Mirror Athlete Blog Articles

May 24, 2010

“How Healthy Feet Equate to Healthy Mind-Body-Spirit”

Let’s first look at the fitness and health connection problems from misaligned feet unattended for many years through my personal example and experience (also read preceding article, Uncorrected Posture Alignment was Important, What Happened?”   Mirror Athlete Blog Article, 25 April 2010).

        When I went into the military; during my physical examination the examining physician said, “You have another 5miles left on those feet,” he laughed a little with me [I had no idea what he meant-only to be enlightened 30 years later by a number of orthopedic surgeons] and sent me on my way to the next exam station.  The doc’s diagnosis: I was flat-footed with a little arch left in both feet.

    I sailed through the physical exams and off to basic I went.  Of course, being a young male with plenty of testosterone, I paid no heed to this diagnosis until years later when foot aggravation caused much pain throughout my body at various stages of my life.   I did note during Army field training exercises my feet were always grossly blistered and in pain like many other soldiers.  So this just seemed to be a normal physical result of the training.  After years of hard physical military training and poorly supported military boot ware, this took a toll on my feet, ankles, hips, back and neck.  Today I interchange 3 different insoles into various foot ware dependent on what activities I’m doing.  These custom support insoles make a big difference in my ability to alleviate pain during movement activity.  My overall health is good because my pain tolerance is acceptable to get work done (aerobic walking, hiking, yard work, etc.) while keeping my body conditioned through this corrective ware.

    Now let’s look at my potential fitness and health future had I not figured out what was going on and the impact that may have had on my overall health.  Like many, I could have continued doing work daily while sucking up pain for years due to uncorrected foot problems while slowly becoming a pain prescription junky.  In time, the misalignment of musculoskeletal tissue would cause permanent nerve and soft tissue damage with more radiating pain.  This pain disorder would then cause pain depression, possibly affecting my mental health diagnosed as clinical depression.  If pain becomes chronic, less motivation to take care of overall fitness health often occurs.  For many, this means weight gain and other associated health problems can get out of control in a very short period of time if not corrected.

    I don’t have to tell you that obesity in itself impacts blood pressure, heart, lung, kidney, liver health function… The list goes on.  At the same time excess weight on otherwise healthy weight bearing joints can and does cause potentially irreversible damage to the integrity of the soft tissues surrounding these areas.  It’s never too late to correct misaligned posture, which at a minimum will alleviate pain.  And in many cases damaged tissues corrected through foot posture alignment may forgo unnecessary surgical correction.  Although I have structural damage throughout my spine, correction of my foot ware has alleviated enough pain that back surgery is now off the table.

    There should be greater importance impressed upon postural alignment and pain prevention programs in all educational institutions.  When I was a kid, there was minimal information on this matter.  As an adult, even during my undergraduate work in Exercise Science, there was postural alignment education, but “not” emphasizing the foot relationship to overall effect on “healthy posture-healthy mind-body.”  These relationships were implied with no extensive focus on any scientific model of the time between foot alignment impacts on wellness.  I believe at the time of my undergraduate work wellness and alternative health science was experiencing a renaissance of encompassing being (mind, body and spirit).  Now there are literally thousands of such books available.

    In the military, there was no emphasis on the postural alignment system at all, except PT (Physical Training) form to standards.  In our school systems, your children may/may not receive corrective information with regard to sitting up straight during the early grade school years; and less, if any emphasis on proper foot ware.  It appears our shoe manufacturing industry has incorporated better designs for proper foot alignment per activities (sport, walk, running, etc.).

So will our foot ware industry take care of our feet and body alignment needs?

    There are a few problems with this line of thought.  If the foot to total body health is not prioritized in our schools and community at large, priority to postural health will not be emphasized starting at the feet.  This means one will give less priority to good shoe design when purchased.  And also, less priority on replacing shoes that are badly worn.  Wearing shoes badly worn and also shoes with bad design can cause much pain to weight bearing joints.  If this practice continues on without correction, irreversible soft tissue damage and pain can and does occur throughout the postural system.

