Women are more prone to the most common ankle and foot sports injuries, according to Robert Shmerling M.D., writing for the Harvard Health Publications blog last month.1http://www.health.harvard.edu/blog/the-gender-gap-in-sports-injuries-201512038708#sthash.fVL2VOKj.dpuf Similar reports have been published recently, including an article on RunnersConnect.net, which claims women are 50% more likely to suffer Achilles tendinitis and other injuries.2http://runnersconnect.net/running-injury-prevention/running-injuries-in-women/ For sports medicine doctors, this opens up many questions. Why are women more likely to develop these types of injuries, and can anything be done about it? The Center for Podiatric Care and Sports Medicine in NYC works with a number of female athletes to diagnose, treat, and reduce injuries.
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
We’ve all been there before. The bus is leaving. There are three minutes until the flight starts boarding. The business meeting started 10 minutes ago. Your toddler suddenly runs full-throttle through a crowded restaurant. Running in high heels is not the ideal scenario, but it happens more often than we’d like. But think twice next time. Using gait analysis, researchers from Ningbo University in Zhejiang, China found that even short bursts of sprinting activity in heels can lead to long-lasting problems.
NY podiatrists often run into patients suffering from foot pain who are concerned about the side effects of taking oral medication to manage their condition.Fortunately, there are many non-invasive treatments for foot pain, including platelet rich plasma injections, laser treatments, and shockwave therapy. While we offer all of that here at The Center for Podiatric Care and Sports Medicine in New York City, we can also offer a safer alternative to drug therapy known as “compounded medications.”
When I was a soccer playing little kid, it seemed like everyone on my team had orthotics. I grew up in a suburb of Boston where girl’s soccer was something practically every family participated in. In a town with the huge number of affluent and educated doctors, the health of our feet was taken very seriously. It has become common knowledge that orthotics – shoe inserts designed to correct abnormalities in the feet and gait – help. It makes intuitive sense that supporting the feet in a customized way will fix in-grown problems, leading to healthier feet and, by extension, healthier bodies. This seems like it would be especially true for children whose foot problems are only just starting to influence their muscular and skeletal development. “Catch it early” is a mantra here just like it is elsewhere in medicine. The same goes for first-time runners who are worried about early injury. Unfortunately, new research suggests these inserts may not be as universally effective as we once thought.
Running is an interesting pastime. It’s something most of us can do: just put one foot in front of the other, and go. You don’t need lessons. Even small children intuitively know how to speed up their walking steps into running steps. Many other animals run too, so it may not seem like anything very extraordinary. But it turns out humans are particularly good at long distance locomotion. In the animal world, we’re excellent runners. According to evolutionary biologist Daniel Lieberman, human beings were born to run.
Are you ready for an out of body experience? Is a superhero going to blast your plantar fasciitis with his ray? Perhaps a sonic boom is about to ripple the air around your injury, triggering science fiction-y cellular regeneration. What if it’s a cyber wave, delivered through a mild mannered email newsletter? (Just touch your feet to the screen, this is the future!) Or maybe a medium is going to séance an evil spirit out of your foot, curing you with a good old-fashioned exorcism. There’s no doubt, the names we’re giving to our futuristic technologies are right out of the pages of the best comic books (which makes me think maybe some of these doctors are a little geekier than they let on.) Modern medicine is pretty incredible, and this plantar fasciitis therapy is right on the cutting edge. And no, I really didn’t intend a pun there. This is a therapy in which no cutting is required.
Any serious athlete knows that practice makes perfect. You’re focused, you’re determined, and you know you can make yourself better if only you work hard enough. So you train, and train, and train. You run, jump, stretch, lift weights, and practice for hours at a time. You visualize the game when you’re going to bed at night, and wake up ready to play the next morning. You’re a machine. You’re unstoppable. You’re seeing amazing results. Then you get tendonitis.
Botox isn’t just for your forehead wrinkles anymore! Actually, the botulinum toxin has been used for years to treat a variety of disorders (including treating foot pad loss and sweaty feet, believe it or not) but it’s only recently that it’s been used to treat plantar fasciitis, a particularly troublesome, common, and difficult to manage foot disorder. The problem accounts for one million doctor visits every year, accounting for 9% of all running injuries. So, any new treatment has the potential to help a lot of suffering people. In some cases the condition is temporary and it responds well to rest, ice, compression, and elevation (RICE). But, in other cases it becomes chronic, debilitating the sufferer for months or years.
Jenn F. on
Wednesday, February 13th, 2013
The frontier of science is always an exciting place. That’s where the God particle lives, where new species are discovered, and where revolutionary new cures emerge. Platelet rich plasma therapy (PRP) is one such innovation: something that may change foot science for many years to come. This new treatment is a product of the field of “orthobiologics,” a field that merges cutting edge technology with the body’s own in-grown healing mechanisms: harnessing and controlling our powerful healing—directing it where we need it most.
“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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