August 2014

A Dumbarton man named Ronnie McCuaig recently completed the last 54 miles of the 96-mile West Highland Way with flip flops on his feet. He had just overcome cancer, and he wanted to hike the trail as a way of celebrating. But one of his toes got infected right before he was supposed to start, making it too painful for him to wear hiking boots.

McCuaig switched to a pair of sneakers, but after he got caught in a rainstorm they became unusable too. The only other shoes he had were flip flops. He put them on and wore them all the way to the end of the trail. The Mountaineering Council congratulated him for finishing but warned against the dangers of hiking in sandals.

Walking for long distances in flip flops can often cause serious foot and ankle problems. For help dealing with a flip flop-related lower extremity injury, talk to podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can examine your feet and get you an effective form of treatment for your condition.

Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off, perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are there injuries associated with flip-flops?
Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like wearing flip-flops, are there safe alternatives?
When buying flip-flops, try to find ones that have sturdy soles and are made of high quality materials that will support for your feet. 

For more information about Flip Flops and Your Feet, follow the link below.

If you have any questions, please feel free to contact our office in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Read more about Flip Flops and Your Feet

Flip-flops are some of the most comfortable and convenient kinds of shoes there are. They let you freely move your toes, aren't constrictive, and allow your feet to breathe. They can also be worn with almost any attire, and match most clothing styles. Unfortunately, wearing flip-flops can also be very dangerous. These sorts of shoes can harm your feet in more ways than you may think.

Although they are comfortable, constant flip-flop use can lead to problems with the ankles, hips, and lower back if worn on a long-term basis. This is because people walk much differently in flip-flops than they do in other shoes like sneakers. Their natural gait is being forced to change, throwing the body off and causing stress to different parts of the body. Flip-flops can also lead to problems in the arches of your feet, and pain in the balls of your feet. There is little to no support provided by flip-flops, so some parts of the foot undergo much more stress than normal.

Flip-flops can cause more obvious short term problems as well, like ankle sprains and frequent blisters. Because these shoes are relatively weak and can easily bend while walking, wearers are far more likely to trip and hurt their ankles. Flip-flops can also cause bad blisters, because their straps are constantly rubbing up against the foot. Additionally, someone wearing flip-flops is more prone to infections, due to the openness of the shoe. It very easy to scrape and cut your foot when wearing flip-flops because they offer little protection for the foot. If left untreated and uncovered, these same cuts can get dirtied and infected as flip-flops wearers walk around.

In order to avoid this, make sure to get a pair of flip-flops that will keep your feet as safe as possible. When looking to purchase flip-flops, you should check that the actual sole is sturdy and firm. The flip-flops are too floppy if the sole droops and wiggles a great deal when lifted off the floor. These will offer very little support, and may lead to other problems like tripping.

If you only purchase flip-flops made of high quality, sturdy materials, you won't have to worry about this. Although they will cost a little more, flip-flops made of these materials will last longer, and will protect your feet more so than a cheap pair of flip-flops. Also, make sure to buy from a reliable brand name. You can often find relatively cheap shoes from these companies, and once you have bought them you know they will last.

You can still wear your favorite flip-flops, just avoid wearing them every day of the week, or for extended periods of time. It is also recommended that you replace flip-flops every three or four months, in order to be sure that they provide maximum protection to your feet.

Roselle Hartsfield has many people to live for. Not only a mother of seven, the East Orange resident is also a grandmother to fifteen and a great-grandmother to seven. At 84, Hartsfield has suffered from diabetes for over three decades, incurring many complications along the way.

“I have glaucoma in my eyes and two years ago, two of my toes got so badly infected that I had to go into a hyperbaric chamber for 39 days to avoid amputation,” Hartsfield reported. Well aware of the risks, Hartsfield says that she fears having to undergoing amputation or even an early death.  Although diabetic-related care has many advancements, patients must still monitor their condition effectively.

All people must care for their feet, especially if you are diabetic. If you or a loved one has diabetes, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff will treat your diabetic feet as well as any other foot or ankle concern.

