Jumat, 14 September 2012

Ways to Relieve Foot Pain

Foot pain can have a variety of causes and there are many factors involved that contribute to different types of foot pain you can suffer.

The principal cause of painful feet is footwear, particularly women's shoes that do not fit properly causing calluses, corns and bunions. If you are wearing heels make sure that they are not greater than about an inch in height.

Many female patients suffer with a condition called metatarsalgia which is a pressure neuroma typically of the third and fourth metatarsal nerves. Friction on these nerves wears away the outer sheath exposing the nerve which then becomes extremely painful on walking.

Again this is normally a footwear related condition and the only why to relieve the pain is to use flatter shoes with additional cushioning insoles or to opt for a surgical procedure to cut the nerve.

Weight is significant factor because if someone is obese they are putting much more pressure on their joints and feet and therefore it is even more important to find correct fitting footwear, not least to support the arches but also to accommodate any swelling throughout the day.

Many overweight people suffer with plantar fascia rightists and heel pain which takes many months to heal. The only way to relieve this kind of pain without resulting to steroid injections, is to wear gel heel cups or orthotic arch supports. The development of diabetes from obesity can also cause major foot care issues if patients go on to develop ulcers which require specialist attention.

You can have foot pain from developing calluses and thickened layers of skin that contain corns and this can lead to ulcerations and infections, typically around the toes and forefoot. They form from friction and pressure due to poor fitting footwear which may also form painful blisters. The calluses and corns need to be treated and removed by a chiropodist/podiatrist who will then provide specialist padding and advice to prevent re-occurrence.

Bunions can be painful protrusions around the big toe joints whereby the joint itself becomes inflamed and disfigured to the point where big toe deviates from a straight line pointing towards the second toe. This causes a large lump to grow on the big toe joint further exasperate in the problem of finding footwear to accommodate the misshapen foot.

Although bunions can be inherited a great proportion of them are caused through narrow fitting shoes that were normally worn in someone's youth. Typically, the only solution is surgery although padding's and gel bunion covers can be used to alleviate the painful symptoms.

Natural Ways of Relieving Foot Pain

  • Have a reflexology or massaging treatment
  • Use a foot spa with jets and essential oils
  • Use a foot massager to improve circulation
  • Wear and over the counter orthotic arch support
  • Buy a good-quality foot cream and applied daily

You can also try using the ointment capsaicin to relieve foot pain as it has the same active ingredient that is in hot peppers. It helps relieve the burning sensation felt, particularly in diabetic patients but can also be used by other individuals suffering with, for example, Achilles tendon pain or runners foot.

Trying to break in new shoes can also cause a lot of discomfort. It's always best to build up your wear time especially if they are running shoes or walking boots which may result in stretching of the calf muscles. Getting your feet measured correctly in the first place is a great tip as many people fail to do this as they get older and don't realise that their feet are either swelling or spreading at the forefoot.

Many shoe shops now have automated measuring equipment to give a much more accurate picture of the size and shape of your foot under weight bearing, particularly when considering the depth of the shoe at the toe box. If you're going to shop for shoes a good tip is to do it in the afternoon when your feet will tend to be larger at this time of day.

For more specialist information on how to relieve pain it is always a good idea to talk to your doctor or podiatrist. They have a wealth of information on foot care and foot health issues when it comes to relieving foot pain.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on foot pain relief and please feel free to comment on or "Like" me on my Facebook page by clicking here, where I have much more information and tips on foot care issues.

Fallen Arches, Tarsal Tunnel Syndrome, Bunions, and More: Adrenal Fatigue As a Predisposing Factor

Fallen arches, commonly known as pes planus, is when the arch of the foot contacts the ground as a person stands. THE major muscle responsible for holding up the arch is the posterior tibialis muscle and it receives "instructions" to hold up the arch from the brain via the spinal cord, fifth lumbar nerve root (low back), the sciatic nerve, and finally through the tarsal tunnel as the tibial n. Ergo, any misalignment in the low back can "pinch" the nerve supply and cause the muscle to fail.

Falling arches can be problematic for several reasons...

First of all, added stress on the foot stretches the ligaments, permanently altering the body's foundation toward increased pronation (rolling inward). This, in turn, alters ankle, knee, and hip mechanics to do the same. As the hips turn in, (usually more on one side than the other) the pelvis tilts more toward one side. When the hips are not level, the spinal column must twist and bend to accommodate the change all the way up to the head. Basically, flat feet can be a predisposing, complicating, and causative factor for musculoskeletal pain anywhere from head to toe.

In particular, once the arch collapses, the tarsal tunnel can narrow and affect the nerves traveling to and from the foot, causing further weakness and paresthesia (tingling). Even if the arch holds out, the foot will still over pronate, putting the weight of the body on the inside of the foot rather than the bottom. This can often lead to bunions or a hallux valgus deformation of the big toe.

Sometimes, individuals are born with flat feet, but flat feet can also develop due to lifestyle. Clinical observation has shown that the posterior tibialis muscle becomes inhibited by excessive stress. Stress can be mental-emotional, chemical-nutritional, structural (any previous injury/illness), or thermal. The adrenals are responsible for stress hormone production, and just like muscles, they get fatigued. We can't turn off stress, but we can control how we manage it. In the field of applied kinesiology, managing these cases has a multi-pronged approach based on the four types of stress:

1. Reduce mental-emotional stress (or improve coping strategies). This may include counseling, meditation, breathing exercises, exercise in general, etc.

2. Improve biochemistry by treating infections and removing toxins (cologne, perfume, scented lotions, potpourri, paints, solvents, heavy metals, etc.). It is also important to increase the intake of vitamin cofactors A, C, E, Zn, B3, B5, and folic acid.

3. Assess the stuctural integrity mentioned earlier. This is best performed by a professional applied kinesiologist chiropractor. Spinal and extremity adjusting, foot taping, acupuncture, and orthotics may be required.

4. Reduce any possible thermal stresses. This is rare, but shouldn't be overlooked, especially in extreme climates or during seasonal fluctuations.

For a thorough and preventive approach, get evaluated by a professional applied kinesiologist. This individual is trained to test the involved muscles and rule out other contributing factors. Visit the International College of Applied Kinesiology online to locate a nearby professional.

Dr. David Renner is a Chiropractor and board certified diplomate in applied kinesiology. He owns and operates Kinesis Healthcare in Glen Ellyn, Illinois. For more information on this Glen Ellyn Chiropractor visit http://www.kinesishealthcare.com

Signs And Symptoms Of Painful Heels

The first signs of a painful heel normally occur after some form of exercise or injury, although its onset can be gradual if it is due to standing on your feet for long periods of time or a gradual weight gain.

It is characterised by the intense pain felt when first standing after sitting for long periods of time or after rising in the morning. This pain generally subsides over time but can re-occur throughout the day.

The term heel pain refers only to people who generally suffer with severe pain at the bottom or at the back of the heel. It occurs because of some kind of impact pressure of the tissues surrounding the heel bone called the Calcanium or from the ligaments and tendons that attach themselves to it.

Plantar fasciitis is the most common form of a painful heel. The plantar fascia ligament joins the toes to the heel via the main arch of the foot and if this is torn in someway at the heel it will give rise to heel pain.

These micro-tears at the heel can occur at any age, from younger sports people to more senior overweight persons. However, it is increasingly seen in those overweight as the additional burden is placed on the plantar fascia ligament after a heavy heel strike when walking or running which eventually tears.

Other possible causes are rheumatoid arthritis or gout. If they occur along the plantar fascia area then they will also cause painful heels.

Several of the common causes are listed below:

  • Weight gain and Obesity
  • Over Exercise
  • Walking in unsuitable footwear such as high heels
  • Standing for long periods of time

How to Treat Painful Heels

There are many simple exercises available to exercise and stretch the plantar fascia muscle such as wall push-ups and stair stretches. Massaging and reflexology may also help the pain as well a warm foot bath with essential oils.

Plantar fascia night splints are also an excellent idea and will help keep the plantar fascia ligament stretched overnight so it is not as painful in the morning. Part of the problem is that this ligament relaxes during sleep and so is much more painful under tension when first walked on in the morning.

Changing your footwear or insoles to ones that are more supportive for the arch is one of the best ways you can help yourself, but if the discomfort continues you may need to visit your doctor or chiropodist/podiatrist for further diagnosis and treatment. They may recommend a course of steroid injections into the heel or prescribe a custom orthotic.

The best way to relieve painful heels however is probably just to buy a heel cup made of silicon gel with a softer in a part where the heel is most painful. These will fit in most footwear and available from most chemists and pharmacists. You can read more about how heel cups can help painful heels and calcaneal bursitis by visiting my blog.

Your painful heels should subside with time, however, it normally takes about 6 to 9 months to rectify completely depending on the amount of damage done in the first place so you probably need to tailor your exercise to accommodate the level of pain. Keep your jogging and walking to a minimum until you have sought a solution or further advice.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on painful heels and please feel free to comment on or "Like" me on my facebook page, where I have much more information and tips on foot care issues.

How To Heal Your Cracked Heels

Did you know that the average person walks about 4500 miles in their lifetime? This means we take millions of steps and subsequently pound our heels with every stride. So it's no wonder many of us suffer with heel problems from time to time, particularly if we do not look after them and one of the most common complaints that many of us will have to endure is cracked heels.

Known as heel fissures by podiatrists, cracked heels are splits in the upper part of the skin (called the epidermis) surrounding the heel margin and is generally due to the drying out of the heel from wearing open backed footwear.