The point is, preventative illness and disease education is up to each and every parent and educator.  Hopefully in the near future our education systems will teach our children early on in matters of this importance.   Take a preventative course of action now.  See our icon links (skeleton, posture chart, or foot icon on Chronic Pain page at the home site), click,  read up and learn about Posture Control Insoles if you, or your children are in sports are experiencing any pain in the following weight bearing points of the body:  Foot, ankle, knees, hips, back, neck and read up on how posture correction starting at the feet can help to promote greater activity, fitness and health benefits for life.  Words of wisdom, “if you have little arch in the feet and go into the military, walk and run a lot, or sports professions, ensure you invest in some good insole shoe support, “even if your feet are in good shape!” This will preserve the integrity of the foot anatomy and body health for a lifetime.

 Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET2010 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com,  Sign up for your Free eNewsletter.

April 23, 2010

“Uncorrected Posture Alignment was Important, What Happened?”

(more…)

September 22, 2009

What to do About Bunions?

What exactly is a bunion?  A bunion is a bony bump that forms at the base of the big toe joint which becomes enlarged and points inward toward the other toes.  The medical term used for this condition is hallux valgus.  Other symptoms aside from the bony bump: Thickening skin at the base of the toe with redness, swelling and soreness.  People with weak or flat feet including the improper use of foot wear (high heels, tight fitting shoes) and genetically predisposed to inherit the bunion often experience this painful condition.  Most bunion avoidance or relief once bunion is established can be achieved through shoe modification and anti-inflammatory (aspirin and ibuprofen) to assist with swelling and general pain management.  You can relieve pressure on the big toe by wearing shoes that are comfortable and don’t create pressure at this area, and/or by placing a pad on the bunion to reduce friction.  For women they must avoid wearing pointed high heeled shoes. 

 Improper shoe wear creates most bunion issues by rubbing the bony areas of the toe creating a tender red and swollen area where a thick calloused skin covering grows over this heated contact point.   Since bunions never go away once created surgery may be necessary if pain is unmanageable.  Should pain worsen your doctor may recommend a bunionectomy.  This is where the swollen tissue is taken out and/or the toe is straightened by taking out part of the bone and/or permanently joins bone at the affected joint.

 Bunionectomy Surgical procedure:  A general anesthesia will be given prior to the procedure to make you feel as if you are asleep while pain is subdued during the operation.  The doctor will make a cut over the bump, removing excess tissue and may reposition the toe in a more natural position by removing bone.  Recovery time after surgery is typically around 2 months.    Hospital stay after the surgery is really dependent on severity of bunion and how a patient responds to the surgery.  Most patients go home the same day with a foot brace, or special shoe. 

 Recommendations, Prevention and Bunion Pain Management

 Wear roomy shoes that are comfortable and does not irritate, or cramp your feet.

  1. Keep swelling down with anti-inflammatory.  Keep pressure off of affected toe.
  2. See primary care physician if pain worsens.  Get x-ray of joint, see foot specialist.
  3. Wear a thick felt-ring around bunion to alleviate pain.
  4. Get the bunion removed through a surgical procedure (see above – bunionectomy).
  5. Ensure you arrange for care after bunionectomy as walking will be limited for 2 weeks.
  6. Custom made orthotics may reduce bunion pain See Mirror Athlete Press Release .

Benefits of surgery – Your toe won’t hurt, shoes may fit better.  Risk after surgery – Your bunion could come back.  Nerves and arteries could be damaged.  Toe may remain stiff.  Toe could lose blood supply.  Infection and bleeding may occur.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

June 19, 2009

Bout With Gout

The most common signs of gout are sudden (acute) redness and inflammation around joints with intense pain.  Most often the first joint that is attacked with arthritis like symptoms is the big toe with intense pain and throbbing, also swollen beyond belief and reddened.  This experience is so painful one can hardly stand to have a bed sheet touch the toe.  The same condition can occur in many other joints such as feet, ankles, knees, fingers, hands, elbows and wrists.  Bursa sacs which are fluid protective cushions around body joints to protect joint tissues are breached by elevated uric acid forming crystals transported by the blood circulation and deposited within targeted joints.  Although there is much similarity in osteoarthritis and rheumatoid arthritis (RA) the difference is RA afflicts up to several joints at a time, where gout usually impacts one joint at a time and typically starts in the feet.  Gout may also lead to a chronic bursitis (swollen bursa sacs) a condition where surgery may be required.  Uric acid crystals can also put you at risk for kidney stone problems.

