So, that\u2019s the three most common tendon problems around the ankle that I see.\u00a0 Does anybody have any questions about that?\u00a0 Yes, sir?<\/p>\n
[44:03]<\/p>\n
He asked what we think about the rocker sole shoe.\u00a0 In general, I like them for some specific problems.\u00a0 For people with ankle arthritis where they\u2019ve had arthritis in the middle of the foot or anything that decreases the up and down motion of your foot.\u00a0 Having a rocker sole helps you substitute for the motion that you\u2019ve lost.\u00a0 In those situations, it\u2019s very useful.<\/p>\n
They got marketed a lot, the Skechers was the real popular brand initially, and it had a pretty severe rocker.\u00a0 So, they marketed it quite a bit, and did you ever try them on?\u00a0 Of the Skechers?\u00a0 So, the thing about the Skechers is the middle part of it was really soft and squishy.\u00a0 So, some people like having that extra cushion.\u00a0 In the hospital, for a while, it seems like the nurses go through different fads because they\u2019re on their feet all the time.\u00a0 So, they were pretty popular for a while, just for people with heel pain, and I think it worked for some people.<\/p>\n
The reason they got into trouble, they took them off the market, was they were promoting them as a way to lose weight and change the tone of your legs and doing these things that I\u2019m not sure people agree with.\u00a0 So, they pulled it off the market, but just the concept of rocker sole is very helpful.\u00a0 If you go to a shoe store, you\u2019ll find a lot of different brands had those rocker soles.\u00a0 So, you can still find them, and they\u2019re pretty popular for a lot of different problems.<\/p>\n
Yes, ma\u2019am?<\/p>\n
[46:08]<\/p>\n
No, I don\u2019t think so.\u00a0 I think probably the only place where it may be harmful is if you have balance problems.\u00a0 You probably don\u2019t want a real severe rocker.\u00a0 So, just a little bit in the front and the back is okay, but otherwise, just a little bit in the front and the back is okay.<\/p>\n
Yes?<\/p>\n
[46:30]<\/p>\n
Clogs?\u00a0 I think they\u2019re comfortable.\u00a0 They\u2019re fine.\u00a0 In a simple way, I had a teacher one time, when people come in with sore feet, tell them to go walk a lot and get your feet really sore.\u00a0\u00a0 Then, go try on shoes.\u00a0 So, you find what\u2019s comfortable on your feet, but the clogs are, in the open back sense, really helpful for Achilles tendon.<\/p>\n
Yes, ma\u2019am?<\/p>\n
[47:03]<\/p>\n
Again, I think if they\u2019re comfortable, they\u2019re fine. I think the problem with the whole barefoot running craze and everything is it came out of this book that this guy wrote about barefoot running.\u00a0 These people live in the mountains, and they run barefoot their entire life.\u00a0 So, they\u2019re adapted to it so if someone like me decided to take up running, I\u2019d been wearing shoes for the last 50 years.\u00a0 If I start running barefoot, my feet are probably going to hurt.\u00a0 So, I think the whole theory is if you\u2019re barefoot, you use all the intrinsic muscles of your foot, and it helps maintain the general alignment of your foot because you\u2019re working all those muscles.\u00a0 I think, in general, a good supportive shoe is probably good.\u00a0 I would enter into the barefoot part with some caution.<\/p>\n
Yes?<\/p>\n
[48:20]<\/p>\n
Most of the studies, as long as the baby is otherwise normal, putting them in an arch support is not going to give them an arch if they weren\u2019t going to have an arch to begin with. As far as wearing shoes, I think you put them in shoes when they start walking just to protect their feet so they don\u2019t step on things, but I\u2019m not sure if I\u2019m answer your question all way.<\/p>\n
[49:04]<\/p>\n
I think there might be one, but realistically speaking, we live in a society that wears shoes.\u00a0 So, kids are probably going to wear shoes at some point.<\/p>\n
Yes, ma\u2019am?<\/p>\n
[49:37]<\/p>\n
For posterior tibial reconstruction?\u00a0 Usually for the first six to eight week, you\u2019re in some type of boot, and you\u2019re really not putting much weight on it.\u00a0 So, the first two months is probably the toughest.\u00a0 After the second month, you start putting weight on it.\u00a0 Hopefully, by the third month, you\u2019re putting a shoe on, and then, most people that have it are usually adults so they work.<\/p>\n
