Podiatrist Shares Stretching Tips for Exercise and Walking

 Stretching Tips for Exercise and Walking
When walking for exercise, it’s important to stretch before and after you walk. Follow the stretching techniques shown below and remember to stretch slowly, without bouncing. You only need to stretch far enough to feel your muscles elongating, not until you feel pain. Talk to your podiatrist, or call Dr. Kerch, if you have specific questions about your stretching routine.
1. Head Circles
Start with your ear near your right shoulder. Rotate your head around to the front, ending with your ear near the left shoulder. Roll your head back to the other side. Repeat 5-10 times.
2. Arm Circles
Lift arms out at your sides and make forward arm circles. Keep your palms facing in and your thumb pointed down. Make 20 forward circles with each arm. Then make backwards arm circles with your palm facing out, thumb pointed up. Make 20 backward circles with each arm.

3. Ankle Circles
While sitting or lying down, lift your right leg from the hip so that your thigh is about 1 inch off the ground/chair. Keeping your knee straight, rotate the foot at the ankle joint slowly in a circular motion. Make 10 circles with your ankle going clockwise and 10 going counterclockwise. Repeat with your left leg.
4. Hip Stretch
Stand up and take a step back with your right foot. Bend your left knee and shift your weight back to your right hip. Keep the right leg straight, bend forward more and reach further down your right leg. Hold for 20 seconds. Then repeat on the other side.
5. Side Reaches
Reach one arm over your head and to the side. Keep your hips steady and your shoulders straight to the side. Hold for 20 seconds and repeat on the other side.
6. Leg Curl (Quadriceps Stretch)
Stand straight up and if necessary, hold onto a wall for support. Bend your right foot behind you to your buttocks with your right hand. Keep standing up straight and push your knee gently back as far as you can comfortably go, keeping your heel in place. Hold for 20 seconds and repeat with your left foot and hand.

7. Wall Push (Calf Stretch)
Lean into a wall with your feet about 3-4 feet away from the wall, bracing yourself with your arms. Bend one knee and point it toward the wall. Keep your back leg straight with your foot flat, your head up and your toes pointed straight ahead. Keeping your back straight, move hips forward until you feel a stretch. Hold for 20 seconds and repeat with the other leg.
8. Achilles Stretch
From the calf stretch position, bend your knee back so your leg straightens, stretching the Achilles tendon. Keep your heel down and hold for 20 seconds. Repeat on the other side.

9. Triceps
Stretch your arms up over your head. Bend the right arm, pushing the right elbow back and down with your left hand. Hold for 20 seconds. Repeat on the other side.
10. Hip flexors, hamstrings and lower back
Bend your right leg forward until your knee is directly over your ankle. Rest your left knee on the ground. Keeping your right leg in place, lower your hips and slide your left leg back slightly, stretching as far as you are comfortable. Hold for 20 seconds and then repeat on the other side.

Don't underestimate the importance of stretching to prevent injury and to promote health.
Dr. Lotchie M. Kerch is accepting new patients in our Capital Hill location:

                                   1201 Pine St.

                                   Seattle, Wa 98101

Please call 206-786-0064 for an appointment with Dr. Lotchie Kerch

Podiatrist Treats Stars (and Wanna Bes)

Chryssie Whitehead thanks Dr. Kerch with a special invitation to see her starring in the Lola role in Damn Yankees. She even meets us after her recent 5th Avenue performance.

Dr. Kerch treats stars of the stage and all the wannabes. She will provide answers and treatment options for foot, ankle or leg pain.

Call 206-786-0064 for an Appointment with Dr. Kerch, 1201 Pine St. Clinic. Seattle, Wa 98101

Tips & Injury Advice for Common Foot and Ankle Injuries That Can Stop Runners Dead in Their Tracks

Making running part of a workout routine leads to better physical stamina and a more positive state of mind—but a detrimental foot injury can quickly stop runners in their tracks. Keeping feet healthy and pain-free can go a long way toward ensuring that every run is enjoyable, for both experienced runners and those just starting out. Following a few simple steps provided by Dr. Lotchie Kerch (APMA), before hitting the trail or treadmill, can keep foot and ankle injuries at bay.

“Some of the most common running-related foot injuries that today’s podiatrists treat are arch pain, tendonitis, and blisters,” said APMA president Kathleen Stone, DPM. “However, if runners can take just a few minutes to stretch properly pre-workout, select appropriate footwear, and see a podiatrist immediately when foot pain occurs, many of these ailments can be avoided entirely.”

