The natural shape of an individual's foot, strenuous activity, or footwear improperly fitted or unsuitable for
the activity contributes to overuse injury.Treatment for foot injuries relies on the fundamentals of rest,
ice, elevation, and typically an anti-inflammatory medication. Frequent course corrections are made by continued collaboration
with the physical therapist to enhance the most efficient outcome. However over the counter treatment
with a broad-spectrum anti-fungal cream such as terbinafine (available as a generic or brand Lamisil)
applied twice daily will adequately treat most cases in 2-3 weeks. The organization of 26
major bones with numerous muscle tendon groups provides tremendous strength and tolerance to enormous weight
bearing forces, while providing elegant flexibility of movement. Some weight bearing is preferred, if tolerated,
while restricting activities. If these simple measures do not prevent or manage your symptoms consult
your health care provider for further evaluation.You must take good care of your feet if
you expect to go very far!As a physician with over thirty years of clinical experience
in the fields of general/family practice, occupational medicine, and urgent care, I have an interest
in promoting healthy living and inspiring people to reach their life goals. The nature of
the injury can be obvious or very obscure.Acute trauma to foot and lower extremity leads
to common more easily detected injuries. Dryness helps. Some of these may seem excessive or
extraordinary activities while others may be regular daily tasks that simply go beyond the capacity
of the foot to tolerate the demands. He struggles to find the truth for which
he is ill prepared.Turnabout can be purchased on my website http://seattledoc.com. However, some of these
injuries can result in obscure subclinical damage that may Tn Requin be difficult to localize. A stress
fracture is by definition a crack to the bone that initially does not appear on
an x-ray. Attention to both physical and mental aspects of the injury is important. There
simply is no substitute for providing adequate time for the weakened component to heal. The
speed of walking jogging or jumping, in addition to supporting weight of additional objects, can
require the feet in particular to tolerate a load of twenty times our own body
weight. With such hard work taking its toll on this unassuming and often overlooked tool,
the foot is vulnerable to both acute traumatic injury and prolonged overuse. Popping the blister
should be avoided unless it is an uncomfortable weight bearing area. Wet feet are more
likely to form friction blisters and wet feet are more prone to breed a fungal
infection. Consultation and coaching by a physical therapist can facilitate re-strengthening, enhance range of motion,
and accelerate the healing process by eliminating the intrinsic complications of inactivity. Mere inactivity contributes
to stiffness and muscle atrophy. Dry feet are important to both situations. My professional experience
has not been limited to the practice of medicine. I have worked as a business
consultant, registered investment advisor, wine merchant and personal advisor.I've authored a mystery novel "Turnabout by
Bruce Kaler M.D." that follows a surgeon whose life is turned upside down by a
wrongful death malpractice lawsuit brought by his vengeful ex-girlfriend. A detailed understanding of the circumstances
at the moment of injury provides clues to the nature and location of injury. If
necessary adding self- adhesive moleskin or plain zinc oxide tape over the potential problem areas
before beginning the nike tn activity can be a great benefit for prevention. Immobilization of an unstable
fracture or bracing of a weakened ligament or tendon is often necessary. This can be
a slow and frustrating process. If a blister does develop, these same products are useful
as a "second skin" for temporary protection. Even that may not be detectable without a
special bone scan or MRI in order to identify the reason for lack of improvement
or continuing pain in excess of expectation.The numerous components of the foot are also subject
to overuse injury through repetitive motion. It provides a foundation for virtually all movements, which
carry weight-bearing forces that can be many times the weight of our own body. Sprains,
strains and fractures are common with acute trauma. Equally important are confidence in the recovery,
good body mechanics when resuming activities, proper training and warm up to maintain your good
health while preventing further injury.Blisters and fungal infections of the foot (Athlete's foot) are common
relatively minor problems that cause a great deal of disability and time loss. Suitable socks
that pad the high friction areas of the foot. Even then proper cleaning of the
area with disinfectant and use of clean instrument are important to prevent infection. Both are
very preventable with consistent management. A plan for home exercises is part of rehabilitation program
as well. Cleaning the feet, changing socks and even shoes, daily may be necessary. Fungal
infections develop slowly and easily ignored until they advance enough to cause bothersome symptoms. Blisters,
tendonitis, plantar fasciitis, Morton's neuroma, bursitis are all examples of repetitive overuse injury to the
foot. Having said that, immobilization is assigned for as short a period as possible. Designing
exercises specific to a job or sport for the individual are very helpful and part
of the physical therapy contribution to recovery.Management of any of these injuries includes careful planning
for transitional activities. If severe enough most fractures are easily detected with routine x-rays. Both
conditions ignored can be temporarily disabling and very uncomfortable. A thorough exam by a knowledgeable
medical provider can usually identify or rule out these conditions. When to resume full duty
of unrestricted play or work should be decided by careful planning with the health care
team. It is not apparent until 2-3 weeks later when new bone formation becomes visible
on an x-ray signifying repair to the bone. Basic mobility is dependent on walking even
if it means crutches to enable partial weight bearing. A few fungi typically on the
skin cultivate in worn clothing and accumulate in footwear, especially if they are chronically damp
from moisture or sweat. Careful planning for transitional activities, use of cold packs, an anti-inflammatory,
and physical therapy all add to the repair process. Ongoing wound care and possible removal
of the devitalized skin may be necessary to prevent infection. The foot provides durability in
a complex structure but versatile design. This breeding ground infects the skin causing itching, redness,
peeling and even pain from the breakdown of the skin. Leaving as much of the
blister dome in place temporarily may help provide some protection in conjunction with "second skin"
products. Turnabout is also available through Amazon.com as well as other wholesale and retail outlets.
Preventing blisters depends on properly fit shoes that are suited for the activity. I
invite you to also visit my blog at http://seattledoc.wordpress.com.
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