It’s Cold, but Go Ahead, Be Bold!

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Happy New Year! I’m sure that a lot of you made New Year’s Resolutions to improve your quality of life, especially related to your health. Many of us strive to eat more fruits and veggies, eat less snacks and chips, and of course, get more exercise. Maybe you’re just starting out, or maybe you’re already physically active and want to run your first marathon.

One thing always seems to get in our way: cold, dark weather. It can be very discouraging! How do I keep active when it’s cold and dark outside? The answer: take little bites! Plan a schedule with short walks or runs every evening or morning. You’ll avoid complete darkness and decrease your chances of overuse injuries like plantar fasciitis. Long runs in pitch-black darkness are a bad idea. If you do run in the winter evening hours, make sure you run in well-lit areas and wear bright, reflective clothing. Not only will cars be able to see you, but you’ll be able to see any obstacles in the road that might trip over if unseen.

Make a schedule of easy to complete short exercise events. Get fresh air, burn calories, and stay fit until daylight hours increase. Spring will be here before you know it!! And you’ll be ready. And if you ever have any foot or ankle pain, whether you’re exercising or not, remember that it’s not normal. Thankfully we’re here to help. You can call us at (919) 850-9111 to make an appointment for any exercise-related injuries, or you can fill out our form to request an appointment online.

 

Why Do I Like Running?

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I, like so many of you reading this, enjoy running. It’s a great way to stay in shape, it can be a great social experience, and I think there is no better way to explore a new city. I want to share just such an experience I had on a run through Rome vacationing with my family.

I looked at a map to get a general idea of the area I wanted to cover then I walked out of the hotel lobby and hit the cobblestone streets running as I made my way toward the Spanish Steps. From there, I headed to the river, or Fiume Tevere. There was a running path just about level with the river, and I got on that path, one level below the city. What a view from the river of Roman history as I ran along that path. There were not many runners crowding the path and the sunny warm weather was perfect. I had my Garmin running because I had a distance in mind, but no time goal and wanted the sites of the city to guide my run. I had a map that I loosely followed.

I ran along the river for a few miles and took in the grandeur of the Castel Sant’Angelo, among other historic structures and surfaces. Stretching out in front of me was the sprawling Circus Maximus where the Romans held great chariot races. As I continued, I took in the Arch of Constantino and of course the breathtaking Colosseum! As I headed back to the hotel, I saw the beautiful Altar of the Fatherland and ran by the Trevi Fountain, which unfortunately was undergoing some restoration. It was then back to the hotel to get cleaned up and meet up with my family for some official touring activities. It was an amazing trip, but that run was unbelievable, one that I will reflect on for years to come.

Gear Up for Running Outdoors This Winter

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Gear up for running outdoors this winter. You may be wondering, how will I run in the brutal cold of North Carolina winters?! Maybe the use of the word “brutal” is a bit out of place, but still never underestimate the cold and what it can do to your body. Use these tips to make sure your feet, and the rest of you, are prepared to battle the elements.

Let’s get started with what we like to discuss the most, your feet! To keep your feet warm we recommend using shoes with the least amount of slush. Ideally, the uppers of the shoe will also have GoreTex lining to help keep out the slush. SmartWool socks are also very important to help wick away sweat but hold in as much warmth as possible. You don’t want to get blisters! You should also have some common sense: if there is snow and ice on the ground, maybe run on the treadmill that day instead. One misstep and a slip on the ice could result in a sprained ankle or worse!

Your innermost layer needs to be snug fitting and sweat-wicking. Outer layers should be waterproof, windproof, and be able to cool as well as you get further into your run and your body starts to warm up. Make sure to always protect your face, head, and extremities with layers. Generally, many expert running guides recommend at least 2 top and one bottom layer for 30 degree temperatures, 2 tops and 2 bottoms for 10 to 20 degree temperatures, and 3 tops and 2 bottoms for zero to 10 degree temperatures. If you are in North Carolina running in temperatures below zero, then you deserve to wear as many layers as you want, and a medal for dedication!

