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POUNDING page 75
Too-narrow athletic shoes are
one threat, and too-wide shoes
tend to cause blisters, and raise
the risk for strains and sprains.
Too-short shoes bruise and black-
en toenails.
Jude Timlin, personal trainer
at Power House Gym in West
Bloomfield, advises his clients to
be sports specific when purchas-
ing athletic shoes.
"I see too many people wearing
the shoes they play tennis in when
they go to the store, work out and
maybe even for rurming," says Mr.
Timlin. "Those shoes were only
made for tennis or for walking or
for running and using them for
some other activity is just asking
for trouble.
"I also tell clients to get new
running shoes every 500 miles or
a new pair every season. Those
shoes seldom wear out on the
soles, but they lose their ability to
absorb shock and for bracing the
ankles after so many miles. The
spring is always a good time to get
new running shoes, especially if
you've been running with them in
the snow and slush in the winter."
Although many people expe-
rience foot problems of some de-
gree, very few seek medical
treatment because they mistak-
enly believe that discomfort and
pain are normal.
One runner's foot and ankle
were swollen for weeks after
stumbling in a pot hole. "When it
got to the point where it was too
painful to play tennis, let alone
run, I finally went to a doctor who
told me I had really strained my
Achilles tendon and had Achilles
tendinitis," says Susie Sillman of
Birmingham.
"He told me to forget running
and tennis for a couple of months.
I'm on medication and it's im-
proving. I'm glad I went to get it
checked out because I'll be in good
shape when the good weather gets
here."
Farmington Hills podiatrist Dr.
Mitchell Wayne says, "Feet are
barometers of a person's health
because they are often the first
place circulatory disorders, dia-
betes, arthritis, and other sys-
Common Problems
Knowing what to do with the
more common foot problems will
let you enjoy more summer fun.
If conditions persist, and before
you turn a minor problem into a
major problem, see your podia-
trist.
• Athlete's foot is a skin disease
that starts between the toes and
can spread to other parts of the
foot and body. It is caused by a
fungus which likes warm and
dark places. Prevent infection
by washing feet daily in soap
and water and drying carefully,
especially between the toes.
Change shoes and hose regu-
larly. Use foot powder.
temic diseases are detected.
`To keep feet healthy, we need
to be familiar with the more com-
mon foot problems because some-
thing that could be treated by a
patient as a minor problem can
turn into a major problem if
there's no treatment. If someone
is diabetic, it's particularly im-
portant they take care of their feet
because they're more likely to de-
velop serious infections and com-
plications because of nerve
damage and reduced flow of blood
to the feet.
"I also feel it's important to tell
my patients that if they do go to a
manicurist or a pedicurist they
should be careful about how the
instruments are sterilized," says
Dr. Wayne. "Its not enough to
have instruments placed in a cold
sterile solution these days; they
need to be autoclaved."
Many of the common foot prob-
lems are due to corns and callus-
es — thickened and hardened
patches of dead skin cells, typi-
cally resulting from constant rub-
bing of a part of the foot against a
shoe. Corns usually develop on the
toes, while calluses occur on the
soles.
Often corns and calluses lie dor-
mant in the winter when there's
little outdoor activity and then
bloom in the spring causing all
sorts of pain and discomfort, often
curtailing the same activities that
caused the problems in the first
place.
Sometimes a problem corn can
be removed with over-the-counter
remedies or pressure from a shoe
can be relieved with a pad. The
same procedures hold true for cal-
luses.
Another remedy is warm-wa-
ter soaks to soften corns and cal-
luses so that gentle rubbing with
a pumice stone or callus file re-
moves the dead tissue. In some
cases, a podiatrist will use a
scalpel or other sharp instrument
to thin a corn or callus.
"If everyone paid attention to
the normal hygiene that is re-
quired for feet and periodically vi-
sa
check their feet for hot spots
in their early stages, then many
• Blisters are caused by skin fric-
tion and moisture, often from
rubbing in poorly fitted shoes. If
the blister is large, it may be ap-
propriate to pierce it with a ster-
ile needle and drain the fluid.
For smaller blisters, apply an
antiseptic and cover with mole-
skin.
• Corns and calluses are pro-
tective layers of compacted dead
cells. They are caused by friction
and pressure from skin rubbing
against bony areas. Corns nor-
mally appear on the toes and cal-
luses on the soles of the feet.
• Foot odor usually results from
perspiration. Wash feet daily
and change your shoes. Use de-
odorizing foot powders.