Category: News

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Arch Supporting Flip Flops

Foot orthotics are a very effective modality used by podiatrists to treat a wide range of foot problems. All the clinical experiences and research evidence is that they are pretty effective. However, one problem with them is that they need to be worn in shoes. That is obviously a lifestyle choice, but sometimes the choices and the environment do not necessarily accommodate the use of the right footwear which foot orthotics can be worn in.

One question that you see asked often is that are those flip flops that have an arch support built into them, can they be used instead of foot orthotics. There are a number of brands on the market of flip flops that have varying amounts of arch support built into them.

Arch Supporting Flip Flops

Are they as good as foot orthotics?

Probably not. The support that is built into them is comparable to what you would get from a prefabricated foot orthotics or one of the common over-the-counter type of foot supports. That is fine if you have an average arch shape. However, that is no good if you don’t. Foot orthotics are usually designed to be specific to your foot type.

Should you use them?

There is no harm in using them and they certainly can be used as an adjunct to foot orthotics when you are not wearing shoes. As if they can be used as an alternative, you would need to discuss that with your podiatrist.

I do keep hearing about the Archies online, but I have not seen them as they are from Australia. Apparently a lot of podiatry clinics in Australia sell them.

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Dealing with Sever’s Disease

Sever’s disease is a common problem in children who are still growing. The medical terms for Sever’s disease is calcaneal apophysitis. It is an overuse injury of the growth plate at the back of the heel bone. This is a self limiting problem, in that the child will always grow out of it when growth in the bone stops, usually around the mid-teenage years. The classic symptoms are pain at the back and sides of the heel bone, especially after exercise. The definitive cause is not totally clear, but it is an overuse injury as it is more common in children.

One of the best resources or discussions on this condition is this video on Calcaneal apophysitis (Sever’s disease) from PodChatLive:

The treatment of Sever’s disease is basically a matter of managing the loads and the lifestyle, perhaps with heel pads and just waiting for the natural history of the condition to takes its course. This can at times be difficult as children tend not to be too compliant with advice to cut back on activity levels when their parents are not around.

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Plantar Plate Dysfunction

Plantar plate dysfuncion is a common strain or tear of the strong ligament that is under the metatarsophalangeal joint of the foot and forms part of the joint capsule. The classic location of the symptoms are typically just over and just distal to the joint on palpation (see the typical area in the diagram below):

Plantar Plate Dysfunction

A rather odd symptom that some with plantar plate dysfunction can describe is that it can feel like a sock is bunched up under the area, but when they check the sock is not like that at all. The cause of a plantar plate tear is not really clear, but it occurs in people with a number of risk factors and is an overuse problem.

Fixing a plantar plate tear is not that difficult, but it can take a long time and patient is needed. The best approach is to use strapping to hold the toe plantarflexed. The tape needs to be used for quite a few months to rest the area to allow it to heal. A rocker sole shoe and also help restrict movement at the joint further rest the injured area. Surgery to repair the tear is indicated if this conservative approach does not help.

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Chilblains in Miami!

This is not something that happens in Miami. Chilblains are a common vasospastic problem of the toes in the colder climates, so not our problem. The cause is the microcirculation of the toes not responding to changes in temperature properly and so cause an inflammatory reaction. That causes a painful and itchy red spot on the skin that eventually becomes a darker color if the chilblain becomes chronic.

chilblains

However, one thing that is starting to show given the issues surrounding the coronavirus and COVID-19 is the issue that has been given some mileage in the media and called ‘COVID toes‘. This is the occurrence of chilblains type lesions on the toes in those infected with the virus which is showing up in the not so cold climates. This means that a suspicious red patch on the toes need to be investigated properly, especially if it looks like a chilblain in Miami!

See this video from PodChatLive for more on the chilblains that are occurring in those with COVID-19:

All of the latest research on chilblains is covered on Podiatry Arena and these does seem to be quite a lack of it, but given its involvement in COVID toes, hopefyllu more research is done on them.