In order to get the most out of each run without falling victim to injury, Dr. Kerch recommends the following:

Select a good running shoe: According to Karen Langone, DPM, president of the American Academy of Podiatric Sports Medicine (AAPSM), the most important running tip is proper shoe selection. “A running shoe purchase is dependent upon the type of foot and function of the foot for the individual. Runners should research shoe construction and keep in mind that footwear can vary in size from one manufacturer to the other,” she said.

Your 2 Feet is located at 1201 Pine St., the base of Capitol Hill, in Seattle, 206-786-0064. We offer a variety of manufacturers with running shoes ordered to fit and therapeutic shoes. Dr. Kerch owns and operates this Pain Relief Center. Her expert advice and having direct access to many pain relief products for the foot and ankle at the time of your visit expedites the healing process.

Select good socks: Runners should always fit shoes with the socks that they plan on wearing during a run. Socks should be made of a blend that pulls moisture from the skin, fit well and be comfortable when worn with a running shoe. The Your 2 Feet store is located at 1201 Pine St., at the base of Capitol Hill in Seattle, 206-786-0064. We have a wide selection of performance and comfort socks fabricated with materials efficient in pulling moisture from the skin-"wicking". We have Injinji Toe Socks which are performance socks beneficial in diminshing blister formation.

Stretch out and build momentum: Before a run, begin by warming up and gently stretching for 5-10 minutes, focusing on lower leg muscles. Amateur runners should start with short distances, increasing distance over time to help prevent injury. All runners should begin every workout slowly, as this allows the body to warm up further and decreases the chance of muscle strain. Runners should focus on keeping both the feet and entire body relaxed, avoid tensing or cramping toes, and run with a gait that feels the most natural. Runners should stop running immediately if any pain is experienced.

Cool down and rest: After reaching the end of a running workout, cool down and stretch for about 10 minutes. Submerging the lower extremities in an ice bath after longer runs can reduce muscle soreness, as can the use of a self-massager designed for post-athletic activities. Muscle pain is common after exercise, and minor injuries may be treated with the RICE regimen (rest, ice, compression, elevation).

Your 2 Feet store is located at 1201 Pine St., at the base of Capitol Hill in Seattle, 206-786-0064. We have therapeutic products that aide in healing specific conditions. We have five different types of arch supports, top of the line foot and ankle supports, braces, night splints and other products are designed especially for quick healing from a bunion or hammertoe to products for ankle stress and strains. After careful research, a therapy kit developed at Your 2 Feet, has been found to be beneficial for those suffering from heel pain/ plantar fascitis.

However, if pain does not resolve itself after several days—or returns immediately upon resuming exercise—runners should seek out care from Dr. Kerch, an APMA member podiatrist immediately. Frequent runners should see a podiatrist on a regular basis to maximize any running program and prevent serious injury. Dr. Kerch is a podiatric physician and surgeon, also known as a podiatrist, qualified by education, training and 30 years experience to diagnose and treat conditions affecting the foot, ankle and structures of the leg. Dr. Kerch's medical education and training as a DPM included undergraduate education, four years of graduate education at the Illinois College of Podiatric Medicine, an accredited podiatric medical college, and hospital residency training. She is also Board Certified by the American Board of Podiatric Surgery. Dr. Kerch is licensed by the state of Washington to practice podiatric medicine. Appointments are recommended by calling 206-786-0064. For more information, APMA’s Runner’s Resource page at www.apma.org/runners.  Founded in 1912, the American Podiatric Medical Association (APMA) is the nation’s leading and recognized professional organization for doctors of podiatric medicine (DPMs).

Foot Pain Linked to Weight Gain, It Makes Sense

Your Feet Don't Have to Hurt. Add a foot check-up with Dr. Kerch to your weight loss program. Appointments at 206-786-0064

http://www.abc2news.com/dpp/lifestyle/new-study-shows-foot-problems-can-cause-weight-gain?CMP=201112_emailshare

What Size Toes Fit in Performance Injinji Toesocks?

GENERAL INJINJI QUESTIONS:

Q: What’s the advantage of Toe Socks?
A: The key design principal in the development of the Tetratsok was to create the best possible interface that allowed the entire foot to perform naturally and freely inside our shoes, just like being barefoot. Everything about the conventional tube sock works against your feet’s natural form and function. Consider the difference between gloves and mittens: Mittens keep your fingers together to create a warmer, oven-like environment, while gloves offer less warmth but more dexterity. The same principles can be applied to our feet. Conventional tube style socks force your toes to work together as one unit creating heat and moisture build up, unprotected skin on skin friction and reduces healthy air and blood circulation to the foot. Why have we been wearing mittens on our feet all this time?