It can be exasperated by heel calluses and may be painful and/or bleed if the fissures are deep enough to enter the deeper skin structures (called the dermis).

They can be a variety of causes for cracked heels some of which are listed below:

  • Being overweight
  • Having diabetes will cause drying of the skin and heels
  • Zinc Deficiency
  • Standing for long periods in unsuitable footwear
  • Constantly wearing open backed shoes
  • Omega 3 Deficiency
  • Suffering from dry skin conditions such as Anhidrosis
  • Having eczema or psoriasis

Being obese can compound the problem of dry heels as the excess pressure put on the heel margin may lead them to crack more seriously. Diabetes is a problem because it damages the nerve endings, particularly in the extremities such as the feet, which in turn can interfere with the function of the sweat glands. This inevitably leads to the drying out of the foot, sometimes leading to Anhidrosis, which is a severe drying of the skin.

Other skin complaints such as eczema and psoriasis or the use of certain medications can also lead to dry heels and skin so it is important to recognise what's going on early enough to prevent the condition deteriorating.

So how do you cure your cracked heels once you realise you have them? Here are a few tips to help you:

Make sure you clean and dry your feet correctly every day. If they are severely cracked and possibly bleeding, it is a good idea to soak your feet in a bowl (or foot spa) of warm water with a tablespoonful of salt for 15 to 20 minutes each day. You can also put some essential oils into the water, such as tea tree oil which acts as an antiseptic, to help prevent infection.

Depending on the seriousness of the cracking and if there are any calluses present, you may want to exfoliate and file the heels down with a good quality heel file or pumice stone. Never try to use a blade on your own heels to remove calluses particularly if they are deeply fissured because you may cut yourself badly which may lead to more serious problems. It is always best to seek the advice of your podiatrist who will safely pare down your heels with a scalpel and remove most if not all of the fissures.

Once they are washed and dried, it is important to moisturise them with a good quality emollient. If you only have minor cracked heels then a simple hand or body lotion can be applied to your feet.One of the quickest ways to resolve them is to wear plastic bags or cling film over your feet in bed at night after creaming them. The plastic acts like the covering for burns patients.

If the cracking is more pronounced, then you may need a specialist over-the-counter moisturiser such as Flexitol Heel Balm or CCS foot care cream, which contains a high amount of synthetic urea, known for its dry skin properties. They also have a CCS+ lotion which contains over 50% urea for more serious cracked and thickened (callused) heels.

If you would prefer some more natural home remedies for cracked heels then here are some heel 'recipes' you might be interested in:

  • Exfoliate with the help of strawberries and olive (or almond) oil. Mix 6 to 8 crushed strawberries with around two tablespoons full of almond or olive oil and a teaspoon of salt (table or sea salt). Apply the mixture as you would any exfoliate and leave for 15 minutes before washing off. Massaging the mixture in will also help with blood circulation.
  • Apply and mixture of 1 teaspoon full of Vaseline with the extract from one whole lemon mixed together and applied to the cracked areas of your heels. Apply daily until the cracks resolve. Try applying a mixture of glycerine and rosewater on a daily basis will also help
  • Try 100g of coconut oil with 3 teaspoons full of camphor and 3 tablespoons of melted paraffin wax. This will act similar to a waxed based aqueous cream like E45. Leave on overnight by using a pair of bed socks and wash off in the morning before applying a moisturising lotion.

It is the juices and oils in these preparations that will help hasten the healing process of the cracks and fissures as they act as an emollient for your skin. However, before using any preparation, please be aware of any allergic reactions that may occur and always ask advice of a medical professional before embarking on self-treatment for your dry and cracked heels.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on healing cracked heels and please feel free to comment on or "Like" me on my facebook page by clicking MobileChiropodist, where I have much more information and tips on foot care issues.

6 Tips to Reduce Heel Pain

First of all it's important to understand that heel spurs in and of themselves do not cause pain.

While there will often times be an actual boney spur on the heel when diagnosed via xray, in most cases it is actually the fascia (plantar fascia) in the arch of the foot causing the problem and the pain. Yes, even though the pain is right on the front of the heel when you step down, it is resulting from putting pressure on the inflamed fascia where it attaches - the heel.

Let's define plantar fasciitis so this all makes more sense.

The word 'plantar' refers to the bottom of the foot. The word 'fascia' simply means the connective tissue that forms the arch. So when you have 'Plantar Fasci-itis' ("itis" meaning inflamed), what you are contending with is inflammation of the bottom or arch of the foot.

The heel spur actually arises secondary to the strain and tension of the fascia pulling on the heel where it attaches. Typically you will have had the tight fascia for a period of time before spurring actually occurs.

Outside of trauma such as stepping on something or intense exercise activity, one of the more common causes of plantar fasciitis is repetitive stress to the arch of the foot. This may include running, aerobics or even just standing long periods.

Another common cause is calf muscles that have been allowed to get too tight over time.

For plantar fasciitis sufferers, the question then is... How can I get rid of the pain?

Considering the common causes above of tight muscles in the calf area and overuse of the feet (typically the cause is more of a combination of both), the following suggestions should help you correct the underlying conditions that are leading to the inflamed arch.

1. Stop doing anything that causes it to hurt - Easier said than done right?!

2. Rest and elevate the affected foot as often as you can.

3. Ice the area often. One of the time tested plantar fasciitis treatments that patients seem to respond well to throughout my years as a chiropractor is to freeze water in a 12 to 16 ounce water bottle. While sitting, put the arch of your foot on the bottle perpendicular so the arch of the bottle is in the arch of your foot. Now roll the foot forward and then backward. The net effect is not only helping to stretch the arch of the foot but icing it at the same time which will help reduce inflammation.

4. Stretch the calf muscles. You probably remember this one from gym class. While standing, place your hands on a wall out in front of you for support. Now place one foot behind you far enough that your heel won't touch the floor. Gently and slowly transfer weight onto the back foot until you feel a pull in the calf. If there is pain stop stretching. Of important note is that you should only feel a pull with calf stretches, not pain.

5. Get your foot, ankle and hip alignment checked out. When joints are not moving properly or are out of ideal alignment, the impact can be felt in other areas. By ensuring your hips, feet, ankles and even knees are moving and aligned properly, you will speed the healing of the plantar fasciitis and prevent it from reoccurring.

6. Lose a little weight. Common sense tells you that the more weight the foot has to carry, the more likely the arch will end up having problems associated with it.

These 6 tips above should help you reduce if not eradicate the pain in your heel and arch. If they do not alleviate the problem, you may need to consult your local chiropractor or podiatrist to get fitted for special orthotics that will further help correct your condition. As a last resort you may need to consider surgery; however this should always be a last resort. In this author's experience of working with plantar fasciitis for more than 15 years, surgery only rarely improves the condition long term.

Dr. Daron Stegall is a licensed and board certified Chiropractor in Keller Texas at Express Chiropractic & Wellness.

Express Chiropractic Keller knows you have choices when it comes to chiropractors in Keller. Our pledge is to provide effective and affordable chiropractic care to those living and working in and around Keller, Texas. Because of the convenient location, Express also serves as a Wataga chiropractic, North Fort Worth chiropractic and Roanoke chiropractic provider.

For more information about Express Chiropractic, visit the website at http://www.ExpressChiropracticKeller.com.

Metatarsalgia and Ball of the Foot Pain

The word Metatarsalgia means pain in the metatarsal part of the foot. This is located at the base of the toes from where they join the remaining part of the foot. The metatarsal bones begin at the arch of the foot and they end at the toe joints. The shape of the first metatarsal is different from the other four. This is actually located in the big toe. Most metatarsal disorders are caused due to the mismanagement of weight distribution and faulty development of pressure points while conducting activities related to weight bearing.

Metatarsalgia causes acute and unbearable pain at the ball of the foot. This pain aggravates during walking and running. If it is neglected then the patient suffers from pain while standing also. The pain may occur only in a specific area rather than the entire foot. This is because of uneven and improper weight distribution. You may experience a tingling sensation and a feeling of numbness in the foot. At times you may suffer from a sudden shooting pain in the toes. The patient sometimes feels that there are pebbles in his footwear while he walks. This situation occurs because of the pressure which falls on the ball of the foot. If you have the habit of walking barefoot then you will end up aggravating the problem even more. If these are not tended to in time it leads to become more severe. A patient may suddenly suffer from Metatarsalgia in case there is a sudden increase or modification to his physical activities. Any form of increased pressure on the lower limbs especially the feet can trigger Metatarsalgia.

Although it is perfectly normal if your feet begin to ache or if you are uncomfortable after walking or standing for a long time, if the pain persists for more than a few days even after the impact of exertion has worn out then you surely need to consult a doctor or a podiatrist. People who indulge in rigorous physical activities such as runners are more prone to suffer from this. Other factors which could lead to Metatarsalgia are being obese or wearing high heels. Wearing the incorrect size of footwear also leads to Metatarsalgia. People with abnormally high arches in their feet are also more vulnerable to suffer from this malice. People with other foot related maladies such as hammertoe, bunions, stress fractures and Morton's neuroma are also at a higher risk of contacting Metatarsalgia.