It’s also important to warm up well before you run. You need to get moving and get the blood flowing so the cold won’t feel quite as cold, and your body will be more prepared for your run with less chance of injury. Don’t forget you still need to layer to deal with wind and rain, and also make sure to wear bright clothes so you can be seen!

Don’t focus on training to push yourself for record times, but instead focus on the fact that you are staying motivated and still training against the elements and keeping your endurance up. And most important of all, listen to your body. If you start to tire or feel exhausted, take a break. Pushing yourself too hard can cause injury like sprained ankles or Achilles tendinitis. Run safe during the winter months, and come see us at Raleigh Foot and Ankle Center if you are having any foot or ankle pain! Call us at (919) 850-9111 or visit our website to request an appointment.

Get Out and Run!

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Most people start working out during January after making New Years Resolutions, but December is the perfect time to start some great, healthy habits like exercising regularly. Think about it: the holidays can be hectic and stressful; what better way to relive some of that tension than by going out for a run? And while we’re at it, exercise is a great way to balance out all of those extra calories we all eat over the holidays.

If you decide you want to start running, the first thing to remember is to take it slow! Always start each run with a walk to warm up your muscles. This is especially important during cold weather. You want to keep your muscles warm and loose to prevent injury during exercise. If you get fatigued during your run, slow down and walk for a few minutes. You aren’t going to run a half marathon on your first run. Pushing yourself too hard too quickly can result in injury, so be careful!

To protect your feet while you run, wear good, supportive running shoes. But what is a good shoe? For starters, the shoe will fit properly. You don’t want your shoes to be too tight in the toes. No one wants painful blisters! If you can, go to a specialty running or shoe store with an onsite pedorthist and make sure you get the right fit. Some people find that custom-fabricated orthotics help relieve pain in their feet during runs.

The bottom line for beginning runners is to take it easy, take it slow, and listen to your body. You should especially listen to your feet! If you ever experience foot pain while exercising, stop immediately. If you continue to run, thinking the pain will go away, you can make things a lot worse. You can always call the doctors at Raleigh Foot & Ankle Center if you experience any pain in your feet or ankles. Our doctors are active themselves – some play basketball, some play hockey, and one of them is even a triathlete! We’re always here to help you with your foot pain. Call us at (919) 850-9111 or visit our website to make an appointment today.

Happy running!

Give Your Feet a Check-Up

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When people have diabetes, they often think of problems with their feet. The problem is that they might not think enough about them. A simple foot check every day should be an important morning routine. The problem is that many people think their issue is not a big deal. Not a big deal yet, I say.

Let a doctor determine if your problem is not a big deal. Chances are if you’re diabetic and have a foot question, it’s a big deal. Check your feet each day and look for cuts or sores, temperature or color changes, nail changes, or unexplained swelling. If you see anything new or different, get it looked at. Yearly diabetic foot exams are important, but so are visits when you have new problems.

I urge all diabetic patients this holiday season to keep a good eye on your feet. Spending time with your family at home is lot more pleasant then a stay in the hospital when a little problem progressed because it was either ignored or not noticed. If you have not had a diabetic foot exam this year or have new questions or problems, call Raleigh Foot & Ankle Center today at (919) 850-9111 and schedule an appointment. You can also request an appointment online by filling out our form on our website.

From all of the doctors and staff at Raleigh Foot & Ankle Center, we hope you have a great Thanksgiving Holiday!

Cold Weather Foot Care

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Thanksgiving is right around the corner, and we’re already feeling the chill in the air. You probably noticed the recent cold snap we just had. It’s always important to take good care of your feet, but it’s especially important in the winter. We put our feet at risk in the rain, snow, and ice; we wear the wrong kinds of shoes when we exercise or go outside to play with our kids.

People suffering from diabetes need to be especially careful with their feet in the cold weather. Don’t ever go outside barefoot! Doing so puts you at risk for cuts and bruises and even frostbite if exposure is prolonged. Always wear shoes that are supportive and fit properly. In bad weather, wear boots or shoes that won’t allow water in, and limit the amount of time you spend outdoors. And wear shoes that are close-toed whenever possible. Late fall and winter is no time for sandals.