Diabetic Foot Care
Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

The Importance of Caring for Your Feet
- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet.

For more information about Diabetic Foot Care, follow the link below.

If you have any questions, please feel free to contact our office in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Read more about Diabetic Foot Care

Orthotics is a medical field concerned with the design, manufacture and use of aids used to support weak limbs or direct the proper function of limbs, in this case the foot and ankle. Ankle-foot orthotics, or AFOs, are braces worn at the ankle that encompass some or all of the foot. Diseases that affect the musculature or weaken the affected area require AFOs to strengthen the muscles or train in the proper direction. Tight muscles that need to be lengthened and loosened also benefit from AFOs.

When we think of diseases that affect the musculature we think of the big boys: muscular dystrophy, cerebral palsy, polio and multiple sclerosis. We rarely think that arthritis and stroke can affect the musculature or that there are some who "toe in". But whatever trauma affects that musculature, there is a way to correct it. The orthosis helps to control range of motion, provide support by stabilizing walk, correct deformities and manage pain load. A podiatrist would be consulted for those who "toe in", for instance, or an arthritis sufferer whose ankles suffer through walking on the job or perhaps a victim of stroke whose musculature is wasting away and requires strength.

Before the advent of modern orthotic devices, it wasn’t uncommon to see polio victims wearing metal braces from mid thigh to the bottom of the foot, or children who "toed in" wearing metal braces around their ankle and foot. However, both designs and materials have improved dramatically, allowing for new levels of comfort, functionality, and appearance. Many orthotics are now made from plastics in the shape of an L and designed to fit inside a corrective shoe. These can be rigid, buckling at the calf and extending the length of the foot to support the ankle. This same design except with a hinged ankle provides support while walking by normalizing the gait. In the past boots lined with leather and fiberboard provided the rigidity needed for correction and support. Now corrective shoes are available with built up soles to correct the gait or manage pain by sharing it with another area when the foot spreads during walking.

The podiatrist would prescribe this orthosis in the rigid L shape because the foot moves on a hinge. If the hinge isn't functioning as intended due to an injury or malformation, the muscles tighten up, thus making it difficult to flex the foot. When we walk, the foot flexes and muscles stretch. This brace or AFO would support the ankle and musculature during flexion of the foot, in much the same way a knee brace works. Corrective shoes are for people whose feet hit the ground backward, causing tight muscles and arch problems. Wedges and rocker bars on the heels correct the step to heel first and rock onto the ball of the foot, resulting in relaxed musculature and strengthened ankles.

Appearance also counts when we consider a particular support device, especially if the item is intended for regular, daily wear. The L shaped orthotic is contoured to the calf and flesh-colored, fitting into a sneaker or dress shoe. As present, corrective shoes are more attractive than past models, enabling patients wear such devices with greater comfort and confidence.

A minor foot injury has forced Kyle Beckerman, captain of the Real Salt Lake soccer team, to drop out of the Major League Soccer All-Star Game. Supposedly his injury was exacerbated by his participation in the World Cup in Brazil earlier this summer.

Beckerman has been outfitted with a pair of foot orthotics to aid him in his recovery. He was seen doing warm-ups and a light jog during a recent team practice but didn’t do any drills. “We have to be really mindful of Kyle's body, especially going all the way back to Brazil,” RLS coach Jeff Cessar said. “So we have to rest him as much as we possibly can. But his feet are really messed up.”

Sometimes people with foot injuries have to use orthotics to supplement their treatments. If you are interesting in trying orthotics, visit podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoffcan perform a full assessment of your injury and get you fitted for a brace.

What are Ankle Foot Orthotics?

Orthotics are physical aids used to support weak limbs or direct the proper function of limbs. Often they are used to support the ankle and foot. Such orthotics are known as AFOs. AFOs help strengthen the muscles or train them to function in the proper position. AFOs can also benefit muscles that need to be lengthened or loosened.

Why might you need orthotics?

