Achilles Tendonitis

                    

One of the most common overuse injuries seen in runners is Achilles tendonitis.  The Achilles tendon runs from the back of the leg to the heel bone.  Prolonged running can lead to the over-development of the Achilles tendon.  This, in turn, causes shortening of the muscles that comprise the Achilles tendon.  Eventually, the Achilles tendon tightens.  When the body glides over the foot, as it does when running, the Achilles tendon is stretched.  It is sometimes stretched to the point of tearing.  The tendon soon becomes inflamed and causes tendonitis.

                    

Proper stretching exercises may be the only treatment needed to clear up this condition.  Heel lifts in the shoes can also help.  Ice, massage, non-steroidal anti-inflammatory drugs and physical therapy can also be beneficial.  Foot orthotics may also be needed to control abnormal motion of the heel when running.

                    

Remember, don't over train.  Stop if you get sore or tired.  Always wear good, supportive, comfortable running shoes.  Have fun and be careful.

Evan Kelner, DPM

  

 

Diabetic Shoes

                    

An essential part of any comprehensive plan to prevent diabetic foot ulcers is proper footwear.  If the shoe is worn out or not fitting quite right, rubbing can occur.  This repetitive trauma can cause blisters, corns, callouses, infections and ultimately ulcers.  For diabetics who suffer from neuropathy, the lack of protective sensation is an especially dangerous factor in causing diabetic ulcers.

                    

Fortunately for diabetics with documented risk factors, such as poor circulation or neuropathy, Medicare as well as other insurances allow for dispensing of diabetic shoes and heat molded inserts.  These shoes and inserts must be prescribed and professionally fitted by a qualified foot care specialist.

                    

No longer are diabetic shoes exclusively black, bulky and ugly.  Today's diabetic shoe choices include many attractive styles and colors, indistinguishable from other shoes.

                    

The inserts are heat molded to ensure total contact with the feet.  This prevents the rubbing and friction that causes corns, callouses, and wounds.

                    

If you have diabetes and are concerned that your feet are at risk of complications, contact our office.  We provide a comprehensive foot exam and can determine if you qualify for diabetic shoes.  Wearing proper shoes can ensure that you continue to walk through life with healthy and happy feet.

Evan Kelner, DPM                 (732) 988-0070                   (732) 286-9200