How to Prevent Running Injuries to Your Feet

Prevent Running Injuries to Your Feet

“Your feet are your foundation.” We hear it all the time, but what does that mean? Let’s address three basic questions about healthy feet:

  • What are some common foot issues in athletes?
  • How do your feet impact the rest of your body?
  • How do you strengthen your feet and prevent injuries?

Lets know a few Common Foot problems or Injuries first. If your feet aren’t well cared for, bad things happen. In athletes, problems most frequently arise from overuse.

  • Turf toe: A common condition caused by repeated hyperextension of the big toe. It is most common in people who wear lightweight shoes or who hyperextend their big toe frequently during repeated actions.
  • Bunions: Often associated with over-pronation. This condition is also known as “Old Lady Toe,” and is characterized by angulation of the big toe towards the other toes. You may experience tenderness, pain, and inflammation.
  • Stress fractures: Tend to occur in the second and third toes, and are characterized by swelling and pain on the top of the foot. Poor diet combined with over training is one of the most common causes of stress fractures.
  • Plantar fasciitis: Inflammation and micro-tearing of the fascia. Plantar fasciitis may be caused by repeated stresses like running and jumping. Tight calf muscles and weak supporting musculature in the foot can put you at higher risk.

Whether you’re a newbie or an advanced marathoner, you’ve probably learned that injuries come with the territory. Scientists have blamed everything from running too much to being overweight to having bad form. On that last point—bad form—the thinking has been: Land on the balls of your feet first, rather than your heels. But a fresh study says you can be a heel striker and still avoid injuries. The key is how hard you strike the ground. The runners who never got hurt during this two-year study were the ones who landed the lightest. To soften your step, think about landing softly, increase the number of steps you take, or try landing closer to your mid-foot (if you have a history of running injuries).

One of the easiest ways to prevent injuries during your run is to warm up beforehand. But don’t rely solely on stretching. An old study published in “The Journal of Strength and Conditioning Research” found that static stretching before a run can be damaging to your muscles and stamina. Dynamic exercises like lateral lunges, arm circles and wide-stance star jumps will increase your blood flow and heart rate, making your muscles more limber overall and preparing them for your run. When you’re finished, whether it’s a mile or a marathon, be sure to pay as much attention to your feet as you do to your legs during your cool-down. This means stretching your toes and arches the same way you would your calves and quads. Seated arch stretches, foot doming (gripping and releasing the ground with your bare feet) and spelling out the alphabet with your toes help reduce tightness and weakness, which are often the underlying cause of foot injuries.

Being aware of the way you move while running is key to preventing injury. One of the most important things is to know — and control — when, where and how your foot strikes the ground during each part of your gait cycle. This cycle consists of four parts:

  1. Initial contact with the ground
  2. Midstance or single support
  3. Propulsion
  4. Swing

Focus first on your initial contact with the ground. Many runners, particularly new ones, strike the ground with their heel. But over time, the repeated impact can damage the heel. If you tend to strike the ground heavily with your heel, change to a lighter step and hit the ground somewhere between the edge of your heel and midfoot. Roll forward quickly and keep your ankle lightly flexed, making it easier to spring off your foot. Another mistake new runners tend to make is over pronation, which occurs when your foot rolls inward as it hits the ground. This causes excess stress on your foot and ankle. On the other hand, some runners underpronate, or supinate, which occurs when your foot doesn’t roll in enough. In this case, the majority of the impact is absorbed by the outside of your foot. Ideally, your foot should rotate in about 15 degrees. Good form encompasses the movement of your entire body, not just your feet and legs. The cornerstones of good form are:

* A straight and relaxed back and neck

* Bent arms with movement originating from the shoulders

* Little side-to-side movement in the hips and waist

* A light landing as your foot hits the ground

Focus on one or two things at a time, like keeping your core engaged and your toes pointed forward, and pretty soon those changes will become second nature.

Also pay attention to your stride, the length of your step when running. You want a quick leg turnover and a short stride, meaning your feet land underneath your body. Avoid landing with your feet in front of you because this increases the strain on your knees and hamstrings — and that increases your risk of injury.

