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high heels | Nail Fungus treatments

One New York fashion editor swaps heels for flats – your feet will thank you says Martine Abrahams, UK leading podiatrist

American Elle’s fashion editor, Lauren Sherman declares that she’s fed up of the constant pain and discomfort caused by the heels that have gained almost ‘uniform’ status for fashion industry set.

As  demonstrated in this amazing 3D xray, heels push the foot forward, causing the toes to bend in an unnatural way.  Pressure also builds up on the soft pad under the toes, referring pain back to other structures of the foot, i.e. ankle and metatarsals.

I have explored the blight of bunions in previous blogs, these common deformities are another uncomfortable result of wearing heels.

With my podiatrist hat on, I applaud the actions of Ms Sherman and hope that others will follow where she leads.  Is now the right time to warn her of the foot arch damage potentially caused by flat shoes? Maybe another time…!

As Victoria Beckham’s bunions hit headlines in UK, leading podiatrist Martine Abrahams shines a light on this painful and ugly condition

vb-bunion-oct-13As Victoria Beckham’s bunions make headlines in the UK (once more!), I thought I would explain the condition, solutions and recovery for those of you in a similar predicament.

Bunions are certainly not life threatening, but can cause a great deal of grief, pain and discomfort for sufferers.   They can be hereditary, and can often be caused by external pressure from ill-fitting shoes or regular wearing of vertiginous heels – á la Posh Spice!

A bunion is a bony lump that forms at the base of the big toe, where it attaches to the foot.  Often, the big toe deviates towards the other toes. When this occurs, the base of the big toe pushes outwards on the first metatarsal bone – which is the bone directly behind the big toe – forming a bunion.

As a bunion occurs at a joint where the toe bends during normal walking, the entire body weight rests on the bunion at each step, causing a great deal of pain. They are also vulnerable to excess pressure and friction from shoes and can lead to the additional problem of calluses and painful corns.

Diagnosis:

Bunions are usually easily recognised thanks to their classic shape, but often an X-ray will be performed to check the extent of the deformity.  A blood test might also be arranged to rule out various forms of arthritis.  A formal diagnosis enables the best course of treatment – insoles, orthopaedic shoes, medication, surgery or other treatment…

Many bunion sufferers live with their toe deformity, wearing increasingly comfortable shoes and avoiding footwear that cause severe pain.  It’s probably a good idea to consult with a podiatrist who will then refer you on to a Podiatric Surgeon if surgery is a viable option.

Treatment options:

bunion_and_xrayYou podiatrist may suggest over-the-counter pain relief, as well as medication to relieve the swelling and inflammation.  A heat pad or warm footbath may also help relieve the immediate pain and discomfort – ice packs can also help.

If your bunion isn’t persistently painful and you take action early on, changing to well made, well-fitting shoes may be all the treatment you need.  Your podiatrist may advise an orthotic device that can improve and realign the bones of your foot (i.e. bunion pads, splints, shoe inserts, bespoke insoles and uppers…)

Surgery may be recommended for some bunions, but only when symptoms are severe enough to warrant such intervention.

Surgery for a bunion, called a bunionectomy, is done in hospital usually under general anaesthesia.  The surgeon can often realign the bone behind the big toe by cutting the ligaments at the joint. For a severe bunion, you may need to have the bone cut in a technique called an osteotomy. Wires or screws may be inserted to keep the bones in line, and excess bone may be shaved off or removed. Potential complications of surgery include recurrence of the bunion, inadequate correction, overcorrection (the toe now points inwards), continued pain, and limited movement of the big toe.

Recovery:

It is suggested in the attached press clipping, that bilateral bunion correction cannot be performed – this is not the case, often sufferers choose to have both feet operated on at the same time as this obviously reduces overall ‘downtime’.  However, bunion recovery can be painful and difficult, with the patient having to rest with their feet up for several weeks whilst the bone heals.

And, bad news for Victoria Beckham, heels and shoes with tight toe space must be avoided for several months after surgery – up to a year in some cases!

Bunions are unsightly and cause a great deal of discomfort on a daily basis.  Seek advice and help from your local podiatrist, as there are many ways we can help make life easier for you – and your feet!

vb-heat-oct-13-1

As the sportsman’s injury, plantar fasciitis makes sports headlines in the USA, UK podiatrist, Martine Abrahams sheds some light on this common, often debilitating condition

High profile athletes might create headlines, but this painful condition can affect us all.