Cause:  Purines are a part of our biology and introduced into the body through diet.  The by-product of Purines is uric acid.  Purines are part of human tissue and found in many Purine-Rich foods:  Beer, beverages, organ meat (liver, hearts, and kidneys), asparagus, yeast, sardines, anchovies, herring, fish, sweetbreads, smelt, and mussels.  Diets which are high in purines and protein have long have been suspected of causing gout.  By raising blood stream uric acid, painful crystals lodge within certain joints of our body creating acute pain.  Gout is considered one of the most painful forms of Rheumatic conditions and afflicts an estimated 840 out of 100,000 people in this US.  Gout accounts for approximately 5% of all cases of arthritis.  Symptoms:  Pain, swelling and tenderness, with limited movement within one or more joints; on and off pain mostly during the night time.  Increasing pain can last for hours and up to a week(s).  After periods of acute pain, the skin areas around the joint pain may peel, appear dry and become itchy.  Other symptoms: Fever or skin that looks infected with a red-purple in skin tone color.

  • Recommendations:
    -Feel for nodules (tophi) on ears, hands, or elbows – Hard uric acid crystals form under skin.
    -If you had surgery, or recovered from illness thereafter gout signs-symptoms.  See doctor.
    -Determine uric acid levels in bloodstream through blood test if you suspect you have gout.
    -Avoid alcohol, Drink Plenty of water. Exercise, maintain Ideal Body Weight.
    -Coffee and Tea is not a problem.
    -Avoid eating Purine-Rich foods and proteins.  Choose Tofu over meat products for example.
    - Gout Balanced Diet:  30% cals from fat (10% animal), 15% Low in Protein (soy, lean meat, poultry), and high in complex carbs (fruits, vegetables, whole grain)  “American Medical Assoc.”
     - Do not participate in extreme dieting as this form of weight loss increases uric acid levels.
    -Reduce uric acid & inflammation by consuming dark berries; blackberries, cherries, raspberries and blueberry (ruby-red type combinations) (see our affiliated purity products within our MAE Wellness Store).
    -Anti-inflammatory foods:  Flax, salmon, nuts, olive oil.  Vit C and Folic acid may benefit.
    -Few supplements increase hyperuricemia risk, such as Vitamin A.

Issue “Recognize Personality Disorder”  Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com,  Sign up for your Free eNewsletter.

February 23, 2009

Sciatica Back Pain Causes – Military and Civilian Occupations

I have been asked the question, how do you deal with sciatica pain?  Sciatica can be caused through genetic disease, incorrect posture, injury or overuse of back muscles when the vertebra disc’s (shock absorbers) are defective or inefficient at absorbing vertebrae structural stress.”  Pain and numbness symptoms of sciatica impact the lower body, such as low back, buttocks, back thigh, calves, feet and toes.  Causes of sciatica symptom irritation include tumors, overworked muscle, internal bleeding, infections, injury and other pressure causes.  Sciatica isn’t actually a condition, but instead a medical term used to describe symptoms, such as tingling, numbness, prickly sensation and shooting pain down your leg.

The cause of sciatica varies in pathology but can be effectively alleviated without surgery, or nonintrusive surgery in most cases!  The six most common spinal disorders that cause spinal nerve compression and sciatica lumbar radiculopathy (radiating pain) are:  1) Bulging or herniated disc (The gel-like center of the disc mal-forms creating nerve compression and swelling around the sciatica nerve).  2)  Spinal stenosis (nerve compression through narrowing or clogged nerve pathway – brought about by standing or walking and relieved by sitting down).  3)  Spondylolisthesis (Characterized by slipping and displaced vertebrae – acquired at birth and developed through childhood, trauma or physical stress.  4)  Trauma (accident injury, sports, weight lifting, etc.).  5.   Piriformis syndrome (named for the low back piriformis muscle impinging and irritating the sciatic nerve.  This condition is also very difficult to diagnose and treat due to lack of findings through x-ray and MRI findings).  6.  Spinal tumors (although tumors are rare in the lumbar region, benign or cancerous (malignant) tumors can develop creating nerve compression.  Fortunately, this is a rare.

