Posts for: February, 2013
Whether you are a marathon runner, weekend hiker, or active mother your sneakers get worn out over the course of time. The length of time may differ but the amount of miles you put on a sneaker determines the age of that shoe. Mileage can break down the cushioning and stability of the shoe and allow for less shock absorption over time. Your legs and joints will begin to feel the impact and injuries may occur due to extra stress placed on them.
Your shoes are broken down into 2 major parts, the midsole and outer soul. The midsole, where the cushioning and stability is provided, usually is the first place to show signs of wear and can cause the most harm. Creasing of the insert will begin to show as well. The outer sole which is usually made of a carbon rubber is more difficult to wear down and will show wear in the later stages. It is only a matter of time before the outer sole has worn through to the midsole creating an uneven surface of the shoe.
You ask “how long does it take to wear out the midsole?” and the answer is usually 300 to 400 miles. Each person is different on the amount of time it will take to reach those miles. The surface of which you wear the shoe plays a huge role. More rigid ground with rocks and sand will wear out a shoe faster than that of a smooth and flat surface. Very active people will perform 300-400 miles in 3-4 months where less active people will lean more towards 6 months. A piece of advice is to sharpie the date you bought the shoes on the tongue. Give a glance at the date and think about how many miles you have gone since. If the mileage is over 400 it is time to replace!
Pop is not the sound you want to hear while shooting hoops! We all take our feet for granted until we hear that dreadful sound. Once that pop occurs you will be on the ground asking “why didn’t I take care of my foot pain earlier”! Most foot pain (plantar fasciitis) is felt months before a serious accident like a tear can occur.
The Los Angeles Lakers learned the hard way about a plantar fascia tear when power Forward Pau Gasol heard a pop in last week’s game against the Brooklyn Nets! Unfortunately this is not the first bout of foot pain for Gasol. The forward’s foot pain became persistent a few months ago which kept him on the bench more than on the court for the beginning of this season. The planter fascia, the ligament that runs along the bottom of the foot from the heel to the base of the toes, has been inflamed for quite some time. Rest would have been the optimal diagnosis to allow the inflamed ligament to heal but that is not always the answer for NBA Basketball players! Gasol commented after the Lakers vs. Nets game; “I tweaked my fascia in the first half, so I was dealing with quite a bit of soreness in the second half.” Shortly after that game an MRI confirmed that he does in fact have a torn plantar fascia in his right foot.
Gasol is anxious to return to the court to help the Lakers make it to the Playoffs but first he must pass a physical exam by his Physicians. The injury can keep him out for several weeks through the rest of the season if Physicians feel surgery is necessary. “I’m hoping to recover asap so I can be back with the team and keep fighting until the end of the season.” Gasol tweeted!
The best treatment for plantar fasciitis is icing, anti-inflammatories, and stretching. Refer to our heel stretches on our Doctors Favorite page to help combat foot pain. Also check out basketball injuries and plantar fasciitis information on our Common Complaints Page.
Foods rich in purines may raise your Uric Acid levels in your blood. Purines (a product of proteins) are found in certain meats, seafoods, and even vegetables. Below is a list of foods to watch out for. Attacks can occur when you have a little or a lot of an item and the amount that will cause an attack cannot be predetermined!
|Gout Trigger Foods: Moderation is key!|
|Trigger Foods||High in Purines increase the risk of elevated Uric Acid levels.|
|Poultry||Turkey, Goose, Wild Game|
|Organ Meats||Liver, Kidneys, Sweetbreads, Brains|
|Seafood||Herring, Tuna, Anchovies, Salmon, Sardines|
|Vegetables||Asparagus, Cauliflower, Spinach, Mushrooms|
|Yeast||Pastries, Cakes, Breads, Bagels, Brewer's Yeast|
|Alcohol||Beer, Wine, Whiskey, Malt Liquors|
|Sugar Drinks||High fructose corn syrup, Non- diet sodas, "Fruit" drinks|
|* The above foods may trigger a gout attack if your Uric Acid levels should be too high.|
|* Consume these foods in moderation to prevent an attack.|
|* Visit our blog posted on 2-15-2013 for more information!|
Gout also known as the “rich man’s disease” affects people of all shapes, sizes, and ages and doesn’t take any prisoners when an attack occurs!
Gout, also known as gouty arthritis, is a common ailment that the Doctor evaluates and treats. It affects the joints when there is a buildup of uric acid in the body. Be careful because gout can cause irreversible damage to the affected joint. The affected area may become swollen, red, warm to the touch, and very painful. The pain can be powerful and definitely an experience you will not forget or want to happen again! Patients with kidney issues can spur on attacks easier and faster than those with healthy kidneys because they naturally flush uric acid through the body before crystals can form. Gout seems to start in the big toe and can spread rapidly to other areas including the foot, knee, and ankle, etc. A flare up can happen in a blink of an eye and without warning! Seeing a Podiatrist will allow you to get proper medication, relief, and prevent irreversible damage.
Knowledge is power and knowing the trigger foods and other trigger methods that spur on an attack can help Patients prevent them. Each person is different and what affects one person is not the same for another. Unfortunately there is not a “magic” test Patients can take to see what their trigger foods are. If an attack occurs the best thing to do is cut back on purine rich foods such as seafood, meat and beer. Purine rich foods inhibit the body to break down uric acid properly. Also drink plenty of liquids to allow the body to continuously move uric acid through.
Valentine’s Day is rapidly approaching and many ladies are deciding what color they should paint their toenails. Before you apply your next nail color the Doctor recommends giving your nails a chance to “breath”. It is healthy for toenails to be polish free for a few days before reapplying. Also take this opportunity to look for anything unusual that possibly needs to be examined by a Doctor. Nails can be pretty in pink but if not taken care of properly unwanted conditions may arise!