Posts

WHAT RUNNER IS SUITED TO MY FOOT SIZE AND SHAPE?

What runner is suited to my foot size and shape? 

The choice we make in deciding on an appropriate pair of runners for walking or running can be made in relation to many features of our feet.

First and foremost to address is the size and shape of our feet. 

Our feet can change in size or length, shape and width across the time of our lifespan, including as you age. 

So it is important to get your size and width remeasured each time or every second time you get fit for shoes. 

 

Here are my top tips for fitting shoes to feet of all shapes and sizes!

 

  1. A rule of thumb- test that you have one thumb’s width of airspace compressible just beyond your longest toe in a shoe. 

This allows for the change in size to your foot: 

-When you are more active as your foot slides forward in a shoe

-When your feet swell up during physical exercise 

 

Source: https://www.blister-prevention.com/optimal-shoe-fit/

 

NARROW FEET

–> Ensure the fit of your shoe is secure through the heel and ankle, snug through midfoot and be cautious not to overpull laces too tight across the forefoot as we do require some wriggle room for any foot shape at the toes. 

-The sole or platform of the shoe in a curved last shape may assist to contour your midfoot as visible below

 

-In runners and some dress shoes, for women this means a 2A width (Narrow) and for men in very select shoe styles this means a B width (Narrow). 

-Note that regardless of a shoe’s stated width, some shoestyles may fit more narrow than others-speak to your trusted footwear professional instore for any particular shoe styles that suit!

 

Some of my favourites are:

  • Asics Gel DS Trainer 
  • Asics Glideride 
  • Brooks Ravenna
  • Brooks Transcend 
  • Brooks Adrenaline 2A (or B Width for mens)
  • Asics GT 2000 2A Width (or D width for mens fits more snug) 
  • Nike Pegasus 
  • Mizuno Wave Rider (fits very generously through the forefoot though)
  • Saucony Guide (fits very generously through forefoot though)
  • Brooks Levitate 
  • New Balance Fuel Cell Prism 
  • Brooks Glycerin 17 
  • Hoka Clifton 

 

Lacing technique tip: Lock lace by use of the extra eyelet at your ankle to secure heel and ankle into back of shoe, hugging a narrow heel and preventing slipping around inside. You can always ask your Podiatrist how to lock lace at your next appointment! There are other techniques available for narrow feet. 

 

WIDE FEET or feet with Bunions

–> It’s simple-ensure a wider fitting shoe! If you’re not sure when trying shoes on, compress the sides of the shoe on your foot and if you feel tightness or bony prominences-always if in doubt-go wider!

-The sole or platform of the shoe being wider also helps ie a straight lasted shoe such as visible below

Source: http://hub.therunningworks.net/running-shoes-everything-you-need-to-know/

 

Bunions are a change in alignment of our 1st or 5th Metatarsophalangeal joint that over time can create painful bony prominences to both sides of our forefoot. Excessive pressure to this joint deformity caused by narrow shoes can exacerbate the deformity and pain associated. 

 

It is most helpful upon fitting a shoe to test with your hands by compressing the sides of the shoe. The best case scenario is that there is an air bubble of space surrounding your bunion. 

 

In runners and some dress shoes, for women this means a D width (Wide) or 2E width (Extra Wide) 

For men this means a 2E width (Wide) or 4E width (Extra Wide) 

 

Some of my favourites are:

  • Brooks Dyad or Brooks Addiction 
  • New Balance 940 
  • Saucony Echelon
  • Asics Fortitude 8 
  • Asics Gel Pursue
  • Asics GT 4000 
  • New Balance 880
  • New Balance Fresh Foam Moar 
  • Mizuno Wave Inspire D/2E Width (good for forefoot width) 
  • Hoka Bondi D/2E Width
  • Hoka Gaviota 

 

Lacing technique tip: Start the shoe lacing from the 2nd eyelet from the front of the shoe, skipping the first to ensure the tightest point of fit is not across your bunion joint region. 

 

BROAD FEET, HIGH ARCHED FEET or feet with ORTHOTICS

–> Ensure adequate shoe depth

This will prevent: 

-A feeling of tightness or restriction across the top of your foot when you tie up the laces or fixate your shoe closed

-Heel slippage-commonly occurs in shoes that are too shallow to fit an orthotic. 

