Wednesday, June 16, 2010

CV



Andrew J. Schneider, DPM
Tanglewood Foot Specialists
http://www.tanglewoodfootspecialists.com
http://www.HoustonRunDoc.com
Visit my blog: http://tanglewoodfootspecialists.com/blog.htm
Follow me on Twitter: http://www.twitter.com/HoustonFootDoc
Phone: 713-785-7881

Sunday, October 25, 2009

It's Getting Cold...Protect Your Feet When You Run!

The weather is starting to get cold. Even here in Houston, TX, we have days with cold weather and, yes, some freezing conditions. Don't just assume it is business as usual! Although this weather forces many runners indoors onto tracks and treadmills, some prefer to remain outdoors.

There is nothing wrong with running in cold conditions but if you do you must make sure you take the proper precautions to take care of your feet. Here are 5 tips for running in cold and wet conditions:

1) Wear quality waterproof socks

Everyone knows that shoes can make a huge impact on the health of your feet, but socks are just as important. Make sure that you have a good hardy sock, not any of those thin shear cotton socks because they don’t help get rid of the moisture on your feet fast enough in wet conditions.

2) Bring an extra pair of socks

If you are going to run a race in cold or wet conditions then consider bringing an extra pair of socks that you can put on immediately before the race begins. This will ensure that your socks are fresh and dry.

3) Try Using Waterproof shoes

Many shoe companies now make shoes that are either partially waterproof or completely waterproof. They help to keep your feet dry which will help prevent blisters from forming.

4) Try to stay indoors as long as possible before the run

The longer you stay outside in cold weather the greater chance you have of get frostbite on your toes or other areas of your body. Try to limit the time spent outside to as little as possible. If racing in cold conditions try and find a warming tent to stand in for as long as possible before your race.

5) Avoid running in slush, puddles, or deep snow

Always try to take the cleanest path possible on your runs even if this means going a little out of your way. Trust me it will pay off at the end of the run because when your feet, shoes or socks get wet you have a great chance of getting frostbite or blisters.

Frostbite is serious business. However if you ensure that you do all you can to prepare for the cold weather, you should still have an enjoyable and successful run.

Friday, July 24, 2009

We've Moved...Come Join Us!!!!

I want to thank all the followers of my blog and tell you that we've moved!

All posts and comments can now be found on my site
www.tanglewoodfootspecialists.com. The direct link to the blog is www.tanglewoodfootspecialists.com/blog.htm. We were able to move everything over so nothing is missing!

If you have subscribed via RSS feed, you do not need to do anything! I've already redirected the feed to the new location so you won't miss a post, if you subscribe through Blogger, please switch over to the RSS feed that can be found on the new site or click HERE.

I appreciate your comments and feedback and look forward to continuing to connect. Thanks for following!

Friday, July 17, 2009

Choosing and Fitting the Right Shoe for Your Child

As parents, we always want the best for our children. Did you know that most of our kids are wearing shoes that are too small? Don’t feel too bad, it happens to us all (yes, even your friendly neighborhood Houston podiatrist).

We are conditioned to our own adult feet, which are no longer growing. We wear our shoes until they die, and often well past their demise. We buy shoes out of desire, but not necessity. Kids are different.

The feet of children are rapidly growing and developing and need room to do so. But don’t give them too much room. The old days of buying shoes with “room to grow” were just our parents trying to stretch the usage of the shoes. Don’t do that! Kids need shoes that fit them properly, just like you do.

What do you look for when you are buying shoes for children? First of all – keep shoes off of your infant! Babies who are not yet walking should be barefoot or wearing socks or soft booties…nothing more. Oh, and I don’t care if they are so cute or match the outfit. Keep them off! Babies need to explore their feet for proper development and feel what it is like to stand and balance barefoot. They need that natural feedback, so let them have it.

I’ll relent a bit once the kid starts walking. The shoe, however, needs to be flexible. If you push up under the toe area while holding the shoe, the shoe should flex upwards with minimal resistance. Toddlers’ feet also do not need any arch support, so don’t look for shoes that have it.

