New Information for Painful FlatFeet

(Ivanhoe Newswire)-- Have you ever experienced the pain of flat feet? New insight may help millions of Americans who suffer from the painful condition.

Thanks to a team at the University of East Anglia a recent discovery was made that may help doctors understand what may be the cause of adult-acquired flat feet.

Flat feet are most common in women over 40 and are often left undiagnosed and untreated. Adult-acquired flat feet are caused from 'stretching out' a tendon that stabilizes the foot arch near the ankle bone called the tibialis posterior tendon.

Risks of flat feet include obesity, hypertension, and diabetes. Although the main cause of the actual stretching of the tendon is unknown, speculation that standing while wearing heels, or walking for long periods of time may be the cause.

Working with surgeons and scientists at Addenbrooke's Hospital, Cambridge, and the University of Bristol, the team showed that the structure and composition of tendon specimens had changed and found evidence of increased activity of some proteolytic enzymes. These enzymes can break down the constituents of the tibialis posterior tendon and weaken it – causing the foot arch to fall.

"Our study may have important therapeutic implications since the altered enzyme activity could be a target for new drug therapies in the future," Dr. Graham Riley, author of the Arthritis Research UK at UEA's School of Biological Sciences, was quoted as saying.

Further research is needed to find which specific proteolytic enzymes should be targeted and whether people could be genetically predisposed to tendon injuries of this type. New treatments could be 10-15 years away and the findings could lead to new drug therapy for flat feet and other common tendon conditions.

SOURCE: Annals of the Rheumatic Diseases, January 11, 2012

At InMotion Foot and Ankle, we have found a great solution for flatfeet caused by Posterior Tibial Tendon disfunction, we use a combination of ankle bracing, Extra Corporeal Shockwave Therapy (ESWT) with injection of moralized amniotic membrane and fluid, followed by aggressive home therapy.

Give us a call or go to ZocDoc.com and make an appointment with Dr. Bruce Werber

InMotion Foot & Ankle Specialists Dr. Bruce Werber 10900 N. Scottsdale Road Suite 604 Scottsdale, AZ 85254 480-948-2111 www.InMotionFootandAnkle.com inmotionfootandankle@gmail.com

foot and ankle specialist, Scottsdale, AZ

InMotion Foot and Ankle Specialists - Podiatrist Scottsdale AZ ...
From routine checkups to treatments for surgery, Podiatrist, Dr. Bruce Werber, DPM, FACFAS is equipped to handle all your foot & ankle needs. ...
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InMotion Foot & Ankle Specialists
Dr. Bruce Werber
10900 N. Scottsdale Road
Suite 604 Scottsdale, AZ 85254
480-948-2111
www.InMotionFootandAnkle.com
inmotionfootandankle@gmail.com

How podiatrist contribute to great healthcare at lower cost to society

Single podiatrist visit: $3.5 billion in US health care savings per year
If every American at risk for developing a diabetic foot ulcer visited a podiatrist once before
complications set in, the US health care system could save $3.5 billion in one year. Closing this
gap in podiatric care would reduce health care waste on preventable conditions, which
reportedly starts at $25 billion, by 14 percent.
This estimation is a projection based on findings from a Thomson Reuters study published in
the March/April 2011 issue of the Journal of the American Podiatric Medical Association. 
The study’s numbers were based upon the American population that has either commercial insurance (116 million) or Medicare (46 million) in the Thomson Reuters MarketScan Research
Database. Sponsored by APMA and independently conducted by Thomson Reuters, the study
measured the health care records of nearly 500,000 patients with commercial insurance and/or
Medicare. 
Publication in JAPMA, a peer-reviewed journal, validates these data for legislators, the media
and other health care professionals. APMA has created a variety of resources for members to
use as they communicate with these and other stakeholders about the study.
Read more: www.apma.org/podiatristvalue 



InMotion Foot & Ankle Specialists
Dr. Bruce Werber 10900 N. Scottsdale Road Suite 604 Scottsdale, AZ 85254 480-948-2111 www.InMotionFootandAnkle.com inmotionfootandankle@gmail.com

high heels and shoe inserts are they worth it

High heels are high fashion. But the pain they can cause isn't pretty.

Makers of shoe insoles claim their product can help "prevent foot aches and pains, guaranteed" or provide "all-day comfort" and "cushion the entire foot area," so Consumer Reports Shopsmart put shoe insoles to the test, checking out four that cost between $8 and $13.

To test, 14 women tried each of the insoles in a pair of her shoes that had at least 2-1/2 inch heels, with some as high as four.

