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Copyright (c) 2011 Mountain West Foot & Ankle Institute
On a regular basis new patients are diagnosed with diabetes and start the process of management of this complex entitity . Some already have complications of diabetes, including numbness, tingling, burning or shooting pain of neuropathy, wounds that will not heal or become infected and circulation issues that become increasingly problematic. Whatever the condition of their feet when diagnosed with diabetes, the concerns are real...
• Helping Santa Find A Good Pair Of Boots
Copyright (c) 2010 Mountain West Foot & Ankle Institute
As the snow flurries and temperatures fall, flip-flops and sandals give way to shoes and boots. Although this is a welcome change in shoegear (at least for me), choosing the correct boot is necessary to protect your feet. Boots have long been a good choice for the winter, but today's fashionable boots are becoming more common . Even those who don't need to worry about cold weather are opting for boots, often just for the fashion...
•Can We Protect Our Children From Diabetes?
? Copyright (c) 2010 Mountain West Foot
As the father of 10 children and a specialist in foot and ankle care (where I see diabetes and its complications on a regular basis), I am constantly looking for little things we can do to protect our children from diabetes. If you could limit your child's diabetic risk, would you do it? I have compiled 4 suggestions that I am using to help my children.
1. Get Them Moving. One of the biggest reasons for the increased diabetes presentation in children...
•Should I Use A Cast, A Boot, A Splint or A Brace For My Injury?
? Copyright (c) 2010 Mountain West Foot & Ankle Institute
After fracturing my foot, patients and family members asked me how it was being treated. Was surgery required? Did you need it casted? What is the best way to treat this type of fracture? As I thought of these issues, I felt it was necessary to explain the differences of the various available treatments and when one is better than another. I, however, placed my broken foot in a walking boot for reasons I will explain later....
•Confessions Of A Doctor With A Broken Foot...
Copyright (c) 2010 Mountain West Foot & Ankle Institute
For 3 years now, I have been playing soccer in a Highland Co-ed Adult league during the summer. The league is designed to help people learn the game of soccer, but also to have lightly competetive games in this great sport. One Saturday (7 August), I was playing in this game and broke my foot.
While playing defense (which I usually do), I take it personally when a goal is scored. I had been beat 3 times by this player and decided...
•Wake up Early, Have More Energy and No Need For Coffee
Copyright (c) 2010 Mountain West Foot & Ankle Institute
We all have 24 hours in each day, but many people are able to accomplish more in the same amount of time. Many people turn to coffee or other stimulant products to get the energy so they can wakeup earlier or stay up later to get more accomplished. What is the real secret to having more energy? I would submit to you that without coffee, without caffeine in any form and without special "energy" products you can have the energy that...
•Prepare Your Feet Through "Spring Cleaning"
Copyright (c) 2010 Mountain West Foot & Ankle Institute
Spring is here and Summer is not far away, as you can see with weather changing. It is now time to use more sandals, flip flops or even go barefoot. Feet that have been confined in shoes or boots are now again open to the air. Often socks are even discarded in the spring or summer shoe, for the foot to "breathe" more easily. At least this is what I am told on a regular basis. So you are ready for spring and summer footwear, but...
•The Truth About Plantar Fasciitis - Self Treatment At Home
Copyright (c) 2010 Mountain West Foot & Ankle Institute
When you step out of bed, do you have severe heel pain? Do you have trouble even walking to the bathroom? Maybe the pain even improves as you hobble around after a few moments. This condition is becoming more common and is seen in both men and women and usually has the diagnosis of Plantar Fasciitis.
With this condition becoming more common, home treatment options are important. In treating your Plantar Fasciitis, self treatment...
•How To Win Your Own Gold Medal
Copyright (c) 2010 Mountain West Foot & Ankle Institute
As the 2010 Olympics come to a close, we have seen many amazing performances where athletes appear to push their bodies to the very limits. They race down snow hills on skis at 160 miles per hour, perform quadruple jumps in ice skates, or race at break neck speed down an ice track. These athletes have seen injuries in their sports and even in their own lives, but still were able to succeed in producing an athletic performance that...
