Once our foot doctors send our patients on their way, we hope that they are doing all they can to recover from a sprained ankle or broken foot efficiently. We put them into a walking boot and provide detailed instructions on rest and resuming weight-bearing activities, but we really have no way of knowing how they’re doing — unless they call to report ongoing pain or come back in for a subsequent evaluation. However, a new invention created by University of Delaware undergrads could soon change all that, making it easy to monitor foot injury recovery.1http://www.udel.edu/udaily/2016/jul/smartboot-071415.html
“Iron Cowboy” James Lawrence of Salt Lake City, Utah, earned his nickname when he landed in the Guinness Book of World Records for the most ironman races completed in 2012. The 36-year-old, famous for wearing a colorful cowboy hat while running, averaged just under 12 hours for all 30 events, which took place in 11 countries. Though he recalls his first marathon at age 28 as being an “awful” experience, his perseverance is an inspiration for many aspiring triathletes.1http://home.trainingpeaks.com/blog/article/an-interview-with-the-iron-cowboy-james-lawrence As our NYC-based podiatrists know, though, triathlon training is not without its fair share of foot perils.
What Happened to the Iron Cowboy?
The Iron Cowboy embarked upon one heck of a mission. Can the human body withstand a 2.4-mile swim, 112-mile bike, and a full 26.2-mile marathon every single day for over a month? Apparently, the answer is “yes,” as Lawrence just finished 50 ironman races in 50 states in 50 days as of July 25th.2http://www.wkow.com/story/29561023/2015/07/16/50-ironmans-in-50-states-in-50-days-the-iron-cowboy-takes-on-wisconsin His achievement not only secured him a position in the Guinness Book of World Records, but raised money for a childhood obesity charity as well.
A couple of years ago, we reported that Charcot foot — a weakening of the foot bones that leads to deformity — was evident in up to 2.5% of the diabetic population. Amazingly, though, researchers believe this number could actually be much higher — as many as 1 in every 1,000 diabetes patients could be dealing with undiagnosed symptoms. A new article published in Diabetic Medicine explains that Charcot foot remains “neglected” because it is not a condition traditionally “emphasized in medical training.”1http://onlinelibrary.wiley.com/doi/10.1111/dme.12754/full However, we are very familiar with all the various neuropathies and disorders associated with diabetic foot care here at our NYC podiatrist office. While Charcot foot rates may be increasing, there are new techniques available that offer greater hope for mobility.
All summer long, New York podiatrists see an average of 10-15 patients a day with flip-flop-related injuries. At The Center for Podiatric Care and Sports Medicine, we treat everything from acute emergencies to chronic pain issues. Flip-flops lack stability and arch support, which can lead to accidents. Flimsy straps dig into soft tissue, opening up the body for a host of infections and illnesses. In flip-flops your toes and heels are more open and exposed than with traditional shoes, offering more opportunities for injury, especially among the young and the elderly. Here are five of the most common flip-flop injuries we see at our Manhattan and Westchester practices.
Anyone following professional golf knows who Rory McIlroy is. Last year, the 26-year-old from Northern Ireland swept the PGA Tour awards, winning the Arnold Palmer Award, PGA Player of the Year, PGA Tour Player of the Year, the Vardon Trophy, and the Byron Nelson Award. The great Jack Nicklaus called McIlroy “an unbelievable talent,” adding: “I love his swing, I love his rhythm, I love his moxie.”1http://www.telegraph.co.uk/sport/golf/uspga/11017479/US-PGA-Championship-2014-Jack-Nicklaus-says-Rory-McIlroy-can-beat-his-record-of-majors.html Nine-time Major winner Gary Player said Rory McIlroy “could turn out to be the best player in the world in his time” and the NY Times says McIlroy has “the best swing in golf.”2http://www.nytimes.com/2015/04/05/magazine/rory-mcilroy-has-the-best-swing-in-golf.html?_r=1 There is even a video game named after him — EA Games’ Rory McIlroy PGA Tour (formerly known as the Tiger Woods PGA Tour). In 2015, he ranked 4th in the Masters Tournament, but his year was cut short by a severe left ankle injury.
Mr. Tan Wen Jie was a 21-year-old undergraduate student with painful bunions.1http://www.todayonline.com/daily-focus/health/bunion-surgery-now-offers-more-pros-cons?singlepage=true He’d had problems with the bony protrusions since he was 10, but it began to worsen significantly when he had a job that required him to be on his feet all day. He began shifting his gait to accommodate the bunions, which caused a stress fracture in his opposite foot. He found he was passing on outings with friends, unable to find footwear, and unable to do his regular exercises because of the pain. Patients like Tan Wen Jie, whose day-to-day activities are hindered, and who suffer tremendous toe joint pain are excellent candidates for bunion surgery. With advances in modern technology, patients with bunion pain no longer have to suffer.
The advancements in total ankle replacement surgery have been highlighted in the media over the last few years, with more and more patients coming forward to explain how a new ankle joint has changed their lives. The experienced board-certified podiatric surgeons at The Center for Podiatric Care and Sports Medicine in New York City do not take ankle surgery lightly, but they have seen countless cases where the benefits of total ankle replacement outweigh the risks. Here are a few stories shared in the media recently about patients whose lives were changed after undergoing this type of ankle surgery.
A new study published in the journal Medicine and Science in Sports and Exercise found that college athletes are almost twice as likely to suffer serious lower body injuries in the year following a concussion. Though the exact cause of the increased rate of ligament sprains, muscle strains, contusions and fractures was not identified, lead author Robert C. Lynall from the University of North Carolina, Chapel Hill says “balance deficits may linger beyond return to play after the concussion.” Additionally, concussions “may slightly slow the pathways in the brain related to muscular reaction time,” he told Reuters Health by email.
Foot odor is the elephant in the room: everyone notices, but no one speaks of it. While anyone’s feet will begin to stink when going sock-less in stuffy canvas, some feet may smell more than others. What gives? There are two components that directly contribute to the amount of stench a foot produces — sweat and bacteria.
The foot contains 250,000 sweat glands, so it’s not surprising that there is so much perspiration taking place. However, some people have a condition called hyperhidrosis that causes the feet to sweat more than normal. Other health conditions like low testosterone, low blood sugar, menopause, tuberculosis, malaria and cancer can all cause profuse sweating. There are a few things you can do at home to reduce sweat . Change sweaty socks halfway through the day, put cedar insoles in your shoes, choose more breathable shoes (like leather or sandals), buy moisture-wicking socks, and use absorbent foot powders.
The pungent stench itself comes from the bacteria feasting on sweat, defecating and reproducing. Gross, right? All feet have a microbial profile, but you want to make sure you are practicing good foot hygiene and addressing any bacterial or fungal infections promptly. Keeping the feet free from dead, dry skin cells and foot wounds like blisters will discourage bacterial colonization. You can also use antibacterial wipes, soak your feet in vinegar and water, and sanitize your shoes regularly. Beyond the home remedies, board-certified podiatrists at The Center for Podiatric Care and Sports Medicine in NYC can help you address the root causes of your foot odor problem using three advanced approaches.
Unfortunately, Ponce de Leon and other historic explorers never did find that elusive “Fountain of Youth,” so we are all prone to the worst degenerative disease of all — aging! Sure, you can get a little Botox for your face or pop a pill to manage other symptoms, but what can one do for aging feet? Furthermore, what effects of aging are normal, and what necessitate treatment by one of our NYC podiatrists? The Center For Podiatric Care and Sports Medicine explains all.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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