Bunion

(Hallux Valgus)

  • In this episode: Bunion is one of the more apparent foot changes that can occur. This is usually due to shoe wear and is more common with certain activities. Good news lots of it can be modified through an exercise program that focuses on your feet.

  • Chip Review @ (11:45): Kettle Brand – Pepperoncini (Thank you Djimmer)

  • Trivia question of the week @ (09:58): What is the most abundant metal on earth?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

 

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Brief overview of the episode:

            Bunion is a fairly common bony change that occurs at the big toe. Usually due to tight and or high-heeled shoes forcing the metatarsal to angle outward and the phalange to angle inward. This can sometimes also result in extra bone growth. This change can be pain free bur will also affect foot function.

            Due to the alignment change there is often a reduction in range of motion, altered gait pattern, redness and possibility calluses. Many of these issues can be address by changing shoe wear. Making sure the new shoes allow for adequate spaces for the toes. There are also a number of exercises and movements that can be done to help reverse some of the changes.

            If you’ve had bunions for 30 years you are not likely to reverse the course of your foot change completely but there is always some improvement that can be made.

 

 

Other episodes you might enjoy:  

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Ankle Sprain_Inversion Type: Episode 3

Plantar Fasciitis: Episode 11

 

Neuropathy

  

  • Neuropathy occurs when peripheral nerves are damaged. This can happen for a number of reasons ranging from diabetes, infections, chemotherapy and drug or alcohol abuse.

  • Chip Review @ (08:05): Kroger – Prime Rib & Horseradish

  • Trivia question of the week @ (06:02): Which is Canada’s most populated city?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

 

To Subscribe, Review and Download select your preferred hyperlink below 

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Google Play:

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Brief overview of the episode:

            There are upwards of 20 million American dealing with neuropathy. This is a condition that can affect sensory, motor and autonomic nerves, usually of the feet and hands. It can present in 3 forms, mononeuropathy, multiple –mononeuropathy and the most common version poly-neuropathy.

            With each version symptoms are typical fairly similar, loss of sensation, pain, weakness, coordination issues and possibly bowel and bladder problems. Most people who are affected are 60 years old or older. But this is a condition that can affect anyone.

            Some causes of neuropathy include diabetes, infections, toxin exposure, poor nutrition, alcoholism and kidney failure. Typically pain is the first symptom. This can be sharp, throbbing, aching or burning. As symptoms progress typically pain lessens but numbness and sensation changes worsen.

            Treatment for neuropathy usually begins with treating the underlying cause. So managing diabetes, infections and kidney failure is highly beneficial. Physical therapy plays a role in working to up train limitations to help with balance and falls prevention.

 

 

Other episodes you might enjoy:

Radicular Pain: Episode 22

Radicular Pain: Episode 22

Fall prevention & Balance: Episode 19

Posterior Tibial Tendonitis

  • In this episode: Posterior Tibial Tendonitis. It is the 26th most common running injury though running is not the only cause.

  • Chip Review @ (15:37): Kettle Brand – Tropical Salsa (Thank you Karin)

  • Trivia question of the week @ (14:04): What is the only village in the US with only 1 person?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

To Subscribe, Review and Download select your preferred hyperlink below 

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Google Play:

Youtube: 

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Brief overview of the episode:

            Posterior tibial tendonitis or is it posterior tibialis tendonitis? Now a days its often referred to as posterior tibialis syndrome because there is often no swelling though the rest of the symptoms are the same or at least closely similar.
            The posterior tibialis muscle sits on the inside of you tibia. This is the deepest muscle of the lower leg. The tendon runs along the inside of you ankle and connects to the underside of your foot. It is often said that the posterior tibialis is responsible for suporting your arch. This occurs because the muscle performs both inversion of the foot as well as plantar flexion.
            If this muscle is injured you will have pain on the inside of your foot, ankle and lower leg. There is sometimes swelling on the inside of the ankle or lower leg. Pain is usually worse with running, longer duration walking or standing. In later stages the arch of the foot could collapse and pain can be present on the outside of the foot as well. In most cases there is at minimum pain but often times significant difficulty performing a single leg heel raise. This will present as difficult or pain pushing off when running or walking.
            There is usually range of motion loss in the ankle or at least restriction. Most often this is with dorsiflexion (pulling the foot upward). This is a chicken or egg situation. It is not fully known if poor dorsiflexion is a cause of or response to injury to the posterior tibialis.
            Because of the similar location of pain often time plantar fasciitis is thought to be the early diagnosis. This is fairly easy to differential diagnose during an evaluation.
            Posterior tibial injuries are more common in women. People over 40 and other risk factors include being overweight, diabetes and hypertension. Here at Rebound Therapy and Wellness Clinic we tend to see it most often in people whom run a lot or with individuals who have recently increased the amount of running they are doing.

 

 

Other episodes you might enjoy:  

Ankle Sprain_Inversion Type: Episode 3

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

 

 

Lisfranc Injury/Fracture: Episode 59

  • In this episode: We cover the Lizfranc fracture/injury. This a fracture dislocation of the metatarsals from the tarsals, a mid foot sprain.