Selecting the best pair of running shoes means knowing what kind of feet you have and how their shape affects the way you run. While minimalist shoes are a recent trend in running, if you have high arches or over-pronate, you’ll need shoes with specific support. This helps reduce your risk of injury by making sure your feet have the proper support. Runners with flatter feet tend to over pronate and may require a more supportive shoe to prevent rolling and guide the foot through foot strike. It is recommended that runners who over-pronate wear shoes with extra stability, while those who supinate choose neutral or universal shoes. If there’s deviation from that, choose a shoe with some degree of stability to help maintain correct foot positioning. But what does that mean? Most stabilizing running shoes have a wedge of firmer material in the midsole that the foot rolls into. Different shoes will have different-size wedges and may have other features that increase the stiffness of the shoe, so try several pairs on before committing. Feet that supinate have other needs. It is recommended that these runners choose an unsupported shoe with either cushioning or flexibility. The cushioning protects the finer bones in the foot and flexibility ensures there is no artificial restriction on the movement of the foot.

By analyzing your foot shape and structure, you can make more informed decisions about the shoes you need. One of the simplest ways to do this is with the wet test. Get your feet wet, and then walk normally on a piece of paper. A normal foot, one in which the arch is neither flat nor high, has a wide band along the outside connecting the ball of the foot and the heel. In contrast, if you have a flat foot, you’ll see a print of your entire sole. And if you have a high arch, you’ll see a band that’s very narrow to nonexistent. You can also talk to a footwear expert at a sporting goods store. They often analyze people’s gaits using video and can provide helpful tips based on what they see. Look at the wear on an old pair of running shoes. Place the shoes side by side on a table, with the toes pointing towards you. Look at the shoes from eye level. If either or both lean noticeably inward, you likely pronate. Keep in mind that many runners who develop plantar fasciitis have to change their shoe type to treat it. A common underlying factor of plantar fasciitis is muscle weakness. Plantar fasciitis can arise from shoes that have too much support, which restricts the foot’s natural movement and ability to protect itself. Or it can occur if your shoe has a large, built-up heel, which prevents the plantar fascia moving, loading and absorbing impact properly. This can in itself make the fascia tight and shortened, which can exacerbate the issue. Never take your feet for granted. Always think of them as a tool that you can work hard.

Have you ever been sidelined by a running or sports injury? How did your recovery go? What did you do to prevent future ones? What does you running warm-up and cool down look like? Have you ever tested your feet to see if you underpronate or overpronate? When was the last time you bought new running shoes? What factors did you consider? Share your thoughts and stories with us.

Article is posted by MBT Physiological Footwear.

 

How To Diagnose & Treat Burning Sensation

Treat Burning Sensation

Schedule an appointment with a doctor if you’re experiencing a persistent burning sensation. During your appointment, your doctor will perform a physical examination and ask you about your pain. Be prepared to answer questions that may include:

  • the location of the pain
  • the severity of the pain
  • when the pain began
  • how often you experience the pain
  • any other symptoms you may be experiencing

The doctor will also order certain tests to try to identify the underlying cause of your burning foot pain. These diagnostic tests may include:

  • blood or urine tests to check for nutritional deficiencies and other conditions
  • imaging tests, such as X-rays and CT scans, to examine bones and muscles in the spine
  • Electromyography (EMG) to assess the health of nerves and muscles
  • Nerve conduction velocity test to determine how quickly electrical signals move through a particular peripheral nerve
  • Nerve biopsy to check for nerve damage in a particular part of the body
  • Skin biopsy to examine a small sample of the affected skin under a microscope for the presence of abnormal cells

Treatment for a burning sensation depends on the underlying cause. If the doctor finds an underlying health condition, they will attempt to treat that particular condition first. Your course of treatment will vary depending on the problem. Treatment may include:

  • medications
  • surgery
  • physical therapy
  • dietary changes
  • lifestyle modifications

The most important treatment for burning feet due to neuropathy is to stop any ongoing nerve damage. In some cases treatment of the underlying disease will improve the neuropathy and symptoms. In other situations, like a small fiber neuropathy, where no cause can be identified, the physician will focus on treating the person’s symptoms. For people with diabetic neuropathy, treatment means keeping blood sugar levels in the normal range. This usually requires dietary changes, oral medications, and often insulin injections. For people with other forms of neuropathy that cause burning feet, preventing further nerve damage is equally important. Specific conditions and their treatments include:

  • Vitamin deficiency. Taking additional vitamin B12 orally or by injection can replace low levels of this nutrient.
  • Alcoholism – Stopping excessive drinking prevents ongoing nerve damage and allows nerves to heal.
  • Chronic kidney disease – Dialysis may be necessary to eliminate toxins causing neuropathy and burning feet syndrome.
  • Hypothyroidism – Taking oral thyroid hormone raises low thyroid levels, often reversing neuropathy as well as burning feet syndrome.
  • GBS and CIDP. Treatments are very specialized and include plasma exchange (plasmapheresis) or immunoglobulin therapy (IVIG).