Orthotics are often prescribed when someone is suffering from diseases that affect the musculature, like polio and multiple sclerosis. However, more common conditions like arthritis and stroke, or those that “toe in”, may also require orthotics.

Modern orthotics have improved dramatically from the metal braces of previous years. Many of today’s orthotics are made of lightweight plastics and other advanced materials to provide new levels of comfort and support. Often the orthosis is designed in a rigid L shape that is contoured to the calf and flesh colored.

For more information about Ankle Foot Orthotics, please follow the link below.

If you have any questions, please feel free to contact our office in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Read more about Ankle Foot Orthotics

Joseph Michael Kai-Tsu Liu Roqueni has been running barefoot across North America for about a year now. He started in Montreal, Canada with the goal of making it to “the end of the world,” a nickname for the city of Ushuaia, Argentina. He’s currently just south of the Mexican city of Oaxaca.

According to Liu Roqueni, he never would have made it as far as he has without help from many of the people he’s met since beginning his journey. Since he started his quest he’s had to switch from running completely barefoot to running in a pair of thin sandals to avoid damage to his feet.

Running barefoot has its drawbacks, but it can be very beneficial to a runners’ performance if he or she is experienced enough. To learn more about barefoot running, talk to podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff will explain what precautions you should take before running without shoes on and provide you with practical advice and insights.

Barefoot Running

The Impact of Barefoot Running

-Running without shoes changes the motion of your running, as most running is done by landing on the heel of the feet.
-Running barefoot requires a different way of running; the landing is done on the front part of the feet.

The Advantages of Barefoot Running

-When running and landing on the front feet, the impact on the feet and ankle is reduced, this can reduce stress injuries.
-It strengthens muscles in the feet and ankles and the lower legs.
-Balance of the body is improved and there is a greater sensory input from the feet to the rest of the body.

The Drawbacks of Barefoot Running

-No protection while running, makes it likely that runners will land on sharp objects and scrapes, bruises and cuts on the feet will result.
-Blisters may form.
-Possibility of plantar fascia problems.
-Risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. Once the feet begin to adjust, try walking, then jogging and gradually increasing the distance.

If you have any questions, please feel free to contact our office in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Read more about Barefoot Running

A new trend in running and jogging has popped up recently, called barefoot running. Barefoot running is a popular and growing trend that is just what it sounds – running without shoes. Before deciding to do any running without shoes, it's best to understand how this kind of running affects the feet.

Running without shoes changes the motion of running. Most running is done by landing on the heel of the feet. Running barefoot requires a different way of running; in a barefoot stride landing is done on the front part of the feet. Because of this, the impact shifts from the heels to the front feet. Runners also shorten their strides to create a softer landing.

Running barefoot does have its advantages. When running and landing on the front feet, the impact on the feet and ankle is reduced, which may reduce the incidence of stress injuries. It strengthens muscles in the feet, and also strengthens muscles in the ankles and lower legs that aren't usually worked. Overall balance of the body is improved and there is greater sensory input from the feet to the rest of the body, making overall position and motion less stressful on the body. It has been found that in countries in which some of the population regularly wear shoes and some do not, numbers of foot and ankle injuries are much higher in those who wear shoes.

People hearing about barefoot running for the first time are skeptical about it, and there are good reasons for skepticism. Running barefoot certainly has its drawbacks, the obvious being no protection of the feet when running. This makes it likely that when runners land on sharp or rough objects,  scrapes, bruises, and cuts on feet will result. Blisters will form when beginning this kind of running especially, you may have plantar fascia problems. Landing on the front feet constantly also increases the risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. The body is used to wearing shoes so to slowly transition to bare feet, start by walking barefoot for a distance and then increase walking distance. Once the feet begin to adjust, try walking and then jogging and gradually increase the distance. If you have foot problems talk to the doctor first before attempting barefoot running. When starting out, it may also be helpful to begin by running on pavement or other consistent surfaces to avoid sharp or rough objects. Minimalist running shoes may also be an option, as they allow for many of the benefits of barefoot running while also protecting the feet from cuts and scrapes.