Metalarsalgia are mainly caused due to a medical condition but besides this any change in the type of physical activity or way of living can trigger this ailment. Anything which increases the pressure on the ball of the foot will lead to the onset of Metatarsalgia. Traditional remedies include giving the foot adequate rest, making changes in the lifestyle and stopping any intense physical activity. If you are a sportsperson then you may have to take a break from high impact sports activities as well. You will get relief from the pain by using orthotic devices which help to support the foot and specially the arch of the foot. You can also include shock absorbing insoles in your shoes. You can change the type of footwear you wear and opt for something which will give you comfort. In order to reduce the pain you can apply ice on the inflamed joins and cushion the area with the help of metatarsal pads to reduce the pain and impact of stress.

If you have tried all the above mentioned remedies and are still unable to get relief then there is high possibility that the doctor will treat you by injecting a steroid injection at the place where the inflammation has occurred. But this is not a permanent cure and excessive usage of steroids will be harmful and so it must be avoided. In extreme cases, when all the treatment methods fail then the patient might have to undergo foot surgery.

Prevention is better than cure, so by taking proper preventive measures you can be sure that you will be safe. Always select your footwear keeping in mind what you are most comfortable in. Watch your weight. Overweight people often are prone to metatarsalgia as their foot needs to support the excess weight of their body. Making use of arch supports and insoles will also make your foot comfortable and will provide extra support and protection preventing the risk of injury and stress. In case you feel any pain in the ball of your foot you need to take it easy for a while and start on one of the traditional remedies mentioned without wasting any time. As the more you delay the more severe the problem will become.

Is Your Back Of Knee Pain A Baker's Cyst?

A Baker's cyst is characterised by a swelling behind the knee which is caused by a build-up of fluid from the knee joint.

It is also known as a popliteal cyst and is the kind of bursitis where the synovial sac behind the knee becomes overfilled with fluid causing severe pain in the area.

The reason it is commonly known as a Baker's cyst is in memory of the physician who first described the condition, the surgeon William Baker (1839-1896).

There are numerous causes to this kind of swelling behind the knee, but the main ones are as follows:

  • Osteoarthritis or rheumatoid arthritis
  • Sports Injury or trauma to the joint
  • Repetitive stress injury from standing or cycling
  • Age related weakening
  • Excess of uric acid (Gout)

The condition is more prevalent in women than men mainly due to the fact that more women suffer with osteo arthritis and rheumatoid arthritis and typically when they are over the age of 40, although it can affect people of any age.


The best way to diagnose a Baker's cyst is to either use ultrasound or have an MRI scan but if you have a fluid filled swelling behind the knee and a lot of pain then this is a good indication that you have developed a bursa or cyst.

Treating a Baker's cyst

You can treat a Baker's cyst yourself at home by taking over-the-counter anti-inflammatory preferably an NSAID or non-steroidal anti-inflammatory drug.

You can also use a pack of ice (or frozen peas) to reduce any swelling and then use a compression bandage to support the knee joint. Resting the knee joint is also important.

If the swelling or pain behind your knee fails to resolve itself you may need to visit your doctor or podiatrist who can either recommend a corticosteroid medication or remove the fluid by draining it.

Ruptured Baker's cyst

In the rare case that you have a ruptured Baker's cyst, then the fluid will leak in to your calf and lower limb causing severe pain which usually resolves itself in one to 4 weeks. During this time you may need prescription painkillers available from your doctor.

Repairing the knee

If your knee is damaged from say osteoarthritis or a sports injury, then your joint may need to be repaired in a surgical procedure called arthroscopy, which is a form of keyhole surgery, used to clean out the joint.

These kinds of painful cysts can be quite debilitating particularly for those whose primary cause his arthritis. However, there are numerous treatments available to you to manage the condition successfully and so if you are suffering with this kind of swelling behind the knee do not despair; seek the help of your doctor or podiatrist and have it diagnosed early enough for the right treatment to be given.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on foot care blog and please feel free to comment on or "Like" me on my facebook page by clicking here, where I have much more information and tips on foot care issues.

Relation Between Dancing and Foot Pain

Dancing is a great way to remain fit and active. But it also takes a toll on your body just like any other form of physical or sports activity. Dancing takes a tool on the feet of the dancers and can many times cause injury to the body.

There are numerous foot related ailments which can be caused by dancing. A few of them are the formation of blisters, bunions as well as corns. Many times the dancer's nails are also damaged and they get cracked. Cracks and bruised on the nails are the cause of great pain to the dancer and at times they also cause infection. These are only a few mild or minor maladies caused by dancing. But often dancers have to face lots of foot problems which can become fatal if they are not tended to in a proper manner on time.

In this article, we have compiled a list of some foot injuries which are serious and are mainly caused by foot pain caused due to dancing. The list is mentioned below:

Plantar Fasciitis: This condition is triggered when the planter tendon running from the toes to the heels through the foot arch is irritated and develops an inflammation. The most common reason for this is tight muscles. Another reason is the using the foot in an unconventional or unusual manner. The pain is unbearable during the morning hours. Over time the pain leads to heel spurs as well.

Dancer's Fracture: This is a condition which occurs when the dancer gets injured. This injury can be caused because of a wrong landing after a jump. Often accidentally the foot may get turned in due to the impact of the jump. This caused the outside of the foot to get injured. Dancer's fracture should never be neglected as it can cause a lot of pain and will lead to more damage if left unattended at the right time.

Sesamoiditis: Sesamoids are a pair of tiny bones below the big toe which support the supporting tendon. Over time excessive dance moves may lead to an inflammation in the tendons and this may lead to a condition called tendonitis. The pain progresses slowly and becomes more severe in case you flex your foot. This further leads to Sesamoiditis.

Hallux Valugus and Bunion Development: This ailment is not limited to dancers only. Almost any person can suffer from it. But the truth remains that dancers are more prone to it and that too at an earlier age than normal individuals. The main reason for this to occur in dancers is when they dance with a wrong posture and wrong body and foot alignment which are needed for the body to function in co ordination. Dancers are also prone to suffering from many bone deformities such as bunions. If you ignore the bunions then it will eventually become very painful and make you uncomfortable.

Although dancing and foot pain are related to each other, yet by taking proper measures you can keep the harmful impact minimum. One aspect which should never be ignored is the type of footwear worn. Many dance forms have special requirements. So before you spend on your footwear it would be a good idea to consult a proper professional. The size of the footwear is also important as footwear which does not fit properly will surely lead to the risk of injuries and will also make you uncomfortable.

Foot care should not be limited to only within the studio. You must take proper care of your feet at all times. Using arch supports, cushioned insoles, and heel cups will be useful in relieving the stress and the pressure caused to your foot as you move about in your life. Pamper your feet by means of foot and leg massages. These are very relaxing and will help to ease any pain you may be having. Stretch your body after regular intervals to reduce any discomfort.

It is better to visit a podiatrist regularly for a complete check up of your feet. This should be taken into action if you face any pain or discomfort. It is better to nip the problem in the bud itself. The podiatrist will also give you some useful advice and proper remedies to any foot disorder which will increase the risk of injury. The podiatrist will also inform you of the preventive measures which need to be taken in order to avoid foot pain related to dancing.

Learn more about Foot Nerve Pain. Stop by Suzy Pickhall's site at View insolesfeet.com and learn how they can help you.

10 Homemade Pedicure Tips for Beautiful Feet

What Is A Homemade Pedicure?

A homemade pedicure is one of the easiest and cost effective ways of improving the appearance of your feet and their nails.

Essentially, it is a manicure of the feet with a few additions to keep them feeling comfortable in both open toed and enclosed footwear.

The word Pedicure comes from the Latin word 'pes' (meaning 'foot') and 'cura' (meaning 'care') and also has relevance to other foot conditions such as 'pes plano' which means flat footed.

An at home pedicure is good for several reason,s but most importantly it enables you to check over the feet in detail to identify and hopefully prevent any problems, such as fungal nails and athlete's foot, before they occur.

A Homemade Pedicure In 10 Simple Steps...

1) Remove Polish

Remove any existing nail polish or gel coverings preferably using a non-solvent-based nail polish remover, this will prevent the nail plate from being damaged and drying out. Try to use cotton bands instead of cotton wool balls so as not to leave any traces of cotton behind.

2) Soak Feet

Use a bowl of warm water or a foot spa and add a drop of shampoo and a tablespoon full of sea salt or Epsom salts as this is good for any cracks in the skin. You can also add an essential oil such as tea tree or eucalyptus. Soak your feet for around 10 to 15 min. If you have heavy calluses you may need to soak them for longer.

3) Exfoliate

Gently exfoliate your feet and heels with a ready-made foot scrub, or a face scrub. This will help with any dead skin and minor calluses. You can also use a pumice stone at this stage or the coarse biodegradable pumice pad to treat minor calluses.

Do not scrub too hard as you may damage the upper layers of your skin and make it sore Use a fine foot file once the feet are completely dry to smooth the skin before applying cream.

Never use a razor to remove calluses as all too often you will end up cutting yourself which may lead to more serious problems. If they are that bad, visit your podiatrist who will scalpel them down for you.

However, remember calluses are there for a reason-to protect your foot from friction and pressure. If you remove them without addressing the cause they may become very sore.

4) Dry Properly

Make sure you dry your feet correctly particularly in between the toes to prevent a damp environment for bacteria and fungus such as athlete's foot to get hold. Use a foot towel specifically for your feet and no other member of your family to prevent cross infection problems.

5) Tidy Cuticles

Apply a cuticle softener to each cuticle on the toes, carefully rubbing it in and wait 3 to 5 min. Ten very gently push back the cuticles using a clean orange stick.