This changes between ages 3 and 4 when you may notice some in-toeing, out-toeing, toe walking, or excessive stumbling. Children this age don’t have the ability to compensate for biomechanical forces and issues like adults do. Their pediatrician may tell you that the child will grow out of it. Even so, what most commonly happens is that kids just develop the ability to compensate for those biomechanical forces and the mechanics lead to problems down the road. Identifying issues early and putting a child into a custom foot support, called an orthotic, when needed will allow the kid to develop around a more mechanically correct position. Because of this, the correction that an orthotic device provides to a child may become permanent.

Also at this age, kids start wearing shoes that are more familiar in appearance you your adult shoes. Many athletic shoe companies will make sizes for children. You should also buy a shoe according to the activity, just like you do for adults. For instance a running shoe for kids who enjoy running (not playing, I’m talking about running). The rule of thumb is to have about a half-inch between the longest toe and the end of the shoe.

Your child’s feet are crucial to their happiness. Kids are built to go nonstop – bundles of energy to run, jump, play, and climb. If you see your kid sitting out during a game, or refusing to walk when you are out shopping, don’t chalk it up to laziness. First check to see if the shoes are too small. If they’re not, consider taking the child to a podiatrist to see if there is anything more you can do to get your child active once again.

Wednesday, July 15, 2009

Running While Pregnant

There are many dedicated female runners who become pregnant and are faced with the decision of taking the next 9 months off from running or continuing to run while pregnant. There are varying opinions out there about how much exercise a woman should or should not do during pregnancy. This can be confusing for a woman who is looking for a clear cut answer. The reason for the ambiguity is that there is no absolute “yes or no” answer to if a women should continue to run during pregnancy. The answer depends on the health, level of running a women usually does, and difficulty of pregnancy of the women.

One thing that most experts on this subject agree on is that women should stay active during their pregnancy as long as they do not overexert themselves. If you are a long distance runner, then you are going to need to tone down your training schedule because any stress or strain you put on yourself will also be put on your child. It is also important to remember to never let yourself become overheated because when you overheat so does you baby. If you live in hotter climates, such as Houston, then you are going to have to consider moving indoors for your runs. Runners do love, and even depend on, their routine. Pregnancy, however, requires some of your routines to change.

There are also many side effects of pregnancy that may limit a woman from running certain speeds, distances, or even running at all. During the first trimester, women commonly feel morning nausea which may prevent those who are used to running in the morning from continuing their morning running routine. During the second and third trimesters, the feet also can become swollen which can prevent women from running. Women should not attempt to run away the swelling in their feet because this may overwork the heart as it attempts to pump the excess fluid against gravity while also keeping up with the stress of running.

Running is a very important part of many women's lives. It is important for pregnant women to know the facts about running while pregnant in order to keep their body and their baby’s body safe. It is also important to communicate with your doctor and podiatrist about running during pregnancy so that they are well informed of your physical activity during pregnancy so they can best inform you of any side effects you may experience.

Monday, July 13, 2009

Understanding Shin Splints

Shin splints is one of the most common injuries that connects runners all over the world. Also known as medial tibial stress syndrome this aliment can be very painful and irritating to deal with as a runner. Here are some facts you need to know about shin splints to educate yourself about what they are and how you can help to alleviate them.

What are Shin Splints?

Shin splints are an irritation on the front of your lower leg that manifests as pain, swelling and soreness. The pain is caused by muscles pulling on the shin bone called the tibia. This happens due to overworking and overloading the muscles and bone (tibia) load of the lower extremity.

What causes Shin Splints?

Shin splints are caused by physical activities such as running. Certain motions can make an athlete more prone to getting shin splints. These motions are: running on uneven surfaces, not wearing the proper running shoes, running on hilly surfaces, and frequently stopping and starting during activity. The contour of your feet can also affect the probability of acquiring shin splints. People with flat feet have a much greater chance of getting shin splints because it causes the muscles on the shin to pull harder on it.