The human foot has toes to facilitate proper balance, posture, stability and grip. Each series of Injinji patented tetratsoks are specifically designed to enable your entire foot to perform naturally and efficiently from your heel to five toes inside your shoe. By providing a restriction free environment, your toes are able to become activated, providing you with increased dexterity, tactile sensitivity and allowing them to perform as they were intended. In addition, the flat knit weave and seamless construction of the Tetratsok means there is nothing to rub or irritate the foot within the shoe providing an excellent interface to prevent common foot problems from developing; blisters, hotspots, moisture build-up, transference of fungal conditions and neuromas caused by improper footwear and athletic form.

Q: Doesn’t it feel funny having something between your toes?
A:You will definitely notice a new sensation when you first slip on your Tetratsok as your body and mind is not accustomed to the luxury of having individual compartments for your toes. This sensation soon dissipates much like putting your watch on the other arm; you know it’s there for the first few minutes then your body becomes accustomed to it. You will soon feel that separating the toes prove to be exceptionally comfortable.

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Q: Are they hard to get on?
A:Compared to a normal tube style sock, when fitting straight out of the packaging it will take you approximately
10 – 20 seconds longer to properly fit the Tetratsok. This is due to the toe compartments being flat and yet to form to your particular toe shape. Once you have worn and washed your socks once or twice you will find that the sock material has a memory and your toes will slide into the pockets with relative ease.

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Q: My toes are a funny shape, will they fit?
A: We have seen short toes, long toes, fat toes, skinny toes, overlapping toes and even a variety of each on the one foot! However, the Lycra component of the sock uniquely allows the Tetratsok to conform and mould to the myriad of different toe shapes and sizes.

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What’s the difference between the Performance and Outdoor Series?
Each series of the Tetratsok is designed with the same patented AIS technology. The primary difference being the Performance Series uses 70% CoolMax to provide the exceptional cool, moisture wicking properties of the sock. The Outdoor Series utilizes the natural fibers of Australian Merino Wool to provide a transeasonal sock that keeps your skin temperature refreshingly cool in summer and warm in winter.

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Q: I am a men’s 10.5 foot, which size should I wear; medium or large?
A: Sizes that lie in between two sizes (As Above), we recommend sizing up to the next size (ie) 11 or Large.

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Q: Wouldn’t Toe Socks be hot?
A: Conventional Tube style socks act like mittens on your feet creating an oven like environment. On the contrary, separating the toes significantly increases the flow of air between the toes and forefoot. This combined with the breath ability and moisture wicking properties of CoolMax provides an extremely dry and cool interface.

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Q: What does Injinji mean and how is it pronounced?
A:“Injinji“ is pronounced (In-gin-ji) and is an African term which describes when a drumming circle reaches a climax, the peak in the performance, when all of the participants are at one with the rhythm, when everyone hits a stride and there is unison among all.

Things You Need to Know About Buying Z-CoiL's at Your 2 Feet

Some FAQ:
Q: Do I need an appointment for shoe fitting?
A: No. Shoe fitting does not require an initial appointment. If you have special needs plan extra time for an expert to properly evaluate your individual needs. We have most products in stock, including many discontinued styles.


Q: How long are shoe fitting appointments?
A: Fitting apointments are usually 15 to 30 minutes long depending on the level of exam required to properly evaluate your individual needs.


Q: Do you charge for shoe fitting appointments?
A: No. A $10.00 service fee may be assessed for adjustments or modifications made to footwear not purchased directly from Your 2 Feet.



Q:Will my insurance cover some of the cost of Z-CoiL® shoes?
A: Buying Z-CoiL® footwear directly from Your 2 Feet will most likely not be reimbursed from most insurance companies. Your 2 Feet has no contractual relationships with any insurance company. Some employers have safety or workplace shoe reimbursement programs. Check with your HR Department. Flexible Spending Accounts (FSA) will often reimburse with a store receipt as justification for the medical expense since the shoes are therapeutic.


Our onsite podiatrist Dr. Kerch participates contractually with most insurance companies. Medicare has a diabetic shoe reimbursement program that you may qualify for. Z-CoiL® shoes are not part of this program, but hundreds of other styles and brands are included. New appointments are being accepted to review your treatment options.

