APMA demands retraction of Arizona congressman’s statements

John Shadegg, a Republican congressman from Arizona, recently referred to podiatry as an "esoteric demand that most people don't have or don't need," equating the field to such alternative medicine practices as acupuncture and aromatherapy. The American Podiatric Medical Association has fired back at the congressman, demanding a retraction of the remarks made.

In a press release issued Friday, APMA President Ronald D. Jenson, DPM, said “It is appalling to find someone who serves on the House of Republican Health Care Task Force so uninformed about the podiatry profession and the valuable role of a podiatric physician in the delivery of essential medical and surgical foot and ankle care. We are on the front lines of diabetes management. Without our services and comprehensive diabetes foot care, lower-leg amputations would soar”.

These figures that Dr. Jenson points to include the $19 billion spent in 2007 on the care of diabetic foot ulcers alone. It is estimated that up to 85% of non-traumatic lower extremity amputations could have been avoided by the early detection of such conditions by a podiatric physician.

Podiatrists are often the first to detect diseases such as peripheral vascular disease, deep vein thrombosis, and diabetes, all of which are potentially life-threatening illnesses. To equate podiatry to alternative medicine choices such as acupuncture and aromatherapy is a slap in the face to the thousands of podiatrists in this country who have completed a four-year education in addition to a residency training program. Stumbling through an interview and throwing around rhetoric like this, as Mr. Shadegg has, is a great misstep and epitomizes the misinformation that opponents of healthcare reform have been spreading in the past few months.

Beyond the press release issued on Friday, the APMA has taken further action to set the record straight. APMA president-elect Kathleen M. Stone, DPM, is demanding a personal meeting with Congressman Shadegg, and is sending letters to Arizona newspapers. The APMA will also encourage the podiatric medical school at Midwestern University in Glendale, Arizona to extend an invitation to the congressman to tour the facilities and learn more about the profession.

Healthcare reform has been making prominent headlines all summer. It is important for people following the news to know what is real, and what is not real. Facts are easily blurred by sensationalism and rhetoric. To have a true understanding of what healthcare reform means, it is important to do plenty of research on the topic. A great article was recently published in the New York Times, called “A Primer on the Details of Health Care Reform”. If you are interested in learning more about the topic, this is a good place to start.

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

“Shocking” News on Electrotherapy

Ever seen those late night advertisements promising you six-pack abs from sitting on the couch with an electric stimulator? Well, they don’t work. But electrotherapy is widely recognized as being a useful tool in rehabilitation. It won’t give you rock-hard muscles without the work, but it is often used in physical therapy to help alleviate pain, control inflammation, and stimulate muscles that are underdeveloped.

The American Physical Therapy Association recognizes electrotherapy as an effective method of reducing edema that is often associated with an injury. Research shows that the low-level electric current can induce blood and lymphatic flow. The stagnancy of these fluids is what is known as edema, when there is an accumulation of fluid underneath the skin. Edema is commonly seen in acute injury, or in chronic conditions such as lymphedema.

Underdeveloped muscles may be stimulated with neuromuscular electrostimulation (NMES) devices. Essentially what these devices do is send an impulse through the skin to the underlying muscles. For people that have significant muscle atrophy, or weakening of the muscles, this stimulation can help tone the muscles. NMES devices are really only effective on people who have a less than normal level of muscle tone, and they are capable of bringing those muscles up to a more normal level of tone. NMES devices are not a replacement for exercise and strength training, as some marketing companies may have you believe.

Another popular use of electrotherapy in the realm of physical therapy is for pain management. In particular, a device known as a trans-epidermal neurostimulator (TENS) device may be used. This category of equipment sends electric impulses across the skin, but not deep enough to stimulate the muscle lying deeper under the skin. The TENS device activates certain nerve fibers that are responsible for feeling vibrations and deeper impulses. When these nerve fibers are activated, they send signals to the brain that the body is experiencing this sense of vibration. This effectively masks the feeling of pain, which is sent by a different group of nerve fibers. Of course, it is important to recognize the original cause of the pain. Simply masking the pain is only a temporary relief, but it is relief nonetheless.

Another common use of electrotherapy is in the administration of pain medications. Through a process called iontophoresis, physical therapists as well as physicians are able to administer pain medication across the skin, without the use of oral medications or intravenous medications. This allows the patient to receive pain medications directly at the site of pain.