Don’t forget your socks! Socks should be snug – not loose and not too tight, either. They should never bunch up around the toes. And if your shoes and socks get wet, take them off and dry your feet and toes thoroughly before putting on a dry pair.

When you do remove your socks and shoes, take some time to inspect your feet for any cuts or bruises. You can even use a small mirror to check the bottoms of your feet. This is important for diabetics because you may have injuries that you don’t feel because of damaged nerves in your feet, or neuropathy. Neuropathy is a complication of diabetes that is dangerous because it can lead to a wound that becomes infected, and if left untreated, could even result in amputation.

If you have diabetes and are concerned about the health of your feet, make an appointment with one of the podiatrists at Raleigh Foot & Ankle Center. You can call  us at (919) 850-9111 or request an appointment online. Our doctors have decades of experience caring for people with diabetes, and they’ve seen everything from neuropathy to painful diabetic foot ulcers. Make an appointment with us today. We’ll get you back on your feet.

In the News: Celebs Have Foot Problems, Too

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Last week was a bad one for famous feet. You may have seen that pop singer Taylor Swift was recently photographed at a concert on the Asian leg of her 1989 tour wearing an ankle brace – and she was still wearing her high heels on stage! Swift officially has Achilles tendinitis, also known as inflammation of the Achilles tendon.

If you have Achilles tendinitis you’re probably feeling pain where the tendon attaches to the heel bone, or along the back of your ankle. The injury usually occurs due to chronic, repetitive strain. In Swift’s case, wearing sky-high heels every night on stage for the duration of her world tour probably did the trick.

It wasn’t a good weekend for feet in the world of sports, either. Among the casualties is Denver Broncos quarterback Peyton Manning, who left the game on Sunday with a foot injury that turned out to be plantar fasciitis. Manning actually has a partial tear in the plantar fascia of his left foot. The Broncos will not start him in their next game against the Chicago Bears.

Plantar fasciitis is also inflammation of a ligament, but the plantar fascia is on the bottom of your foot. If you have it, you probably describe it as heel pain, but you may also feel pain along the arch of your foot. Sometimes the pain improves with activity, but over-use of the foot can make it worse. It can be very, very painful!

So what can you do if you think you’re suffering from Achilles tendinitis or plantar fasciitis? You can always call Raleigh Foot & Ankle Center at (919) 850-9111 and ask to see one of our board-certified podiatrists. You can also request an appointment online. Our doctors will give you a thorough exam and then discuss possible treatments with you. Rest is almost always part of the answer – in Swift’s case, they would probably recommend she stop wearing those high heels.

Remember – you don’t have to suffer from foot and ankle pain. The doctors at Raleigh Foot & Ankle Center are happy to help you with any problems you have with your feet. Call us today at (919) 850-9111 to make an appointment.

Foot Care Tips for Diabetic Feet

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November is Diabetes Awareness Month!

We always encourage our patients to do their part for happy, healthy feet. This is even further stressed for our diabetic patients! Diabetes can significantly affect lower extremity health. Sometimes impacts can be devastating and irreversible, like amputation.

We ask that all diabetic patients and their family and friends be involved in ensuring they have proper foot hygiene. Diabetic feet can have nerve damage, skin changes, ulceration, poor circulation, and other problems. Here are some important tips to remember:

  • Good glycemic control is key! Without this, you will constantly be fighting an uphill battle from a healing perspective as well as advancement of the many negative side effects that can happen to feet. Work with your primary care physician to determine a diet and exercise plan that works for you.
  • Check your feet daily! Always look for any cuts, scrapes, lesions, blisters, swelling, etc. If you can’t easily see the bottom of your feet, use a mirror to evaluate or ask a family member to help.
  • Wash your feet daily and make sure you dry well between your toes. Keep your feet well moisturized, except between the toes, and make sure that your feet are always covered.
  • It is very important to never go barefoot. Also, don’t expose your feet to any hot or cold environments! If you lost some sensation to your feet, you won’t be able to tell if the environment is beyond what your skin can handle. With winter approaching this means there is a risk of developing frostbite.