Rock and Roll on Your Feet With the Ryn

Ryn, The Next Generation Rocker Sole-Rock and Roll on Your Feet
The Ryn shoes promote balance, stability and control.
What Makes RYN Footwear Different?
• Exceptional Stability – The structured RYN air-tunnel system provides cushioning at impact without sacrificing stability. The shoe drives straight ahead without caving in or rolling out.
• 45 Degree Rocker – The rocker challenges major muscle groups more than most other rocker sole shoes. MBT has about a 30 degree rocker on the Sport model.
• Arch Stimulation – A slight “arch hump” pleasantly stimulates the arch as your foot passes through the gait cycle.
• Extra Padding and Depth – RYN athletic shoes have extra heel, top line and tongue padding, thus ensuring a secure fit without heel slipping problems.
• Orthotic Friendly – Since the central message behind RYN is balance, stability and control – we encourage the use of orthotics for maximum stability, if needed. RYN shoes have the added depth to accept custom or OTC orthotics (i.e. Lynco) without incurring fitting problems, like heel slipping.
• Excellent Stability on Uneven Terrain – Unlike brands like Skechers and MBT, RYN has no soft, collapsing memory foam. The structured air tunnel provides much better stability in grass, on inclines and on uneven surfaces, like cobblestones.
• Better Wet Weather Performance – Since there is no soft foam sensor for water to permeate, RYN shoes can be easily worn in the rain and wet weather without fear of damaging the shoes. The RYN Trail shoes are lined with Sympatex®, which allows the foot to breathe, without letting water in.
• Impeccable Craftsmanship – RYN footwear is built to last. The shoes are beautifully manufactured, lasted and finished. Their 7-layer construction, manufacturing process and materials selection assures your customers of wearing a shoe with excellent longevity that will feel great every time they lace them up. Every aspect of R&D, manufacturing and quality control is tightly controlled under one roof. There is no “contract manufacturing” to China, Vietnam, Indonesia or Singapore.
• Attractive Styling Across Multiple Categories – RYN’s athletic, casual, dress and sandal lines have drawn praise from customers since they have arrived in the U.S. There’s a RYN shoe for almost any occasion. Many of the RYN models are designed in Milan, and manufactured in Korea.

Watch Dr. Kerch, Seattle podiatrist, explain the concept of the rocker sole shoes on You Tube. Dr. Kerch recommends the rocker sole shoe as a time honored solution to heel, forefoot, back pain and arthritis. Look no further than the new Ryn rocker sole shoe. Dr. Kerch sees patients in her Seattle Clinic and owns the Pain Relief Center "Your 2 Feet" in the Capital Hill neighborhood of Seattle.

http://www.youtube.com/watch?v=t2dgthrjHUY

To see more of the celebrities and athletes posing in their Ryns:

http://www.youtube.com/watch?v=QggTG7wWsNI


There are actually several different types of shoes that may employ
some instability or a rocking motion:
• Toning shoes may look odd but utilize various designs to force the
core muscles in your body to work harder to obtain balance.
• Mild rocker shoes are not meant to improve posture or balance.
They reduce strain on the heel and toes by allowing you to roll
normally with each step.
• Unstable rockers have an unstable heel designed to force you to
change your center of gravity and posture and stand up straighter.
• Stable and medical rockers are great for reducing certain motion
in the toe joints or off-loading pressure from a particular area of
the foot. These are mainly prescribed by podiatrists to treat arthritis
or pain in the ball of the foot, diabetes, and plantar fasciitis.
They also may be prescribed for use after surgical procedures.
In fact, toning shoes are the fastest-growing shoe category
since the 1970s.
Rocker bottom and toning shoes can change your walking or standing
posture. They can change how you walk, and the muscles of
the body adjust and compensate. Because you will be using new
muscles, your podiatrist might recommend that you wear these
shoes for shorter walks or on alternating days for cross training. In
some patients, rocker bottom shoes can cause injuries such as Achilles
tendinitis or ankle sprains. But in others, the slight adjustment in
gait can help tone and strengthen muscles. However, it is important
to remember that anyone who already has
an unstable gait should be very cautious
about using these types of shoes.
Most doctors agree that if these shoes can get people motivated to
walk, thereby improving their health and fitness, they are worth the
money. However, make sure to check with your podiatrist, who can
recommend the best shoe for you for any activity. Also, be sure to
start wearing them in gradually, and stop immediately if any pain or
discomfort develops.

The Ryn reduces strain on the heel and toes by allowing you to roll normally with each step. Stable and medical rockers are great for reducing certain motion in the toe joints or off-loading pressure from a particular area of the foot. These are mainly prescribed by podiatrists to treat arthritis or pain in the ball of the foot, diabetes, and plantar fasciitis. They also may be prescribed for use after surgical procedures.
Toning shoes are the fastest-growing shoe category since the 1970s.
Rocker bottom and toning shoes can change your walking or standing
posture. They can change how you walk, and the muscles of the body adjust and compensate. Because you will be using new muscles, Dr Kerch recommends that you wear these shoes for shorter walks or on alternating days for cross training. In some patients, rocker bottom shoes can cause injuries such as Achilles tendinitis or ankle sprains if you do not first develop muscle tone gradually. The slight adjustment in gait can help tone and strengthen muscles. However, it is important to remember that anyone who already hasan unstable gait should be very cautious about using these types of shoes.Most doctors agree that if these shoes can get people motivated to
walk, thereby improving their health and fitness, they are worth the money. However, make sure to check with Dr. Kerch to recommend the best shoe for you for any activity. Also, be sure to start wearing them in gradually, and stop immediately if any pain or discomfort develops.
Dr. Kerch is Board Certified with the American Board of Podiatric Surgery and is a member of the APMA practicing in Seattle , WA 206-786-0064.
The curved soles have seven layers, including an air bag in the heel. Dr. Kerch recommends to her patients "to choose being stable vs. unstable while standing” when you are evaluating shoes with this design of the sole. These two-pound shoes are lighter than the MBT’s, and they also yield less impact during gait from the feet up to the back. The totally waterproof Trails “are great for the rainy days we get in the Pacific Northwest.” An added bonus is they give your “calf muscles a challenge while walking.”