Tip: if you don't have a cuticle softener, using olive oil will work just as well.

6) Trim Nails

Carefully trim and cut your toenails with a pair of nail clippers or scissors. Be careful not to cut them to short or you would damage the nail bed or worse make it bleed.

Always use a good quality and clean (preferably sterilised) pair of clippers and cut them straight across.

This will reduce the risk of ingrown nails from cutting down the sides. However, cutting straight across often leads to sharp corners which need to be filed carefully with a special file called a 'blacks file' by podiatrists or an 'ingrown toenail file' by pedicurists.

Tip: If visiting a salon always make sure the tools/instruments they use have been sterilised correctly so as to avoid bacterial and fungal contamination of the nails and skin.

7) File Nails

A glass file is often best for filing toenails, although metal ones can be sterilised. However, most people opt for the disposable emery board type. File in one direction so as not to split the nail and remove any sharp corners left from cutting as in step six.

8) Massage Your Feet

Give your feet a gentle reflexology style massage to finish your homemade pedicure and make them feel fresh and new again prior to applying any nail polishes.

9) Separate Toes

Use a foam toe separator to separate the toes prior to painting. This will help with any smudging or marking of the nails if you have to walk about while they dry.

10) Polish Nails

Always apply a good quality base coat before applying your nail polish as it will protect your nails from any solvent in the polish, which can lead to destruction of the nail plate over time. Let your nails completely dry before wearing shoes or sandals.

Tip: Keep nail polishes in a cool, dry place like the fridge-they will last longer.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. For more information on this article and some great video links, please visit our MobileChiropodist site, where you can read more on homemade pedicures and please feel free to comment on or "Like" me on my facebook page by clicking here, where I have much more information and tips on foot care issues.

What Is The Best Way To Remove Warts?

There are many kinds of foot wart treatments available for those unlucky enough to have contracted a verruca. It is estimated that one in 10 of us will suffer from a verruca at some time or another.

Plantar warts are a viral infection caused by the human papilloma virus (HPV virus) and so can be highly contagious and take years to get rid of.
Many invasive treatments for plantar warts involve burning the virus from the skin using a variety of hot, cold and chemical therapies (as listed below). These should only be carried out by qualified medical professional.


Cryotherapy can be a very effective method of removing plantar warts and verruca's. This method uses gases and liquids to achieve very low temperatures which freeze the virus on the skin surface. There are two main types of cryotherapy that operate at different temperatures.

The first is a -59°C treatment that uses a liquid refrigerant which is normally sprayed onto the skin via an aerosol can. The second is a -200°C treatment that uses liquid nitrogen normally contained within a solid metal probe that is applied to the skin's surface.

Both methods will deep freeze the skin causing the lesion to blister. Care should be taken with this method as it can be extremely painful for the patient both in its application and with any post-operative wound.

Laser therapy

With laser therapy, a high powered laser is used to burn the virus using a high-energy light beam. The most common laser is the long-pulsed Nd:YAG Laser that kills the wart with heat in a conical shape. The great thing about this laser is it does not leave any scar tissue.

Electro surgery

Electrotherapy uses electricity to create a burning hot wire which is then used on the skin to scoop the lesion out and cauterise the flesh. This method also known as radiolase, can be very effective in that it reduces the amount of bleeding often associated with plantar warts removal but it requires a local anaesthetic as the treatment can be very painful, and will require dressing and post-operative care to preventing infection.

Acid therapies

This involves using acids to chemically burn the virus such as trichloroacetic acid. These acids are very powerful and can be very dangerous, not to say messy so generally are less commonly used today, Some of the older treatments using an acid paste were applied to the affected area and left for a period of time (often a week) before removal.

The patient must be aware that any of the methods above may cause permanent scarring after treatment due to their invasive nature but generally the post-operative results can be quite encouraging.

Self-Treatment Options

The most common self treatment option for foot warts are over-the-counter salacylic acid preparations. There are many of these kinds of preparations available and they come in different strengths depending on a patients age and circuitry condition, so it is always wise to consult your pharmacist, doctor or podiatrist before choosing or commencing treatment.

Salacylic acid preparations will chemically burn the skin surface but can be indiscriminate attacking not only the virus but also the surrounding healthy skin. They may also be messy and difficult to use unless a gel-based preparation which dries quickly can be applied.

The latest fad seems to advocate using duct tape on your verruca or wart to deny the virus light and air and aggravate the skin enough to stimulate the immune system. However, it may be a good idea to use a pumice stone to remove dead skin between applications of the duct tape for your foot wart in order to get rid of the growth. Be careful not to spread the virus to the surrounding skin in the direction of rubbing.

Other home treatments for warts include using tea tree oil, vinegar, onions and garlic applied daily to the lesion. These upset the pH balance of the skin and in the case of tea tree oil this acts as a powerful antiseptic. Some people try to use bleach also on their plantar warts but I would not advise this particularly if it was bleeding because of the dangerous caustic nature of bleach particularly if you have circulatory issues or diabetes.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on getting rid of warts and please feel free to comment on or "Like" me on my facebook page by clicking here: podiatry tips, where I have much more information and tips on foot care issues.

What Is a Toenail Fungal Infection?

If you have a thickened, yellow or brown discoloured toenail, you may be suffering from a toenail fungal infection.

Known medically as onychomycosis or tinea unguium, this fungal infection can do considerable damage to the nail plate and underlying structure which may lead to the loss of part or whole of the toenail itself.

The principal And most common organism involved in fungal nail infections is the dermatophyte Trichophyton rubrum (the second is Trichophyton mentagrophytes which causes ringworm) and may affect the fingernails as well as toenails.

The fungus thrives in dark damp conditions such as those found within tight enclosed footwear, between the toes and under the nail plate but it will also thrive in areas where the male may be damaged, for example, whether on multiple layers of nail polish who solvent is destroying the nail. The fungus feeds on keratin which is the protein that the body uses in the formation of skin and nails.

It is prevalent in around 18% of the world population (about 2.5 million Americans) and can affect anyone of any age except it is unlikely in children or those below the age of 18. However many people fail to recognise or diagnose the condition in time to perform an early treatment, or think the condition is not serious enough to treat in the first place, even no it can be easily transmitted.

What you are looking for are a yellowish brown discolouration or white markings under the nail with or without thickening or detachment of the now play itself. You may be able to remove soft dark debris from under the nail or smell a dank odour. If the condition is left, the nail may eventually come away completely but will not necessarily grow back normally if the matrix (growth area) is affected also.

Although these dermatophyte's live in the air around us you are more likely to become infected in public areas such as swimming pools or gyms whether our shower areas. The best way to avoid picking up the fungus is to wear something on your feet whilst in these bathing areas.

Early diagnosis is obviously preferable as it may be easier to treat the early stages of a fungal nail and waiting for its detachment to occur, therefore it is a good idea to visit your doctor or podiatrist who should be able to take a nail cutting and send it to the lab to confirm a onychomycosis infection as opposed to psoriasis for example.

They should also be able to give you the correct course of action to treat the fungus and advise on foot hygiene and natural toenail fungus home remedies that you may be able to take. However here are some basic things that you can do:

  • Wear open and comfortable shoes
  • Use a clean towel for your feet only
  • Observe good foot hygiene
  • Where clean, loose socks and hosiery daily
  • Avoid communal showers without footwear
  • Disinfect toenail scissors and cutters
  • Use tea tree oil and apply beneath the nail plate

The best way to treat your toenail fungal infection will be with either a topical over-the-counter anti-fungal such as Loceryl (containing amorolfine) or Lamisil (containing terbinafine), or by taking Lamisil or another oral antifungal, such as Sporanox (containing itraconazole) prescribed by your doctor. Note: there are side effects with some of these oral medications.

If all else fails you may be able to get a course of laser treatments on your fungal nail although these are expensive at around $1000 a treatment and bear in mind the relapse rate for a fungal toenail infection is between 10 to 20%.

The best place to start if you're worried about toe nail fungus is to visit your chiropodist/podiatrist who will be able to advise you in the first instance. Your toenail fungal infection does not have to be suffered, remember there are many effective treatments out there, so don't despair.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on toe nail fungal infections and please feel free to comment on or "Like" me on my Facebook page ( click here ), where I have much more information and tips on foot care issues.

Should You Get Rid Of Your Toenail Fungus?

Nail fungus is something which affects millions of people throughout the world And can be a challenge to treat effectively. In fact there is estimated to be around 18% of the population at any given time will be suffering with or trying to treat a nail fungus infection.

It occurs when the fungus, called a dermatophyte, finds an entry point into the nail and then spreads and colonisers the nail bed. This process is known medically as Onychomycosis.

It can affect both the fingernails and toenails although an infection of the toenails is more common as our feet are generally hidden away from view and covered by shoes and socks which provide the damp dark and moist environment for which the fungus loves to grow.

Toenail fungal infections may start with a fungal infection of the web spaces between the toes called athletes foot, which then migrates to the nails. Fingernail fungal infections are typically introduced by using nail bars and beauty salons where the instruments and tools are not sterilised correctly, if at all.

Probably the worst thing about a fungal toenail infection is that the nail will eventually detach from the nail bed and drop off, although this is unlikely to be painful. However, most people are more embarrassed by the stages of deterioration before this happens, such as the yellow and brown discolouration and the thickening and disfigurement of the nail plate itself.

