Tag Archives: foot

Is overpronation of the feet a problem?

The phrase overpronation receives a great deal of dialogue in running and sports medical circles and there is a incredible amount of misunderstandings and misinformation regarding it. Pronation is actually a normal motion where the ankle rolls inwards and also the arch of the foot gets lower. Everybody needs that pronation for normal function. Overpronation occurs when you can find an excessive amount of this pronation. The dilemma is that there is absolutely no agreement in regards to what is normal what is actually overpronation. The main reason it's important is that often overpronation continues to be hypothetically linked to a huge number of excessive use injuries in runners. As there is a absence of research as to exactly what is normal, the published studies can be quite perplexing about this. Some studies show that overpronation, however you decide to determine this, is really a risk factor for an overuse injury. Various other scientific studies have demostrated that it’s not a risk factor.

In the past running shoes were used depending on how much a foot pronated. Runners that overpronated could get a running shoe that was made to handle that abnormal movement. Athletes that had more normally aligned feet could have been provided a much more neutral running shoe. Athletes with a lot of the reverse movement could have been provided running footwear with a lot more impact moderation. Although this is still commonly used within the running shoe industry, the published information evidence fails to back up the approach.

Should there be a group of studies for a area that appear to be contrary and puzzling next analysts want to do systematic reviews and meta-analyses that is meant to be a cautious review of all of the research without any opinion. Just the better research should be within the review which will give more weight to the standard of the research. When these systematic reviews are completed around the matter of overpronation in athletes chances are they commonly conclude that, yes, overpronation is definitely a risk factor for an overuse injury in runners, but it is only a small risk factor. It is still statistically important. These types of outcomes also show that there are plenty of additional factors rather than overpronation which might be a risk for a running injury.

This will leave the entire concept contentious with a lot of confusion. Overpronation is really a small risk factor for an overuse injury, although the retailing of athletic shoes depending on pronation isn't backed up. This can be baffling for clinicians in relation to the amount of focus do they place on the overpronation when it comes to the dealing with of a running injury or should they put more focus on another aspects. For the running shoe retailers must they continue to market running footwear in line with the pronation paradigm? It is still essentially the most widespread model and athletes find out about this within their running publications plus they do count on it. Typically runners don't care exactly what the medical research suggests. They simply have to get better from their injury and so they just need a running shoe which enables them to run much better and is more comfortable. A lot more investigation is required to be carried out about this plus much more training is required on the notion.

How to deal with foot corns and calluses?

Podiatrists frequently get asked about this, both in clinical situations as well as in social situations. They don't have roots. When a podiatrist removes a corn, they actually do usually keep coming back, although not as they possess roots. Corns and calluses come back as the cause of the corn or callus is still there. A corn is an region of skin, frequently on a toe which becomes thicker and uncomfortable. The reason for that thickened section of skin is too much force. It is very normal for skin to get thicker to protect itself. Give consideration to what occurs when you chop loads of wood and get a callus on the hands. That is the natural protecting process of the skin thickening up to take care of itself. When you stop chopping timber, the calluses go away as the force that caused them has gone away.

It's the equivalent process with a corn or callus on the feet. The skin thickens up in reaction to increased force. You will find a variety of reasons for this increased stress. There could be a bunion or claw toes or a dropped metatarsal bone or even the shoes are too restricted. On account of the higher force the epidermis begins to thicken up much like the calluses to the hands when you chop timber. However, as opposed to chopping timber the stress on the foot from the shoes or foot deformity does not stop and as that increased force remains the skin continues to get thicker. A callus is actually a more diffuse region of thickened skin and a corn is a smaller but much more discrete and much deeper area of thickened skin. Gradually it gets so thick it becomes painful. An experienced podiatrist will be able to remove that painful callus or corn without much difficulty and frequently it will no longer end up being painful. However, if the cause for that greater pressure isn't taken away, then the callus or corn will return. That's where the myth they may have roots originated from. They aren't similar to organic plants which have roots that they grow from. The foot doctor did not forget to eliminate the roots. Corns and calluses keep coming back since the cause continues.

In order to once and for all get rid of a corn on the foot, then the reason must be removed. As soon as the corn has been debrided, then that can provide instantaneous pain alleviation. A great podiatrist will then investigate further and determine what happens to be resulting in the corn and what can be done to eliminate that cause. It may be as easy as offering footwear assistance and using different or much better fitted footwear. In addition, it might be as sophisticated as needing surgery to, for example, fix a bunion which may have been creating the increased pressure. At times if there is a callus on the underside of the feet, foot supports are often used to decrease the stress in those locations. The main thing to understand is that foot corns do not possess roots and they have a cause. If you wish to stop them coming back again then you need to eliminate that cause.


How to prevent and treat chilblains on the feet?

Chilblains are a common skin condition on the feet of individuals who possess the risks for how the little arteries react to cold temperatures. These are common in the wintry climates and pretty much unheard of within the hotter parts of the world. Inspite of being so common there's a lot which is not understood with regards to chilblains. For instance, they could impact some people for a number of years and then simply cease for no obvious rationale. Chilblains are certainly more prevalent in those who smoke and more common in those with a lesser amount of body fat. These are usually more common in women. Irrespective of all of these recognized risk factors it's not necessarily very clear precisely what the process is by which they raise the risk. Lacking the knowledge of that it can become a bit difficult to develop therapy for them that will be normally affective. Most therapies are just dependant on anecdotes when the natural history of chilblains would be to get better regardless with time. This points out the issue regarding did the therapy help or did the chilblain get better on its own anyhow.

Most of these factors ended up extensively outlined in the Podiatry live show, PodChatLive in which the hosts chatted with Joseph Frenkel, a foot doctor from Victoriain Australia. This show was broadcast live on Facebook and it was later added to YouTube as well as an audio edition as a podcast. The PodChatLive brought up how easy it can be to identify a chilblain depending on the usual history and also look, but also exactly how challenging it can be to be aware of which is the best treatment method. There's not much, if any great data as to what is more effective and that treatment works much better compared to doing nothing. There is a good agreement to be able to avoid the disorder by keeping your feet warm and the ways to take care of the feet after a chilblain develops. Precautionary steps ended up also discussed as they do appear to be extremely effective.