In studies sponsored by manufacturers, the rounded-sole design improves postural alignment and minimizes joint stress. It is said by some it is like walking in soft sand. While walking your stride is also changed. Leg muscles get stretched and worked harder than in regular walking shoes. This stimulates the circulation in your calves.

To see more of the celebrities and athletes posing in their Ryns: http://www.youtube.com/watch?v=QggTG7wWsNI

Ryn is the Official Sportswear Partner for the Winter and Summer Olympic Games - South Korea.

RYN has received excellent reviews in the New York Times, Lifetime TV ("The Balancing Act"), and numerous industry magazines, including Footwear News, Footwear Insight and WSA Today.
Ryn Footwear is gaining viral exposure on social networking sites, including blogs, YouTube, Twitter and Facebook pages. Ryn is rapidly coming to the top of search lists on rocker sole shoes, and is being favorably compared to the best brands in the category. Articles like "All About Rocker Sole Shoes" and "RYN vs. MBT Comparison" are receiving hundreds of hits by people researching this category of footwear. Finally, when people research the Ryn brand for customer reviews and testimonials, the feedback is overwhelmingly positive.Tone your legs! Strengthen your core! Improve your posture! These
are some of the claims made by athletic shoe companies now
producing toning shoes. Some of these claims might be right on the
money, but before you put down the big bucks for the newest fad in
shoes, you may want to have more information.

Find the Right Arch Support/ Orthotic For You

Orthotics and Arch Supports $20-$65
The right arch support can provide better foot alignment and improve posture. Do you have a pair of exercise, casual shoes or work shoes that just aren't comfortable? The right arch support could make a huge difference. We carry arch supports and orthotics from Aetrex, Powerstep, Spenco and Emsold.
Your 2 Feet has a heat customizable and molded orthotic for $125.00. These are unique to other locations and serve as a first step to custom/prescription orthotics.
Make an appointment with Dr. Kerch to fabricate custom prescription orthotics billed to your insurance company.
There's a very good chance that we can find the right arch support for your feet.

Got Something In Your Shoe?

Consumer Alert: Got something in your shoe?
Buyers Must Beware of Differences Between Prescription Orthotics and over-the-counter Arch Supports
When your feet hurt, even the simplest task can be agonizing. Consumers often look for quick relief to ease the pain of throbbing heels and toes, commonly caused by foot conditions or improperly fitted footwear. Prescription orthotic devices, shoe inserts that are intended to correct common ailments or abnormal walking patterns, are worn by about 8 percent of Americans to alleviate foot aches and pains.
These days, retail stores advertising “custom-made” inserts, arch supports, and insoles are cropping up on street corners all across the country. In fact, according to a recent survey conducted by the American Podiatric Medical Association (APMA), 17 percent of people who wear orthotics bought them in a retail store rather than from a trained health care professional. While all these foot health products tout similar remedies, buyers can benefit from understanding the differences between medically prescribed orthotic devices and over-the-counter shoe inserts. The title links you to the next article on what's available at Your 2 Feet. Find the right choice for you by our on site expert fitters.
WSPMA offers the following guidance for consumers purchasing a device to help save their feet and wallets from the agony of ineffective or damaging foot care products:
• Don’t live with foot pain. A podiatrist provides comprehensive care by examining, diagnosing and treating foot pain. Based on a patient’s diagnosis, podiatrists often prescribe orthotics as a conservative approach to many common foot ailments. Only a licensed health care professional can diagnose and prescribe medical treatments, including orthotics.
• Find the prescription that’s right for you. Prescribed orthotic devices fall into three broad categories: rigid, which primarily attempt to maintain the foot in the proper functional position; soft, which offer minimal support but primarily help absorb shock, increase balance, and take pressure off sore spots; and semi-rigid, which provide a combination of functional support and balance while walking or participating in sports. Wearing the wrong type of shoe insert can be detrimental to feet, especially for people with diabetes or arthritis.
• Spending more can get you less. Not all over-the-counter shoe inserts are effective—no matter the price. Consulting with a podiatrist before trying products from retail stores can help consumers select a device that treats their ailment, thus saving them time, pain, and money.
• Beware of the buildup. Consumers should be wary of products with lofty claims or promises of comfort based solely on size. Without proper diagnosis, even “custom-made” inserts can be inadequate.
• Consider other treatment options. Although APMA’s survey found that prescribing custom foot orthotics was the most common treatment received from podiatrists, it may not be a solution for everyone. An APMA member podiatrist can provide and determine a treatment option that’s right for you.
• Check with insurance providers. Although prescription orthotic devices can be expensive, they may be covered by insurance. Check with your insurance company or health care administrator to find out how much of the cost will be picked up by your plan. Over-the-counter or “custom-made” shoe inserts from retail stores are rarely covered by insurance.

