Foot News Blog

The alignment of the leg to the foot bears a significant effect on development of foot deformity and potential pain.  Women tend to have more variations in knee alignment than men.  Women possess wider hips, to allow for child bearing.  As a result, the thigh bone (femur) extends down from the hip at more of an angle, as opposed to a straight line perpendicular to the ground.  When the thigh bone is angled, the position of "knock knees" develops.  In some cases, the severity of knock knees can be so severe that pain can develop, including premature arthritis developing in the knee.  As the photo demonstrates, when the knees are "knocked" or nearly touching, this causes the center of gravity to fall medial (more towards the center of the body) to ankle.  This creates a constant potential of the arch collapsing, and pain and deformity as a result. 

The development of a fallen arch can be quite a debilitating problem, leading to potential chronic pain and possible need for surgery.  Those with a known knock knee position should seek custom orthotics, and wear them regularly.  Use of a good, sturdy, quality arch support (orthotic) is the best way to prevent the potential development of pain and foot deformity.  Furthermore, avoidance of walking barefoot and avoidance of flip flops, sandals, and house shoes can GREATLY minimize the potential problems often associated with those with knock knees.

Pee-Right in to the Future

Soon, we may able to simply pee in the toilet and find information only now available thru a urinalysis or from drawing blood.  How much benefit would there be from learning this information from simply peeing in the local public toilet!

I am pleased to have had 2 more cases attain significant relief with platelet rich plasma injection therapy.  Patient #1 had been treated by 2 other providers, and was recently told that nothing else could be done for his chronic foot pain.  Prior treatments included numerous steroid injections, physical therapy, rest, immobilization, as well as heel spur resection therapy.  Ultrasound revealed all findings suggestive of scarring of the plantar fascia (plantar fasciosis).  Following failed improvement with a few conservative treatment regimens, platelet rich plasma injection was performed.  Five weeks following PRP treatment, he was absolutely pain free.  As long as he wears his custom orthotics the large majority of the time, he should be pain free indefinitely!

Patient #2 has had chronic pain of the posterior heel for over 2 years, previously diagnosed as a heel spur.  Previous rupture of his other achilles tendon was a clear indication that both problems were the result of significant contracture of the muscles in the back of his leg.  To reduce the chronic inflammation of his left heel, PRP was recommended.  After one month in the walking cast following this treatment, he is now PAIN FREE!

The effectiveness of platelet rich plasma injection can not be understated!  If you suffer from chronic heel pain, either on the bottom or back of you heel, it is possible this modality may work for you!

Drug Stores, Wal-Mart, Walgreens, Happy Feet, Shoe Stores, Airplane Magazines, Late Night Infomercials

There are dozens upon dozens of retailers selling multiple styles and types of arch supports, all claiming "cushy feet, walking on clouds, Balance yourself, Level yourself, and Be Gellin'" among others.  One common theme among these arch supports is that of MARKETING.  I once attended a Home and Garden Show to find a booth with a lady selling plastic inserts out of a box.  Charging $75-80, she was explaining that her arch supports take the pressure off of the sciatic nerve, "which runs along the back, down in to the bottom of the heel."  Lady, you were about 2-3 feet away from being correct.  The sciatic nerve is no where NEAR the heel, and there is no nerve that runs down the back, down in to the bottom of the heel.  Most off the shelf inserts also have one other marketing factor in common.  MOST are packaged in a way that you can't squeeze them.  If you realized that the insert, sitting in the clear box, doesn't have the ability to resist you squeezing on the foam rubber arch support, how in the world is it supposed to support your body weight?  Simply, IT CAN'T!

A good arch support is just that.  If you don't have an arch, Jesus can't give you one, let alone a shoe insert from a drug store.  I once treated a woman with severe rheumatoid arthritis, who bought a hard plastic arch support, after being advised that it would "give her an arch."  She developed a pressure sore, requiring wound care to get it to heal. 

An arch support is just that, and if you don't have an arch to support, IT ISN'T GOING TO HELP.  Moreover, it MUST be of a sturdy enough material to keep its shape when you stand on it, yet flexible enough to "give" when stressing it, such as when running or coming down stairs.  Many foot problems can be effectively treated with a good quality arch support.  If you can squeeze the arch support between your finger tips, bend it across the middle, or twist the insert, it is not likely to help!

You can't find a better arch support than one that is custom molded to your foot, and the ONLY way to achieve this is with a custom orthotic from a podiatrist!

A custom orthotic functions to reduce, not remove, but reduce pressure in various areas of the foot, spreading body forces across the entire bottom of the foot.  Some insurance plans cover custom orthotics.  If you would like to determine if your insurance will cover orthotics, give us a call and we will find out!  Medicare and Medicaid will not cover custom molded orthotics.

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