Don’t forget, diabetes is the leading cause of non-traumatic lower-limb amputations! For more information about diabetes and how it affects your feet, please visit our website.

At Raleigh Foot & Ankle Center we leave some flexibility and availability for our diabetic patients to schedule same day appointments. Call us at (919) 850-9111 or request an appointment online.

For more information about diabetes and how it affects your feet, please check out the following resources:

The American Diabetes Association

American Podiatric Medical Association

We Will Walk You!

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This past weekend I joined our doctors and staff at the annual Step Out: Walk to Stop Diabetes. The walk is an annual event hosted by the American Diabetes Association each November, which is Diabetes Awareness Month. This year’s walk was a doozy! Total downpour. Rain runoff ran over the tops of my shoes during the entire walk, literally. But! It was still fun to be part of the group committed to a goal: stopping diabetes!

So, my message today is simple: make your little goal part of a bigger goal, and reap the benefits! For me, last weekend, my goal was to get a little exercise, help some nice people with diabetes, and see the natural beauty of the Dorothea Dix Campus. But I got more! I got to help motivate others to get out and walk, rain or shine! I also got to bond with people that all said, “It’s raining a lot but I want to do this.” We all bonded over a common goal: making this lemon into lemonade. And it made it better!

I guess this means that in our daily lives we can all get more out of every plan if we make that plan to bring people together. Make it more than just a plan, make it an event! Do your morning walk with a couple friends, or walk with man’s best friend, or walk with music – or do all three! It’s no secret: committed goals shared with others are better. Go big! And don’t be afraid to get soaking wet.

And remember: the doctors and staff at Raleigh Foot & Ankle Center are here to help with your goals! Whether you have diabetes and are worried about your feet, or if you’re an athlete with heel pain, or you have a pesky ingrown toenail, remember: we can help you with that. Call our office at (919) 850-9111 to make an appointment with one of our podiatrists, or click to request an appointment online. We’ll work together with you and come up with the best plan for the health of your feet.

Dr. Boehm, Dr. Woelffer, Russ, Colleen, and Kinsey at the 2015 Step Out Walk to Stop DIabetes.

Dr. Boehm, Dr. Woelffer, Russ, Colleen, and Kinsey at the 2015 Step Out Walk to Stop DIabetes.

In the News: Achilles Tendon Rupture

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If you watch football, you might have seen that former Carolina Panthers wide receiver (and current Baltimore Raven) Steve Smith tore his Achilles tendon in a football game against the San Diego Chargers. After catching a pass, Smith went to the ground and clutched his lower leg. He had to be helped off the field by Ravens athletic trainers. It was later announced that the torn Achilles tendon has brought Smith’s season to an end.

The podiatrists at Raleigh Foot & Ankle Center frequently treat sports-related injuries like these. Here are some common questions we answer about this injury:

What is the Achilles tendon?

The Achilles is the major tendon located at the back of the ankle. It connects the ankle to the muscles in your lower leg.

What causes the Achilles tendon to tear?

Excessive strain. It’s usually seen in athletes (like Steve Smith) who are very active and put a lot of strain on their lower leg and ankle.

How do you treat a torn Achilles tendon?

Usually surgery, sometimes putting a cast on the leg can help, too.

How is this different from Achilles tendinitis? Are they related?

Tendinitis is an irritation of tendon fibers but the tendon is still intact, not torn or ruptured. A rupture is when the tendon completely tears and is usually a lot more painful. Click here for more information on Achilles tendinitis and possible treatments.

How can I prevent my Achilles tendon from tearing?

It can be difficult to predict. In general, remember to warm-up and stretch before exercise.

How do I know if I need to see a podiatrist for my Achilles tendon?

One word: pain! If you ever experience pain in your Achilles tendon, or any other part of your feet and ankles, call Raleigh Foot & Ankle Center at (919) 850-9111 or request an appointment online and make an appointment today. We frequently have same-day appointments available, and we now have a second location on Blue Ridge Road which may be more convenient for you.