Featured This Month-Merino Wool Socks for Winter Comfort

"Since 1905 my family has been committed to our employees, our community and making fine quality socks just for you."
President Wigwam Mills, Inc., Bob Chesebro

Wigwam Mills, Inc. is proud to knit its socks in Sheboygan, Wisconsin, U.S.A., just for you because we care.
We care that thousands of manufacturers in this country sacrifice quality for less-expensive labor in other areas of the world, to increase the bottom line. We continue to lobby in Washington D.C. for programs that responsibly limit the quantity of imported products coming into this country while still pursuing a policy of fair trade with our many global neighbors. We care about the environmental, sociological, and financial implications of this policy.
We want you to feel good about buying the Wigwam brand because we’ve set a standard of integrity that we strive to live up to every day.
Our manufacturing facility is state of the art and getting more “green” all of the time. We have and are working with local utilities to improve our efficiency and limit our carbon footprint by installing solar energy panels to heat our water, motion sensory lights to limit wasted power, and responsible waste management to re-use and recycle as much as we can.
We support wool producers in this country by sourcing our wool almost exclusively from American yarn spinners who buy from American wool growers. And we support domestic yarn spinners whenever possible and work with them to get the best quality natural and man made fibers and yarn for all of our products.
For over 100 years, Wigwam has been dedicated to enhancing the lives of our customers. We have done this not just through providing them the finest quality socks, but by providing them with the assurance that their purchase of Wigwam socks supports its reputation of honesty and integrity.

Your 2 Feet chose Wigwam socks because of their quality and features for our Seattle customers and community 8 years ago. Merino wool offers softness, foot hugging, and is cushiony all over. Make Wigwam's your American made socks for 2011 (MMX1).

Information about causes of heel pain

Heel Pain

Click here for information about causes of heel pain
Heel pain is an extremely common complaint, and there are several common causes. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause. If you have heel pain, some causes include:
Plantar Fasciitis
Plantar fasciitis is the most common condition that causes heel pain. Plantar fasciitis is due to irritation and inflammation of the tight tissue that forms the arch of the foot. Common symptoms of plantar fasciitis include heel pain with prolonged walking and standing.
• Heel Spur
A spur is commonly associated with plantar fasciitis. This problem is most commonly seen in patients who have long standing heel pain due to plantar fasciitis.
• Tarsal Tunnel Syndrome
Tarsal tunnel syndrome causes a large nerve in the back of the foot to become entrapped, or pinched. Similar to carpal tunnel syndrome in the hand, tarsal tunnel syndrome can cause heel pain.
• Stress Fractures
Stress fractures of the calcaneus are an uncommon cause of heel pain. Stress fractures should be considered especially in athletes such as long distance runners who have heel pain.
• Posterior Heel Pain
Posterior heel pain causes symptoms behind the foot, rather than underneath. Posterior heel pain causes include Achilles tendonitis and retrocalcaneal bursitis. Learn about causes of posterior heel pain and what treatments are available.
When do you need to call your podiatrist about your heel pain?
If you are unsure of the cause of your symptoms, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of heel pain must be directed at the specific cause of your problem. Some signs that you should be seen by your podiatrist include:
• Inability to walk comfortably on the affected side
• Heel pain that occurs upon first rising, or resting
• Heel pain that persists beyond a few days
• Swelling or discoloration of the back of the foot
• Signs of an infection, including fever, redness, warmth
• Any other unusual symptoms
What are the best treatments for heel pain?
Treatment of heel pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment plan.
Some common treatments for heel pain are listed here. Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.
• Rest and Bracing
Avoiding the precipitating activity; for example, take a few day off jogging or prolonged standing/walking. Just resting may helps to eliminate the most severe pain, and will allow the inflammation to begin to cool down. There is a way to rest and give compression at the same time. By applying the correct brace may make it possible to walk without pain. For more severe pain a walking boot is sometimes necessary.
• Apply Ice Packs
Icing will help to diminish some of the symptoms and control the heel pain. Icing is especially helpful after an acute exacerbation of symptoms.
• Exercises, night splints and stretches
Exercises and stretches are designed to relax the tissues that surround the heel bone. Some simple exercises, performed in the morning and evening, often help patients feel better quickly. Wearing a night splint is like stretching all night long.
• Non-steroidal Anti-inflammatoriy Medications or Steroid Injections
Anti-inflammatory medications help to both control heel pain and decrease inflammation. Over-the-counter medications are usually sufficient, but prescription options are also available.
• Shoes, Shoe Inserts and Custom Orthotics
Choosing the right shoes is imperative. A stable heel counter as seen in the Z-Coil pain relief footwear has shown amazing results. The reduction of impact in the heel is another feature of the Z-Coil to aide in healing. Shoe inserts are often the key to successful treatment of heel pain. The shoe inserts often permit patients to continue their routine activities without heel pain.
Additionally, podiatric medicine is on the cutting edge of technology when it comes to both diagnosing and treating heel pain. Whether through the use of radio-frequency technology, shockwave therapy or another form of treatment, technology for heel pain treatment is evolving everyday. Make an appointment to discuss treatment options that are right for you.
Original in About.com with additions from Dr. Kerch and the APMA.