Sciatica in the lower extremes is caused by injury, poor postural alignment, bad genetics that cause compression, or impingement.  Predominately L4-L5 or S1-S3 vertebrae that create swelling and triggers transmitted pain; including potential damage to the sciatica nerve itself.  Sciatica can be diagnosed through use of x-rays, CAT Scan (Computerized Axial Tomography – 3 dimensional, multiple cross-sectional picture technology) and MRI (Magnetic Resonance Imaging – Magnetism produces images of body structure).

Those that first begin experiencing sciatica may not even connect the back pain condition as the root cause of the pain being experienced in the leg for example.  Your back does not have to be in severe pain to experience sciatica symptoms down the leg.  Although stiffness and/or feeling of swelling and pain in the lower back is usually associated but not necessarily noticed by the patient.  When I was younger, I use to associate the numbness in my right calf and foot with uncomfortable military boots.  It seemed this inconvenience went with the territory for a lot of soldiers “foot discomfort leading to consequential back pain!”  There was much conversation between soldiers regarding military issue boots, foot, calf overall leg and back pain.   A military issued boot has no posture, or padded insoles and the leather requires much work to make it pliable, or comfortable around the foot.   I highly recommend if you are serving in the military, get a pair of Danners (best military boot) thermal water resistant quality.  Also be sure to add our “Posture Control Insoles,” found within our chronic pain center (foot, skeleton, or posture link image).  Discard your basic issue boots as these can only harm your anatomical posture creating many acute and chronic pain problems down the road for you.  This is especially true if you are experiencing any of the symptoms of foot or back pain I just mentioned.

One would think with the science behind many related back problems due to incorrect foot posture, the military would issue boots with insoles that would mitigate foot, knee, hip and back pain-injuries.  Until a military boot or “almost any” shoe is broken in, your feet experience many hot spots, blisters and muscle fatigue within the feet, which may also include partial, or overall pain throughout the calf, knee, leg and back.  Improper foot ware “not corrected” is responsible for years of bad posture body realignment.   This is because your body’s posture works to align itself around pain conditions where the foot is placed under daily stress.  Why do you think some reasons people might limp… Could it simply be due to incorrect foot ware and/or the brain telling the body to shift the walking posture to alleviate uncorrected foot pain?  Absolutely, and what will happen if this limping continues too long without correction?  The body begins to self correct by realigning the posture placing more stress in other areas of the muscular-skeletal structure to alleviate pain and possibly create more injuries up line.  At this point your body is susceptible to further injury because your anatomical posture is now compromised!

In this case, the pain and postural problem is caused from bad foot ware.  And even though soldiers are treated for many foot problems while visiting sick call the standard treatment is moleskin (adhesive pad to cover blisters) on foot and rest.  Thereafter the soldier is sent back out in the field with the same foot ware that caused the sick call treatment in the first place.  Folks, this is a repeat problem for our military men and women… I just don’t get it.  I guess this is one of those cost cutting exercises at the expense of the soldier and tax payers!  It is ironic, we as civilians have all types of federal laws that require businesses to comply with work ergonomics and ADA (American Disability Act) compliance, but completely disregard the science of correct body posture starting at the feet which is creating other health issues for those impacted, leading to service connected and social security disability benefits paid by the tax payer.  It seems to me, a great return on investment would be to pay pennies on the dollar for proper foot ware versus a life-time service connected foot-body postural injuries.

If you have mild forms of sciatica pain symptoms, the condition as you age will worsen much more quickly if foot posture and weight management is not maintained, or corrected.  This is because structural misalignment and added weight contributes to compression and impingement of the spin, causing degenerative and painful effects on muscle, nerves, ligaments and tendons.  Most people that suffer sciatica symptoms experience numbness, tingly to prickly sensation to excruciating sharp- jolting pain.  I liken this sensation as a numbing, achy, sharp to jolting extreme pain experience.  For me sciatica feels like being zapped, or electrocuted for fractional to extended periods of time with numbness and prickly sensation before and after the experience.  Also, when you have an advanced stage of back disorder, there is also swelling with immediate pain in the lower back.  If the pain and swelling is too severe, you will not be up on your feet for a couple of days as a severe back/sciatica episode will completely incapacitate you with excruciating pain where it is difficult to straighten your back.