Electrotherapy is becoming more commonly used in health care. There is a lot of evidence from research that shows it is effective, and physical therapists in particular use it quite a bit.

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Summer Sunburns

Backyard barbecues, sitting by the pool and more fun in the sun are all signs that the summer months are here. But nothing can ruin a summer day faster than a sunburn. That painful, red, and swollen patch of skin can really put a damper on your plans, especially when your plans are to stay outside for even longer, making the burn even worse. Here are a few tips to avoiding sunburn this summer, and some remedies that may help if you do get a burn.

Sunburn is caused by too much exposure to ultraviolet light emitted by the sun. This UV light, when absorbed by the skin, causes melanin in the skin to be produced at a higher rate. Melanin is responsible for the darkening of skin, which will cause a tan. A tan is the body’s natural way of defending itself against additional UV light, but it can only do so much. Here are a few more ways to protect your self against UV light and sunburns:

§ Use sunscreen. This is perhaps the most effective way to prevent sunburn and the damage caused by UV rays. Use a sunscreen with SPF 30 or more, and apply frequently and liberally. Its best to apply sunscreen 30 minutes before going outside, and reapply every two hours, or after getting wet or sweating heavily.

§ Cover Your Skin. Throw on a hat to cover up your face. A wide brimmed hat, like a sunhat, will also protect your ears and the back of your neck, more than a baseball cap will. Wear tight-woven clothing to minimize the exposure to your skin also, especially if you will be out in the sun for an extended period of time.

§ Wear Sunglasses. It’s pretty hard to protect your eyes with sunscreen, so wear sunglasses when you’re outside. Look for a pair that blocks 99 or 100 percent of UVA and UVB rays – these are the frequencies of ultraviolet light that are most damaging to the eyes.

§ Avoid the Sun Between 10 a.m. and 4 p.m. These are the peak hours for the sun’s strength, so if you can, try to minimize your sun exposure during these hours. Schedule outdoor activities outside of these hours if at all possible.

If it’s too late, and you’re already burned, relief is possible. It’s hard to minimize the skin damage following sunburn, but some of the pain can be relieved:

§ Take anti-inflammatory medications, such as aspirin or ibuprofen. These drugs will help decrease the inflammation in the burned area, thus decreasing some of the pain.

§ Apply a cool rag to the area, or a cold compress to the area to relieve some of the pain associated with sunburn.

§ Apply aloe or moisturizing cream to the area. The skin may start peeling after a few days, so continue to use moisturizing cream as this happens. You can also use a light hydrocortisone cream, .5% or 1% concentration, to the area. This may help reduce some of the inflammation as well.

§ If blisters form, don’t pop them. Opening up the blisters will increase the risk of infection. If many blisters form, or if the blisters ooze and break on their own, apply an antibiotic cream to the area.

§ Drink plenty of fluids. Dehydration is often associated with sunburns, so drink plenty of fluids to remain properly hydrated.

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Foot and Ankle News

It’s been all over the blogs today, and now it’s made it to ours. You may have seen photos of Sarah Palin from an appearance she made at the Autism Speaks walk in Purchase, New York this past Sunday. What you may not have noticed were the ill-fitting high-heeled wedge style shoes she was wearing, or the paint-job she had on her big toes. Well, the Huffington Post certainly noticed this, and is currently holding a poll to see what it is that was painted on her nails. Photos show a blurry close-up of Palin’s feet, with some sort of design painted on. You can view the photos here, and cast your vote as to what you think the design is.

As a side note, there has been a vicious battle developing between Palin and late night talk show host David Letterman. On Letterman’s show this past Tuesday, he made some comments regarding Palin’s trip to New York, highlighting this in his nightly Top Ten list. Sarah Palin supporters were outraged at the jokes made, and Palin herself responded to the jokes by calling Letterman “pretty pathetic”.

In other news, recently nominated Supreme Court Justice Sonia Sotomayor broke her ankle while rushing through LaGuardia airport in New York. The incident took place on Monday. Sotomayor was on her way to Washington, D.C., and received medical attention for the small fracture in her right ankle upon landing.

Sotomayor was able to keep her six appointments in Washington with various senators. She apparently even stopped by the White House for an appointment before getting x-rays on her foot and ankle. She was treated by George Washington University Medical Faculty, who released her that day.

