are the talocalcaneal coalition and the calcaneonavicular coalition. Initially these tend not to cause any problems as the cartilage is very flexible, but at the child gets older, they can become symptomatic as the bone becomes more developed. Foot orthotics can be used to restrict movement of the bones to help the symptoms. In most cases of tarsal coaltions a surgical removal of the bridge of bone connecting the bones across the joint can be helpful.