What is a Neuroma?

Neuromas
What is a Neuroma?

A neuroma is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.

The principal symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

Symptoms

•Pain in the forefoot and between the toes.
•Tingling and numbness in the ball of the foot.
•Swelling between the toes.
•Pain in the ball of the foot when weight is placed on it.

How Do You Get a Neuroma?

Although the exact cause for this condition is unclear, a number of factors can contribute to the formation of a neuroma.

Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.

Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.

Improper footwear that causes the toes to be squeezed together is problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.

Repeated stress, common to many occupations, can create or aggravate a neuroma.

What Can You Do for Relief?

Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment.

Wear shoes with thick, shock-absorbent soles and proper insoles that are designed to keep excessive pressure off of the foot.

High heels should be avoided whenever possible because they place undue strain on the forefoot and can contribute to a number of foot problems.

Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.

For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own. For more severe conditions, however, podiatric medical treatment or surgery may be necessary to remove the tumor.

Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.

Treatment by Your Podiatric Physician
Treatment options vary with the severity of each neuroma, and identifying the neuroma early in its development is important to avoid surgical correction. Podiatric medical care should be sought at the first sign of pain or discomfort; if left untreated, neuromas tend to get worse.

The primary goal of most early treatment regimens is to relieve pressure on areas where a neuroma develops. Your podiatric physician will examine and likely X-ray the affected area and suggest a treatment plan that best suits your individual case.

Padding and Taping: Special padding at the ball of the foot may change the abnormal foot function and relieve the symptoms caused by the neuroma.

Medication: Anti-inflammatory drugs and cortisone injections can be prescribed to ease acute pain and inflammation caused by the neuroma.

Orthotic Devices: Custom shoe inserts made by your podiatrist may be useful in controlling foot function. An orthotic device may reduce symptoms and prevent the worsening of the condition.

Surgical Options: When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks. Your podiatric physician will thoroughly describe the surgical procedures to be used and the results you can expect. Any pain following surgery is easily managed with medications prescribed by your podiatrist.

Your Feet Aren’t Supposed to Hurt

Remember that foot pain is not normal, and any disruption in foot function limits your freedom and mobility. It is important to schedule an appointment with your podiatrist at the first sign of pain or discomfort in your feet, and follow proper maintenance guidelines to ensure their proper health for the rest of your life. The advice in this pamphlet should not be used as a substitute for a consultation or evaluation by a podiatric physician.

Neuroma Tips

•Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment. "Your 2 Feet" carries a diverse variety of these shoes for you to view.
•Wear shoes with thick, shock-absorbent soles and proper insoles that are designed to keep excessive pressure off of the foot. Choose from 5 different types of insoles/arch supports including custom made orthoses fabricated by Dr. Kerch.
•High heels should be avoided whenever possible because they place undue strain on the forefoot and can contribute to a number of foot problems.
•Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.
•For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own. For more severe conditions, however, podiatric medical treatment or surgery may be necessary to remove the tumor.
•Use over-the-counter shoe pads. These pads can relieve pressure around the affected area. A specially designed metatarsal pad carried at "Your 2 Feet" can assist in relieving neuroma pain.

