Dr. Berg's Foot Facts

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By Dr. Rion Berg
July 12, 2019
Category: sports injuries
Tags: Untagged

Seattle is one of the best places to cycle in the country. Along with the famed Burke Gilman Trail, the area boasts multiple urban and regional trails as well as a great biking network for commuting. Whether you bike to work on a daily basis or use cycling for recreation and a great workout, there are many things to keep in mind to ensure your feet remain pain-free.

Cycling is a repetitive sport. During one hour of cycling a rider can average up to 5,000 pedal revolutions. Add that to tight or narrow shoes and that can be a prescription for foot pain.

Ball of Foot Pain

One of the most common foot conditions found in cyclists is metatarsalgia or "hot foot". Symptoms can include hot, painful, burning sensations and swelling and numbness. These symptoms can be particularly problematic in the summer when your feet are more likely to swell. If you're in the middle of a ride you'll need to stop your ride, get off your bike, and let the swelling and heat subside.

Sesamoiditis can occur when the sesamoids or small bones found underneath the first metatarsals get inflamed or rupture from too much pressure from sports such as cycling.

Morton's neuroma is caused by an enlarged bundle of nerves to the 3rd and 4th toes. Although cycling is likely not the cause of this condition is can put extra pressure on that area of the foot worsening an existing neuroma.

Achilles tendonitis

The tendon that attaches to the back of your heel can become inflamed and irritated due to improper pedaling and seat height, but can also occur due to ramping up your training too quickly if you're a competitive rider. Flat feet and a tight calf muscle can also be the culprits behind this common condition.

Luckily there's a lot you can do to prevent these conditions.

  • Purchase new shoes - your shoes are often one of the first things to consider changing when developing foot pain. If your feet have gotten larger (common in adults), your shoes are too tight and narrow, or if your shoes are worn out head to REI or another shoe store you trust to purchase new cycling shoes.
     
  • Types of shoes
    • casual riders can purchase a cross-training shoe while more serious riders will benefit most from bicycling touring shoes (can still walk in these) or shoes with cleats.
    • a stiffer shoe can help redistribute the pressure over the metatarsal heads.
    • a roomier toe box can help accommodate your feet when they swell and prevent ball of foot problems.
  • Purchase inserts or over-the-counter orthotics with a metatarsal pad or button - these devices can lift the metatarsals to maintain their natural arch and prevent nerve pain and numbness.
     
  • Custom orthotics made be necessary to alleviate and prevent sesamoiditis and Achilles tendonitis. Orthotics for cycling will need to be thinner to accommodate cycling shoes.
     
  • Move your cleats back; if cleats are too far forward that pressure can cause ball of the foot pain.
     
  • Wear thinner socks to make more room for your feet.
     
  • Wear socks made of man-made materials to help wick away moisture from your feet. This will help prevent blisters.

If your foot pain is keeping you from cycling, call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about foot and ankle problems, download our eBook, "No More Foot Pain".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Pinterest.

 

 

 

Lots of girls are watching in rapture as Team USA continues to dominate the Women's World Cup in France this year. Many of these girls will be ready to hit the soccer fields this summer but many more will compete against other Seattle school teams this fall. While the risk of concussions from heading the ball has been all over the news recently, less visible are concerns about the feet and ankles of teen girls.

Here are some of the most common soccer foot and ankle injuries in this population.

Ankle sprains
Ankle sprains are the most common injury in soccer due to the twisting and force put on the ankle during play. Combined these two factors can result in excessive stretching or tearing of one or more ligaments on the outside of the ankle.

Ankle fractures 
Ankle fractures can occur simultaneously with an ankle sprain. They result from the ankle rolling inward or outward. It's not usually apparent whether an ankle is sprained or broken, so a trip to your podiatrist is warranted to ensure proper treatment takes place.

Contusions and bone bruises
Contusions and bone bruises can result when players run into other players and when players get kicked during active play.