After receiving treatment, Sotomayor attended several meetings wearing a cast from her foot up to just below her knee, with a black boot on it as well. The meetings were part job-interview, as Sotomayor has not been confirmed as Chief Justice yet, and partly a preview of what is to come in the confirmation hearings coming up. The cast that Sotomayor was donning certainly changed the tone of the meetings.

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Summer Feet

The summer months are finally here, and the weather is getting warmer every day. If you’re like me, you can’t wait to enjoy every minute of it. Here are a few tips on how to keep your feet healthy and happy this summer. They’re easy to follow, and they’ll let you enjoy your summer free of pain and worry.

ü Still wearing those old flip-flops from last year? Trade them in for a new pair. Or better yet, treat yourself to a pair of sandals that are recommended by the American Podiatric Medical Association. You can check out a complete list of these sandals and shoes here. Reusing the same old flip-flops with little to no support can set your feet and ankles up for all kinds of injuries. They’re great for the pool deck or the shower, but a sturdier sandal is better for prolonged use, especially at the beach.

ü If you’re going to be doing any gardening or yard work this summer, be sure to wear appropriate footwear. Socks and closed-toe shoes are a must. These will protect your feet against rocks, debris, and general mishaps that can happen while working outside.

ü You may want to opt for socks made from synthetic fibers instead of cotton this summer. Socks with synthetic fibers are made to wick away the moisture from your feet, instead of absorbing the moisture like a cotton sock does. Moisture-wicking socks can keep your feet dry and comfortable all day long.

ü Don’t forget the sunscreen! Many people forget to cover the tops of their feet with sunscreen while sitting in the sun all day. In fact, the feet are one of the quickest and easiest areas of the body to burn, so be sure to cover them up if you’re on the beach or sitting by the pool, or any time you’ll be wearing sandals.

ü Though it can be tempting, avoid walking barefoot outside. Walking barefoot exposes your feet to injury and infection, which can lead to a not-so-pleasant addition to your summer plans.

ü Be sure to clean and dry your feet thoroughly after a day at the beach or pool. Slipping wet, dirty feet into a sock may lead to foot fungus, bacteria, and general irritation.

ü When trimming your toenails, trim them straight across to help minimize the risk of ingrown toenails. Ingrown toenails can become infected and painful, not to mention unsightly when wearing open-toe shoes.

ü If you notice any changes or pain in your feet or ankles, contact a podiatrist. Pain is never a normal thing, and should be dealt with quickly to avoid any further complication. Changes in the skin coloring, hair texture, or nail growth can be indicative of disease, and should be addressed immediately.

Keep your feet happy and healthy, and the rest of your body will be happy and healthy too! See our online store for selected sandals. Click Here!

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Not-So-Sunny Summer Shoes! Part 1

In order to accommodate all the diverse types of feet and personal preferences, footwear companies have developed an eclectic variation of shoes! It is probably safe to say there are more categories and styles of shoes available for women than there are for men! It probably comes as no surprise that a certain segment of the population (women, in particular are notorious for this) choose shoes based on their aesthetics first, comfort last. Personal taste should not be the only factor when it comes to purchasing footwear. Foot support, protection, and comfort should play the deciding roles! Certain styles of shoes should be avoided since they do not provide the above attributes and thus lead to foot pathologies! 

            The American Podiatric Medical Association conducted a survey and found that 82% of women are willing to sacrifice their foot health in the name of fashion! As much as shoes are considered art, shoes are also pieces of engineering. Each style of shoe has its own anatomy and is designed to accommodate your feet. However, not all shoes accommodate your foot properly or safely. 

Some of this summer’s top fashion trends are some of the worst styles for your feet. They cause problems ranging from minor irritation to bony changes that may require surgical intervention to correct! Despite the many ailments that certain varieties of shoes cause, health professionals have found it very difficult to sway women away from their beloved shoes.  Wearing shoes should not yield stress, pain and/or discomfort and place your foot in jeopardy. It is up to you to follow your healthcare provider’s advice on proper shoe gear and preservation of foot health! The best way to discourage the buying shoes that negatively impact foot health is to illustrate how a shoe can adversely affect your foot! Do not spend money on footwear that will destroy the integrity of your feet! Remember thatfeasible, fashion-forward shoes are the fad!

Take at the chart look below to see if your shoes match up with any of the styles listed! Check out the possible problems and some handy solutions that will help keep your feet in tip-top shape! 