 

TOE DEFORMITIES and TOE ALIGNMENT

The toebox of a shoe in a closed toe shoe is the area encompassing all your toes. 

Some brands like Frankie 4 stock shoes with various toe box shapes to suit different toe alignments.

Source: https://commons.wikimedia.org/wiki/File:Toe_box_size.jpg

 

Tips:

-Ensure adequate shoe depth and width in the “toebox” of the shoe

i.e.  Avoid pointed toe shoes 

 

Source: https://www.somfootwear.com/blogs/news/wide-toe-box-shoes

 

This will prevent: 

-Pressure to the tops of claw or hammer toes, to prevent further deformity, pain, callous or corn formation. 

-Prevent interdigital pressure between toes and the formation of bunions. 

The choice we make in deciding on an appropriate pair of runners for walking or running can be made in relation to many features of our feet.

First and foremost to address is the size and shape of our feet. 

Our feet can change in size or length, shape and width across the time of our lifespan, including as you age. 

So it is important to get your size and width remeasured each time or every second time you get fit for shoes. 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

 

FISIOCREM ~ What is it?

Fisiocrem is a topical pain relief gel that you can rub into your skin to temporarily ease muscular aches. Used on muscle and joint injuries such as muscle tears and sprains such as ankle sprains.

So it’s used like you would use deep heat, tiger balm and the like.

You get no yucky residue on the skin after applying and the scent and feel of it is not too intense & smells fresh!

Fisiocrem has natural plant-based ingredients in it like Arnica, Hypericum (more commonly known as St John’s Wort) and Calendula.

While we often prescribe Fisiocrem when people are recovering from injuries, there are other uses for Fisiocrem too. Once your pain has relieved, there’s no need to put your Fisiocrem in the cupboard to be forgotten about!

Extra uses for your Fisiocrem:

Post work out soreness

Nothing feels as good as smashing out a gym workout! But the thought of walking the stairs the next day after 1000 squats? No thanks! Sometimes DOMS (delayed onset muscle soreness) can be a real pain! Have you considered Fisiocrem to get you through those post work out feels? Fisiocrem is popular with athletes, helping them to recover so they can continue to train hard.

Arthritis

Calendula is known to help with inflammation. Arthritis is an inflammatory condition of the joints and effects many people. Fisiocrem can be a nice addition to medications, especially when the pain is debilitating. Rubbing Fisiocrem into affected joints may help with temporary relief of arthritic pain, so you can get on with your day.

Bruises

Fisiocrem has the active ingredient Arnica in it. There has been some research to suggest that applying a topical cream with Arnica in it may help reduce bruises. With the combined ingredients of Calendula, the pain of bruising may be also be reduced quicker!

Stress

When you’re feeling stressed you might notice your shoulders creeping up to your ears. Massaging some Fisiocrem around the shoulders and the neck can help you take a moment to relax.

 

Total Care Podiatry stocks Fisiocrem in 2 sizes 120g $25.00 &  60g $17.50

Drop in and see the team at 209 Malop Street Geelong or call 5223 1531 for more information

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

 

GETTING BACK ON TRACK AGES 65 & OVER – Stretch & Reflect

It is so important to gently warm up and stretch after exercising.

Remember to seek medical advice on the best stretches or strength exercises for your body. And if you notice any pain or discomfort since increasing your activity please call our office to make an appointment today

Remember: Pain does not mean you need to give up, but it is best to seek advice before continuing.

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

*Source foothealthaustralia.org.au

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

ANNUAL COMPLIMENTARY BACK TO SCHOOL CHECK IS BACK FOR 2021- Don’t miss out! Call today for an appointment 5223 1531

Take advantage of our FREE foot check for all students

Problems with your child’s feet could become problems for life if not treated early. Foot conditions have the potential to develop into knee, hip and back pain that can have serious consequences on development and posture. Bones and joints in children are constantly growing and are not fully developed until adulthood.

Every school term there will be some kind of change in growing feet, particularly in the 8-12 age bracket. After the summer break, spent mostly barefoot or in thongs, it’s good to remeasure feet and purchase correct fitting school and sports shoes for the upcoming year.

