Posts for tag: Jogging
Finding the perfect running shoe can be a difficult task. A good running shoe can maximize your performance but a bad one could plague you with injuries. There are many factors that go into purchasing the perfect shoe.
There are generally 7 categories of shoe construction and knowing a little about these categories will help you make a better choice. Neutral shoes have a good blend of flexibility and stability. Flexibility shoes offer more shock-absorption. Stability shoes offer high stability and cushioning. Motion-control shoes provide rigidity and stability. Trail running shoes offer increased toe protection, outsole traction, stability and durability. Cushioned shoes are those with little support but more shock absorption. Lightweight shoes come in varying degrees of stability and cushioning.
Arch type is very important in choosing the correct shoe. Do you have a high-arched foot, one that supinates? If your feet do not roll enough, the legs absorb extra shock. Runners should seek added cushioning but not extra support. Flat-footed runners often overpronate; their feet roll inward more than the ideal amount, increasing the risk of injury. Added cushioning and support can help. The normal arched runners have a natural rolling of the foot after impact that dissipates shock. You have a little more leniency as far as shoe choices.
By understanding the parts of a shoe you can make informed choices about which running shoe is best for you and your feet.
Running shoes are formed on a last. Running shoe last patterns are important for stability. Straight lasts are built along the shoe’s straight arch to provide maximum stability. Semi-curved lasts are molded straight toward the rearfooot while having some curve toward the forefoot. This provides stability and flexibility. Curved lasts are built to curve from the toe to the heel.
Consider your weekly mileage. Are you running more than 32 miles, less than 18 or somewhere in between? Those running high miles may need to invest in a shoe with increased durability. Next, you must consider your BMI. Heavy runners need the added cushion and control. Remember to replace your shoes every 500-600 miles.
Running shoes are changing rapidly. The major shoe companies roll out new designs twice a year. Many offer midsole air, gel, and tube chambers; springs; recoil plates; Gore-Tex and other membrane fabrics; breathable liners and mesh outer fabrics; and better support and stability.
Do your homework, study the shoe reviews and discuss with your doctor.
The following are some of the ways my patients have described the pain from a neuroma: “It feels like I’m stepping on a pebble,” “I feel like my sock is wadding up under the ball of my foot,” “I feel a burning pain between my toes,” and sometimes “my 3rd and 4th toes are numb – is it diabetes?” Well, it’s not diabetes (in most cases). It is most likely a common condition called a Morton’s Neuroma, something we podiatrists treat daily.
What exactly is a Neuroma?
It’s actually a bit of a misnomer. It is not a tumor at all. It is in fact a swollen, inflamed nerve located between the bones at the ball of the foot. It can be between the 2nd and 3rd toes or the 3rd and 4th toes. The nerve can actually become so enlarged that it pushes the toes apart when you stand up (called a Sullivan’s sign). It is seldom found between the big toe and 2nd toe or between the 4th and 5th toes.
Who gets it?
Mostly adults, but occasionally I have seen it in teens. Women are more likely to suffer from a neuroma. Perhaps due to the shoes they wear. High heels can cause the foot the slide down in the shoe and compresses the ball of the foot in the toe box. Participating in high-impact athletic activities such as jogging or running may subject your feet to repetitive trauma which can also lead to a neuroma. Foot deformities like bunions, hammertoes and flatfeet can also be predisposing factors.
So, how do we diagnose it?
In most cases, clinical findings alone are sufficient. A positive mulder sign is when the doctor squeezes the ball of the foot with one hand, while concomitantly putting pressure on the interdigital space (on the bottom of the foot between the two metatarsal bones) with the other hand. A click can be felt as well as pain in most cases. An ultrasound and/or MRI can also be used for diagnostic purposes, but the neuroma can sometimes be missed with these imaging studies.
How do we treat it?
A custom orthotic with a metatarsal pad included to relieve pressure from the neuroma is usually the first line treatment. Steroid injections can also be very helpful to decrease the inflammation. Another kind of injection called a sclerosing injection (alcohol based) can also be used to deaden the nerve. These injections are usually given in a series (every 10 days or so – anywhere from 5 to 10 total). If conservative care fails there are also surgical treatment options. There are two kinds of surgery for neuromas: one releases the ligament compressing the nerve and the other involves removing the nerve. Happily, most people recover with conservative care alone and do not need surgery but if conservative care fails surgery can be a welcome relief from the constant pain.