Jody Rohlena, with Consumer Reports Shopsmart, said, “The women did a lot of walking for this test. Each did a total of almost five-1/2 miles."

So what were the results? Not great for Dr. Scholl's for Her High Heel Insoles and Insolia high heel inserts. One woman who tested them out said. “My shoes didn't feel any more comfortable than they did without them."

Foot pedals Killer Kushionz did make shoes feel a little more comfortable. But the package says they are "not recommended to remove and reuse." Turns out the adhesive damaged some of the shoes.

Desiree Ferenczi said, “The whole lining is torn out and it looks really yucky now. It's not a nice shoe."

As for the Fab Feet three-quarter insoles from Target, they also made shoes a little more comfortable, but were easier to remove - although most of the women thought none of the insoles were worth the money.

When it comes to comfortable shoes, Consumer Reports Shopsmart says a big problem is people often buy shoes that are too small, selecting the size they've always worn.

But your feet change, so it's important to get measured each time you shop for shoes.

A good-fitting pair should have a pinkie's width between the end of your toes and the tip of your shoe.

InMotion Foot & Ankle Specialists
Dr. Bruce Werber
10900 N. Scottsdale Road
Suite 604
Scottsdale, AZ 85254
480-948-2111
www.InMotionFootandAnkle.com
inmotionfootandankle@gmail.com

Not the Deadliest Catch

Not the Deadliest Catch

Today we’ll stray from the normal, fairly familiar foot issues to take a look at a relatively
rare cause of complications in podiatric medicine, that is, unless you’re a fisherman.

Catfish are the fifth most popular fish in the Western Hemisphere. In fact, there are over
3,000 different species of catfish worldwide, many of which are venomous to humans.
The feline-like fish possess venom glands in their “armpits” (the area just behind their
front gills), as well as glands in their dorsal fin (the one on top) and the pectoral fin
barbels (the fins on the sides). The fins are made of sharp teeth that can cut deep into
your skin, allowing for extensive tissue exposure and better absorption of the venom.
Again, soft-tissue infections caused by catfish envenomation are very uncommon to the
everyday podiatric medical office, but they do occur.

In the medical literature, most reported cases involve people stepping on, dropping or
kicking catfish and having a portion of the spine or fins embedded into their foot. Should
this ever happen to you, symptoms will include pain, redness, swelling, muscle twitches,
electric shocks and possible tissue death.

Due to the large diversity of the species, there is no definitive treatment regimen for
catfish stings. The most common treatments would include local wound care, removal of
any foreign bodies and antibiotic therapy.

The most important lesson to take away from this strange scenario is should you ever
find yourself stung or pierced by a catfish, whether at a farmers market or on the open
sea, don’t delay medical treatment. You should see your doctor immediately! Happy
Sailing!

InMotion Foot & Ankle Specialists
Dr. Bruce Werber
10900 N. Scottsdale Road
Suite 604
Scottsdale, AZ 85254
480-948-2111
www.InMotionFootandAnkle.com
inmotionfootandankle@gmail.com

Painful Bunions:

Leave the introduction describing bunions and picture intact and add:

Bunions vary in severity from a small bump on the inside of the foot to a large bump with severe outward deviation of the first toe(hallux) sometimes even causing impingement of the first toe onto the second toe. Just as the severity of bunions may vary, so does the range of surgical treatment options for correcting bunions.

Minimal to moderate bunion deformities often require that the surgeon perform a procedure that involves reshaping the bone at the base of the first toe called the metatarsal. Following reshaping , the surgeon then makes a cut in that bone which allows them to move that fragment of bone closer to the second toe and return the first toe to a straighter alignment, as it was prior to the occurrence of the bunion. The cut in the bone is then secured in place with medical grade screws.

Patients who undergo this type of procedure to correct their bunion can expect to spend 3-5 days with no weight bearing on the affected foot. This is followed by full weight bearing in a walking boot or cast for a period of 4-6 weeks. After approximated 4-6 weeks patients are able to return to normal shoe gear and return to regular daily activities.

You will need to be evaluated by your surgeon to determine the procedure that is best for you. More severe bunion deformities may require further surgery and longer periods of non-weight bearing on the affected side.

Please check back for updates that will include descriptions of surgical procedures for the correction of severe bunions.


InMotion Foot & Ankle Specialists
Dr. Bruce Werber
10900 N. Scottsdale Road
Suite 604
Scottsdale, AZ 85254
480-948-2111
www.InMotionFootandAnkle.com
inmotionfootandankle@gmail.com