Many older people decide not to treat the fungal nail infection as it can be more trouble than it's worth, particularly if there is no pain, but if you are diabetic or suffering with circulatory disorders your doctor will want you to undergo a course of treatment because of other complications that can arise such as bacterial infections taking hold under the nail, which may lead to more serious problems for these types of patients.

For those that do decide to treat their infection there are a variety of ways to do it:

Natural remedies
Over-the-counter medications
Prescribed medications
Laser treatments

The most common strain of nail (and skin) fungus is Trichophyton rubrum and whatever course of treatment you decide to take will need to specifically attack this organism. For natural remedies one of the best methods is to use 100% pure tea tree oil. Try to apply this directly between the nail plate and the nail bed so that it runs between the two attacking the fungus directly.

There are many over-the-counter preparations available from your pharmacist so it is always best to ask their advice. Many involve filing the nail down and applying a lacquer which contains an acid penetrates the nail reaching the fungus below. However, these may take a very long time and end up being ineffective, not least because the patient gives up halfway through.

Your doctor or podiatrist may be able to provide you with an oral anti-fungal medication which is taken generally over a period of six months but may lead to complications such as liver damage.

The latest treatment for Onychomycosis and other nail fungal infections is to use laser light to instantly kill the fungus. A photo receptive gel is put onto the nail plate before the laser is used to make sure it covers the whole of the nail.

Some tips for prevention:

Always wear footwear in public bathing areas
Use a separate towel when drying your feet
Do not share your towel or toenail clippers
Keep your feet free from athletes foot
Use tea tree oil at the first stage of infection

A visit to the beach with sunshine and salt water will also help keep fungal infections at bay.

Many people decide not to treat a nail fungal infection but it is a reasonably easy thing to do once you get into a routine. Of course the best thing is not to catch one in the first place so just remember to take care of your feet and not take them for granted.

Mark Daws is a mobile Chiropodist/Podiatrist in the UK, registered with the Health & Care Professions Council, with over 12 years' experience in the industry. He owns and writes for the website Mobile Chiropodist.co.uk about all kinds of foot health problems. Click here for more tips on getting rid of nail fungus and please feel free to comment on or "Like" me on my Facebook page by clicking here: foot problems, where I have much more information and tips on foot care issues.

With Foot Pain, What Are the Symptoms of Planar Fasciitis?

What are the symptoms of Plantar Fasciitis?

Foot pain can be caused by any number of reasons. Some are due to the type of activities that we partake of, some are due to our level of overall physical wellness and others are a result of both. Plantar fasciitis is a condition that can be affected by both our physical condition, as well as what we do.

What is plantar fasciitis?

Plantar fasciitis affects the portion of the foot which runs from the tips of our toes to the heel bone, or the plantar fascia, which is responsible for creating the arch in our foot. The condition is a result of this area becoming inflamed.

What are the common symptoms?

The most common symptoms is a tightening and stiffness across the bottom of your foot, especially in the heel area. These sensation are a result of over-stretching the area. The entire area may also feel numb or have a burning sensation. The level of discomfort could range from mild and dull all the way to severe.


There are many different reasons why an individual can develop plantar fasciitis. Since the causes are broad, it is important to understand what they are so that the condition can be properly treated and not simply dismissed.

• Physical characteristics- some people are born with flat feet and high arches. Having feet with both of these characteristics makes plantar fasciitis very likely.

• Your weight- People who are overweight also tend to develop this condition. The more weight you are carrying, the more stress you are placing on the arch of your foot.

• Your activities- The more active an individual is, the more likely that they will have this condition. This is especially true for runners. Going up and down stairs can also trigger symptoms.

People with plantar fasciitis do not have to exert themselves to feel the effects. Something as simple as getting out of bed first thing in the morning can trigger pain. Individuals who sit for long periods of time and then get up will also feel discomfort.

How to alleviate discomfort

After your doctor assesses your condition, one thing to remember with plantar fasciitis is to stay off of your feet as much as possible in order to reduce inflammation.

Patients have responded quite well to various physical therapy treatments including cold laser and stretching. Your pain specialist will determine which treatment options are best suited for you based on your level of discomfort and the severity of the condition.

Dr. Joe Cilea, DO, is the founder of Advanced Wellness http://www.advanced-wellness.net, a multi-disciplinary practice dedicated to your good health since 1997. Located in Marlboro New Jersey and serving Monmouth County, Dr. Cilea and his staff are focused on helping you with pain relief, physical therapy, speeding recovery from sports injuries, arthritis, migraines, whiplash, and osteoporosis. Offering a full array of chiropractic services for your health and well being, call Advanced Wellness for a consultation (732) 917-4624. You can read more about the specific services and techniques we offer on our website.

Are You in Need of a Foot Surgeon?

Your feet are a very important part of the human body. In order to get around, one has to be able to rely on their feet to get around. In order to transport the human body, your feet need to be healthy, intact and flexible. When there are problems with your feet such as broken bones, fractures and torn tendons, you are going to need to receive your care from a foot surgeon. This doctor can diagnose any condition that is causing you discomfort and provide treatment to alleviate your pain and promote healing. They can determine if there has been a more significant disfiguration in your feet and how that disruption can interfere with the movement and flexibility of that part of your body.

Since your feet are made of 33 joints which are compromised of 26 bones with muscles and nerves in between. Many foot problems do not occur from doing odd movements or extreme sports, many of the problems come from the amount of stress your feet have to endure from supporting the weight of the body all day. It is very hard to ignore when there is a condition that warrants medical treatment. Some conditions can be treated at home if you can find the time to take a break from your routine for a few days, however if time does not offer you the option and you suspect your injury is more severe, you need to go and see a foot surgeon.

The best way to know what you are dealing with is to go and see a foot surgeon so they can assess your condition. It is important to seek care right away, because the longer you attempt to walk around on feet that have been injured, the more damage you can cause and the worse your condition can get. If the doctor determines that surgery is not necessary, make sure you follow all of their instructions for caring for your feet. Often at home care instructions include rest, applying temperature compresses, pain medication. The more committed you are to following your doctor's orders the less likely you are to make the condition worse. Your foot surgeon will keep track of your progress and if your foot is not healing as well as it should, you may have to have surgery instead.

Did you know that people get surgery for bunions? The amount of discomfort having a bunion can cause is very disruptive to living a normal life. This condition is caused when a toe usually the big one has become misaligned. Certain types of fractures also necessitate the need for surgery. Sometimes you could have an injury that appears as a swelling and causes you some mild discomfort, but it is actually a more severe condition like a broken or fractured joint. This is why it is so important to get to a foot surgeon so they can rule out the obvious and get you the right treatment right away.

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What Can Be Done To Alleviate the Foot Pain Caused by Planar Fasciitis?

The plantar fascia is responsible for creating the arch in our feet, running the entire length of the bottom of the foot from the toes all the way to the heel. The condition known as plantar fasciitis occurs when this tissue becomes inflamed.

What causes plantar fasciitis?

The reason that an individual would develop plantar fasciitis is due to this thick skin becoming used too much or stretched. Since we rely so heavily on our feet, there are many different reasons why this injury can occur.

The development of plantar fasciitis can be due to any number of reasons:

your shoes: shoes that do not fit properly or do not provide sufficient support for the heels or the arch.
your activities: long-distance running, especially when the individual is traveling down hills or across uneven surfaces.
your weight: a sudden gain of weight or being obese, even for a short amount of time
your feet: if you were born with foot arch problems such as high arches, flat feet or both

How plantar fasciitis can affect you

Since the condition refers to inflammation located on the bottom of your foot, it can understandably cause a great deal of discomfort that can make something even as simple as walking painful. Although women can also develop the condition, it commonly affects men between the ages of 40 and 70. The more active the individual, the more likely they are to have it.

What are the best treatment options?

There are many different ways to treat plantar fasciitis. One of the most effective options is to get plenty of rest, taking the additional stress off of the area. Staying off of your feet means that the area is not being aggravated over and over and allows it the opportunity that it needs to recover.

Another great option that individuals have responded very favorably to are conservative physical therapy treatments. These include practices such as ultrasound, cold laser and stretching. Even if these treatments are utilized, it is imperative that the individual also incorporate rest into their routine.

What if I'm still having problems?

While a vast majority of patients receive relief from the conservative forms of physical therapy, there are always a few who do not respond as favorably as would be hoped. For these individuals, it might be recommended that they try injections to alleviate the pain. The patient would want to thoroughly discuss the drawbacks and success rate with their pain specialist before trying this approach.

Dr. Joe Cilea, DO, is the founder of Advanced Wellness http://www.advanced-wellness.net, a multi-disciplinary practice dedicated to your good health since 1997. Located in Marlboro New Jersey and serving Monmouth County, Dr. Cilea and his staff are focused on helping you with pain relief, physical therapy, speeding recovery from sports injuries, arthritis, migraines, whiplash, and osteoporosis. Offering a full array of chiropractic services for your health and well being, call Advanced Wellness for a consultation (732) 917-4624. You can read more about the specific services and techniques we offer on our website.

Diabetic Foot Pain - Really?

Diabetic foot pain has been attributed to neuropathy. But sometimes if you are neuropathic, i.e. not feeling anything, then why do you still get foot pain?

Neuropathy is the lack of feeling within the foot. A person with Diabetes (and many other types of illnesses) can become neuropathic not just when the whole foot is clinically "neuropathic" but when a single part of the foot is neuropathic- that be the tip of a toe, one side of the foot or top of the foot. It just needs to be a single area to be classed as neuropathic.