A Winning Strategy: Don't Play Through Pain

Timely treatment and rehabilitation key to proper healing
Sometimes athletes can be their own worst enemy especially when they continue to play following an injury to a foot or ankle. To ensure proper recovery from an injury, athletes should seek a proper diagnosis, prompt treatment and full healing and rehabilitation.

Athletes often misunderstand how serious an injury can be and try to rush back into competition without appropriate treatment and rehabilitation. Some of the most difficult cases seen by foot and ankle surgeons are those in which athletes have continued to play after an injury. Orlando, Florida, foot and ankle surgeon, Robert Duggan, DPM, FACFAS, says, “Athletes often make the mistake of ignoring what seems like a minor foot or ankle injury because they are able to walk. Serious injuries can exist even when the foot or ankle is able to accept weight or pressure.”

One such injury involves the Lisfranc joint, on the top of the foot. It’s possible to walk with a Lisfranc injury, but this can lead to damage to the soft tissues of the foot or even chronic conditions such as arthritis. “Sometimes the pain of this injury is mistaken for an ankle sprain, but treatment for the two conditions is very different,” Dr. Duggan comments.

Another injury that may be overlooked is a fracture of the fifth metatarsal—the bone that runs along the outer side of the foot. This can accompany an ankle sprain, or the athlete may think it’s a sprain. However, this injury is difficult to heal, and continuing to participate in sports will make it worse.

Playing with pain is never a good strategy for athletes. Prompt treatment is. “Foot and ankle surgeons can determine the best course of treatment for the specific injury and help get athletes back into the game,” Dr. Duggan comments.

Toenail fungus treatment

Although toenail fungus can be little bit difficult to treat, there are some treatment options for curing them. Fungal infections on nail are sometimes difficult to be cured you will probably have to take a treatment, sometimes for up to six months, because fungus is found under the nail and can be hard to reach. we must choose the appropriate treatment option so that we immediately get rid of toenail fungus. Here are 6 treatment options that can be selected to treat nail fungus.

1. Oral medications

In the past, Griseofulvin (Fulvicin), a toxic drug, is the only medicine that has recognized the benefits of treating nail fungus infections. Now there are other oral antifungal drugs that can cure toenail infections. These are Itraconazole (Sporanox), Fluconazole (Diflucan) and Terbinafine (Lamisil). These drug help a new nail grow healthy which is free from infections and replaces the infected area of your nail. They are usually taken from six to twelve months and you will not be able to see the results until after the toenail grows back completely.

2. Antifungal Creams and Antifungal Solutions

Antifungal creams are one of the most common toenail fungal treatments. They can be over the counter or prescription medicine which you can apply directly over the infected area of the nails. Antifungal creams are used for mild to moderate stages of toenail fungus infections and can be be combined with oral medications for a more effective cure. Recommendations include using a nail varnish or use tea tree oil that kills the fungal infection. Here at Your 2 Feet, formerly Z-CoiL of Seattle, we stock Gordochom solution and Fungasoap which is Tea Tree Oil offered without a prescription. Often oral Lamisil can be crushed in the Gordochom to make it more potent. This is a prescription you can get from Dr. Kerch. A urea cream applied under occlusion can also battle the fungus over time.

3. Vicks Vapo Rub

Vicks vapo rub has been used to be home remedy for toenail fungus. However, no scientific studies have been showed evidence to validate this claim even if there are some people who said that it is effective to cure nail fungus.

4. Antifungal Nail Polish

For mild to moderate fungal infections, Dr. Kerch or your family podiatrist might prescribe an antifungal nail polish called Ciclopirox. You paint it on your infected toenails as you would an ordinary nail polish. Do this everyday for seven days then wipe it all off and start with fresh applications. Use of Ciclopirox on a daily basis for one year has been shown to cure toenail fungal infections.

5. Surgical Nail Removal

For recurring and severe stage of toenail fungus, surgical nail removal may be the best treatment option. The infected nail is removed and an antifungal cream is used to treat the infected area. Because the area of infection is exposed, antifungal cream can kill toenail fungus more effective.

6. Laser treatment

Currently under consideration by the FDA is a laser treatment that will "resolve" the fungus. It is a this promising new treatment. However the cost is $200-$500 and is not reimbursed by insurance companies. This may be prohibitive to some. It accomplishes the same result as having the nail debrided in the office. It will recur unless the underlying problem at the base of the nail is addressed.

Whichever treatment you prefer to use, will depend on stages of toenail fungus. For beginning stages of toenail fungus, home remedy with topical creams will be okay. However, it is always best to consult your podiatrist to get an accurate diagnosis and best treatment option for toenail fungus.

If you do not already have a podiatrist you can make an appointment with Dr. Kerch.
•If your nail infection doesn’t bother you, you may wish to leave it alone. This option may lead to a spread or worsening of the nail condition.