•Are You Keeping Your New Year's Resolutions?
? Copyright (c) 2010 Mountain West Foot & Ankle Institute
Each year, come January 1st, many of us make resolutions to exercise or become more active. We even usually become very aggressive at reaching these goals (at least the first week or so), and then the associated aches and pains start to interfere. Are you still moving forward on this resolution or has foot or ankle pain interfered?
A. If you started good but aches and pains are already interfering with your resolution, may we...
•Is My Toenail Ingrown?
? Copyright (c) 2009 Mountain West Foot & Ankle Institute
Does your toe hurt? Is it red and swollen? Maybe it is draining blood or yellow fluid on socks or shoes. Quite regularly, I see ingrown nails in both adults and children. Although the problem is common, many people attempt to self treat and usually make the problem worse. Ingrown toenails can become a big problem and often can interfere in even normal activities and normal shoes. An ingrown toenail is easily diagnosed by...
•How To Best Select An Exercise Shoe
Copyright (c) 2009 Mountain West Foot & Ankle Institute
On a regular basis, I am asked to recommend a shoe by brand or even exact shoe by name. Although I am regularly looking for opportunities to educate people on the correct shoes for the particular activity, this question is notoriously difficulty to respond to. Just as every individual has feet that look and function differently, different shoes will fit and even function differently for different people. Therefore, instead of...
•Why We Should Be Thankful For Our Feet
Copyright (c) 2009 Mountain West Foot & Ankle Institute
On a regular basis, I work with people that state how important they have found their feet to be. I do surgery on a regular basis and people realize how exciting it is to have no pain in their feet. Most will agree that "when your feet hurt, your whole body hurts". Here are the top five reasons to be thankful for your feet...
1. Our feet regularly carry us 8000 to 10000 steps every day. It is amazing how often we take the...
•The Top 9 Reasons To Have Your Feet Checked Yearly
Copyright (c) 2009 Mountain West Foot & Ankle Institute
According to the American Podiatric Medical Association, you will take from 8,000 to 10,000 steps a day. These steps will carry you many miles every day and over a lifetime may carry you about 115,000 miles (which would span the circumference of the earth four times). With each of these steps and over these miles, you put 1 to 2 times your body weight through your foot. If you run, however, the amount increases to at least 3 to 4...
•"Light Therapy" For Neuropathy Pain Relief
Copyright (c) 2009 Mountain West Foot & Ankle Institute
Peripheral neuropathy or malfunctioning nerves in the feet or hands are becoming more and more common. Often they are related to systemic diseases such as diabetes, but may be present even without diabetic related conditions. This nerve condition can present as numbness or tingling, but often can present as significant pain. For this reason, there continues to be multiple "medication" treatments to treat the symptoms of...
•Ankle Pain Relief Without Surgery
Copyright (c) 2009 Mountain West Foot & Ankle Institute
Do your ankles hurt anytime you walk? Are they worse first step in the morning? Maybe you have a history of ankle sprains or even broken ankles. Have you been told you have ankle arthritis? Have you been told you need surgery or might even need your ankles fused? This condition is not that abnormal. In fact, many people are often not given many options for pain in the ankles all the time (chronic ankle pain). Let me show you...
•Do You Have Some Nerve?
? Copyright (c) 2009 Mountain West Foot & Ankle Institute
Peripheral neuropathy, or the abnormal functioning of a nerve in the feet or ankles is becoming increasingly more prevalent in society. On a regular basis, I have individuals coming to our office to be evaluated for numbness, tingling, shooting pain, electrical shocks, feelings of cold, burning pain to the feet. Many of these individuals don't have diabetes (the most common cause of neuropathy in the United States), but still have...
•Is It Sexy To Have Foot Pain?
? Copyright (c) 2009 Mountain West Foot & Ankle Institute
Why do women wear high heels? Many women are seen by us and claim they must wear the heel to work or must wear the pointed boot with their black dress or even must wear the classy heeled shoe to church. They state that it is not optional or that it is expected. I even had one woman tell me that she needs to present the correct "image" at work. "The high heeled shoe just looks better!" she said. This may be the truest statement,...