The burning pain can be controlled with anti-inflammatory medications, prescription painkillers, or over-the-counter (OCT) pain relievers. You can also ask your doctor about certain home remedies that may help treat your condition. Many conditions that cause a burning sensation have no cure, but treatments can make a big difference in reducing the pain and any other symptoms. You should see your doctor so you can receive a diagnosis and treatment for the problem that may be causing your burning sensation. Make sure you stick with your treatment plan and attend any necessary follow-up appointments.

Article is posted by MBT Health Footwear

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Burning Feet Pain

Burning Feet Pain

A burning sensation can best be described as a kind of pain which is quite different from stabbing, dull or aching. More often than not, a burning pain can be attributed to nerves. However, there are a number of other causes responsible for the pain. The other causes of pain or nerve damage could be injuries, infections, wear and tear of the body as well as autoimmune disorders. While a burning sensation may not really have a cure, it can be treated effectively. Burning foot pain is a common complaint, usually as a result of damage to the nerves of the foot or leg.  It may develop due to an injury or medical condition. Symptoms may be constant or come and go, vary in intensity and be accompanied by other sensations such as pins and needles or numbness. Accurate diagnosis of burning foot pain is vital to ensure appropriate treatment is started as soon as possible to prevent further damage.

While fatigue or a skin infection can cause temporary burning or inflamed feet, burning feet are most often a sign of nerve damage (peripheral neuropathy). Nerve damage has many different causes, including diabetes, chronic alcohol use, exposure to certain toxins, certain B vitamin deficiencies or HIV infection.

Possible causes of burning feet:

  1. Alcohol use disorder
  2. Athlete’s Foot
  3. Charcot-Marie-Tooth Disease (a group of hereditary disorders that affects the nerves in your arms and legs)
  4. Chemotherapy
  5. Chronic kidney disease
  6. HIV/AIDS
  7. Diabetic Neuropathy (diabetes-related nerve damage)
  8. Complex Regional Pain Syndrome (chronic pain due to a dysfunctional nervous system)
  9. Hypothyroidism (underactive thyroid)
  10. Tarsal tunnel syndrome
  11. Vitamin Deficiency Anemia

Causes of a burning sensation

One of the most common reasons for burning pain is damage or dysfunction in the nervous system. This system is made up of the Central Nervous System (CNS) and the Peripheral Nervous System (PNS). The CNS is the primary command center, and includes the brain and spinal cord. The PNS consists of the nerves that branch out from the brain and spine, connecting the rest of the body to the CNS. Several different types of nerve and spine conditions that may cause burning pain as a symptom include.

  • Central pain syndrome is a brain disorder that occurs when the nerves in the CNS are damaged. The condition can cause different types of painful sensations, including burning and aching.
  • Cervical spondylosis is a result of aging. Wear and tear on the bones and cartilage in the neck cause compression on the nerves. This leads to chronic neck pain along with a burning sensation.
  • Herniated disk occurs when a disk in the spine slips out of place. The disks protect the bones in the spinal cord by absorbing shock from daily activities, such as walking and twisting. When a disk moves out of place, it can compress a nerve and cause a burning pain. It may also cause numbness or muscle weakness.
  • Mononeuropathy is a group of conditions that can cause damage to a single nerve. The damage often results in a tingling or burning sensation in the affected part of the body. There are several types of mononeuropathy, including carpal tunnel, ulnar nerve palsy and sciatica.
  • Multiple Sclerosis (MS) is a disease that affects the CNS. Researchers believe that ms causes the body’s immune system to attack myelin, which is an insulating coating around nerve cells. Once myelin erodes, communication between nerve cells in the CNS is disrupted. When this happens, some parts of the body don’t receive instructions from the brain. This results in a variety of symptoms, including burning pain and spasms.
  • Neuralgia is burning and stabbing pain that occurs along a damaged or irritated nerve. The affected nerve may be anywhere in the body, but it’s most often in the face or neck.
  • Peripheral neuropathy is a disorder that develops when a peripheral nerve is damaged, affecting its ability to function correctly. It may trigger a burning sensation. When at least two nerves or areas are affected, as can happen in leprosy, the condition is called mononeuritis multiplex.
  • Radiculopathy, also referred to as a pinched nerve in the spine, is a natural part of aging. It occurs when surrounding bones, cartilage, or muscle deteriorates over time. The condition may also be triggered by injury or trauma to the spine. Radiculopathy causes burning pain in some cases, but not all.