The plantar tendon and its function:

Albert Pujols, player for Los Angeles Angels of Anaheim, the latest elite athlete left sitting on the bench, thanks to plantar fasciitis

The plantar tendon runs the length of the bottom of your foot, spanning the area from the base of the toes to the front of your heel. The two ends of the tendon attach at the base of the toes and at the front of the heel bone by means of fascia, a strong fibrous membrane. The plantar tendon keeps the arch of the foot from flattening completely when the foot bears weight, providing cushioning and shock absorption during walking, running or standing. This tendon also allows you to point your toes.

Albert Pujols, player for Los Angeles Angels of Anaheim, the latest elite athlete left sitting on the bench, thanks to plantar fasciitis.

What is Plantar Fasciitits?
When the plantar plantar fascititis 1fascia tissue is stressed, small tears can occur, which in turn, causes extreme pain during movement or even weight bearing – or any movement that creates a pull on the tendon.
Stressors can be varied in nature and include: regular exercise/sport, heel striking during striding, tight calves, inflexible Achilles tendon and wearing high heels.

 

 

Other common causes of plantar fasciitis include:

  • Wearing inflexible or worn out shoes
  • Very low or high arches
  • Being overweight
  • Spending long hours on your feet
  • Tight calf muscles or tight/stiff ankle muscles
  • Walking barefoot in soft sand for long distances
  • Those with natural flat feet (hyper-pronation) seem to suffer this condition more than others

Symptoms of Plantar Fasciitis:
Pain can be extreme and is often felt on the underside of the heel and more intense at the start of the day: “You almost want to pee in your bed rather than go to the bathroom,” Pujols told USA TODAY Sports. “It’s really painful in the morning.”

Treatment:
This condition can be difficult to treat and, perhaps most annoying for those who enjoy exercise, is that the main solution is rest, combined with physiotherapy, anti-inflammatory medications, corticosteroid injections and/or night splints to stretch the injured fascia.
As a short-term pain relief measure, you can roll the bottom of the foot back and forth over a tennis ball or cold bottle of water, to gently stretch out the tendon and disperse the fluid that pools there.

Stretching exercises can also help:

Orthotics can be worn to help support the foot arch:

Ultimately, prevention is probably better than cure where plantar fasciitis is concerned. Wear good shoes with adequate arch support; stretch the area well before and after exercise and regular foot massages will all help.

HIGH HEELS CAN LEAVE A LASTING IMPRINT

HIGH HEELS CAN LEAVE A LASTING IMPRINT ON YOUR FEET acknowledges famous shoe fanatic, actress Sarah Jessica Parker

We all have our favourite heels that come out for special occasions, but, for those of us who wear them all the time, take note: high heels can damage your feet and cause a whole load of problems as the years move on.

Not just foot pain, problems range from the more common concerns such as bunions, corns and calluses to more complex issues like misshapen hammertoes or excruciating pain in the ball of the foot, which seems to get worse every time the shoes are worn.

Will women stop wearing their vertiginous favourites? Not likely, judging by a survey conducted by the American Podiatric Medical Association, which showed some 42% of women admitted they’d wear a shoe they liked even if it gave them discomfort; 73% admitted already having a shoe-related foot issue.

Shoes that constrict the natural foot shape are bound to cause pain and, at the same time, excess weight is placed on these parts of the foot.  So crushing the foot along with extra weight can cause extreme discomfort.

Bunions – described as an enlargement of bone or tissue around the joint at the head of the big toe. Footwear is not the only cause of a bunion. Genetics do play a significant role, and people who have bunions in the family are also much more likely to have bunion than people who do not. Injuries to the foot can also be a factor in developing a bunion. However, there is no doubt that high heels aggravate this condition, and in many cases cause the misshapen toes.  Introducing lower heels into your wardrobe can stop the problem getting worse, but surgery to correct the bunion is often required.

Corns and Calluses – build up of layers of dead skin, usually on the toes, soles or sides of the foot (the body’s way of building natural protection against trauma) as a result of ill fitting shoes.  Before treating your own feet with home remedies, please consult a Podiatrist as you could cause damage by if you remove too much hard skin yourself.