•Do I Have Neuropathy In My Feet?
? Copyright (c) 2009 Mountain West Foot & Ankle Institute
Regularly, I have patients come into my office concerned about changes in feelings to their feet. Many of them are found to have neuropathy (or peripheral neuropathy). Neuropathy is the poor functioning of nerves and can lead to significant abnormalities in the feet and legs. Do you have neuropathy? Some simple questions are:
- Are your feet numb or do your feet feel dead? - When you injure your feet, do you feel pain? - When...
•Plantar Fasciitis May Stop One Of The Great Quarterbacks, Eli Manning
Copyright (c) 2009 Mountain West Foot & Ankle Institute
While Brett Farve was leading his new team against the Green Bay Packers, Eli Manning was being diagnosed with a common problem called Plantar Fasciitis. This diagnosis may keep him from playing in an upcoming football game, but what is it and how do you keep it from stopping you?
Plantar Fasciitis is an inflammation of a tissue or ligament (the plantar fascia) that extends from the bottom of the heel to the toes. It shares an...
•Down Syndrome and The Foot
Copyright (c) 2009 Mountain West Foot & Ankle Institute
Some of the friendliest people I know have a special condition called Trisomy 21 or Down syndrome. In these individuals many skin, bony, muscle and joint conditions exist due to abnormal collagen development. One of the types of collagen (Type VI) is encoded by a gene on chromosome 21. The resulting effect is increased joint laxity or looseness of the ligaments that attach bone to bone or tendons that attach muscles to bone...
•Your Babies Little Feet
Copyright (c) 2009 Mountain West Foot & Ankle Institute
Two weeks ago, my wife and I had baby number 10 born into our home. A child always brings with it excitement, a great amount of joy, less sleep and new stresses. Most babies are cute and fun to hold. Most bring a different feeling into a home. But they also bring a greater responsibility and some worries. One concern that often comes to a new mom is the question: "Are there 10 fingers and toes?" To alleviate this worry, I have...
•Revolutionary Treatments For Heel Pain
Copyright (c) 2009 Mountain West Foot & Ankle Institute
You step out of bed and your feet scream in pain! You waddle (or maybe even crawl) across the room until the pain starts to subside. Your are active, you try to keep walking even through the pain, but the pain just gets worse. After several minutes, the pain starts to improve only to return again if you sitdown, laydown or even by the end of the day no matter what. Does this sound familiar? For many people this is a dialy...
•Flip Flops Not Just For The Beach Anymore?
? Copyright (c) 2009 Mountain West Foot & Ankle Institute
As summer finally gets into full swing, more and more people are seen wearing flip flops as they walk around neighborhoods, go shopping in stores, even attend amusement parks. Flip flops are purchased to match that dress, or to attend your local business, or even church meetings. People swear by the comfort (and freedom) of a flip flop, but should these simple sandals be utilized as a shoe outside of pools or beaches?
Several...
•Top 4 Ways To Reduce Diabetic Complications
On a regular basis, I talk with diabetic individuals that are scared of lose of a foot or toe. They are often told of the worst case scenarios and just told they need to be careful. They hear about going blind, heart attacks, wounds that don't heal and even death from the "complications of diabetes". This scare tactic has been ineffective at reducing the complications or helping people prevent these complications.
My feeling has always been that education is the best way to limit further...
•Shin Splints Can Be Avoided
Commonly runners are sidelined or limited by the presentation of leg pain during and often after runs. The pain is usually located at the sides of the "shin" bone and can be debilitating, even limiting the ability to walk. Over the years, this has been a problem that I sometimes have encountered in my running. Since I love running (and don't like not running), I have researched over the years some ways to limit the presentation of shin splints while training for a race, or in my case a...
•Jazz Owner Larry H Miller Dies From Complications of Diabetes
Larry H Miller is well known as the owner of the Utah Jazz NBA team, but also has multiple business and personal accomplishments that have helped rocket him to notoriety. He became co-owner of the Utah Jazz with a 50% purchase of the team on 11 April 1985. In June 1986, he purchased the remaining 50% and became the sole owner. He has since made it one of the most stable teams in the NBA.
