Ask Dave The Shoe-Guy

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Location: Sapulpa, Oklahoma, United States

I am a third generation shoe-guy. I have been in retail shoes for 30 years, following in the footsteps of my Father and Grandfather. I enjoy helping people with their shoe and feet needs. If I can help you, please let me know and I'll see what I can do.

Tuesday, October 10, 2006

Shin Splints...Ouch!!

A note from Dave the Shoe-Guy:
Today as I talked with a concerned mother about her young son who has pain in his shins and what she could do to help him. It occured to me that perhaps there are other people who are bothered with this problem also. In the following article you will find the definition, causes and treatment for shin splints. I hope this helps you!

Definition

Shin splints are a common lower extremity complaint, especially among runners and other athletes. They are characterized by pain in the front or inside aspect of the lower leg due to overexertion of the muscles. The pain usually develops gradually without a history of trauma, and might begin as a dull ache along the front or inside of the shin (Tibia) after running or even walking.
Small bumps and tender areas may become evident adjacent to the shin bone. The pain can become more intense if not addressed, and shin splints should not be left untreated because of an increased risk of developing stress fractures.
Shin splints usually involve small tears in the leg muscles where they are attached to the shin bone. The two types of shin splints are: anterior shin splints, in the front portion of the tibia; and posterior shin splints, occurring on the inside of the leg along the tibia.

Cause

Shin splints can be caused when the anterior leg muscles are stressed by running, especially on hard surfaces or extensively on the toes, or by sports that involve jumping. Wearing athletic shoes that are worn out or don't have enough shock absorption can also cause this condition.
Over-pronated (flat feet) are another factor that can lead to increased stress on the lower leg muscles during exercise. People with high arched feet can also experience shin splint discomfort because this foot type is a poor shock absorber.

Treatment and Prevention

The best way to prevent shin splints is to stretch and strengthen the leg muscles, wear footwear with good shock absorption, and avoid running on hard surfaces or excessive running or jumping on the ball-of-the-foot. Insoles or orthotics that offer arch support for over-pronation are also important.
Treatment for shin splints should include taking a break from the exercise that is causing the problem until pain subsides. Icing the area immediately after running or other exercise can also be effective, along with gentle stretching before and after training. Another option is taking aspirin or ibuprofen to relieve pain and reduce inflammation.
It is important not to try to train through the pain of shin splints. Runners should decrease mileage for about a week and avoid hills or hard surfaces. If a muscle imbalance, poor running form or flat feet are causing the problem, a long-term solution might involve a stretching and strengthening program and orthotics that support the foot and correct over-pronation. In more severe cases, ice massage, electrostimuli, heat treatments and ultra-sound might be used.

If problem persists, consult your foot doctor.

I hope that this article has helped you. If you have other questions you would like answered, please email them to feltshoe1@yahoo.com. I'll do my best to answer any questions you may have. Have a fantastic day!

Friday, October 06, 2006

Plantar Fasciitis...What the Heck!?!

A note from Dave the Shoe-Guy:
Let me say from the very beginning that if you are dealing with Plantar Fasciitis, you have my sympathy. This is the most common foot pain I see in my shoe store, and there are probably 10 people a week that come in looking for relief from this foot ailment. I myself have had it, and I can say that it is indeed no fun at all. In the following article you will find the definition, causes and treatment for plantar fasciitis. I hope this helps you!

Definition
Plantar Fasciitis is an inflammation caused by excessive stretching of the plantar fascia. The plantar fascia is a broad band of fibrous tissue which runs along the bottom surface of the foot, attaching at the bottom of the heel bone and extending to the forefoot. When the plantar fascia is excessively stretched, this can cause plantar fasciitis, which can also lead to heel pain, arch pain, and heel spurs.


Causes
Plantar Fasciitis often leads to heel pain, heel spurs, and/or arch pain. The excessive stretching of the plantar fascia that leads to the inflammation and discomfort can be caused by the following:
Over-pronation (flat feet) which results in the arch collapsing upon weight bearing
A foot with an unusually high arch
A sudden increase in physical activity
Excessive weight on the foot, usually attributed to obesity or pregnancy
Improperly fitting footwear
Over-pronation (flat feet) is the leading cause of plantar fasciitis. Over-pronation occurs in the walking process, when a person's arch collapses upon weight bearing, causing the plantar fascia to be stretched away from the heel bone.
With Plantar Fasciitis, the bottom of your foot usually hurts near the inside of the foot where the heel and arch meet. The pain is often acute either first thing in the morning or after a long rest, because while resting the plantar fascia contracts back to its original shape. As the day progresses and the plantar fascia continues to be stretched, the pain often subsides.


Treatment and Prevention
The key for the proper treatment of plantar fasciitis is determining what is causing the excessive stretching of the plantar fascia. When the cause is over-pronation (flat feet), an orthotic with rearfoot posting and longitudinal arch support is an effective device to reduce the over-pronation and allow the condition to heal.
If you have usually high arches, which can also lead to plantar fasciitis, cushion the heel, absorb shock and wear proper footwear that will accommodate and comfort the foot.
Other common treatments include stretching exercises, plantar fasciitis night splints, wearing shoes that have a cushioned heel to absorb shock, and elevating the heel with the use of a heel cradle or heel cup. Heel cradles and heel cups provide extra comfort, cushion the heel, and reduce the amount of shock and shear forces placed during everyday activities.
Every time your foot strikes the ground, the plantar fascia is stretched. You can reduce the strain and stress on the plantar fascia by following these simple instructions: Avoid running on hard or uneven ground, lose any excess weight, and wear shoes and orthotics that support your arch to prevent over-stretching of the plantar fascia.

I also have found that placing an ice pack on the plantar fascia for 10 - 15 minutes helps to reduce the swelling. You can do this by freezing a plastic water or soda bottle and rolling your foot along the floor on it.

If problem persists, consult your foot doctor.

I hope that this article has helped you. If you have other questions you would like answered, please email them to feltshoe1@yahoo.com . I'll do my best to answer any questions you may have.