Posts for: March, 2013
With the Sweet Sixteen chosen, March Madness is nearing an end. But with the NBA playoffs set to run from about mid-April to June, basketball fans still have a lot to look forward to. For those that play basketball, or those who have loved ones who play basketball, I thought I’d offer some suggestions on what to look for when purchasing a new pair of basketball sneakers.
First, and this goes for whatever shoes you buy, you need to make sure to have the proper shoe size. January 23rd was “Measure Your Feet Day”, which reminds us that, unfortunately, many people wear the wrong shoe size. Don’t hesitate to ask someone who works at your local shoe store to measure your shoe size for you - they should know how to measure your feet correctly.
Next, you have to decide what type of sneaker you want to get. Basketball shoes come in three main varieties, which offer different levels of ankle support. High tops are the best at preventing ankle sprains, the most common basketball injury involving the foot. For this reason, players who have suffered ankle sprains in the past may particularly want to look into these types of sneakers, as their ankles may not be as stable as other players.
Unfortunately, some people may find high tops uncomfortable and restrictive. Those that do may want to consider mid-tops, which offer increased flexibility but sacrifice some ankle stability. There are also low top sneakers, which don’t offer much ankle support but are the lightest of the three options; for this reason I don’t recommend them as much as the other two options.
Finally, consider style and price. Preventing injury should be your first consideration. After this is taken care of, go for a style that you like, at a price that fits your budget.
Jeffrey Carlson, DPM
In life, we like to connect with all kinds of people. At Advanced Foot and Ankle Care, we want you to build a relationship with all of the things and people that you care about, including your Podiatrist! This is why we want you to visit our Google + pages to become friends with our Podiatrists and follow all of our offices. You can recommend us with a +1 or add us to your circle and establish a long-term bond.
On our Google + pages, you will become more educated on common foot and ankle problems with the blogs that our doctors write weekly. You will also be updated on anything interesting that happens with our staff members. You will feel like you know us before coming in!
Here are our Google + pages:
Dr. Polansky -https://plus.google.com/u/0/118408183651611452267/posts
Huber Heights Location- https://plus.google.com/u/0/b/111698828282020979921/111698828282020979921/posts
We look forward to building a better relationship with you!
Lady Gaga has been in the news a lot recently, but not for the reasons that you might think. Instead of talking about her music, or her fashion sense, most news outlets have been reporting on the fact that Lady Gaga had to cancel some of her tour dates because of a condition known as “synovitis” affecting her hip. For this reason, this week I thought I’d write about synovitis to shed some light on this condition.
What is Synovitis?
Synovitis is a joint disorder that can occur in many joints other than the hip, including the shoulder, hand, wrist, knee, and especially the ankle and the joints in the foot. It is an inflammation of a special kind of tissue that lines these joints, called the synovial membrane. This membrane is very important because it produces a fluid that acts as a lubricant that helps the joint move. When the membrane is inflamed, the joint becomes swollen with this fluid, and is often very painful.
What causes it?
What are the symptoms?
Symptoms of synovitis include joint swelling, warmth, redness, and pain, especially when moving the joint.
How is it treated?
Over the counter medications like aspirin and ibuprofen may work in some cases to relieve pain and swelling. For more severe cases either oral or injectable steroids may be indicated. Surgery is rarely necessary, and reserved only for persistent cases.
Unfortunately for Lady Gaga, it was reported that her problems were more severe than just synovitis. She recently underwent surgery to repair a soft tissue tear in one of the structures of her hip joint; with this type of surgery, she will most likely face a lengthy recovery period.
Dr. Polansky is a Fellow with The American Academy of Podiatric Practice Management (AAPPM), which is an organization whose mission is “To positively change the lives, practices and communities of podiatric physicians through leadership education, practice management education and sharing knowledge.” This year, at the 2013 Mid-Winter Conference held in Pittsburgh, Pennsylvania on February 27 through March 3, Dr. Polansky was awarded the President’s Award of Excellence in recognition of advancing the practice of Podiatric Medicine. Congratulations Dr. Polansky and continue to be the great Podiatric doctor and surgeon that you are!