Central Florida Foot and Ankle Center
101 6th St Nw
Winter Haven, Fl 33881
Phone: (863) 299-4551
www.FLFootandAnkle.com

Not-So-Sunny Summer Shoes! Part 2

Click Here for Larger Image

Gladiator-style sandals

            Gladiator sandals may cause blisters because the straps are located in areas where the foot can rub against it. The repeated friction irritates the foot and leads to blister formation. In addition, foot circulation can be compromised if the straps are placed too tight upon the foot. In many shoes straps are often associated with foot stability, but with this particular style this is not the case. This false sense of security can cause ankle sprains. Many gladiator sandals do not have adequate arch support and extended wear of these shoes can lead to arch pain.

Platforms

            Ankle sprains are common in shoes that do not have adequate stability. The increased height of platform shoes may lead to ankle rolling incidences and cause the wearer to lose balance and fall. Plus, these shoes do not function in shock absorption. As a result, pain may be experienced all through the lower extremity, hips, and lower back.

Wedged heels/Espadrilles

            Wearing shoes that elevate the heel is another way to compromise the stability of your ankle and then sprain it. The foot wobbles as a result of the heel height and leads to the off-balance that is implicated in ankle sprain. Metatarsalgia (pain at the ball of the foot) is also associated with this type of shoe because the elevation of the heel forces all the body weight onto your forefoot. The whole foot is designed to bear body weight, not just a portion of it!

Fashion sneakers

            Just because these shoes are called “sneakers” does not mean they are good for your feet! This foot wear typically has poor construction: too much flexibility and insufficient arch support.  The lack of arch support is what contributes to arch pain. In addition, the materials used in the construction of these shoes typically do not allow the foot to breathe.  So moisture from the foot gets trapped in the shoe leads to bromohidrosis (foot odor) and a fungus breeding ground leading to athlete’s foot.

Slingbacks

            Slingbacks cause pain at the toes because the elevated nature of the shoe pushes your forefoot into the cramped front portion of the shoe. Blisters occur at the region of the strap because the foot rubs up against the material. Also, ankle twisting is a problem with slingbacks since the heel inappropriately moves from side to side during walking.

Ballet flats/Slides

            These dainty shoes are not exactly the best shoes for your feet! The flat nature of ballet flats/slides and their lack of arch support places excessive pressure on the arch of the foot. Plantar fasciitis (pain from the arch to the heel) is a common result of inadequate arch support. Due to insufficient shock absorptive materials in the shoe, the heel ends up absorbing impact while walking leading to heel pain.

Follow these pieces of advice to ensure that you start your summer on the right step! No matter what the latest style trend is; happy, healthy feet are always in fashion!

Click Here to see shoe types and their adverse effects

Central Florida Foot and Ankle Center
101 6th St Nw
Winter Haven, Fl 33881
Phone: (863) 299-4551
www.FLFootandAnkle.com

The Wonders of the PedEgg!

Before venturing off into describing this miracle foot care device, it may be beneficial to dive into some terminology that is associated with the PedEgg!

Callus or Hyperkeratosis – an accumulation of dead skin cells that is usually found on the bottom of feet which over time starts to toughen up into a thickened layer of skin, calluses are formed in areas of your body that are prone to constant friction

Foot File – a bidirectional instrument specifically designed to remove calluses and smooth the skin of the feet

Foot Rasp – a unidirectional device designed to smooth away the rough, hardened skin from the feet

Friction – a force that resists motion whenever the surfaces of two objects rub against each other

 

            Exactly why do we have calluses? Calluses are formed in response to friction that may be caused by skin rubbing up against a shoe. The thick layer of skin in a callus is your body’s response to those forces and serves as a cushion against the harmful force your foot encounters. The most common places for callus formation are on the heel, ball of the foot, and/or underneath the big toe.

 

            Now that the fundamentals of callus formation and some instruments of callus reduction have been covered, let’s talk about the PedEgg device! The PedEgg is a foot file that allows you to quickly and safely minimize that buildup of skin at the bottom of your foot; it is basically a “callus grater!”

 

This device is easy to use and efficiently files down callus size as well as dry skin leaving the bottoms of your feet extremely smooth. It has over 100 files that work to reduce the size of the callus! This tool also collects and retains all the skin flakes by storing them into a compartment, preventing the need to file your callus down in the bathroom or sweep up the skin shavings later. In addition, the egg-shape allows for easy gripping and the ergonomic placement of your hands so as to prevent uncomfortable positioning while filing down those calluses! Unfortunately, this device is not approved for the use by diabetic individuals and/or those who have poor circulation.

