Tag Archives: podiatrist

BUILD YOUR GAME FROM THE GROUND UP

golf stance

A powerful, and effective golf swing starts with a stable foundation. From a solid foundation the entire swing can be leveraged and a low handicap status can be achieved. The important but often overlooked foundation, are pain free and well-functioning feet and ankles. While there is a lot of discussion about back, hip and knee injuries in golf, most golf instructors will tell you that the power of a swing is created “from the ground up”.

Injuries to the great toe

At the end of follow through, the great toe of the dominant foot experiences an increase in pressure. This can cause a jamming of the toe into the top of the shoebox. With repetition, the area under the toenail can become injured causing blood to form or the nail to lift from the nail bed. These types of injuries should not be taken lightly. Even though the toe is a small portion of the body, if not treated injuries to this area can cause significant pain, infection and loss of function. Wearing proper fitting shoes and adjustments in the golf swing to prevent the irritation of the nail is necessary to eliminate recurrence.

Ankle Instability

Stability is an important factor in performance in both accuracy and distance, and is also a contributor to the amount of power generated. The lower body needs to be the stable foundation for the upper body during the rotation required for the backswing and the trail foot is expected to remain relatively stable during this rotation. The lateral, or outside of the ankle is a common site of injury for golfers and other athletes alike. Repetitive strain will cause laxity of the lateral ankle ligaments and predispose that ankle to easier spraining. Sprains of the ligaments can lead to weakness and a lack of stability in the golf swing and while walking on the uneven terrain of a golf course.

Golfing is a highly coordinated sport that, by its nature, is associated with risk of repetitive motion injuries. Being intentional about maintaining good foot form and taking care of a stable foundation can keep golfers free of injury and enjoy years on the course.

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Dr Jemaar Graham is a Board Certified Foot and Ankle Podiatrist at Sarasota Orthopedic Associates treating all related problems related to the foot and ankle with both surgical and conservative modalities. He joins the mission of SOA to get his patients back on their feet, back to work, back in the game, and back to life.

For the Ladies: HIGH HEEL HAZARDS

high heels louboutin high heels2

We know, we know. We can already hear you saying, “But I love my high heels”. Aesthetically, high heels make the shape of a woman’s leg more appealing yet it seems the prettiest shoes are the most dangerous. Unfortunately, high heels are the poorest shoe choice for your health, propelling your entire body out of alignment, and altering your gait. What’s a girl to do? We’re not suggesting you become a fashion “don’t”, however there are some things you should ponder before buying your next pair of high heels.

First, some facts:

  • Every day in the US, there are over 28,000 ankle sprains.
  • 55% of those go untreated as “just a sprain”.
  • An untreated sprain may lead to future instability, early arthritis, exercise difficulty, and balance issues
  • High heels pull the muscles and joints out of sync with the rest of your body, causing back and knee pain.
  • 42% of women 25-49 years of age wear heels daily; 34% of women over 50 wear them as well.
  • In 1986, 60% of women wore heels daily; that has decreased today to below 39%. Women are now opting for more comfort and there are many well- known brands offering sophisticated choices.
  • A 1” heel puts 22% of body weight on the ball of your foot; a 2” heel places 57% of your weight; and a 3” heel puts a whopping 76% of your body weight on the forward foot. Ouch.

high heel

So, how can you be fashionable and healthy at the same time? Some tips:

  • Avoid wearing high heels on a daily basis; vary your shoe choices to rotate heel heights.
  • When wearing heels, limit wear to 4 or 5 hours at a time.
  • Limit heel height to 2”; if you need more height, choose a platform with an incline of a couple inches. A “kitten” heel (a one inch, tapered skinny heel) is a fashionable alternative.
  • Avoid pointed toe boxes that squeeze your toes together; if you want a pointed look, make sure your toes have room in the toe box before the shoe tapers (a pointy toe high heel may cause ingrown toenails).
  • Our feet tend to expand as the day progresses so purchase shoes later in the day for the best fit.
  • Perform daily calf stretches.
  • Shoes that are too large may cause blisters from friction when walking; leather insoles will help keep your foot from sliding inside the shoe.
  • Choose a thicker heel rather than a skinny stiletto for better balance.
  • Many savvy shoe brands are making dressy flats so why not opt for a pair?

If your feet or ankles have suffered the wear and tear of time in high heels, the physicians at Sarasota Orthopedic Associates can help get you back on your feet. We have convenient locations in Sarasota, Lakewood Ranch, Venice, and Bradenton and are able to accommodate same day appointments when needed. For more information go to our website at www.SOA.md or give us a call at 941-951-2663. Our commitment is to get our patients back on their feet, back to work, back in the game, and back to life.

Sources: American Podiatric Medical Association; American Osteopathic Association; Medical Daily; Women’s Health

THE HUMAN FOOT: Engineering or Art?

Foot_care

Leonardo da Vinci was quoted as saying “The human foot is a masterpiece of engineering and a work of art”. He wasn’t kidding around considering a human foot contains 26 bones, 33 joints, and more than 100 muscles, tendons, and ligaments.

Because the foot is so intricate, there are so many things that can go awry; a break or fracture in any area can have an effect in another area of the body. In every case, an injury as serious as a fracture will mean the inability to bear any weight. This can be quite painful, offset balance, increase pressure on the opposite leg and joints, and even affect overall mood due to lack of exercise that may ensue. If not addressed quickly, a collapsed bone, severed ligament, or permanent deformity may develop.

In the case of breaks or fractures, foot treatment can be as straightforward as a cast or brace if treated quickly. A digital x-ray will indicate how to proceed. When an MRI is indicated, our office has a digital extremity MRI which means just the foot and ankle are inserted into the machine … no confining tube for your body! If the break is serious or ignored, surgery may be an option to offset the shift in the foot/ankle structure. Stress fractures may require protective footgear for a period of time.

Swelling is a sure sign that medical attention is in order, but it doesn’t always indicate a compromised bone. Swelling of the foot and ankle could be a result of an injury, but may also be caused by a medication, diet, pregnancy, or blood clot. Determining the source of swelling requires a medical diagnosis.

Some of the more common foot conditions we see at Sarasota Orthopedic Associates:

  • Fungal nail infections are hard to treat and unfortunately don’t go away without treatment.
  • Bunions occur at the base of the large toe forcing the toe to migrate toward the smaller ones.
  • Corns and calluses, or thick, hard areas of dead skin, are caused by friction or pressure.
  • Gout is actually a type of arthritis that occurs in the big toe.
  • Athlete’s foot is contagious, usually picked up by going barefoot in damp areas like a locker room.
  • Hammertoes can be painful, generally seen in any of the middle toes when bent at the middle joint. It is often hereditary.
  • Plantar fasciitis is often at the worst case in the morning and is noted with pain across the bottom of the foot.
  • There are more common foot conditions, and fortunately, they are generally correctable.

Our team of physicians at Sarasota Orthopedic Associates handles many types of extremity, joint, and back injuries. While all injuries are to be taken seriously, damage to the foot and ankle musculoskeletal system should be carefully monitored, as these injuries may cause challenges in other parts of the body. If you’ve had an accident and are seeking treatment, contact us today at 941-951-2663 to make an appointment. We have four locations and offer same day appointments when necessary. You may also make an appointment directly through our website at www.SOA.md   Just click on the button at the home page to request an appointment.

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Sources: www.SOA.md and WebMD