Accidents, injuries, and traumas are other possible causes of burning sensations.

  • Frostbite occurs when skin and the tissue under it freeze. Before numbness sets in, frostbite produces a burning sensation.
  • Stings and bites from insects or animals that are venomous, such as snakes, produce a burning sensation at the affected area.
  • Whiplash is an injury that occurs when someone’s head moves back and forth very suddenly with great force. The injury is most common after a car accident. It can cause a burning pain and stiffness in the neck.

Certain nutritional deficiencies can also include burning pain as a symptom.

  • Beriberi is a deficiency in thiamine, or vitamin B-1.
  • Hypoparathyroidism is a rare disease characterized by an underproduction of parathyroid hormone, a hormone produced by glands in the neck. This can lead to a calcium deficiency.
  • Megaloblastic anemia  may be related to a vitamin B12 or folic acid deficiency.
  • Pernicious anemia causes a vitamin B-12 deficiency.

There are other potential causes of a burning sensation in different parts of the body.

  • Canker sores are mouth ulcers or sores caused by a virus. They are usually very painful.
  • Gastroesophageal reflux disease (GERD) is chronic acid reflux, which occurs when stomach contents flow back up into the esophagus. The condition can cause a burning sensation in the esophagus, chest, or stomach.
  • Peripheral Vascular disease (PVDs) is a blood circulation disorder that affects veins and arteries outside of the heart and brain. It often causes burning pain that gets worse when walking.
  • Rosacea is a skin condition that produces red, pus-filled bumps on various areas of the body. The affected areas can sometimes feel hot.

Article is posted by MBT Physiological Footwear.

 

Causes of Foot Rash & Its Treatments

A foot rash can develop for a multitude of reasons.  It may only affect a small area, be short-lived and mild, or it may spread further up the leg, return frequently and be painful or itchy.  Some are highly contagious. With any type of foot rash, it is important to diagnose the cause so that treatment can be effectively targeted.  It also helps to prevent it from returning and turning into a chronic (long lasting) condition where possible. In this blog, let’s look at some of the most common and then the rarer causes of a foot rash, how they present and how to treat them.

Contact Dermatitis

An allergic reaction that causes a foot rash is known as contact dermatitis and develops when the skin is sensitive to certain substances.  It can be split into two categories of foot and ankle rash

1)  Irritant Contact Dermatitis

This is the most common type of contact dermatitis.

irritant-contact-dermatitis-1

Causes:  Damage to the protective outer layer of skin, usually due to contact with chemicals such as household cleaning products, detergents, dyes, cosmetics or industrial chemicals.

Symptoms: Localised dry, cracked, scaly skin and a non-itchy foot and ankle rash.  Symptoms vary according to the length of exposure, the amount and potency of the irritant.

Treatment: Wash the area well, avoid the irritant, anti-histamines and topical steroids

2)  Allergic Contact Dermatitis

allergic-contact-dermatitis

Causes: Exposure to allergens trigger an immune reaction in the skin.  Common allergens include latex rubber, plants e.g. poison ivy, metallic substances e.g. nickel and chromates e.g. in shoe leather can cause a foot and ankle rash.

Symptoms: This type of foot rash usually presents as pink or red skin with small bumps which may blister.  It tends to be extremely itchy.

Treatment: Avoiding the allergen, cold compress, anti-histamines, topical steroid medication.

A foot or ankle rash from contact dermatitis may develop from a single exposure or after repeated episodes of contact.  Symptoms usually appear within a few minutes to hours of exposure and can last for 2-4 weeks.  A rash from contact dermatitis is not contagious.

Eczema aka Atopic Dermatitis

Eczema is another cause of a foot or leg rash.  It is a chronic condition that usually starts in early childhood.  Many children grow out of eczema but it can persist into adulthood.  It affects approximately 25% of children and 2-10% of adults and is becoming increasingly common.

eczema

Causes:  The exact cause of eczema is unknown and it may be due to a number of factors including an inability for the skin to provide an effective barrier to allergens, bacteria on the skin and environmental conditions.  There is a genetic link with eczema and it is often accompanied by allergies and hay fever.  Stress and anxiety can cause flare ups.