Tips to protect your feet and still enjoy your heels:

1.  Get a proper fit – avoid styles that leave too much room at the toes, allowing the foot to move forward, putting increased pressure on the toes

2. Cushion! Invest in gels pads to protect the ball of the foot.  We lose fat on the ball of our feet as we age so replacing this with a cushion can help

3.  Thicker heels give improved balance and distribute weight through the foot instead of isolated pressure points

4. A gradual drop from heel to toe can be easier to wear than those with a straight drop

5. Open toed high heels can avoid excess pressure on toes and corns

6. Take a rest from heels as much as you can, to allow toes to spread in a more natural fashion and to stop the calf muscles tightening

The Queen of Heels has just admitted to the damage her Blahniks have wrecked on her feet and it also looks as if Victoria Beckham has had her notorious bunions repaired. Ultimately, enjoy your footwear, but do take notice of what your feet are telling you – if they hurt they’re sending you a message!

Sarah Jessica Parker: “I went to a foot doctor and he said, ‘Your foot does things it shouldn’t be able to do. That bone there…You’ve created that bone. It doesn’t belong there.'”

http://uk.eonline.com/news/396572/sarah-jessica-parker-high-heels-ruined-my-feet

   HIGH HEELS CAN LEAVE A LASTING IMPRINT

Image   HIGH HEELS CAN LEAVE A LASTING IMPRINT ON YOUR FEET acknowledges famous shoe fanatic, actress Sarah Jessica Parker

We all have our favourite heels that come out for special occasions, but, for those of us who wear them all the time, take note: high heels can damage your feet and cause a whole load of problems as the years move on.

Not just foot pain, problems range from the more common concerns such as bunions, corns and calluses to more complex issues like misshapen hammertoes or excruciating pain in the ball of the foot, which seems to get worse every time the shoes are worn.

Will women stop wearing their vertiginous favourites? Not likely, judging by a survey conducted by the American Podiatric Medical Association, which showed some 42% of women admitted they’d wear a shoe they liked even if it gave them discomfort; 73% admitted already having a shoe-related foot issue.

Shoes that constrict the natural foot shape are bound to cause pain and, at the same time, excess weight is placed on these parts of the foot.  So crushing the foot along with extra weight can cause extreme discomfort.

Image Bunions – described as an enlargement of bone or tissue around the joint at the head of the big toe. Footwear is not the only cause of a bunion. Genetics do play a significant role, and people who have bunions in the family are also much more likely to have bunion than people who do not. Injuries to the foot can also be a factor in developing a bunion. However, there is no doubt that high heels aggravate this condition, and in many cases cause the misshapen toes.  Introducing lower heels into your wardrobe can stop the problem getting worse, but surgery to correct the bunion is often required.

Image Corns and Calluses – build up of layers of dead skin, usually on the toes, soles or sides of the foot (the body’s way of building natural protection against trauma) as a result of ill fitting shoes.  Before treating your own feet with home remedies, please consult a Podiatrist as you could cause damage by if you remove too much hard skin yourself.

Image   Tips to protect your feet and still enjoy your heels:

1.  Get a proper fit – avoid styles that leave too much room at the toes, allowing the foot to move forward, putting increased pressure on the toes

2. Cushion! Invest in gels pads to protect the ball of the foot.  We lose fat on the ball of our feet as we age so replacing this with a cushion can help

3.  Thicker heels give improved balance and distribute weight through the foot instead of isolated pressure points

4. A gradual drop from heel to toe can be easier to wear than those with a straight drop

5. Open toed high heels can avoid excess pressure on toes and corns

6. Take a rest from heels as much as you can, to allow toes to spread in a more natural fashion and to stop the calf muscles tightening

The Queen of Heels has just admitted to the damage her Blahniks have wrecked on her feet and it also looks as if Victoria Beckham has had her notorious bunions repaired. Ultimately, enjoy your footwear, but do take notice of what your feet are telling you – if they hurt they’re sending you a message!

Sarah Jessica Parker: “I went to a foot doctor and he said, ‘Your foot does things it shouldn’t be able to do. That bone there…You’ve created that bone. It doesn’t belong there.'”

http://uk.eonline.com/news/396572/sarah-jessica-parker-high-heels-ruined-my-feet