Tips for purchasing shoes at any age:

  • Choose a store that measures foot length and width to ensure best fit
  • Buy shoes in the afternoon as the foot may be larger at this time
  • Always walk around in the shoes at home on the carpet, checking for comfort and tight spots – if any issues develop take them back!
  • When standing you should be able to wriggle your toes
  • Ensure the sole of the shoe is firm and bends across the ball of the foot
  • The material breathes and is flexible/durable

*Wear hand-me-down shoes with caution. An old shoe belonging to someone else will take on their shape and gait, which will not be the same as the new wearer. Buying a new shoe is recommended.

Every year at Total Care Podiatry we have a Back to School Free Foot check event and mid-year a Free Family Foot check event.

Call 5223 1531 for the next event

Back to School Friday 22nd of January 2021 9-12.30pm 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST

TOENAIL BRUISING AND INJURY

Toenail bruising and injury

Bruising of the toenails is very common. It can occur because of an injury (i.e. dropping something on it) or from repetitive stress to the area. This is frequently occurring in ballet dancers and football players due to the nature of their activities.

When to see a podiatrist?

–          If it causes any pain

–          If the nail breaks, thickens, cracks or lifts from the nail bed

–          If the bruising is not going away

–          If the bruising has defined borders or occurs in a strip

Depending on the presentation and cause for the changes to the nail, the podiatrist may:

–          Cut and file the nail

–          Monitor it for changes

–          Offload the area with paddings and/or orthotics

–          Provide footwear recommendations

–          Activity modifications

 

 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

 

CORNS AND CALLUS – what are they and treatment

Corns and Callus

Callus is the thickening of the skin on the hands and feet. On the feet, callus forms as a reaction from repeated high areas of pressure. This mechanism is to protect the skin from breaking down. Over time however this may lead to discomfort and bruising around the callus.

Corns are similar to callus but they mostly form over joints where there is a focused centre to the pressure. Due to this pressure, the callus forms a nucleus at this location which can become sensitive and painful.

Podiatrist can ‘shave’ down the callus and remove the painful centre of the corns. 

They may also recommend an offloading device to reduce the pressure at those locations.
This can be achieved through:

  • Taping
  • Orthotics
  • Foam or gel pads
  • Toe sleeves

#toesleeves

 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

‘W’ SITTING – WHAT IS IT & WHY SHOULD I CORRECT IT?

W-Sitting

‘W-Sitting’ is where a child sits on the floor with their knees out forward and their legs splayed outwards to replicate a ‘W’. During their young age, sitting positions and activities will play a large role in the development of their lower limbs. ‘W-sitting’ particularly affects the hips and surrounding soft tissue such as ligaments and muscles.

This position encourages internal rotation of the hips and loosening these soft tissues to maintain this posture. These changes may also alter the child’s walking pattern. Internally rotated hips may result in a ‘pigeon-toed’ or with ‘knees pointing inwards’ while the child walks. The child may experience clumsiness, fatigue or lack of confidence in their walking and during sports. 

What can we do about it?
Encourage proper seating postures such as sitting ‘crossed legged’, this position externally rotates the legs and allows for proper development.  As well as doing activities which strengthen posterior muscles (such as the gluteals) are encouraged.

If your child experiences these symptoms, an assessment with a podiatrist may be required.

If in doubt please call us today for an appointment with one of our podiatrists on 5223 1531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

 

ANKLE INJURIES/SPRAINS – Symptoms & Treatment

Ankle Injuries/Sprains

An ankle sprain may relate to ligament damage to the medial (inside), lateral (outside) or syndesmosis (‘high ankle sprain’) of the ankle. 

Sprains result from over-extension joint, putting high levels of load through the ligaments to resist these forces. Most commonly these injuries will occur during high impact activity with different sports carrying higher risk for some injuries. 

Symptoms

  • Pain on weightbearing 
  • Swelling/bruising 
  • Pain on palpation

Treatment

  • RICE (Rest, ice, compress and elevate) for the first 24 hours 
  • Activity modification
  • Medical imaging may be required to investigate and rule out other injuries such as a fracture
  • Offloading
    • Taping
    • Ankle braces
    • Moonboot/post-op shoe
    • Orthotics
    • Laser treatment

If in doubt please call us today for an appointment with one of our podiatrists on 5223 1531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.