            The PedEgg is a wonderful device to keep your calluses in check in between visits to your podiatrist! It’ll allow you to have beautiful, smooth beach-ready feet in no time!

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Pregnancy and Your Feet Part 3

Pregnancy is a wonderful phenomenon that brings about so many changes in a woman. Every major body system undergoes alterations in anticipation of the baby’s development and arrival into the world!

            Pregnancy brings about certain foot changes such as edema, overpronation and increased foot size. Hormones cause almost all the changes that occur in a woman’s body due to pregnancy. Hormones are involved in almost every biological process including growth, immunity, metabolism, and reproduction. A hormone molecule acts like a little key that is secreted by a gland in the body into the blood. This key travels in the blood to link up with its matching lock elsewhere in the body to open up chemical processes like the manufacture of a certain protein, the multiplication of cell number or the stimulation of a chemical change.

Increased Foot Size

One of the key players in pregnancy is the hormone relaxin. The purpose of relaxin is to relax the tissues that bind the bones of pelvis together. By loosening up the pelvic connective tissue, the body will allow for the passage of the baby through the birth canal. However, relaxin does not just affect the pelvis.

Relaxin increases foot size because it loosens the hold of the ligaments in the foot. (Ligaments are tissues that connect bone to bone.) As a result, the arch of the foot starts to decrease in height and cause the foot to spread. Another reason that the foot grows in size is due to the increased pressure on it as a result of weight gain. The extra weight stems from the body hormones that amplify breast size and uterus size as well as the growing baby. The pressure also decrease the arch and flatten out the foot. Scores of women have reported that their foot grows by a half-size or more during pregnancy!

An array of foot problems can occur if you do not accommodate your increasing foot size! If you keep wearing tight footwear you can exhaust the muscles at the ball of your foot which play a role in keeping your toes straight! Also the jamming of your foot into tight shoes causes the development of corns, ingrown toenails, and bunions. 

The effects of additional weight and slack ligaments on your foot requires well-fitting shoes with good support. Start with over-the-counter arch supports to maintain the arch and minimize problems. Furthermore, make an appointment with your podiatrist to keep your foot health in check! They may prescribe custom orthoses and advise you on other courses of treatment!

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com

Pregnancy and Your Feet Part 2

The wonder of pregnancy does not just stem from the fact that there is another human growing within you, but the considerable and diverse internal and external changes occurring throughout the body! Unfortunately, not all of these changes are favorable as they may cause discomfort or pain. Pregnancy may cause a variety of uncomfortable foot conditions stemming from edema, overpronation, and increased foot size like varicose veins, foot pain and leg cramping. To ensure that your foot health remains optimal during pregnancy, it is important to educate yourself and talk to your podiatrist

Overpronation

            When the arch of an individual’s foot flattens out when weight is put on it, it is referred to as overpronation. Overpronation is seen in obese individuals, flat-footed people and in pregnant women. A person with this foot condition will find that their feet roll inwards while walking – which leads to all sorts of biomechanical effects such as ankle, knee and hip pain. All the joints in your leg work together to function in gait and balance and improper movement at the ankle will lead to the inappropriate delivery of forces up the leg and cause all sorts of problems.

            Pregnant women experience overpronation and its associated symptoms because of the weight gain and the resulting added pressure on the foot. Overpronation causes your walking experience to be unpleasant and strains the muscles in the foot, leg, and back. In addition, the plantar fascia (a fibrous connective tissue connecting your heel to your forefoot) will become inflamed causing painful plantar fasciitis. Other problems that can occur if overpronation is not corrected are bunions, tibialis posterior tendonitis, metatarsalgia and heel spurs!

            The good news about overpronation is that surgery is not required to correct it, however, if overpronation is not treated – it may lead to foot pathologies that will require surgery! Ready-made orthoses are available to treat overpronation. These will specifically be made to have arch support as well as rearfoot posting for the innermost surface of your foot. You can also make wise choices by selecting comfortable shoe gear that provides sufficient shock absorption and added support.

            If you find that your symptoms worsen, make an appointment with your podiatrist! They will fully evaluate your foot health and make appropriate recommendations! 

Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.com