Sunday, September 25, 2011

Vivo barefoot® – Another option for the barefoot runner


We hope you have taken the time to educate yourself about minimalist or barefoot running before you have tried it.  Barefoot running isn’t for everyone.  We have discussed it before in this heel pain blog.  There are many proponents touting the benefits of it, but there are just as many medical professionals pushing for you to remain cautious.  The biggest concern is injury and infection that can come from getting something stuck in your skin, a big risk when running without any protection.   This concern is decreased with the use of so called ‘minimalist shoes’.   These ‘shoes’ offer a layer of protection for your skin while lacking the support of traditional running shoes.



There are many options out there is you are shopping for these minimalist shoes. Today we want to highlight one of those options; the Vivo barefoot®.  These shoes claim to be the first of these minimalist shoes on the market.  They claim to offer protection against punctures but with a specialized sole that allows for proprioceptive feedback.  Proprioception, your body ability to recognize positioning and to adjust muscle strength accordingly, has been a key to physical and rehabilitative therapy for some time.  A key to recovering from ankle sprains and injuries is early therapy to allow for this sensation to help guide you body to heal properly.  The theory is that this same proprioception can help strengthen the muscles in your foot, making you a better runner.



We feel this shoe is best suited for the committed or competitive runner who would like another element added to their training regime.  By wearing these on your off days, or for your occasional short distance, you may help the muscles in your feet to work better.  These muscles have a great influence on the joints and structure of your foot.  We have to recommend that you have your foot assessed by an Austin podiatrist.  Everyone’s foot structure is different and you should make sure that yours will function well with minimal support.  Doing so can keep you from having heel pain and many of the other injuries that are starting to surface in barefoot runners.

Wednesday, September 14, 2011

Back to School Heel Pain – Severe’s Disease


While most of the blogs on the Austin Runners and Heel Pain site focus on the adult runner, we wanted to throw in a source of heel pain for the younger runner. Fall sports are in full swing with school back in session and we want to make sure your kids are avoiding injury.  It is important to have the proper footwear for activities to prevent injury.  Unfortunately, problems, like Severe’s disease, can result even with the proper footwear and often is a result of overuse.  This blog will cover a little more about what it is and things you can do to help resolve it.



Calcaneal apophysitis or severe’s disease is a condition that typically appears in children between the ages of 8 and 14.  Up until the mid to late teen years, bones are still growing.  Bones are created out of a cartilage scaffold and some of this cartilage remains as a growth plate to allow for lengthening and expansion until children reach their adult size.  The growth plate in the heel bone can become inflamed and painful if too much pressure or tension is placed on it from activities.  The Achilles tendon also inserts onto this growth plate can also aggravate the problem if it is tight.  Foot mechanics can often be a contributory factor but it difficult to discern which children will be affected from those that will not.  While the cause may not be clear, the treatments to alleviate it are.



Heel Pain Center of Central Texas a division of Austin Foot and Ankle Specialists is dedicated to keeping everyone, especially your children, pain free.  One of their monthly newsletters discussed some of the characteristics of this condition. While you should follow up with an Austin podiatrist if this happens, reducing your childs activity and icing the area should help to reduce discomfort.  Additionally, they should avoid going barefoot and wear supportive shoes to alleviate pressure on the area.  Heel pads and arch supports may be useful to cushion the tender heel as well as remove tension from the Achilles.  With early intervention and proper treatment, your child can get back to the activities they love and make this heel pain an unpleasant memory.