Also neuropathy doesn't mean as well that you can not feel anything. There are levels to "numbness" and at the start you can not feel light touch, then that goes all the way up to not feeling anything.

One of the reasons which sometimes goes amiss is the idea of infection.

If a neuropathic Diabetic is feeling foot pain then sometimes we have to dig around and figure out why. Sometimes, but not always, it is to do with something that hasn't been identified.

Infection can also be attributed to high blood sugars.

This was the case for one of our patients. They had trouble keeping their blood sugars down and for months the Doctors didn't understand why. They came to us from a simple referral. Upon clipping the big toenail (which felt soggy, looked not right and the toe was slightly red) the nail peeled off revealing a large ulceration that had been hidden underneath.

Sometimes though if you have reduced circulation issues the signs of an infection (red hot and swollen) might not be visible because those signs have been masked. Some popular drugs which also mask infection are steroids.

This is why so many professionals advise patients to monitor their own feet- so that they can identify red areas, cuts or bumps which might cause an issue later on. Diabetic footcare is actually 70% patient and 30% clinician. If there is an issue then the ratio reverses, but a clinician can only advise. They can only do so much and they rely on the patient telling them if there is an issue.

And if you are unsure, go anyway. The simplest way to protect your feet is to be vigilant. Being unsure is OK. I can guarantee that all clinicians will like it that you take care of your feet and ask questions. If they fob you off? Get a new clinician, your feet deserve more.

Get your free copy of "The Diabetic Feet Prevention Report". How to protect your feet safely and effectively. Diabetic Feet Prevention Report

What Is The Best Diabetic Shoe?

We get sent many footcare catalogs, because that is the industry that I am in. Many of them used to be good. They would show proper, "wholesome" shoes. But now they are tending to divert their attention away and focus more on what people want rather than what they should have. They post different pictures and then state that "these are the best for diabetics".

Many people go for it because they don't want to wear "grandma shoes".

Oddly enough a lot of Diabetics that we have seen will not change their footwear even though it has caused them issues in the past or it is causing callus or corn formation. "They are comfortable" or they "don't hurt".

Well if you are neuropathic, they won't. And your shoes collapsing under your foot weight doesn't mean that that foot now fits.

In most cases Diabetic chosen shoes are poor. So what actually make a good Diabetic shoe?

- It needs not to have any seams or bumps inside that can rub your feet.

- They need to fit your feet- rubbing or "breaking in" is just wrong. If your feet swell then you need to get a specialty pair. Squishing your foot into a shoe does not make a good shoe. If there is redness on the toes or sides of the foot, those shoes do not fit.

- Lace or Velcro only. No slip-ons... Buckles can not give you precise tightening.

- Running shoes if you can. They are soft, easy to put on and are designed for walking. They usually have a replaceable insole which is handy. They do come in black so that you can wear them in nicer settings.

- No dress shoes, court shoes or "office shoes". They are not meant to be used for walking far. We had someone come to see us with court shoes and she used then for shopping... and everything else.

- No court/ heeled shoes. It repeated for a reason, too many people get used to them and become their favorite shoe. They cause too much damage.

- Slippers are soft but inelastic, have a soft sole so things can penetrate easily and have no support. If you are having issues getting your foot into them, they don't fit (breaking the heel doesn't count either).

- Buy your shoe in the afternoon, around 2pm. By this time you foot would have swollen to a better amount, but not too much that once "deflated" your shoes are too loose.

Always remember the following:

- width

- depth (always forgotten)

- cushioning

- fastening.

Get your free copy of "The Diabetic Feet Prevention Report". How to protect your feet safely and effectively. Diabetic Feet Prevention Report

Can a Pain Specialist Help Me With My Always Aching Feet?

Since we abuse our feet so much throughout the day, it is common for them to be sore from time to time. But sometimes that soreness extends past the normal threshold of discomfort and becomes pain. If your feet actually hurt, it is a symptom that something much more serious could be wrong that needs to be addressed immediately before the situation worsens.

Ruling out certain conditions

Your pain specialist will thoroughly examine your feet in order to rule out certain conditions. The first thing that they will consider is a common condition known as plantar fasciitis. This is an inflammation of the bottom of the foot due to overexertion or over-stretching.

If this condition is excluded, your doctor will then look into evaluating the actual mechanics of your feet, looking for possible flaws. People who are born with flat feet or high arches are much more prone to having discomfort under certain conditions. Runners, especially long-distance ones, can also develop conditions that others will not simply due to the extra exertion that they are placing on their feet.

If the discomfort is isolated to only one area, such as the big toe, it is possible that it could be something such as gout or nerve damage from shoes that do not fit properly. Shoes that are not properly suited for the shape of your foot can easily create a wide range of pain.

What your pain specialist can do to help

The course of treatment depends on what is causing the pain in the first place. For example, since plantar fasciitis is an over-stretching of the bottom of the foot, then these individuals would need to stay off of their feet as much as possible in order for the inflammation to subside. Physical therapy, such as stretching, is also commonly prescribed.

Patients whose feet display mechanical issues often do well with the implementation of orthotics. Orthotics uses different braces and devices to straighten and align an area whose misalignment is the source of pain.

Sometimes the course of action also involves having the patient wear shoes that are specifically-shaped and which utilize specific contours to compensate for the way the individual's foot is formed, such as high arches or flat feet. Oftentimes, stretching and other forms of physical therapy may also have to be used to supplement these devices until the discomfort subsides. Your doctor can recommend the best course of action once they have conducted an examination of the area.

Dr. Joe Cilea, DO, is the founder of Advanced Wellness http://www.advanced-wellness.net, a multi-disciplinary practice dedicated to your good health since 1997. Located in Marlboro New Jersey and serving Monmouth County, Dr. Cilea and his staff are focused on helping you with pain relief, physical therapy, speeding recovery from sports injuries, arthritis, migraines, whiplash, and osteoporosis. Offering a full array of chiropractic services for your health and well being, call Advanced Wellness for a consultation (732) 917-4624. You can read more about the specific services and techniques we offer on our website.

Can My Foot Pain Be Caused by Gout?

We often ignore foot pain and dismiss it as simply being on our feet too much. But while foot pain can be due to over-usage, it can also be a sign of a very serious condition. One such condition is gout.

What is gout?

Gout is actually a form of arthritis. The pain that the individual feels is caused by inflammation due to a buildup of uric acid. Under normal conditions, uric acid is expelled from our body through urination. But sometimes, the body develops a buildup of uric acid which cannot be disposed of. When this occurs, the excess amount is deposited into the bloodstream. From there it makes it is way into the joints.

Although gout can also be located in the knee and ankle, it is most notably found in the big toe. Once there, the acid forms into crystals. These crystals aggravate the joint, creating pain.

What are the symptoms of gout?

Pain in the affected joint typically starts out mild, but quickly escalates in a throbbing sensation that can increase in intensity very suddenly. The discomfort can also be described as a crushing sensation of the joint. As the size and amount of the crystals increase, so will the pain. In severe cases of gout, the pain can be utterly excruciating.

The affected area can become red and have a warm feeling. The warmth can sometimes even be accompanied by a fever. It will also become very tender, even without being touched making it painful for a blanket or even a sheet to touch it when sleeping.

Symptoms have a tendency to go away on their own, only to return a day or two later. Frequency and level of pain can also be associated with walking and wearing shoes. If allowed to progress, gout can become chronic, resulting in damage and loss of movement to the joint. Extended, severe cases of gout can be accompanied by a formation of lumps under the skin, called tophi, that can actually emit a chalky substance.

How is gout treated?

The most common treatments for gout include taking medication to reduce the inflammation. Even something as simple as ibuprofen can offer relief. The key is to take the medicine as soon as symptoms begin to appear. More severe cases might require something stronger such as painkillers. Your doctor could also inject the area with a corticosteroid to bring faster relief, usually within 12 hours or so.

Medication will also be necessary in order to bring uric acid levels down to a reasonable amount.

It is also necessary for gout patients to adopt certain lifestyle changes. Cutting back on the amount of food eaten in one sitting, avoiding carbohydrates and limiting alcohol are all helpful. It is also recommended that foods high in purine, such as organ meat, sardines, mushrooms, legumes, asparagus and others are limited or avoided altogether.

Dr. Joe Cilea, DO, is the founder of Advanced Wellness http://www.advanced-wellness.net, a multi-disciplinary practice dedicated to your good health since 1997. Located in Marlboro New Jersey and serving Monmouth County, Dr. Cilea and his staff are focused on helping you with pain relief, physical therapy, speeding recovery from sports injuries, arthritis, migraines, whiplash, and osteoporosis. Offering a full array of chiropractic services for your health and well being, call Advanced Wellness for a consultation (732) 917-4624. You can read more about the specific services and techniques we offer on our website.

Why Do We Get Hot Diabetic Feet?

It is a common question and hot Diabetic feet are actually annoying more than anything.

Actually, many people get hot feet all the time, but does that make them Diabetic?

But sometimes Diabetics who get hot feet are not even in a hot environment, so what causes them to be hot in the first place?

Let's start with the first question. Why do seemingly non-Diabetics (or non-diagnosed Diabetics) get hot feet? Is that the first thing they should be concerned about? Is that an indicator of issues and complications to come?

Sometimes hot feet aren't actually caused by being Diabetic. Just because you have them doesn't mean that you are Diabetic and if you have Diabetes it doesn't mean that you will have hot Diabetic feet, sometimes you can even have cold feet!

