Foot pain can make it seem impossible to lose weight. After all, who wants to exercise when they can’t even stay on their feet comfortably?
A recent study published in the Journal of Foot and Ankle Research found a “strong association” between obesity and chronic plantar heel pain. Over a two-year span, they examined whether changes in body weight corresponded with changes in foot pressure and if such fluctuations in body weight were associated with changes in foot pain intensity or limited function. The study confirmed an unfortunate fact: foot pain and weight gain are, indeed, closely connected. So what can we do with this information, and how can overweight individuals overcome such pain in order to reach a healthy weight?
Researchers at the Hospital for Special Surgery and Harvard Medical School recently took another look at the results of the Framingham Foot Study to see if there was a correlation between foot, knee, and hip pain. Their paper appeared in the Journal of the American Podiatric Medical Associationto provide practitioners with evidence-based guidelines for treating their patients. Not surprisingly, the study found what we have noticed in our NYC foot and ankle sports medicine clinic for years: there IS a significant association between foot pain and pain in the knees and hips.
Dr. Josef J. Geldwert isn’t just a doctor at The Center for Podiatric Care and Sports Medicine offices in Manhattan and White Plains; he is also a life-long distance runner with marathon training experience. For this reason, he is frequently consulted by athletes entering the Olympic trials and organizations like the NY Road Runners, in addition to working with events such as the NYC Triathlon.
Most people are surprised to learn that Dr. Geldwert is almost 70-years-old, as active as he is. “I love a good Central Park workout!” he confesses. He is particularly interested in the latest research about the many health benefits of running, not to mention ways to keep himself and his patients running well into old age.
Iowa State University researchers published a new review and analysis of existing research about the impact of exercise on premature death in the journal Progress in Cardiovascular Disease. Their findings validate the idea that running has huge benefits on life expectancy.
For many foot and ankle conditions, conservative treatment is the way to go. However, this is not necessarily the case for Achilles tendon ruptures. A study published in the American Journal of Sports Medicine in May 2017 linked nonoperative treatment of Achilles tendon ruptures with soleus muscle atrophy. NYC foot surgeons from The Center for Podiatric Care and Sports Medicine discuss the latest research.
In a recent study by the University of Georgia, researchers concluded that the caffeine in a morning cup of coffee can increase endurance by up to 24 percent. Their research indicated that a cup of coffee can have the same ergogenic benefits as a caffeine pill. Of course, there can be too much of a good thing. Our NYC podiatrists often treat runners who suffer from the ill effects of a pre-race caffeine boost, and runners should be aware of the possible health consequences of drinking excessive amounts of coffee.
“Regenerative medicine” is a branch of research that involves molecular biology, tissue engineering, and the process of replacing human cells, tissues, or organs to establish normal function. It has been decades since the first bone marrow and organ transplants, but advances in this science have unlocked new opportunities for more applications than the treatment of chronic diseases. The sports doctors at The Center for Podiatric Care & Sports Medicine in New York City use regenerative medicine to heal our patients’ sports injuries as well.
I think at this point we can all agree that barefoot running has taken the running world by storm. It’s everywhere you look: on the streets, on commercials, and on marathon runners (complementing their snazzy custom outfits). But until recently, there hasn’t been good evidence about barefoot running’s safety. Many athletes, podiatrists, trainers, and talking heads have touted its benefits, often citing very official-sounding biomechanical data. They argue that the foot and leg respond to the rigors of pad-less running by cushioning steps the way they were meant to be cushioned: with ankles, knees, and hips. After all, back in the caveman years we weren’t wearing padded sneakers. We were built for barefoot running!
To those non-doctors among us, medicine may seem like a rather tough nut. We think that everyday conditions that affect millions of people are pretty well understood. After all, there have been copious chances for doctors to examine and experiment, using trial and error to find the cures that work best. But like the rest of science, medicine is always changing. Sometimes the tenets we’ve held for years slowly erode under constant scrutiny. A scientific theory is only as good as its longevity, after all. Such has been the case with plantar fasciitis, an extremely common condition that may be quite different than we thought. This has some pretty dramatic implications for treatment.
Hallux rigidus surgery has made great strides over the past few decades (so to speak). Today there are a few popular options for hallux rigidus surgery, some of which we explored in yesterday’s post. And it’s a good thing: Hallux rigidus, like many foot and ankle ailments (and like snowflakes) is slightly different in each patient. While one arthritic toe may respond to the removal of bone spurs and nothing else (cheilectomy) others will require more dramatic treatment. There have been many advances in implant technologies, all with certain goals in mind: mobility of the big toe (MTP) joint, painlessness, and maintenance over several years. Implants are typically used in stage III and IV cases, when mobility is dramatically decreased and the patient is in pain that keeps him from participating in everyday activities.
“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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