Plantar fasciitis (heel pain)
Soccer players most at risk for plantar fasciitis are those with flat feet. Teen girl soccer players at risk for plantar fasciitis can greatly benefit from wearing custom orthotics. For milder problems over-the-counter orthotics such as Powersteps or taping can be helpful.

Sever's Disease

Sever's disease is another common cause of heel pain in girl athletes. Up until the age 13 girls can have a heel plate that has not fully closed. An open heel plate can result in inflamed tissue in the heel as a result of playing soccer. Reducing activity, using over-the-counter or custom orthotics, or immobilization may be needed to stop the heel pain.

Ingrown Toenails

Ingrown toenails are common in young athletes as they return to school in the fall wearing their old shoes. Old shoes are usually short shoes with the potential to push against the big toe causing it to become ingrown. This problem is usually preventable by buying shoes with the correct fit.

Stress fractures
While stress fractures are most commonly caused by low bone density and this is uncommon in young girls, it can be a problem for those with low body weight. Low body weight and lack of a consistent or absent period are signals that an athlete is not taking in enough calories to support balanced hormones. Estrogen is needed to maintain strong bones. 

What You Can Do To Ensure Your Teen Girl Stays Safe During Soccer

  • Bring her for a pre-season physical examination with your doctor; make sure she asks whether your daughter has a regular period to rule out the potential for stress fractures.
  • Make sure her muscles are in condition for soccer; about a month before she begins to play take her out to a soccer field a few days a week to practice her soccer moves and build muscle strength and mobility.
  • Remind her to drink plenty of water even before she get thirsty.
  • Ensure she's eating a healthy snack every 3-4 hours so she gets enough calories.
  • Teach her to warm up prior to playing soccer; for example, a slow jog and then muscle stretches.
  • Choose athletic shoes made for soccer; if she buys cleats make sure they aren't too tight or short to prevent ingrown toenails and other foot problem.
  • Replace her athletic shoes every six months to ensure they're providing proper support.
  • If she has any specific foot issue such as flat feet or painful feet be sure to make an appointment with a podiatrist.
  • Teach her to pay attention to her body; she should tell you or her coach if she's have pain or discomfort.
  • Check out the soccer field ahead of time or find out if the coach does this. Ensuring there are no irregularities or divots in the field can help prevent unnecessary injuries.
  • Overuse injuries can also occur in young athletes; sometimes they may need to take a substantial break in their activity in order to allow the body to heal properly.

If your teen girl has painful feet or a foot problem that can put her at risk while playing soccer, call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about foot and ankle problems, download our eBook, "No More Foot Pain".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Pinterest.

 

 

As a parent you're always making sure your child is healthy and safe. From the time they're born throughout elementary school you make sure to take them for regular check-ups, get them the vaccinations they need, and provide car seats, bike helmets, and other safety gear as they venture out into the world.

Along the way you may have brought them to a podiatrist if they had pain in their toes due to an ingrown toenail or perhaps they had strange bumps on the bottom of their feet that turned out to be warts.

You may also have noticed more subtle issues with the way your child walks that don't seem quite right but you thought they'd grow out of. While there are some things that will resolve as your child gets older this isn't always the case.

One of the conditions that kids won't outgrow is developmental flat foot or flexible flat foot. While flat feet in toddlers are normal, if they remain flat past the age of five it's important to have their feet evaluated by a pediatric podiatrist. Why is that so important?

Here are five reasons flat feet can be problematic for your child now and in the future.

Kids with Flat Feet Can Have Trouble Keeping Up with Their Peers

When your kid has flat feet their foot biomechanics are out of balance. This can make it difficult for them to walk, run, and keep up with other children their age. At a time when children are learning how to play and socialize foot problems can hold them back if they can't keep up with their peers.

Kids with Flat Feet May Trip and Fall More Easily

Your child may want to keep up with others but their flat feet can make this difficult as they will likely have more problems with coordination. An unbalanced gait can cause them to trip and fall more easily.

Kids with Flat Feet May Withdraw from Sports Activities

Because your child may have problems running or keeping up with others, they are more likely to withdraw from sport activities that they would otherwise love to be part of.

