Correlation Between Childhood Obesity & Foot Problems

Obesity in a very real concern for America, especially in children and adolescents. Results from the 2007-2008 National Health and Nutrition Examination Survey (NHANES), using measured heights and weights, indicate that an estimated 17 percent of children and adolescents ages 2-19 years are obese.

It is well known that some concerns with childhood obesity are diabetes, high blood pressure, and high cholesterol. But what is not being discussed is the potential for obese children to develop a lower limb injury. There is a direct correlation of obese children and increased foot injuries.

A study was done on the subject and the findings were published in April 2010 in Pediatrics. 23,000 children aged 3-14 years old were studied. One is six children in the study was considered obese. The study found that obese children had more foot, leg, and ankle injuries that children of their own age and healthy weight.

Children and adolescents who are obese are damaging their feet and may have problems walking. These children had wider and longer feet than children of average weight, 15mm wider and 18mm longer. They also experience problems balancing, and need to walk at a slower pace.

If a child is already overweight and they happen to for example, have an inflammation of their growth plate, the chances of that child doing any type of physical activity greatly diminishes. In turn, the child becomes more sedentary and has the potential to even more weight. This can become a ‘catch 22'. By having children's feet looked at by a Podiatrist and having children's feet measured for proper footwear will lead to less problems.


Image by Gualsstin. (2013). Childhood Obesity. Retrieved from http://www.flickr.com/photos/57826041@N03/8409366544/

Clubfoot

A clubfoot is a congenital deformity involving one foot or both. The foot affected looks like it is rotated internally at the ankle. If a person doesn't get treatment for clubfoot, the person will appear to walk on their ankles or the sides of their feet. Clubfoot is a very common birth defect, affecting 1 in every 1,000 live births. Males are more prone to have this deformity than women. The ratio is 2:1.

Causes of Clubfoot

Genetic factors increase this deformity depending upon family history.
Breech presentation is another known cause, where the baby is born feet first.

Treatment of Clubfoot

Podiatrists treat clubfoot with manipulation. Braces, serial casting, or splints are used to hold the feet in orthodox positions and should begin within two weeks of birth. Even with successful treatment, the foot may be smaller than the other. In stretching and casting therapy, Podiatrists changes the cast multiple times over a few weeks to gradually stretch the tendons until the foot is in the correct position.

Another treatment is surgery. Tenotomy, which is the clipping of the Achilles tendon is needed in 80% of cases. Anterior Tibial Tendon Transfer, where the tendon is moved from the first toe to the third toe in order to release the inward traction on the foot is needed in 20% of cases.


Image by Richard Masoner. (2006). clubfeet. Retrieved from http://www.flickr.com/photos/bike/213777216/

4 Tips to Alleviate Bunion Pain

The simple fact that we wear shoes most of the day plays havoc on our feet. One common problem are bunions. I’ve blogged about Bunions and Bunionettes before, but if you need a little reminder, here’s a few symptoms:

Symptoms of Bunions & Bunionettes:

• Bump appears at the base of the big (for bunion) or fifth toe (for bunionette)
• Pain, especially when wearing shoes that press or rub against the bump
• Big toe points toward the second toe
• Swelling
• Redness

If you have a bunion on your foot, try these 4 techniques to alleviate the pain, swelling, and redness.

1. Foot bath. Soak your foot in cold water instead of hot water. This will minimize irritation. If you want to be fancy about it, buy a home foot spa. Otherwise the bath or a bin large enough to fit your foot will work nicely. Add a bit of Epsom salt and soak away. 
2. Stretching. Just like the rest of your muscles, toes need to be stretched out too. Not only will the muscles feel better, so will the joints. 
3. Shoes. Shoes tend to be a big culprit when it comes to bunions. The rubbing from the inside of the shoe can cause a bunion to occur. Purchase shoes that fit. Measure your feet at the store and look for wider width shoes. If you love a pair of shoes but it’s tight around the bunion, ask a shoe repair store to stretch the shoe in that spot. 
4. Toe spacers. They can be found at your local store. Toe spacers will help to reduce pain and inflammation. Pain relief gels and creams can also be helpful in relieving pain.

Image by Mark Belokopytov. (2006). Measuring a foot. Retrieved from http://www.flickr.com/photos/markb120/282343135/

Foot Fitness

Exercise is an important component to remaining healthy and leading an active lifestyle. Your feet are one of the most overlooked body parts when it comes to exercise. As you exercise, pay attention to what your feet are telling you.

Consult your physician before beginning any fitness program. This includes a complete physical and foot exam. This is especially important for those who are overweight, smoke, or haven't had a physical exam in a long time.

Proper fitness requires wearing the right clothes and shoes. Wear loose-fitting, light-colored and loosely woven clothing in hot weather and several layers of warm clothing in cold weather.

The American Podiatric Medical Association stresses the importance of foot care in exercising. People don't realize the tremendous pressure that is put on their feet while exercising. For example, a 150-pound jogger puts more than 150 tons of impact on his feet when running three miles.

Improper foot care during exercise is a contributing factor to some of the more than 300 foot ailments, according to the APMA.

The following are common ailments caused by improper foot care during exercise:
Athlete's foot;Blisters; Corns and calluses; and Heel pain (including heel spurs).

Take care of your feet when working out. 