Sometimes the environment plays a part- if it is hot outside, or we have over covered ourselves then you just might not have a Diabetic foot. And we get that a lot, because someone is thirsty doesn't mean they are Diabetic, it just means that they need a drink, especially so when it is humid and sunny outside.

Sometimes we need to take a step back and think rationally rather than relying on Internet websites or own "research" to figure out what is going on. Check out a lot of these "question and answer sites". One question that was odd was "when I am up for more that 20 hours a day I am tired... do I have a tumor?" Odd but a true question (actually they never said tumor, they said a medical term that translated into tumor).

Anyway, true temperature feeling Diabetic feet, whether hot or cold are due to the nerves that we can not control. These nerves allow our blood vessels to constrict- so we get little blood and warmth to our feet- so they feel col. Or they dilate which causes our feet to feel warm. Upon feeling the foot the temperature difference sometimes isn't that obvious, but it is to the patient. Usually the leg is warm and then the toes are cooler- there is a defined gradient.

Sometimes the feet can become too warm, but then dousing your feet in super cold water might not be the wisest idea. Usually cooling them down with gels like peppermint are helpful. Walking on cold floors seem to help as well.

However many Diabetics will walk around barefooted but this is not good. This now exposes their feet to the dangerous "outside world". They may seem cooler, but in reality they are more prone to danger. The same goes for open toed sandals (with or without socks).

If the hotness becomes painful then it would be wise to obtain medication from the Doctor to reduce the now painful neuropathy.

Get your free copy of "The Diabetic Feet Prevention Report". How to protect your feet from Gangrene, ulcerations and issues that you really do not want. Diabetic Feet Prevention Report

Health Benefits of Fruits

Fruits are some of the most beautiful creations of God and given to us for food. Humans have gathered wild fruits for food since the time of Adam and Eve. Indeed, many people appreciate the beauty and taste of fruits, but without giving much thought about their goodness and nutritional value. Simple sugars like fructose and sucrose as well as some fibres are the main nutritional components of fruits. They are also the best source of natural sweeteners packed with smaller amounts of many other nutrients like Vitamins A and C, and minerals like potassium. Fruits contain a wide variety of nutrients that needed by us to support good health. The succulent and irresistible taste of wholesome fruits has surely earned them a place of honour in the diet of natural food.

When purchasing fruits, it is best to select fruits that are local and in season. Fruits with a cooling nature are more suitable for people with overheated blood systems. According to traditional Chinese medicine, cooling fruits can cause wind and should not be taken by persons with a cool blood system. Wind in the body may cause tremors, convulsion, spasms and travelling pain. Certain cooling fruits can aggravate epilepsy, arthritis and rheumatism. Therefore, it is very important to understand the nature of fruits, that is whether they are cooling, neutral or warming in nature before consuming them so that fruits are beneficial to the body and not vice versa. Refer to the few examples below that I would like to share about the health benefits of each of them:

The apple is a fruit with a cooling nature, sweet and slightly sour. Sweet, red apples have a more neutral nature. Apples have very little vitamin C and this is easily lost when they are stored for too long. With a low sodium but high potassium content, apples enhance the muscle functions of the heart, thus strengthening it. Apples quench thirsts, normalise blood pressure and cholesterol, relieve constipation when eaten with skin, it also aids digestion and increase appetite in convalescing persons. For people with cool blood system, steam apples may help to reduce the cooling effect.

Dates are a neutral to warming nature and sweet. They are rich in phosphorus, Vitamin B 2 and C. Red dates nourish the body fluids and blood, tone the spleen and stomach, stop diarrhoea, detoxify and harmonise the internal body, as well as calm the mind. Dates lubricate the lungs and stop coughs. Black dates are made from red dates that are dried in the sun and then steamed and baked. This is done repeatedly until they turn black. They are slightly warming in nature. Please be cautious that too many dates may cause distended stomaches and create mucous.

Kiwi fruits are cooling in nature, sweet and sour. They contain more than 100% of Vitamin C of our daily needs, fibre and magnesium. They lower cholesterol and blood pressure, build stronger arteries and are good for skeletal repair and growth. When buying kiwi fruits, select fruits that are firm, but give in slightly when pressed. They are best taken chilled and plain, scooped directly from the skin with a teaspoon. Please be cautious that kiwi fruits may trigger coughing spasm or wheezing in persons who are allergic to it

Pineapples are a neutral to warming nature, sweet and sour. The most nourishing pineapples are the sun-ripened ones. The fullness of the eyes and strong aroma are good indicators of ripeness. Check the fruit stalk for freshness. Do not pick pineapples with shriveled fruit stalks. Sour or not ripened pineapples are less warming. Pineapples are good for quenching thirst. They help keep up a healthy spleen, aid digestion and urination, reduce swelling, stop diarrhoea and remove heat from body.

Star fruits are a cooling to warming nature, sweet and slightly astringent. Green and sour fruits are more cooling in nature while the yellow and sweet ones are more warming. Star fruits aid in the formation of body fluids and activate saliva production. They promote urination and reduce fevers. Star fruits also help digestion and relieve stomach disorders, lover blood pressure, ease coughing and throat inflammation and help the detox of body

Other Health Benefits of Fruits such as:

Pomegranate Health Benefits

Personally, I like fruits a lot and have tried to include different fruits in my daily diet. By eating different types of fruits, it improves my health a lot and the problem of constipation no long bother me at all since i started this "fruit rich" diet about 2 years ago. Everyone of us should try to gain more knowledge about the health benefits of fruits and include as much fruits as possible into your daily diet.

The Link Between Running and Foot Pain

Running is a well known and a much preferred sport as it does not need any other equipment. It is mostly based on the movement of the body. Our feet play a pivotal role for running and thus foot pain can be a cause of distress in most runners. Generally more than 17% of the injuries caused by running happen in the foot. A majority of the foot injuries occur due to excessive exercise, faulty running pattern and habits which have become a part of us. We often fail to realize that something is wrong unless things become extreme and our normal functioning is hampered. You need to nip the pain in the bud before it is too late.

Some of the main causes of foot pain and running are:

Plantar Fasciitis: Plantar fasciitis is caused due to an inflammation of the planter tendon which exists in the foot. Often there are tiny tears in this tendon which causes injuries. Around 10% of the runners suffer from this type of injury annually. The first sign of this is an unbearable pain in the heel which is even more severe during the early morning hours. This is accompanied by a sensation of being bruised at the heel.

Achilles Tendinitis: This ailment occurs when there is excessive pressure on the heel. The calf muscles then tighten up and this leads to pain.

Stress Fractures: Stress fractures happen due to any external force or an impact. This impact may be sudden or continuous. At times it can also happen with a faulty walking and running patterns. You need to consult a doctor in case you suffer from stress fractures.

Blisters and Calluses: while running there is a lot of friction in the toes and feet. This leads to growth and abrasion of the skin. If you find any type of blister or abrasion then you should take proper measures to ensure that the pain is minimal. If neglected this condition may become infectious.

Ways to avoid foot pain:

While running one must take proper care to ensure that the foot is not injured or stressed in any manner. In case you have suffered from any foot pain ailment then you should take proper care to ensure that the pain does not reoccur.

1. In case you frequently face stress fractures then you need to visit your doctor and check on the walking style. This may be because of faulty walking and running pattern which leads to stress.
2. Buy a proper pair of sneakers which are meant especially for running. Replace them before they wear out as worn out shoes often cause foot pain and harm.
3. Do not overdo anything. In case you need to intensify your training pattern, then too you must make sure that the increase is gradual and not sudden. You need to give time for your feet to adapt and become strong.
4. You need to make sure that your core is strong as it is important to remain stable and avoid getting injured.
5. Never break out into a run before warming up. This will allow your legs to be prepared and balanced.
6. Follow a proper cool down pattern post your rigorous running session.
7. Always stretch after a sprint as this will help to relieve the muscle pain. Stretching also enables the muscles to become flexible.

It is not necessary that every runner has to suffer from foot pain. If you tackle the problem in the correct manner and in a timely way then you will ensure that you can easily run without worrying about foot injuries.

Learn more about Foot Pain while Running. Stop by Suzy Pickhall's site where you can find out all about Orthotics Advice for Foot Problems and how they can help you.

Ingrown Toenails

One of the most commonly occurring foot conditions is Ingrown toenails. This happens when the edges of the toe nails grow inward and penetrate into the soft skin tissues. Initially the nail begins to grow and pierce the skin. As the nail grows it continues to go deeper inside. This is known as Onychocryptosis. This condition usually occurs in the big toe. But sometimes it happens in the other toes as well. It is very uncommon for ingrown nails to occur in the fingers.

The affected area swells up and becomes red. It also feels tender to touch and is very painful. At times the skin around the nail hardens and there is also an oozing of suppuration. When the case becomes extreme then you might feel that the area is warm when you feel it. At times it may be accompanied by bleeding and pus. In case the patient is diabetic or suffers from any other vascular ailment then the situation becomes even worst. The patient needs to visit the doctor and seek proper medical advice to prevent the harm. The occurrence of infection needs to be avoided at all cost.

There are many reasons for the Ingrown toenails to occur. One of them is nail trauma. This is a very frequently occurring cause of this problem. Nail trauma occurs when you are doing any physical activity. Wearing shoes which are not comfortable or not the correct size may also lead to this condition. Neglecting the hygiene of the foot and congenital toenail formation also leads to this problem. At times diabetes arthritis and fungal infections and surgery of the nail may also lead to this problem. People who sweat a lot especially near the feet are more prone to suffer from ingrown toenails. Faulty nail cutting may also lead to this condition. In case you cut your nails too close and short then there is a possibility of jagged edges remaining. This increases the chance of having ingrown nails.