Symptoms:  Dry, red patches of inflamed skin.  Often itchy, especially at night. Can progress to small, fluid filled bumps.  A leg or foot rash from eczema often occurs in skin creases such as behind the knees or between the toes

Treatment:  There is no cure for eczema but there are things you can do to reduce the symptoms of the leg or ankle rash including corticosteroid cream or ointment, anti-histamines, UV light therapy.  Regularly moisturise the skin (at least twice a day) to help reduce the chance of flare-ups.  Reduce the frequency and length that you bathe or shower, use warm rather than hot water and use emollients such as Aveeno instead of soap in the water to prevent the skin drying out.

A foot rash from eczema tends to flare up periodically and then subside for anything from a few days to years.  It is not contagious.

Athlete’s Foot aka Tinea Pedis

Athlete’s foot, a type of ringworm, is a fungal infection that usually starts with a rash between the toes known as a ringworm rash.  It affects approximately 15% of the population and is more common in men.

athletes-foot

Causes:  Sweaty feet, tight shoes, damp footwear – anything that makes the foot warm and wet for long periods

Symptoms: Scaly, flaky, itchy, red foot rash (aka a ringworm rash) accompanied by stinging and burning sensation.  Blisters can develop

Treatment: Anti-fungal medication – usually cream or ointment or in severe cases oral medication.  Good hygiene measures such as regularly changing socks and shoes, or wear sandals to prevent excessive moisture at the foot

Athlete’s foot is contagious and is spread by skin-to-skin contact or through contaminated surfaces e.g. floors, towels and clothing

Hand, Foot & Mouth Disease

Hand, foot and mouth disease is a mild viral infection which causes a mouth, hand and foot rash. It mainly affects children under the age of 10.

hand-foot-mouth-disease

Causes:  Infection from the coxsackievirus A16.  Highly infectious, through nasopharyngeal secretions from coughing and sneezing.  The incubation period (time from exposure to symptoms) is usually 3-6 days.  Tends to occur during warmer weather.

Symptoms:  Red, non-itchy hand and foot rash (on the soles of the feet). Blisters in the mouth, hands and feet. Fever, sore throat, loss of appetite and a general feeling of being unwell.  Dehydration is a common side effect as it can be extremely painful to drink.

Treatment:  Treatment is geared towards symptom relief.  Oral anaesthetics can make swallowing more comfortable and over the counter medications such as paracetamol and ibuprofen can help relieve discomfort.   Symptoms usually settle within a few days.

NB Not to be confused with foot and mouth disease in animals which is from a completely different virus.  Hand, foot and mouth cannot be caught from or passed on to animals.

Other Causes of Foot Rash

There are a number of other possible causes of a foot rash, but they tend to be less common or affect more of the body, rather than being confined to the foot or lower legs.

1)  Psoriasis

Psoriasis is a chronic skin disease causing red, scaly, itchy patches.  It is caused by rapid overproduction of skin cells due to a problem with the immune system.  Psoriasis skin lesions range from small, localised patches to major eruptions affecting the whole body.  A foot rash from psoriasis tends to occur on the soles of the feet.  It affects 2-4% of the population.  Symptoms usually go through recurrent cycles of flaring up for a few weeks or months then settling down.

2)  Scabies

Scabies is a contagious skin condition caused by a parasite burrowing under the skin affecting 1.5% of the population.  It causes intense itching which is worse at night.  Superficial burrows from the mite through the skin appear in lines accompanied by small, red spots commonly in the webs of fingers and toes, producing a hand or foot rash.

3)  Insect Bite

A bite to the foot or ankle can produce a rash.  It tends to be a small, localised spot or group of spots which are itchy and settle within a few days.

4)  Other Causes

Other causes of a foot, ankle or leg rash include Lyme Disease, meningitis, lichen planus, chicken pox, shingles, and rheumatoid arthritis.

If you are suffering from foot itching or rashes problems, it is always a good idea to get it checked out by your doctor.  They will examine the foot or leg rash and ask questions such as when it began, if you’ve been taking any medications, eaten something disagreeable, used any new products e.g. soaps,  if there is any associated itching or scaling, if you’ve spent lots of time outdoors and how your general health is.

Article is posted by MBT Health Footwear

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