The heel has a fat pad beneath it to help absorb shock and provide cushioning while walking and running. To achieve that there has to be some good integrity of the tissues. Sometimes there can be an atrophy of that fat pad with a loss of those shock absorbing and cushioning properties which then become painful. The only way to treat this is to replace the fat pad. Injections or surgical implantation of “fat” is not yet a very viable option, but may be one day. The only other way to “replace” the fat is to use soft tissue supplements in the shoe as padding. Material like poron and silicone gels are typically used. Heel Fat Pad Atrophy is a long term problem and the fat pad can not regrow.
This was posted on Facebook:
It was caused following the use of a device that is available commercially for getting rid of heel callus. If you do this, be careful.
Fibromyalgia is a miserable disease to have. It is a chronic pain condition with trigger points throughout the body that people have to live with it, day in and day out. The cause is not clear but it is related to a genetic predisposition and sleep disturbances are a common characteristic. There are many different treatments that get touted for fibromyalgia but none of them are a hundred percent successful many good clinical trials have shown what is effective at helping some people some of the time but no treatment has been shown to be effective for all people with fibromyalgia all the time. This, unfortunately, opens up those with five fibromyalgia to the snake oil salesman who tout the magical curs – this is just a tax on wallets of those who are desperate for a cure for a condition that does not yet have a cure. The best that the treatments can offer is management to keep it under control.
When it comes to the foot, the pain from any foot condition is just worse than what it would normally be and things like planter fasciitis are very common. Podiatrist commonly treat this condition and certainly know that in those with fibromyalgia the pain is much worse.
There is one book that makes the claim that treatment of the foot by podiatry can cure fibromyalgia. This is certainly not the view of mainstream podiatry and there is no evidence that any sort of treatment of the foot can cure fibromyalgia. Obviously those with foot pain and fibromyalgia are going to feel better if the foot pain is treated, but that is something different than claims that are made in this book. The book consists of a large number of logical fallacies to make the arguments and nothing more than anecdotes with no science. Not recommended.
She has multiple sclerosis and runs. Watch what happens around the 49 second mark of the video to see what happens to her legs at the end of a race. It is worth watching until the end to see how it pans out.
This has become someone of a fad from time to time. The idea being of you work and socialize in high heel shoes, then why not do a workout in them to become conditioned to using them. The advantages are that you become more stringer and stable in the shoes that are inherently problematic, so are less likely to develop a problem. The disadvantage is that, the changes of a injury from a fall are high and maybe you should be working out in something that you do not spend much time in to get a more rounded muscle fitness from using different muscles. I do not know what to think of this except that if you are comfortable doing it, then do it.
Plantar fasciitis is a common problem, probably the most common skeletal problem seen by Podiatrists with many different approaches to its management. A new study just published compared stretching to strengthening in people with plantar fasciitis and found the strengthening group did better. There is some detail here on the strengthening exercises used, however all it not what it seems with the study as there were questions asked about it here and here. That does not mean that the strengthening exercises should not be done, it just means that we are not totally clear on the evidence.
Saddle bone deformity is a enlargement of bone on the top of the foot just in front of the ankle. That is the part of the foot that often gets referred to as the saddle. The technical name for this is a dorsal metatarsal cuneiform exostosis. Dorsal means top. The base of the first metatarsal and the medial cuneiform are the bones that are involved. Exostosis means enlargement of the bone, hence the name. There are a number of different causes for this, most of them biomechanical. The biggest problem with the saddle bone deformity is pressure on the enlarged bone from the shoe. This may cause a bursitis or may caused shooting pains from a pinched nerve or just be painful from the pressure. The best way to treat a saddle bone deformity is to remove the pressure causing the symptoms. Conservatively this can be with better fitting shoes and or pads shaped like a doughnut to get pressure off the enlarged bone. Surgically, the management is a removal of the enlarged bone.
There are so many podiatry and related conferences now that its difficult to pick and choose between which one to attend. You don’t want to miss out on anything, but then again you do not want to waste time and money at a conference you get nothing from. There are so many options online now to get ones information, that conferences probably do not have the impact that they once had. having said that, there are non-academic reasons for going to a conference. There are the social reasons and opportunity to visit all the trade exhibitors for the better content. I tend to stick to the conferences I know and the ones that I know a lot of people who I know are going to (ie the social reasons!). There are some good listing of conferences on this site, at ePodiatry (though it does need to be updated!) and at Podiapaedia.
I just started out here to blog about foot problems and foot care on Fridays. I did not see who I am as being that important, but since a few people have asked, this is me here. You can read about the clinic on PodiaPaedia and at Podiatrists Online or Podiatry Tradeshow. Here is our Yellow Pages listing, Yelp and Google+. No big deal.
Since about late 2009, there has been a trend to less is more in running shoes with a big movement towards minimalist footwear and barefoot running. Since about late 2012 there has been a a trend towards a lack of interest in this. Since that time there has been an increase in interest in the super padded or maximalist running shoes such as the Hoka One One. The minimalist/barefoot trend was driven by a lot of evangelists, books, magazine articles, websites, blogs and forums. Despite all the support, interest and minimalist running shoe sales have been dropping. Their is not much evangelicalism going on for the maximalist running shoes nor is there much support for it on websites and magazines and their is no book published promoting it. Despite that now, the Hoka One One maximalist super-padded running shoe is predicted to outsell the entire minimalist running shoe category this year.