Image by Andy Cross. (2007). Exercise. Retrieved from http://www.flickr.com/photos/andyinnyc/446624927/

Is No Pain No Gain Your Motto?

How's your New Year's Resolutions coming along? Did you stick with it? For most of us, our resolutions went out the window by the end of January, especially because most people's New Year's Resolutions tend to be fitness orientated. The culprit here is usually overeating during the holidays. During this time attendance at gyms is at all time highs and the treadmill or bike that has been acting as a clothes hanger for months suddenly gets cleared off to be put to use. Now that we're in March, we're all looking forward to getting in shape for summer.

Is "no pain, no gain" your motto to get in shape? Be careful. "Too much, too soon" can lead to foot and ankle injuries that can derail your fitness plans.
Ankle Sprains are the most common sports injury and you should not "play through the pain." If you think you may have a sprained ankle, contact my office because if you delay treatment, you can do further damage to the tendons which will take longer to heal and possibly require surgery to fix.

Stress Fracture is commonly mistaken for an ankle sprain. The difference is that stress fractures can cause swelling without bruising and pain during daily activities. The foot or ankle will be painful to touch. This is a serious injury that requires medical attention.

Achilles Tendonitis can occur when working out. If your Achilles tendon is painful or swollen after a workout, contact my office as this can be an indication of Achilles tendonitis. If treatment is not sought, the Achilles tendon becomes stretched and strained over time resulting in stiffness and fatigue in the injured leg. Even worse, the tendon can rupture which results in surgery and a long rehabilitation.

Heel Pain is another common injury. If you have heel pain that last longer than a day or two, or seems to worsen when you stand after sitting for an extended amount of time, you may have a condition known as plantar fasciitis. Plantar fasciitis is a result of an inflammation of the tissue extending from your heel to your toes. Early treatment involves at home conditioning but if left untreated for a long period of time, it is much harder to treat and takes longer for the pain to go away.


Citation:
Image by M. Rasoulov. (2006). No pain, no gain. Retrieved from http://www.flickr.com/photos/mrasoulov/177696153/

When You "Land Funny" On Your Foot...

Accidents can happen at any point, especially to our feet and ankles. Simply walking down the stairs or stepping on toys laying around can lead to sprains, strains, fractures, or breaks. Let’s say you do hurt your ankle by ‘landing funny’. It hurts a bit and it seems like you might have ‘twisted your ankle’. What do you do?

First, if at any point you hurt your foot or ankle, use the RICE method; rest, ice, compression, and elevation.

Rest - stop walking around and rest your foot and ankle
Ice - apply ice to the area to decrease inflammation and swelling
Compression - wrap the feet and ankle with an elastic bandage
Elevation - take a load off and put your feet up (higher than your heart)

Second, call my office to make an appointment for evaluation. Treatment options differ for strains, sprains, and fractures. If left unattended, sprains and strains can turn into major problems. Don’t delay, make the appointment.

Third, at the office, I will take X-rays and inspect your foot and ankle.
If broken - I will set the break by lining the bones in order to heal properly. If it’s not a clean break and can’t be set, surgery may be needed. Pins and metal plates help to fix and rebuild the bones for proper healing. I will then cast the foot and leg.

If fractured - Depending upon the severity of the fracture and it’s location, I will either cast the foot or have the patient wear a special boot that will immobilize the foot. Rest and immobilization is a common treatment for a fracture. X-rays will determine if a bone is fractured or broken.

If sprained - This is less severe than a fracture and broken bone. The patient will typically wear a boot to immobilize the foot and rest is encouraged to speed up the healing process. Patients resume normal activity and use of the foot quickly.

Citation:

Photo by tongson. (2007). Toy car wreck. Retrieved from http://www.flickr.com/photos/fcker/457500394/

It's A Snowstorm! Are Your Feet Protected?

Are you protecting your feet from the cold and rainy weather. This season, make the right choice in boots and save your feet future grief and potential foot and ankle problems.
Snow Boots:

Problem: The sole, or bottom, of the shoe may not have enough traction to prevent slips and falls.

Solution: Look for a snow boot with rubber soles, preferably with deep groves to enhance traction.

Rain Boots:

Problem: Rain boots are typically made of hard plastic on the outside which doesn't give when walking. This makes walking difficult since it limits the natural movement of the foot.

Solution: Not much can be done about the hard plastic covering, but look for a rain boot with cushioned insoles and arch supports. If the rain boot doesn't come with enough support, look to purchasing inserts.

Ankle Boots:

Problem: Ankle boots do not provide much support for the ankle despite the name. Add on high heels to the ankle boot and your balance can suffer.

Solution: If you are going to wear ankle boots, don't wear them if you will be doing a lot of walking. Stick with a heel no more than 2 ½ inches high.

Tall Boots:

Problem: These boots tend to be narrow throughout the foot and have a very high heel. Very high heels transfer body weight onto the balls of one's feet. This may cause numbness in the toes.

Solution: Find a boot with a lower heel and has enough room to accommodate feet and toes.

Cowboy Boots:

Problem: Cowboys boots often provide little room for toe movement, which can cause blisters and your toes to cramp up.

Solution: Periodically take the boots off to stretch the toes. Treat blisters accordingly and don't wear the boots again until the blister is healed.

Image by Diane Cordell. (2012). Bright boots in sloppy snow. Retrieved from http://www.flickr.com/photos/dmcordell/6776041749/