Generally one can take care of this problem at home itself. All you need to do is soak the foot in lukewarm water mixed with Epsom salt. Keep the foot in water until the skin is soft enough. Now use a towel or a clean piece of cloth and remove the excess skin which has grown. This will reduce the pain. Once this is done, then immediately use an antibacterial cream. This will not only soothe the affected area but will also keep you free from infection. You may also use a dental tape or a wad of cotton to slowly pull the ingrown nail from the skin. Regularly soaking the foot in warm water will also make the area soft and the ingrown nail will be able to be pulled out in a pain free manner.

In case after this process also the condition persists then it is best to go to a doctor to prevent any infection from happening. In extreme cases when the pain becomes unbearable then you may have to follow a round of antibiotics. You can reduce the chances of suffering from ingrown nails by wearing wide toed shoes and regularly clipping your nails. Maintain the cleanliness of the nails and take proper care to ensure that the condition does not reoccur. Even after the course of treatment is complete you should not neglect the foot care. Any sign of recurrence should be handled immediately before becoming extreme.

If you find that ingrown toenails is a recurring problem with you then you need to take proper care of your feet and try to change the type of shoes you wear.

Suzy Pickhall, who has been a foot care expert over the past thirty years has written a viable guide on how to combat here View Heel Pain Causes, and a guide on Plantar fasciitis Treatment Options.

Treatment of Ankle Sprains

One of the most commonly occurring maladies of the lower part of the body is spraining of the ankle. There are many factors which can hurt the body. Some factors such as excessive and rigorous activity and advancing age. You may sprain your ankle when the protective ligaments which secure the joints get stretched in an abnormal manner. This happens when you suddenly twist, turn or fall over the foot. The sprain is considered to be extreme in case the elastic fibers of the tendons get torn.

In case you step over a surface which is uneven you may end up with a sprain. Other reasons could be when you are climbing the stairs or indulging in any form of physical activity. Whenever you indulge in any type of physical activity and you end up twisting your leg then the ligaments get stretched and cause a sprain.

The pain you feel is due to the extent of stretching and tearing which has taken place in the ligament. The pain may be either mild or unbearable. One of the first signs of a sprain is the swelling which occurs. At times patients complain of a popping sound. The area becomes sore and tender and there is a discoloration of the sprained area. The pain becomes unbearable and the patient experiences shooting pain. When the pain becomes very extreme then it means that the entire ligament has torn or the ankle joint has got dislocated. This causes instability in the patient.

In case you feel that you have sprained your leg then you should immediately visit a doctor. The pain and tenderness which is experienced may make the visit and examination process a very painful process. But you need to bear this pain as the doctor will have to check in case the tissue is torn or merely dislocated. With proper medical assistance extreme damage to the joint can be prevented. You need to undergo an MRI scan to find out the extent of the damage. Ankle sprains take time to heal and you need to ensure that they are treated in an appropriate manner. By neglecting this you may make the condition worst and the joint will have to bear the brunt of this. The result will be weak muscles and imbalances which make you more vulnerable to further injuries.

The four point formula to ensure quick healing are rest, ice, compression and elevation. At times the patient may need to walk with the help of crutches because of the unbearable pain and the extreme swelling which occurs. At times when the sprain is very extreme then the patient may have to use removable cast boots or air splints. Generally a sprain takes around a month or so to heal completely. The patient need not use the crutches for a long time. But incase the ligament has torn completely then the patient may have to remain without movement for a very long time to let the sprain heal. Within the first two to three days itself the patient is required to try out some simple movement. By doing this you avoid the muscles from getting stiff. By moving a bit the calf muscles also get flexible and this is very important for the healing process. In extreme cases the treatment may include a surgical process.

By following some simple precautionary measures you can avoid suffering from ankle sprains. You need to maintain a good balance. Never jump into an exercise routine without warm up first. Always wear footwear which is comfortable and supports you. You need to include exercises which will make the ankle the muscles more strong. By taking these steps you will be able to reduce the risk of suffering from a sprain.

How High Heels Are Related to Arthritis

Although there seems to be very little connection between high heels and arthritis yet deep study has revealed that the two are actually interrelated. Chiropodists and podiatrists have been studying the maladies which are related to the continuous use of high heels over a long duration. Apart from the common side effects such as bunions, ingrown nails and corns another malady has now been included in the list. This is the condition of arthritis of the knee and foot joints.

The actual structure of the footwear which has high heels is by itself very problematic due to the odd angle which is formed from the heel and the toe. This results in a lot of pressure on certain key areas such as the ankle, the foot and the knee joints. After bearing the brunt of the extra pressure these parts may get inflamed and the cartilage joints may become weak. This makes the person prone to osteoarthritis. Osteoarthritis is the most frequently occurring kind of arthritis. Women are more vulnerable to this as compared to men.

Another major cause is the unusual hike in the rate of obesity in most of the countries of the world. Obesity is the main culprit and leads to inflammation and other ailments related to the joints. If an obese person gets injured by wearing high heels then his case becomes even more complicated as he has to tackle weight issues as well. Obese people are at a high risk of suffering from arthritis.

Many people have the misconception that arthritis is an inevitable part of the process of growing old. So they never imagine that the kind of life we lead often brings arthritis to our doorstep. Statistics reveal that more than 25% of the women wear high heels. When this is coupled with the growing obesity rates then the chances of arthritis increases manifold. This makes one realize that the process of growing old does not make it mandatory for a person to suffer from arthritis. This brings forth the fact that by taking certain precautionary measures this disease can be avoided. By being free from arthritis you ensure that you do not have to experience the excruciating pain and joint stiffness which is synonymous with this disease.

As there is a relation between high heels and arthritis therefore it is justified to keep comfort over style and switch over to footwear which is comfortable and supports your foot. To lower the amount of stress on the foot and the joins you should ideally switch over to footwear with lower heels and proper support. By selecting good and comfortable footwear you lower the risk of damaging your joints and reduce the wear and tear impact.

'A stitch in time saves nine.' This holds true for foot injury as well. Finding the root cause of any foot pain or injury will help to minimize the damage which may lead to arthritis if not checked on time. Any inflammation or injury which is caused from wearing high heels should be attended to in a timely manner. If you feel uncomfortable and suffer from pain then you should not hesitate to take medical help. This will help to diagnose arthritis at the onset itself.

Although in the days gone by the people often failed to see the relation between high heels and arthritis but research has led to the masses understanding the connection between the two. In order to make a style statement women often tend to ignore the need to keep their feet cushioned and comfortable. By making some healthy changes you can ensure that you have better foot health and can enjoy wearing heels without having to worry about contacting arthritis.

Suzy Pickhall, who has got been a foot care expert for more many years has written a functional guide on how to combat Morning Foot Pain, also view her other site www.bestinsoles.co.uk.

Could Foot Pain Be Coming From a Simple Shoe Problem?

What role do shoes play in foot pain?

Whenever we begin to experience foot pain we tend to try to rationalize what internal medical issue could be causing the discomfort. But oftentimes, the pain is due to something a little closer to home: our shoes. Most people aren't aware of how much shoes impact the overall health of our feet. And since we rely on them so much, when our feet aren't happy, we suffer the consequences.

How the wrong shoes can affect us

When we purchase shoes, we tend to go more off of fashion than fit. But just because a shoe provides extra cushion is not necessarily a good thing. A shoe needs to have the proper support to give our legs and spine the rigidity that it needs to support us. If our shoes are too padded, then our body has to compensate by pulling the extra necessary support from our legs, hips and back.

On the other end of the spectrum are shoes that are too rigid. When shoes do not provide adequate support, the feet are forced to absorb the impact from walking and standing that would normally be taken care of by the design of the proper shoe. This unnecessary strain on the feet can cause pain in the legs, knees, hips, lower back and even the neck and spine. It can especially result in headaches and pinched nerves.

The importance of being properly fitted

The most common practice for purchasing shoes is to walk into a store and pick one off of the shelves that we like. While style and color are important to us, having the proper fit should be another crucial consideration. It is important to try shoes on in the store and walk around in them. Simply standing up in them to see if they fit isn't adequate. Walking around and standing in them will determine if they are the appropriate shoes for you.

If you feel even the slightest bit of discomfort from a pair of shoes, do not buy them. This subtle hint is just the beginning. Your feet are trying to tell you that what you are experiencing is just the tip of the gigantic iceberg that is in store for you.

Resolving shoe issues

Besides the obvious remedy of not wearing the shoes, you should also see a pain specialist to determine the extent of your pain and what they can do for you to alleviate it. There is no reason to live with residual pain caused by wearing the wrong shoes. Have your discomfort looked at and properly diagnosed so you can put the spring back in your step.

Dr. Joe Cilea, DO, is the founder of Advanced Wellness http://www.advanced-wellness.net, a multi-disciplinary practice dedicated to your good health since 1997. Located in Marlboro New Jersey and serving Monmouth County, Dr. Cilea and his staff are focused on helping you with pain relief, physical therapy, speeding recovery from sports injuries, arthritis, migraines, whiplash, and osteoporosis. Offering a full array of chiropractic services for your health and well being, call Advanced Wellness for a consultation (732) 917-4624. You can read more about the specific services and techniques we offer on our website.