Flat Feet Can Lead to Future Foot Problems

Flat feet in your child can lead to future foot problems such as plantar fasciitis, bunions, and hammertoes. Very likely if your child has flat feet you do too since flat feet are inherited. If you've experienced any of these foot problems you understand why prevention is so important.

Flat Feet Can Cause Future Musculoskeletal Issues

You may also have experienced musculoskeletal issues such as low back, knee, and hip pain if you have flat feet. Your child will likely experience them also.  

So what can you do to help your kids?

Don't ignore the warning signs of flat feet. Bring your kids to a pediatric podiatrist to be evaluated as soon as possible.

What your podiatrist can do

A pediatric podiatrist will evaluate your child's feet and the way they walk to determine if they'll benefit from kids orthotics. At our office we provide specially designed kids orthotics called Little Steps for younger children. These orthotics are very affordable and will correct their foot imbalances, normalize their gait, and allow them to move like other kids. If needed, older children will be fit with custom orthotics.  For more information check out the video I've made about these orthotics.

If you've noticed any of these problems in your child, make an appointment today at the Foot and Ankle Center of Lake City by calling us at 206-368-7000. When necessary we treat your child to prevent them from developing foot problems and physical problems in the future.

We can often appoint the same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about foot and ankle problems, download our eBook, "No More Foot Pain".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Pinterest.

 

By Dr. Rion Berg
May 07, 2019
Tags: Untagged

To keep your feet safe from injury when working in the garden this Spring, watch my latest video!

 

By Dr. Rion Berg
March 25, 2019
Category: Fungus toenails
Tags: Untagged

Every day I have patients who call my office wanting treatment for fungal nails. In addition to being unsightly, the fungus can spread to others and nails can become painful, thick, difficult to cut, and ingrown. In addition, there's an increases risk for ulcers in patients with diabetes.

For these reasons it's important to take the necessary precautions to prevent a fungal nail infection. These recommendations will also help reduce the chance of spreading the infection to your other toenails and other people and is best practice when you get toenail fungus treatment.

  • Don't use the same nail trimmer or file on healthy nails and infected ones (be sure to keep your nail implements for your own use to prevent spread to other family members).

  • Wear socks made of wicking material to draw moisture from the skin (an excellent sock is the Copper Anti-bacterial Antifungal Low Cut Socks; these are wicking and anti-microbial. If you're a hiker a sock liner from Fox River will keep the moisture away from your feet.

  • Change your socks when they are damp from sweat or your feet get wet.

  • Wear clean, dry socks every day and apply over-the-counter antifungal powder inside socks to keep feet dry.

  • Wear shoes with good support and a wide toe area (in addition shoes should fit well and leave about a thumbs length from your toes to the tip of your shoes. Tight shoes can cause your unaffected toenails to lift making it easier for the fungal infection to develop in them).

  • Avoid walking barefoot in public areas, such as locker rooms (always wear flip flops to prevent spread of the infection to others).

  • Be sure your nail salon is properly cleaning their instruments. To be totally safe do your own pedicure.

  • Wear a different pair of shoes every day to let them dry out between wearings.

  • Use a UV shoe sanitizer like Sterishoe Essential to kill the fungus in your shoes and keep down your fungal load.

Other factors that can increase your risk for fungal nails are:

  • Trauma to the nail—either direct (eg. stubbing injury) or repetitive microtrauma (eg. running in a tight shoe)—can cause damage to the nail plate allowing fungus to get in.

  • Aging – as people age they are more likely to have trauma to the nail and more opportunity for exposure to fungus.

  • Diabetes, HIV, and medications which decrease the strength of the immune system increases the risk of developing a fungal toenail infection.

If you have fungal nails and would like to learn more about how the Foot and Ankle Center of Lake City treats them, visit our Seattle Fungal Toenail Center.

For more information about foot and ankle problems, download our eBook, "No More Foot Pain".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Pinterest.