June Articles 2013

Fitting Shoes for Infants

Growing feet are important part of your baby's development. Fitting your infant with the proper shoe size affects their comfort level as well as how the foot grows.

At birth, to keep the newborn's foot warm, uses socks or soft shoes. The newborn's foot is fragile and soft and it's important not to have anything on the baby's foot that will put weight on it or constrict it. Because at this stage babies are unable to express themselves, an uncomfortable shoe many cause the newborn to cry uncontrollably. On average, a baby between 0 and 6 months wears a 00-6M shoe. At this age, the baby booties come in a variety of colors to match their layette or outfit. This shoe type is called a crib shoe.

As the baby grows and starts to move around more, the shoe type the baby will change with their changing developmental stage and physical activity level. Crawling shoes are for babies who are moving around but are not walking independently. This shoe type is typically available between 6M and 9M. All shoes stores selling baby and children shoes have associates to measure the baby's foot so that you can get a proper fitting shoe. Specialty stores that sell just infant and children shoes will have equipment used just for children. Because the equipment is just for babies and children, the baby will have a more detailed fitting. Depending on the width of the baby's foot, the foot may range between a regular fit, a narrow fit or a wide width fit. For wide width shoes, a W is indicated next to the infant shoe size.

Babies’ feet perspire more. Shoes made of breathable materials will allow air to easily flow between the babies’ foot and the shoes. Due to their rapid growth, it's important to measure the baby's shoe size every month and allow extra room for growth in each fitting.

Once the baby starts standing and walking the type of shoe the baby wears is extremely important. The shoe should never need breaking in. It should be flexible, comfortable and support the ankles as well as the feet. Infants between 6 and 12 months need this shoe type. The shoes should never be tight and should have soft soles. Harder sole shoes are for infants who have mastered walking and walking outside. Although the shoe is harder it should still be flexible and comfortable while providing support for the feet. This shoe ranges from 9M to 18M.


Foot Rehabilitation for Athletes

It is hard to think of a sport in which the ankle and foot are completely safe from injury. Even simple activities such as darts and pool can cause injuries to the foot. When an athlete does suffer from a foot injury, he needs to find a way to get back on his feet right away. Immediate results may be desired, but they are not always possible.

Severe injuries require special attention. When the foot or the ankle gets injured, muscles surrounding the bones can weaken or atrophy through disuse. While the bones will heal on their own, it takes a more concentrated effort for an athlete to regain full use of his feet and ankles. A doctor may recommend that a person go through a course of physical therapy. The course of physical therapy treatment uses simple, repetitive isometric exercises. The use of the exercises will cause the body to rebuild the muscles and tendons in the area over time and restore the full range of movement.

When selecting ankle and foot rehabilitation services, an athlete needs to find a licensed sports therapist (other physical therapists work with more generalized conditions, and while these kinds of physical therapists are dedicated to their job, they do not necessarily understand the special demands of the athlete). A good sports therapist will take their time with a patient, and make sure that he or she understands the problem and the options available for treatment. As long as the doctor expects a person to return to the sport which he enjoys, the sports physical therapist will recommend the exact exercises a person needs to get back in the game.

Although the professional athlete needs a trained sports therapist, an amateur athlete or the weekend player can benefit from foot rehabilitation services for athletes as well. An ankle or foot injury does not have to cause a person go give up the game he loves entirely, so long as he or she seeks out a sports therapist.

Physical therapy cannot always perfectly heal certain injuries, but it will more quickly and effectively help the afflicted person get better.  Less severe injuries may only take a person out of his favorite sport just for a little while, if he or she sees a sports therapist. As long as the doctor the athlete sees thinks a full recovery is possible, it is worth it to check out ankle and foot rehabilitation services.


Sesamoiditis

Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.

The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.

Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.

Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.

When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.



All About Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is actually a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. However, a sprain can still be very severe, causing bruising in the foot and an inability to hold weight, much like a broken ankle would. If you cannot stand on your own weight and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.

A common way to break your ankle is to roll over onto it with enough pressure to break the bones, usually done while engaging in exercise, sports, or some other physical activity. Another common cause is a fall or jump from a large height. If you have experienced either of these, you should see a doctor immediately to determine if surgery is needed, in severe cases. Without medical attention, you could develop arthritis later in life, and an operation might be the only option to ensure the ability to walk properly again.

Broken ankles can cause severe pain, but immediate relief can come from elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to the ankles to help reduce the swelling, redness, inflammation, and pain. If surgery is required, it usually means that you are going to need an ankle cast for at least three months, followed by rehabilitation. However, even if surgery is not needed, a cast will still be required for some time.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain.