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BEST FOOT FORWARD. Dr. L. Kelsey Armstrong, D.P.M., CSCS Board Certified, American Board of Multiple Specialties in Podiatry, Primary Care in Podiatric Medicine Armstrong Podiatry & Sports Health, PLLC Raleigh, NC 919-806-FOOT. PODIATRY. WHAT IS IT?
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BEST FOOT FORWARD Dr. L. Kelsey Armstrong, D.P.M., CSCS Board Certified, American Board of Multiple Specialties in Podiatry, Primary Care in Podiatric Medicine Armstrong Podiatry & Sports Health, PLLC Raleigh, NC 919-806-FOOT
PODIATRY • WHAT IS IT? • The medical profession that evaluates and treats the muscles, tendons, bones and skin of the foot and ankle and how it relates to the rest of the body • A podiatrist has at least six years of post- secondary education, including four years of medical training
Foot Problems • Plantar fasciitis (“heel pain”) • Neuroma (“pinched nerve”) • Posterior/anterior tibial tendonitis/tendonosis • Stress fractures • Ankle sprains • Ingrown toenail
Another sad fact about aging • The elasticity of connective tissue fibers (tendons, fascia, muscles) tend to deteriorate and shorten • The bony structures tends to get weaker
This tendency is accelerated by inactivity (IF YOU DON’T USE IT, YOU LOSE IT)
This tendency is also accelerated by our shoegear choices which reduces the activity of the muscles, ligaments, tendons, etc.
Solution #1: Shoegear • Supportive, comfortable shoegear is the key for prevention • Running shoes are the best (New Balance, Brooks, Reebok, Saucony) • Some good sandals, include Teva and Ecco brands • Some good casual/dress shoes include Rockport, Naot, Ecco, Dansko
Solution #1: Shoegear • If not enough, then additional support in shoegear may be needed, i.e., insoles or orthotics • Get the best recommendation for the correct shoegear by a podiatrist (who knows your feet better?) • Replace your shoegear every six to twelve months (depending on activity)
Solution #2: Stretch! Goal of stretching is to restore muscle to their normal length and beyond Gentle stretching is the most effective way: 30-40% of maximum perceived stretch OR until you feel the tension disappear Aim for about 60 seconds of stretching three times for each muscle group
Solution #3: Common sense • If you are already in a weakened state, do not expect your body to respond well to sudden bursts of activity • If starting an exercise program, start slowly and gradually; best to be under the guidance of a fitness professional
May is Exercise is Medicine Month! • New initiative created by ACSM and AMA to promote exercise as important to health as any drug, injection or therapy • Encourage patients to get an exerciseprescription from their primary care physician • The primary care physician can refer to a fitness professional if necessary
Thank you for your time! www.armstrongpodnsportshealth.com armstrongpodnsportshealth@verizon.net armstrongpodnsportshealth.wordpress.com