  • Chip Review: Snatt’s – Limon Y Tomillo (08:45)

  • Trivia question of the week: The air in a potato chip bag is not air, what is it? (08:02)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean:

Brief except from the episode:

Lisfranc fracture or Lisfranc injury as it is now often called is an injury where at least one of the metatarsals is separated from the tarsal. This typically occurs as a fracture and dislocation but can be only a dislocation.
This injury is named for Jacques Lisfranc de St. Martin, a field surgeon in Napoleons army. He would perform amputations along the tarsal metatarsal line because this allowed soldiers to return to combat much sooner.
During the Napoleonic wars cavalry soldiers would fall of their horses but one foot would remain in the stirrup. As the horse would continue to move the weight of the body would twist the foot in such a way that the tarsal metatarsal joint would become stressed and a fracture dislocation would occur.
In today’s world we don’t see many Lisfranc injuries but they do occur. This can occur with sports, typical football, or as a result of an accident. The foot becomes stuck in a position where the forefoot is held in place and the body moves in another direction.
The Lisfranc injury takes a long time to recovery. It is more uncomfortable and has a longer impact then most ankle sprains. Because it occurs in the foot and the mechanism of injury is often similar to an ankle sprain. It can be initially misdiagnosed as an ankle sprain.

Morton’s Neuroma: Episode 49

  • In this episode: Morton’s Neuroma. Pain in the forefoot and between the toes, sometimes numbness and/0r tingling. Usually related to tight footwear. (01:06)

  • Chip Review: Pop Chips Potato – Crazy Hot, Thank you to Skylar and his Mom (12:45)

  • Trivia question of the week: What names were given to the three tunnels in the movie The Great Escape? (11:10)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

Morton’s neuroma symptoms, typically pain in the foot, worse with shoe wear or boot wear or stake wear, any kind of compression of the foot. It is most common in middle age. More common in women, but that could just be footwear related. Most commonly seen a the 3rd digital nerve. However, any of the digital nerves are possible. More or less the middle of the foot.
A neuroma is typically caused by an enlargement of the nerve ending, almost like a benign tumor of the nerve ending. This enlargement then causes compression, which results in pain, numbness, and/or tingling. Historically surgery, minimally invasive, to remove the growth was an early treatment option.
Much more recently physical therapy treatment and other non-surgical options have been found to be as if not more effective. Intrinsic foot strengthening, getting the muscle of the foot stronger as well as doing a shoe assessment and looking at the daily activities that are causing pressure on the forefoot are the places to start working to correct.
Generally speaking unloading the forefoot will help. Djimmer has been using a very simple taping technique where you pinch the bottom of the foot together. This causes the top of the foot to open up and reduce the pressure on the neuroma. 99/100 times this will relieve the neuroma. This is a temporary solution but it allows for patients to be comfortable and then work on strengthening, balance and the other aspects of treatment.
If taping is helpful often times an off the rack orthotic will be appropriate. You don’t always need a $3-400 orthotic custom made for it to be affective. This is something you can cut to length and move from one shoe to the other.
Shoes and getting shoes that fit properly is one of the easiest and quickest ways to help yourself. Reducing pressure on the forefoot is going to be the primary cause of a Morton’s neuroma so reducing that pressure is part of the long term solution.

Other episodes you might find useful:

 

Stress Fractures: Episode 43

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

  • In this episode: We interview Dr. Mohammed Rimawi from Grand Central Footcare in NYC

  • Chip Review: Lay’s Sour Cream and Onion

  • Trivia question of the week: What is the name of the first imperial Faberge Egg?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

00:00 – Intro
00:31 – Grand Central Footcare and Grand Central Station
01:07 – Not living in Manhattan
01:30 – Some history on Brooklyn
01:51 – Dr. Mohammad Rimawi
02:36 – Why we never did Djimmer’s resume
02:59 – How did you get into podiatric medicine?
03:40 – It’s funny how much Djimmer loves feet
04:08 – The foot and ankle are fascinating joints
04:49 – Way to common misdiagnosed foot and ankle injuries
05:11 – The physical therapist I work with are always spot on
05:53 – Where it gets a bit frustrating, urgent care centers
06:58 – Seen our far share of missed peroneal tendon tears or partial tears
07:40 – Missed stress fractures even with X-ray
08:07 – Here is why stress fractures are tricky
08:48 – Over reliance on imaging (x-ray, MRI)
10:05 – Experience is invaluable
10:12 – What cases are you seeing the most right now? It’s plantar fasciitis 
11:34 – What’s your opinion on doing surgery for the plantar fascia?
12:35 – Partial tears of the plantar fasciitis?
            – Cam walker boot
14:00 – How long should someone be in a boot?
            – Acute 3-5 days, the acute inflammatory phase
14:43 – With plantar fasciitis, Once you get it once there is something
15:00 – Roll of orthotics, before, during & after plantar fasciitis
16:03 – Adult acquired flat foot / PTTD (posterior tibial tendon dysfunction)
16:45 – Ankle sprains
18:15 – Syndesmosis injury aka High Ankle sprain
19:39 – Not all “ankle sprains” are the same
20:55 – What is the best sports experience in New York City?
21:31 – Philly fans know how to take it to a different level
22:37 – What is the one thing you wish all people did to take care of their feet a little             better?
23:30 – Be proactive instead of reactive
23:47 – Foot wear pet peeve
24:04 – The worst footwear
            – Flats and flip flops
26:00 – Give me my tennies / Answer from last week
            – Why is a sneaker called a sneaker?
26:39 – Trivia Time!
– What is the name of the first Imperial (Russian Royal family commissioned) Faberge Egg?
27:30 – A too long a history about the Faberge Eggs?
30:00 – Chip Time!!
            – Lay’s Sour Cream & Onion
32:29 – Thank you to Dr. Mohammad Rimawi
              – grandcentralfootcare.com
              – 212-697-3293
            – Instagram: nycfootdoc
33:35 – Outro
34:04 – Take care of your feet

 

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