Pioneer Podiatry

Sore feet after beach holidays? Why!?

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It's just so tempting! Beautiful long summer afternoons, and so many amazing beaches to choose from. Who doesn't love a nice long walk to feel the sand between your toes? Or maybe you're making the long trek at low tide to catch yourself a flathead or two! But what do you do when you find yourself suffering with pain when walking, or perhaps the next day? Is the pleasure worth the pain!? Many people complain of painful heels and sore aching feet after spending a relaxing weekend at the beach, so you are not alone.

The foot is an amazing machine, and one that is supported by a multitude of muscles, tendons, and ligaments. When walking barefoot on a soft surface like sand, some of these tissues can take on more stress than they can handle, and they start to tear and then inflame. This inflammation is what you are feeling as pain.

The most common culprit on the under side of the foot is a broad flat structure called the plantar fascia. Inflammation in this is referred to as the dreaded plantar fasciitis (plan-ta fa-cee-i-tis). This is a condition we see in clinic at least half a dozen times every day! A telltale sign of this condition is when you suffer bad pain on the first few steps getting our of bed in the morning.

The Solution

If you haven't been to the beach for some time, it's a good idea to gradually transition to barefoot walking. You should wear supportive thongs on your feet when you're not wearing shoes and in the first few days, limit your bare foot exposure on the soft sand, and then each day gradually increase your walking time on the soft sand. If you are going to go for a very long walk along the beach, it might be worth considering wearing your joggers for the first half of the walk, and go barefoot on the home straight.

What if the pain doesn't go away?

If your foot and heel pain improves each day with a bit of rest and some good footwear choices, then you are probably out of the woods. If it doesn't go away, you have two options. Either walk around in pain for weeks or months (or years). Or you could come and see us for some professional treatment and advice. Depending on how long you have had your pain, the severity of your pain, which structures are injured, and your daily activities, your treatment could range from some basic strengthening, stretching and taping techniques, all the way through to custom orthotic therapy, and more specialised therapies. One word of advice- the longer you leave it, the longer it will take to get better. The sooner we can fix it, the sooner you can get back to normal walking without pain. Sounds good? I bet!

Are expensive shoes worth the extra money?

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It’s a question we get all the time, and a question I love to hear from my patients! To put it simply, spending a few dollars extra on your shoes could be the best bang-for-your-buck to fix your sore feet issues.

Aren’t they all made in China anyway?

Yes, pretty much! But it’s not where they’re made that’s the issue, it’s a combination of many factors. When choosing footwear, you need to consider three things-

  •         The quality of materials they are made from
  • The quality of the design and construction, and
  • The activity you will be using them for.

How to choose running shoes

There is no ideal shoe. Just like there is no ideal foot! You need to match your foot with the activity you’ll be doing, with the right footwear. Running 15ks a week is very different from running 5ks, or 50ks! And distance running is very different from other sports like netball, tennis, hockey, basketball, and will require shoes that can handle these differences.

How to choose casual shoes

Ok. This one is tricky. Particularly with the ladies. Remember the rule- if you wear the right shoes, at the right time, for the right activities, you will be ok! But this does mean there are wrong times to wear certain shoes (e.g. thongs for mowing the lawn), and there are right times to wear the wrong shoes (e.g. 3 inch stillettos to a wedding).

As a general rule, you need to have footwear that will reduce stress and strain to your feet at the times when you stress and strain them the most. Just think- when do your feet hurt most right now? Is it after walking the dog for half an hour in your thongs? Or when you mow the lawn in your worn out sneakers? Or when you stand all day in your ballet flats in your retail job?

The Do's and Don'ts of choosing shoes...

Don't...

Buy a shoe only for its colour, brand, price, etc. The benefit of a well-fitting and correctly designed shoe will last a lot longer than the thrill of a bargain that doesn’t fit, or doesn’t suit your foot and makes it hurt.

Try and make your running shoes last forever! 6 to 12 months and you really should be getting new ones, depending on what you do in them.

Wear the wrong shoes for the activity you’re doing.

Do...

Get a shoe that feels good in the shop. If it doesn’t feel good on your foot in the shop, it won’t feel good after walking/ running for 5ks, that’s for sure.

Get your feet measured! Heaps of people are in shoes that just don’t fit.

Get help if you’ve got problem feet. Find a good shoe shop that can measure and fit you professionally.

See a podiatrist if you’re in pain. That’s what we do- fix sore feet!

Consider video gait analysis. This is where we film you walking or running, and evaluate your footwear and orthotic needs.

These suggestions are of course very general, and will suit most people most of the time. If you're having trouble with getting footwear, or having persistant foot or leg pain, come and see us for a thorough evaluation of your injuries. We're here to get you out of pain, and back to normal again!

Have you heard of the latest medication you can take daily to treat these conditions?

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  • Reduce mortality and the risk of recurrent breast cancer by approximately 50%.
  • Lower the risk of colon cancer by over 60%.
  • Reduce the risk of the development of Alzheimer’s disease by approximately 40%.
  • Reduce the incidence of heart disease and high blood pressure by approximately 40%.
  • Lower the risk of stroke by 27%.
  • Lower the risk of developing type II diabetes by 58%
  • Be twice as effective in treating type II diabetes than the standard insulin prescription and can save $2250 per person per year when compared to the cost of standard drug treatment.
  • Can decrease depression as effectively as Prozac or behavioural therapy.

Did you also know it is being offered for free? And it can be taken any time of day, with no side effects?

Have you guessed what it is yet?

Yes, it's exercise! It really is that good. Exercise can also be known by other names, such as...

  • Playing with your children or grandchildren in the yard or at the park
  • Riding your bike to the shop, instead of driving
  • Walking to school/ work
  • Organised excercise i.e. gym, walking groups, tai chi.
  • Pretty much anything, as long as you're moving your body around the place!

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If you are suffering from any chronic diseases, chances are you'll benefit greatly from a daily dose of exercise. Did you know there are health specialists trained to dispense you the perfect dose? Exercise Physiologists (EPs for short) can show you how to best approach this for your needs, so you get the best results possible, without any problems along the way. For more information on EPs, visit www.essa.org.au .

At Pioneer Podiatry, we always encourage Exercise as Medicine. If you are having foot or leg problems which are preventing you from taking your daily dose of exercise, please come in to see us! We can give customised footwear prescriptions, and make custom orthotics to ensure your feet and legs are working properly for the activities you love to do.