There is also the term radiculopathy which is used to describe radiating pain caused by a root nerve impingement near the spin.  Radiating pain is caused from a trigger point, or point of nerve impingement through compression.  To make a point-and-case for example, let’s say L5-S1 vertebrae has nerve impingement on the right side of the lower back which creates pain and/or numbness down one side of the back of thigh-to-foot.  Although there is quite a distance from the back problem origin (low back vertebras, L5-S1), it may, or may not be obvious to the patient the low back is creating the pain in the right thigh-calf and/or foot.  Infrequent episodes of sciatica pain can mask an underlying back disorder as it advances in severity through the years.  You can go many years down a quick “back fix” path of medical convenience (muscle relaxants, injections, pain killers, anti-inflammatory, rest, exercises, etc.), and never address the root cause of an insidious back disorder that’s just waiting to take you out of action as you age.  Don’t let surgery be your only option!  Back surgery success to significantly alleviate pain and not create another problem is statistically low.  However, there are now new non-invasive back intervention and alternative treatments that look hopeful for many back pain cases.  Look for non-invasive surgical information in our health repository.

Whenever you begin feeling pain down your leg, calf, foot or big toe to include numbness, tingling, prickly, hot sensations, you should see a physician to address these symptoms and get proper medical diagnosis, advisement and referrals.  Patients that would ignore infrequent episodes of back pain, or sciatica symptoms without proper diagnosis could create an irreversible medical condition that could have been preventable.  Especially when pain alleviation and correcting posture at the feet in “most cases” is the solution!  However, even with this being said, there is no guarantee as you age that your sciatica symptoms-back disorder “will not” become worse.  We are talking about pain prevention and proper anatomical alignment not to create, or worsen a back disorder pain condition.  Recall, 95% of all back problems can be corrected without surgery!  If you currently have sciatica you can greatly alleviate pain by using “Posture Control Insoles,” visit our home site or chronic pain center and click on the skeleton, postural, or foot image link to get the science behind the claim.

“Dr. Bernard Filner, MD, says, a significant number of people, including many of his patients, contemplate surgery because they hurt so badly – but most of the time, by using the Posture Control Insoles can alleviate the pain and avoid surgery.  Posture Control Insoles do what surgery and custom orthotics cannot do – provide the proper sensory feedback from your feet to your brain. Your feet play an integral role in maintaining a pain free posture, including proper curvature of the spine.  Modest changes in your posture provide the potential for complete relief of low-back pain. If you are in pain, even if you have tried custom orthotics without success, please try Posture Control Insoles before you try surgery, said Dr. Filner.”

The posture you place your body in at work is also critical in preventing short-long term repetitive muscles strains & sprains responsible for sciatica symptoms.  Although our main focus is posture correction at the feet to alleviate sciatica symptoms there are other stress forces at work that contribute to sciatica pain.  You’ll want to ensure your mattress has proper surface support as sleep posture is also very important.  If you toss and turn throughout the night and/or you never feel rested, or your back aches in the morning it may be time to start looking at a Posturepedic mattress or other similar posture manufactured mattresses.

The low back is also placed under stress while in resting positions such as office administration, or general lifting throughout the day, etc.  This is why ergonomic office work and good lifting posture regardless of job type also must be part of the overall good posture, pain alleviation plan.  As stated earlier, surgery should be the last option as 95% of all back pain candidates are not good prospects for surgery, but instead should be treated to correct posture alignment, including applied daily exercises.  Most back pain can be resolved without surgery if both doctors and patients are willing to try other treatments that basically help the back to heal itself (Dr. Richard Deyo, University of Washington, and Consumer Health Interactive Magazine).

Also read MAE Press Release, Jan 25, 2009, “Heal Back Pain with out Surgery – Embryonic Stem Cell Update!” This article can be found at our Chronic Pain Center  and visit our CleanGreen Wellness Wholesale Company.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET2009 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com, Sign up for your Free eNewsletter.

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