Your biggest restriction is in the first couple of months.\u00a0 Depending on what your job is, I mean if you\u2019re in a job where you\u2019re in an office and you sit all the time, it\u2019s not a big deal.\u00a0 If you\u2019re a nurse or you work on an assembly line where you\u2019re on your feet for 10 or 12 hours a day, it could be four to six months before you\u2019re ready to do anything like that.\u00a0 Usually, you\u2019re pretty functional and starting to get in a shoe by 2.5 to three months, and hopefully, you\u2019re crutches and cane are gone by three months.\u00a0 The only other point and I don\u2019t to scare anybody away if you\u2019re thinking of having surgery, but it takes a while to get used to the realignment of your foot.\u00a0 Usually, what I tell my patients is you\u2019re going to change the realignment of your foot, and the whole goal of the surgery is keep the deformity from getting any worse.<\/p>\n
Second, it takes a while when you realign those bones.\u00a0 Your bones have realigned over time, and it took you a while to get there.\u00a0 After you change the alignment to go all the way back, but I usually use my wife\u2019s grandmother as an example.\u00a0 She had a terrible flatfeet.\u00a0 I remember, I\u2019ve been married 20 years now, but back when I was dating my wife and I was doing my training, she said, \u201cCome look at my grandma.\u00a0 She had bad flatfeet, and I ought to get it fixed.\u201d\u00a0 She\u2019s had knee replacements, and she didn\u2019t want to go in.\u00a0 Well, she\u2019s still alive.\u00a0 She\u2019s 90 years old now, and she can\u2019t walk because her feet have completely come off her legs.\u00a0 So, the deformities do tend to get worse if you don\u2019t do anything about them.<\/p>\n
So, in the greater scheme of things, you have to think.\u00a0 People\u2019s life expectancy and the length of time they\u2019re staying active.\u00a0 You can\u2019t really just say, \u201cYou\u2019re 68 years old.\u00a0 You\u2019re probably going to die in a year or two, and you don\u2019t have to bother with it.\u201d People are living much longer, and they\u2019re much more active.\u00a0 So, you want to try and make your activities pleasant.<\/p>\n
Yes?\u00a0 You, back there.<\/p>\n
[52:45]<\/p>\n
Plantar fasciitis is pain on the bottom of the heel as the surface is hitting the floor.\u00a0 If I knew that cause I probably wouldn\u2019t have to be here.\u00a0 I would be rich.\u00a0 I wouldn\u2019t need to be working anymore.\u00a0 The cause is the plantar fascia is not a tendon, but it\u2019s a soft tissue.\u00a0 It attaches on the bottom of your heel.\u00a0 The plantar fascia attaches right there on the bottom of your heel.\u00a0 So, there\u2019s your Achilles tendon where it goes in, and the plantar fascia\u2019s right there.\u00a0 The plantar fascia also helps support your arch.<\/p>\n
Again, the most common presentation is in middle age.\u00a0 That attachment where it attaches to the heel start wearing out, and it starts breaking down.\u00a0 I don\u2019t have an answer as to why it\u2019s so painful, but it\u2019s painful if you have it.\u00a0 The thing you have to keep telling yourself is that it naturally goes away.\u00a0 Most of the treatments that you\u2019re doing is to treat the symptoms until it goes away.\u00a0 So, you have to be careful with the treatments that you use.\u00a0 You don\u2019t want to be the guy to get surgery on it, and then, you\u2019re worse off than you were before.<\/p>\n
You have to be a little careful with the cortisone shots. The studies that have been done on the cortisone injection shoes that it gives you a little bit of short-term relief.\u00a0 It doesn\u2019t change the time it takes to get over it.\u00a0 So, the study that I quote to people is that the treatment is symptomatic.\u00a0 So, you take Motrin\u00ae or Tylenol\u00ae for pain.\u00a0 You use some type of cushion or arch in your shoe.\u00a0 If you\u2019re stretching, physical therapy is helpful because of the ultrasound.\u00a0 Occasionally, people will try out night splints which keeps you stretched out at night.\u00a0 If you do all that, the natural history is that 95% of people get over it within 11 months.\u00a0 Now, 11 months is a long time.<\/p>\n
[55:15]<\/p>\n
It\u2019s okay to have some pain when you\u2019re doing things. You shouldn\u2019t be miserable the next day.\u00a0 So, to try and push through the pain, it\u2019s probably okay, but I don\u2019t think you want to push yourself to where you can\u2019t do your normal activity.\u00a0 The other part of stretching though that other people have shown makes a big difference when you go to a therapist.\u00a0 Usually they have you stretching your calves, doing this. The other thing you need to do is, can I demonstrate on you?<\/p>\n
