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Tuesday, November 7. 2023The Importance of Foot CareI once laughed at a M*A*S*H episode in which a British fellow was commenting on his military's focus on foot hygiene. It was amusing at the time, but over the years I've largely ignored my feet. To my dismay. I was just over 30 when I had both feet operated on for bunions. That was a vast improvement, but it more or less ended my competitive volleyball days. I was just over 45 when I suffered severe back trauma which I learned was related to tight hamstrings, and recently learned that was related to my feet. At any rate, I had one bunion operated on again, it was a big operation, when I was 55. Today, as I inch closer to 62, I have a host of foot problems. Not good for someone planning on hiking the Camino de Santiago in the next few years. My new podiatrist had nothing good to say about the previous operations. He explained to me they were improper diagnoses of the situation and now there's not much chance any additional surgery will provide relief. He also pointed out something I'd known about but never took seriously. I don't use orthotics. He did a scan, got me some, and I've got to say my feet feel much better. Not 100%, but at this point I'll take any improvement. I also now spend a lot of cash for properly-fitted sneakers. I always figured if they fit, they're fine. Over the last year I've learned to take that a little more seriously. Hokas are the new brand - I'll let you know when I get them if they're "all that". At least you can get them sized for width, which is critical for me. Take care of your feet. Don't ignore them or put off any care the way I have. Big mistake, and fixing what's messed up isn't easily reversible at my advanced age. Trackbacks
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Give us some advice on finding a decent podiatrist. My experience with them has been frustrating.
I second Emil's question. Can you point those of us who are interested in the direction of your podiatrist?
I would say avoid my original podiatrist (Lenox Hill Hosp) I don't think he even works anymore.
However, I got my most recent recommendation from a friend who had equally bad foot problems. Podiatrists are very much a personal thing. My first one came heavily recommended - and I was happy with the results until now (30 years on) when the current one said "He did everything wrong, even for 30 years ago" Science moves on and sometimes older ones may not keep up to date? Not really sure. Take the time to track down a local reflexologist, and see them regularly. In the East, these places are as common as barbershops, just about - in fact, sometimes, they're combined. Here in the US, I find the combination is more normally with nail salons. The better massage therapists often know of one, and can refer you.
But a good 30 minute foot massage by a qualified reflexologist will put you in a better place. No foot problems thus far, but it is tough to find shoes you want in Narrow widths.
Discovered zero-drop shoes about 8 years ago and thus ended my knee & back issues...
An aside with ZD shoes is they have full-width toe boxes which are wonderful in & of themselves. Messed up feet = limited mobility/immobility and that may not be a good place to be in today's world... Good Luck to Us All I second zero drop shoes. Like JD, switching to zero drop shoes ended both foot and back pain for me.
Wearing shoes w/ a heel higher than the toe (positive drop) on a daily basis (as most people do) actually shortens your hamstrings and the muscles all the way up to your neck, meaning you have less flexibility. Zero drop stretches it all back out and gives you more mobility. Some people w/ plantar fasciitis say they help with that as well. Xero is good for sandals and some sports shoes & hiking boots. They typically have very thin soles, wide toe boxes, and are extremely flexible, which is good in many situations. They also have some casual shoes, which I haven't tried. Lems have sports, hiking, and casual shoes as well. Wide toe boxes, but normal thickness soles and are not as flexible as Xeros. Vivobarefoot is the best in terms of durability (at least in my experience), but they are also more expensive (of course). They tend toward wide toe boxes & thin / flexible soles. In some of the styles the soles are sewn on (Goodyear welt) so they can be resoled. And stay away from flip flops, which your feet have to use muscle to keep on. Sandals w/ backs are good; I like Xero sandals. + for the Lems (they were my `Gateway` shoes ... LOL)
Also, Altra is good, with a variety of styles for different activities. They have 'normal' thickness soles but retain the ZD profile. They also have trail running boots that are very nice. I also took a chance on a "Brand X" ZD shoe from Am*zon and have been pleasantly surprised. It's something good to wear around the house. For something a little different, Jim Green has introduced version of their Ranger boot that doesn't have a shank, which makes it very flexible (you can check it on YT). I have a pair of their regular Ranger boot, and after upgrading the insole, they are good to wear on natural surfaces (dirt, grass, etc). They are not exactly ZD but do have a full-width toe box. YMMV Good Luck to Us All Kryptowährungen akzeptieren auf WordPress Blogs https://bchpls.org/akzeptieren-sie-bitcoin-cash-noch-heute/
Feet feet feet how many feet you meet. In the house or on the street
Oh boy. You came close to touching on a subject that is a lifelong irritation for me. Sometime in the 1960's the foot doctors of America decided that parents should not worry if their child develops flat feet--WRONG! I think many feminists have encouraged flat feet on their boys so they can't go into the military. However, when I was a child the US and Europe had baby shoes made of very fine leather with little tiny arches built into them. Then as the child grew older their shoes also had small arches. SO THAT when they reached maturity they could stand with straight legs and aligned hips. Now of course 50 years later it is accepted if your kid is flatfooted and walks as such. Not helping your young child's foot form an arch was supposedly to imitate what we came from--guerillas, etc. The foot doctors thought we should all be standing and walking like chimps--which many young people now do. It is pitiful watching them trying to be active in a sport that requires the ability to spring off their toes--I hope someday soon someone will have the courage to confront the foot doctors and tell them they have screwed up--just like the teacher's union's bright ideas about reading is also a failed idea of the 1970's.
Instead of traditional bunion surgery, did you investigate lapiplasty?
It worked, the first time, for about 20 years. I was pleased.
The second time? Barely five years. Now there isn't much they can do for me, surgically. However, I have remarkably flexible feet. One thing the podiatrist said was that for my age (61), he's surprised what great shape they are in overall. He said there's a possibility for a large-scale surgery, but he would pass me off to someone who specializes. Faculty wife mentioned flat feet. I have never had them - until about 15 years ago, as they flattened out over time. Now, I still have an arch but my doctor said they are getting much flatter and that was his main reason for the orthotics. I have arch supports, as well. That is painful - but necessary. Need to reform them. I find it interesting a certain troll avoids fact-based commentary and spews his nonsense in opinion pieces.
My guess is he fancies himself a modern-day "fact-checker" along the lines of those used in social media. Self-appointed scumbags, basically. I know some of them personally due to my work, and they are all serious assholes. Know-it-alls with nothing useful to share. They'll all comment on tertiary nonsense, like our local troll, and try to shift the discussion onto useless progressive drivel. I am in the same boat as you. Surgery a few years ago to remove a bunion and a bone spur in the big toe, and it took a while to recover but it's better. Plenty of arthritis though, and that I can manage with Aleve. But now I have mobility so I can keep hiking.
I switched to Hokas last year and I LOVE them. The rocking action is great. Coupled with quality orthotics I am not at 100% but muuuuch better. Hokas are expensive but in my case they work great. |