How do I heal Shin Splints?
The best way to heal shin splints is to rest from the activity that caused them to appear. This treatment is not always feasible (or desirable) so there are some other things that can be done to lessen there severity. These include icing the area for 15 minutes 5 times a day, getting new running shoes that properly support your feet, and taking over the counter medication that also has a anti-inflammatory agent to reduce swelling. Providing support with an appropriate insole or custom orthotic can also provide the biomechanical support and control needed to reduce the pull of the muscles and prevent the pain from returning.

Shin splints are a very common obstacle that many athletes have to overcome. Just because you have shin splints does not mean you need to stop a sport or activity that you love. If the information above does not help to alleviate the pain then you may want to consult your podiatrist for further treatment.

Friday, July 10, 2009

One Good Turn (of the Ankle) Leads To Another

A sprained ankle is one of the most common injuries of the lower extremity, with approximately 8 million people spraining an ankle each year. Also known as twisting or turning the ankle, it can happen as a result of playing sports, running on uneven surfaces, or just walking along. The foot turns in on the leg, which can lead to a stumble, trip, or fall.

There are some interesting statistics that show that people who sprain their ankles will injure them again in the same way up to 80% of the time. Why does one injury put someone at such major risk of repeating the injury?

Studies have shown that many people who have a tendency of spraining their ankle have poor balance. This can be demonstrated by standing upright (have something close to hold on to) and standing on one foot. The more wobbly you feel, the better the chances are that you will sprain an ankle, often repeatedly. This can be remedied by some simple exercises to increase the strength of the muscles. Again, stand on one leg and try not to wobble. Hold that position for one minute and repeat on the other leg.

Why does balance training help someone from repeatedly turning their ankle? As an ankle is sprained, the supporting ligaments are injured. They do heal, but in a stretched position. There are receptors in the ligament that are damaged also, which provides feedback to the brain about the position of the joint. This feedback becomes faulty with persistent injury and the balance suffers as a result.

While ankle supports and braces are helpful to provide stability to the weakened joint, pursuing a regimen of exercise to increase the balance is particularly helpful. This can be as simple as standing on one foot and balancing when you are brushing your teeth every day. If you want a greater challenge and result, there are a number of balance boards and mats available.

Thursday, July 9, 2009

Teach Your Children Well...To Prevent Foot Pain

I had the opportunity to attend my friends' children's high school graduation this week. The school is a small private school in Houston, TX with a graduating class of 17. It was an inspiring ceremony and I wish my best to all graduates this commencement season.

Of the female graduates, almost all of them were wearing the highest heels I have seen. It hurt me to watch as they walked across the stage to receive their diploma. People ask me what i think of such shoes. My answer is "They're great for business!" At some point these young ladies will have foot issues and I'll be there to treat them.

The most common injury that comes from wearing high heels is a Morton's Neuroma. This is an inflammation of the nerve that travels between the metatarsal bones and provides significant pain in the forefoot.

Treatment for a Morton's Neuroma can include anti-inflammatory medication, cortisone injections, custom orthotics, and nerve sclerosing injections. A recent study appearing in the Journal of the American Podiatric Medical Association also showed the effectiveness of shockwave therapy (ESWT)on neuromas, previously used only on heel pain. There is also surgery to remove the painful nerve, of course as a last resort.

Wearing high heels occasionally is unlikely to provide problems. Habitual use, however, can cause significant trouble. Moms...be sure to tell your daughters...they won't listen to us dads!

Wednesday, July 8, 2009

Another New Video About Orthotics

The videos just got up on the website, so I can't call this one a sneak preview. This video discusses the use of a custom orthotic to control the biomechanics of the lower extremity. When we deal with the multitude of foot and ankle injuries, mechanics plays some role. From heel pain, to neuromas, to chronic ankle sprains, controlling the mechanics with an orthotic is the best long-term investment to keep those injuries from reoccurring.

Tuesday, July 7, 2009

Guest Blogger: My 8 Year Old Son Ariel

I'd like to introduce everyone to my 8 year old son Ariel. Ariel has been wearing orthotics since he was four and is incredibly diligent about making sure he transfers them from shoe to shoe. Today, however, he forgot and found his feet to be aching. Of course, when we were walking home he said...Dad, should you blog about me forgetting to wear my orthotics? I thought we'd do one better and make a short video with him telling everyone in his own words.