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Callahan Podiatry

Diabetes Related Conditions
Bone Related Conditions

News You Can Use, 2010
With the growing popularity of marathon running, we are seeing more patients with stress fractures of the foot, especially in first time marathoners. Many times new runners enter a race with little or improper long-distance training. The lack of experience along with the repetitive impact placed on the feet during the run can produce enough stress to cause hairline breaks in the bones of your foot.
If you have started running or are entering
your first marathon, we recommend you
follow these guidelines to help prevent injury:
Dont increase your mileage or change
to a more intense phase of training
too quickly. The increased force placed
on the bones in your feet make them more
susceptible to stress fractures. A general rule
of thumb is to increase your mileage by no
more than 10 percent each week.
Take adequate rest time between runs
to decrease your risk of injury.
Wear properly fitting shoes that provide
adequate support to your feet. If you suffer
from abnormal mechanics in the foot, such
as overpronation or hypermobility, custom
orthotics can also help prevent injury.
Stress fractures can occur anywhere in the
foot and can eventually lead to a complete
break of the bone if left untreated. The
signs of a stress fracture can include pain,
swelling, and redness and possible bruising.
Contrary to popular belief, it is possible
to walk on a foot with a fracture, so just
because youre able to walk does not mean
there isnt a more serious problem.
Remember, early diagnosis and treatment
are important to ensure proper healing. If
you suspect a break, immediately follow the
RICE protocol Rest, Ice, Compression
Its almost time to say goodbye
to your sandals, slip-on
shoes and bare feet of summer
and hello to socks, shoes and
boots. Our patients find that the
change in shoes and season can
bring unwanted foot problems,

Ingrown toenails can result from
wearing improperly-sized shoes.
Trim your toenails as straight
across as possible and wear
shoes that are not tight around
your toe area.

Fungus thrives in dark, moist, warm environments such as your shoes.
Wearing the same shoes every day can promote fungal growth. Disinfect
your shoes and wear different pairs to try to avoid fungus.

Neuromas, or nerve pain, may be triggered by tight-fitting, enclosed
shoes. Make sure your shoes provide enough room in the toe area to
avoid tight-fitting areas and irritation.
Bunion, bone spur, hammertoe irritation
Constant rubbing on your feet from shoes can irritate any existing
hammertoes, bunions or bone spurs. Wear socks and properly fitting
shoes. Sometimes having your shoe stretched in the areas of irritation
can also provide some relief.
If youre experiencing discomfort from your seasonal shoe switch,
schedule an appointment with our office.
Runners: Stress Fractures
Can Slow You Down
Sandals to Shoes
Make Sure its a Comfortable Switch
and Elevation. If pain and swelling last
longer than a few days, a visit to our
office is in order.
In most cases, treatment includes rest
and immobilization with casting of the
foot. Surgery may be required in certain
instances to repair and stabilize a stress
fracture that has progressed into a full

This information was developed by the American College of Foot and Ankle Surgeons www.FootHealthFacts.org
The holiday season will soon be upon us and it will be
easy to forget about taking care of our health, especially
the state of our feet. This can be a particularly serious
problem for those with diabetes. In the season of
festivities and celebrations, it is easy to indulge in food
and drink, forgetting the all important diabetic diet. Its
essential for those with diabetes to remember to pay
attention to their feet, no matter the season, to detect
any potential problems.
During this busy time of year, we find ourselves walking more at the
mall, dancing at parties, running extra errands many times in dress
shoes that aren’t worn very often. All these added activities can cause
swelling and, in turn, friction between your feet and shoes. The friction
can cause blisters, calluses or abrasions on your feet and can lead
to diabetic ulcers and infection. This can be especially true if your
bodys defenses are down due to elevated blood sugar levels from
overindulgence of holiday cheer. Infections can spread quickly and
may require hospitalization and possibly amputation of the toe, foot
or leg if not properly cared for early.
Even diabetics who follow recommended guidelines during the
holidays can suffer from the complications of diabetes and are still at
risk for wounds in the feet. For that reason, it is extremely important
that all diabetics inspect their feet daily and look for the following

Ingrown toenails that cut into the skin and that can cause

Red, purple, gray or black areas on the feet that can be due to
shoes that are too small, swollen feet, or fluid retention of the legs

Blisters caused by rubbing from shoes or seams in socks
Calluses on the toes or bottom of the feet
Skin with signs of dryness or cracking
Sudden swelling and heat of one foot without obvious trauma
Give yourself the greatest gift of foot health this holiday season
if you detect a wound or any other irritation, dont delay. Make an
appointment with our office as soon as possible.
Care for Your Feet This Holiday Season
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