Monthly Archives: February 2013

The Hand-Shake: A Sweaty Situation?

So many important moments in life are sealed with a hand-shake, and simultaneously we are judged by this same action.  The shake can initially be a stressful social necessity, due to the technique of how much strength use, and for how long, but many have an added concern…  how sweaty will it be.

Hands and feet, like the rest of your body, sweat but some feet sweat a lot more.  Extremely sweaty feet can affect any age, generally runs in families, and is called hyperhidrosis.  It is not always known why this occurs, but is the result of sweat glands secreting an excessive amount of sweat, and not just in response to increased temperatures, but also to stress and emotional situations.  This often occurs body-wide, but is more noticeable on the feet and hands due to the glands being more dense there.  Though this condition is not generally a concern to your health, it can be very embarrassing and cause social withdrawal from situations in which the feet are bare or close to other people, such as at a spa or swimming pool.

There are many options for treating and living with this condition.  Investing in good socks that will absorb the sweat away from your skin and wearing a clean pair daily is a good place to start.  Choose shoes that are well ventilated and allow the shoes to air out over night before wearing them again.  Antiperspirant can be applied directly to the foot to decreased the secretion of sweat, and if this does not affect them enough there are several creams and sprays, both over the counter and prescription, that are more powerful and can help manage the condition, but will not cure it.  Several other treatments, such as iontophoresis and oral medications have been shown to actually treat or correct the condition.  If all else fails, the possibility of a surgical treatment, called a sympathectomy, may be an option, but generally only if all other options have failed.

If excessively sweaty feet is a concern for you, First Coast Foot & Ankle Cliniccan help.  Make an appointment today.  Dr. Reddywill rule out more serious causes for the excessive sweating, discuss what treatment is best for you, and get you headed to a drier tomorrow.

All shoes Are Not Created Equal

air-jordan-2011-dominate-another-day-rocket-shoes-video-commercial-600x338The 26.2 with Donna marathon runners had some stiff competition last weekend with Tesfaye Girmafrom Ethiopia finishing the race with a record time of 2:15:40. Most of us can only dream of running a marathon in that time or opt for rocket boosters on our shoes to do so.   When running in these races it is very important to have the right type of shoe.  When buying athletic shoes, may people are more worried about getting a particular brand name, or a style that is “in” or looks “cool”, than they are about whether or not the shoe actually fits their foot and is comfortable.  The truth is that all of these can be accomplished simultaneously if the correct considerations and evaluations are taken prior to shoe shopping.  These considerations are especially important in an active person, or athlete searching for the best athletic shoes.  To many people, shoe styles and materials may look the same, but all shoes are not created equal.

The first thing that anyone shopping for shoes should consider is what size they need, in length and in width.  This can be accomplished with a Brannock foot measuring device,available at many shoe stores.   This device has different measurements for both males and females, and not only measures the overall length and width of the entire foot, but also measures the arch length, the length from the heel to the ball of the foot.  This is important because shoes are designed to flex at the ball of the foot, and properly positioning the ball of the foot in the shoe can prevent toe crowding, pressure, and the general uncomfortable nature of an ill-fitting shoe.

Feet should be measured at the end of the day, after they have endured all of the day’s stresses and impact acting on them.  A proper fitting shoe should leave around a quarter inch between your longest toe and the end of the shoe.  If one size feels too small and the next size up feels too large, either try a different brand of shoe or choose the larger size.  Shoes that are too small or constricting can cause injury to the toes such as calluses, contractures, bruising, loss of the toenail, bunions, and can predispose toenails to nail fungus, called onychomycosis.

The best way to ensure that you get an athletic shoe that fits properly and is the perfect fit for your foot is to make an appointment with a podiatrist.  Here at First Coast Foot and Ankle Clinic, Dr. Reddy can evaluate your foot type to help you pick the right shoe for your foot.  He can also dispense items that help with shoe fit and function such as orthotics that are worn in shoes. Regardless of whether you decide to make an appointment before purchasing your new shoes, or bring them with you after, we look forward to helping you find that perfect fit.

Running Pains: The Injury Report for Metatarsalgia

The Northeast is still recovering from blizzard Nemo, but in Florida February is the start to beautiful weather.  Many runners are starting the race seasonby training hard and putting many miles on their sneakers.  As with a more intense training schedule common ball of foot pain can rear its ugly head. If these pains include a sharp burning or discomfort in the ball of your foot and get worse when you stand or walk, you may be experiencing metatarsalgia.

Metatarsalgia can include a wide range of pains focusing around the area between your arch and your toes. Folks often incorrectly refer to these symptoms as a “stone bruise.”  You may have a tingling or numbness in your toes, or a pain that seems to spread from the ball of your foot into your toes.  This can be caused by a variety of factors from the wrong footwear, to putting excess stress or weight on the metatarsals, as well as either an increased or strenuous activity schedule.  This causes inflammation and pain most commonly around the ball at the base of the first and second toes although others may also be involved.  Other risk factors include high arch, hammertoe, bunion, excess body weight, stress fractures and Morton’s neuroma.

Untitled-1This condition, though it can be extremely painful, is generally not serious and easy to treat.  Untreated, the pain can negatively affect many activities due to the increased pain when walking, and can lead to more serious pains in your knees, hips, and back.  To rule out more serious reasons for the pain, you should be seen by a podiatrist who can confirm the diagnosis as well as discuss the treatment options.

Treatments vary depending on the severity and the individuals activity level and original cause of the condition.  Significant pain relief can be obtained by many by resting and icing the painful area, and ensuring a proper fitting shoe. Many continue pain free with the assistance of custom orthoticsarch supports, or insoles.  For more severe and persistent pains that are not relieved by conservative therapy, surgery may be required for resolution.

Don’t let pain keep you from crossing the finish line this weekend at the 26.2 with Donna.  Call First Coast Foot and Ankle Clinicat 904-739-9129 or go online to make an appointment today.