Although Larry H Miller has been in declining health for several years, diabetic complications seemed...
•Rheumatoid Arthritis and The Foot
Rheumatoid arthritis (RA) is a systemic disease that affects about 2.1 million Americans, mostly women and has been show to attack multiple joints throughout the body. It is estimated that 1.5 million women and 600,000 men are victims of this debilitating disease. Of these affected, approximately 90% of the people with RA eventually develop foot or ankle symptoms and deformity. In fact, many of the early symptoms of RA often include foot problems. Foot problems are more common than...
•A Maggot Can Save Your Life
In the diabetic foot, wounds quickly become a problem as they fail to heal and often can become a life-threatening infection. What methods would you be willing to undergo to prevent amputation or an infection that could put you in the hospital or even the grave? Many unconventional treatments are appearing to help save lives and heal wounds. Recent advances include silver dressings, honey and even maggots.
Would you be willing to undergo maggot therapy to heal your wound? In a recent...
•Are All Diabetics The Same?
? To further understand diabetes, it must be understood that diabetes is not a singular condition. In fact, there are multiple types of diabetes, all with distinct characteristics and treatment regimens. Often there will be different treatments related to each type of the disease also. Therefore, you can only understand diabetes by understanding the types.
Type 1 Diabetes
This entity was once called juvenile onset or insulin dependant diabetes. These terms were indicative of the usual...
•Fitting A Shoe To A Child's Foot For School
As the days become crisper and the nights come quicker, as the summer draws to a close, children are whisked back into school. With the start of a new school year, new clothes are being purchased and new shoes are being researched and purchased. The questions that are sometimes asked, are how do I make sure these shoes are comfortable and well fitted and of good quality? Do I need to spend large amounts of money to get a quality shoe? When should I replace a shoe? How about "hand me...
•My Athletic Child Has Foot Pain
As childhood obesity skyrockets, video game consoles seek for ways to make their games "active" and obesity related diseases such as diabetes is at epidemic levels, athletics is a blessing to many children. Since children are less likely today (compared to 20 years ago) to run outside, ride bikes or play sports in the streets, more children are becoming active in sports from soccer and football to gymnastics and dance. This increased activity has improved the health of many children, but...
•Walking Can Save You Money and Save Your Life
As gas prices throughout the country are rising above $4.10 per gallon (with some places being much higher), all of us are feeling the pinch on our wallets as we continue are daily activities. Many of us require a drive to get to work or even to go to the store for necessary food. Over the years, however, many of us have gotten into the habit of driving around the block or sometimes just down the street. In fact, we drive everywhere we go. Many of these habits can change to help save us...
•State-of-the-art Treatments for Foot Pain
Before I start, I want to reiterate the fact that pain is NEVER normal. If your feet or ankles hurt, there is usually a reason. Some common reasons may include poor shoes, infections, injuries or strained or torn tendons or ligaments. Understanding and fixing the cause of the pain, or making adjustments to alleviate the pain over time is often possible. What I want to discuss is a new treatment that allows correction of pain that is not alleviated through standard treatments.
Topaz...
•What Can You Do About Foot Pain?
? Although many people suffer on a daily basis from foot pain, foot pain is never normal. In fact, most foot and ankle pain is caused by a problem that can be fixed, thus alleviating the pain. But the true question is what can you personally do for foot pain? Is there ways you can deal with the pain? Do you need to continue to suffer from foot pain?
The first step in dealing with foot pain is to care for your feet. Prevention of additional foot pain is imperative to keeping you functioning...
•The Diabetic Foot
Diabetes can affect many parts of the body, especially the feet. According to the American Diabetes Association, about 24 million Americans (8 percent of the United States population) have diabetes. This is an increase in 3 million in approximately 2 years. With this growth, it is very important that a diabetic gives the feet very special care. A small problem in a healthy person could become a severe one to a diabetic.
Diabetes can affect the feet in a number of different ways. One is a...
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