Keep your foot up there.\u00a0 Take your foot and put it on your knee.\u00a0 Take your foot there, and then you grab your toes.\u00a0 Then, you pull all your toes up so you\u2019re really stretching the arch on your foot.\u00a0 Then, you can take an ice cube or some type of ice massage and massage it there.\u00a0 That\u2019s been shown to make a difference better than just regular stretching.<\/p>\n
[56:13]<\/p>\n
Yeah. I think what you find with a lot of these tendon problems and massages and different types of physical therapy is that it just increases blood flow, and increase in the blood flow is good.<\/p>\n
Yes?<\/p>\n
[56:30]<\/p>\n
Probably not, but I usually try and get people to do, if you\u2019re a runner, try to get you to cross train on an elliptical or a rowing machine or something where you\u2019re not doing impact.\u00a0 So, it\u2019s good to cross train a little bit.<\/p>\n
Yes, ma\u2019am?<\/p>\n
[57:12]<\/p>\n
Shin splints is a real generic term like back pain.\u00a0 So, shin splint, one of the things that you want to make sure is that you don\u2019t have stress fracture.\u00a0 If you have that pain on the front of your leg, it probably warrants getting an X-ray and making sure you don\u2019t have a stress fracture.\u00a0 The causes of it, of posterior tibial tendonitis, we talked about it.\u00a0 Sometimes, that\u2019s the cause of it.\u00a0 Sometimes, you get inflammation of the covering of the bone.\u00a0 This is called periostitis.\u00a0 It\u2019s usually related to activity, and again, it seems like the people who complain about that the most are people who are big runners.<\/p>\n
So, again, when you\u2019re rehabbing them, the surface they\u2019re running on, you might change their shoes.\u00a0 People use elastic sleeves.\u00a0 Get them to swim or bike or do other things so you don\u2019t have the same pounding, but it\u2019s generally an overuse syndrome.<\/p>\n
You\u2019re probably on crutches for four to six weeks.\u00a0 Hopefully, back in the shoe by two to three months.\u00a0 For all the Achilles tendon surgery, we have a regimented protocol where each week they give you a little bit more to do.\u00a0 On the first couple of weeks, you might be on a stationary bike, and you build up.\u00a0 Usually, by 2.5 to 3 months, you can do light jogging on a treatdmill.<\/p>\n
Yes, ma\u2019am?<\/p>\n
[58:50]<\/p>\n
She asked what happens if a tendon tears and winds up in your calf.\u00a0 How can you get along without it because that\u2019s what happened to my leg? It was a sharp pain, and there was a knot in my calf.\u00a0 I went to a chiropractor and he said it broke down there, and it just rolled up.\u00a0 I never did anything.\u00a0 It just went away.\u00a0 So, what happened to that tendon?\u00a0 How can I get along without it?<\/i><\/p>\n
Don\u2019t eating anything tonight.\u00a0 I\u2019ll meet you tomorrow, and we\u2019ll fix it.\u00a0 So, people can walk without an Achilles tendon.\u00a0 Where you would feel it the most is in fast walking.\u00a0 If you do any type of sports or jumping things.\u00a0 You probably notice that you can walk okay, but it definitely changed the way you walk.\u00a0 Would that be true enough? Is one calf a little bit smaller than the other?<\/p>\n","protected":false},"excerpt":{"rendered":"
So, that\u2019s the three most common tendon problems around the ankle that I see.\u00a0 Does anybody have any questions about that?\u00a0 Yes, sir? [44:03] He asked what we think about the rocker sole shoe.\u00a0 In general, I like them for some specific problems.\u00a0 For people with ankle arthritis where they\u2019ve had arthritis in the middle […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/posts\/106"}],"collection":[{"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/comments?post=106"}],"version-history":[{"count":1,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/posts\/106\/revisions"}],"predecessor-version":[{"id":107,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/posts\/106\/revisions\/107"}],"wp:attachment":[{"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/media?parent=106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/categories?post=106"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/footdetox.org\/pads\/wp-json\/wp\/v2\/tags?post=106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}