Diabetic therapeutic shoes are, in my opinion, one of the most important parts of my job. Diabetic shoes help save feet, plain and simple. According to the American Diabetes Association, each year 600,000 diabetic patients get foot ulcers, resulting in over 80,000 amputations.
As a podiatric physician I try to embrace preventative care modalities such as regular diabetic foot exams and diabetic shoes to prevent my patients from getting foot ulcers. My patients will tell you that I’m a stickler about these things. I do understand patient concerns over cost, but the vast majority of insurances cover diabetic shoes and insoles. It is widely accepted that preventative medicine is the best medicine, and not only the monetary cost but also the emotional and physical cost of an amputation makes money spent on diabetic shoes and insoles money well spent. So, what makes diabetic shoes and insoles so different from your run-of-the-mill shoe? Which patients need them? And how do you know if insurance will cover them? Read on for the low down on diabetic shoes.
The Definition: Diabetic shoes can also be referred to as extra depth or therapeutic shoes. They are specially designed shoes intended to reduce the risk of skin breakdown in diabetics with co-existing foot problems (such as neuropathy, poor circulation, and foot deformities).
Why They’re So Special:
- Diabetic shoes are extra deep to accommodate diabetic insoles or orthotics.
- They have a built in firm heel counter to provide medial and lateral rearfoot stability.
- The toe box of the shoe is higher so there is plenty of room for toes (even ones that like to stick up like hammertoes).
- There is little to no stitching on the inside of a diabetic shoe. The stitching is on the outside. Sometimes even the smallest prominence can irritate and cause skin breakdown in a diabetic foot.
- The collar around the ankle of the shoe is padded.
- The tongue of a diabetic shoe is thick and padded to help secure the foot back in the shoe.
- The end of the toe box of the shoe is protective to keep toes from being hurt when stubbed.
- Diabetic shoes have a non-skid sole to prevent falls.
- They are specially fitted by measuring the length and width of your foot.
- They are also equipped with a special multi-density diabetic insole that prevents back and forth movement (also known as sheering) of the foot in the shoe. A diabetic shoe isn’t really a diabetic shoe without this insole. Most insurances pay for 3 pairs of these insoles yearly, and they should be changed every 4 months to get the maximum benefit.
Insurance Coverage: It is rare that we come across an insurance plan that does not provide coverage for diabetic shoes and insoles. Medicare has a Diabetic Shoe Benefit, and they have a pretty clear-cut policy regarding this coverage. Even if you don’t have Medicare, many other insurances follow Medicare guidelines, and our office is happy to check out your insurance’s specific requirements. According to Medicare.com to be eligible for diabetic shoes:
You must have diabetes and one or more of the following conditions:
- Nerve damage in your feet with calluses on either foot
- Poor circulation in either foot
- Deformity of either foot
- Calluses on either foot that could lead to ulcers
- A history of past foot ulceration
- Partial or complete foot amputation
- You must have a prescription for the shoes. Our office can help you with this part.
- You must have documentation from the doctor managing your diabetes that you are in fact being treated for diabetes. Our office contacts this physician and provides them with the necessary paperwork for this.
- If you are enrolled in Medicare Part B, after you have paid your yearly deductible, you will pay 20% of the approved Medicare amount for the shoes and inserts. You can think of this as the shoes and insoles being on sale for 80% off.
- If you receive your Medicare through a Medicare Advantage Health Plan then you may owe little to nothing depending on the plan, but you will have to follow your plan’s steps for approval. Our office will be happy to help you with that part too.
- You will save money on your shoes if you order from a Medicare-approved provider. Beware of telemarketers, mail-order companies, and shoe stores who may or may not be participating suppliers.
If you are a diabetic and would like to enquire about diabetic shoes and insoles we at Advanced Foot and Ankle Care would be happy to answer any questions that you may have about them. We have quite a few shoes on display in each of our offices as well as a catalog and a website with even more shoes. Our diabetic shoes come in a variety of styles from athletic to dress, walking to casual. I feel confident that we have a shoe to fit your needs.