Boots to make the hunt

Boots to make the hunt

Boots to make the hunt

It’s fall again and heading into winter and I see lots of folks worried about the upcoming hunt.  Foot problems that we’ve been ignoring for months sometimes become a little more important before the hunt.   We realize we have to be able to hike up and down the side of a mountain to get that elusive elk or deer or bear or whatever they may have gotten lucky enough to get tags for this year and a painful foot or ankle is going to make that impossible.  Hunting is a big deal here in New Mexico and there are a lot of things to consider to make sure we avoid injuries during the hunt.  As a fan of hunting myself I have done a lot of research into hunting boots.  Luckily as a general rule hunting boots almost always fit my criteria for stability and support.  With terrain being so varied while hunting it becomes essential that what we wear on our feet give us support and stability.  Wearing a high top 6 inch or 9 inch boot can protect us not only from the burrs and goat heads getting into our socks but also protect our ankles from the uneven ground that is constantly moving around below us.  It is very easy to sprain an ankle and the high top prevents that in most cases. The shank on the boot helps to keep that foot from slipping and give us more strength when we push ourselves forward. The foot should act almost like a rigid lever to push our bodies forward into that next step.  If we have a rigid sole that puts less effort into our feet and more into our boots.  That rigid boot is also essential to protect our feet in case we actually harvest an animal and have to hike that heavy load out to our trucks.  Having a good boot goes a long way towards keeping us upright and mobile and prevents injuries and falls.  The discussion on boots is never complete with a recommendation for a good orthotic.  Whether it be a good over the counter device or an even better custom orthotic you can never go wrong with an orthotic in that boot.  The last thing you want to do is come home from the hunt to make an appointment with the doctor to spend the next month limping around on a raging case of plantar fasciitis from all that hiking you did.  We are always happy to make recommendations for boots and orthotics and you can even bring them in and I’ll look at them for you and give you an approval as needed.  Boots can be an expensive part of the hunt but one which cannot be overlooked without some serious consequences.  Get some good boots, it’s worth it!

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles #podiatrist

Shocking Options to treat Heel Pain!

Shocking Options to treat Heel Pain!

Shocking Options to treat Heel Pain!

New technology keeps hope for a pain free living! Do you suffer from chronic heel pain, better known as plantar fasciitis? Do you feel like you’ve tried everything but surgery and there’s no hope? Think again!

Shockwave therapy really isn’t a new technology.  It has been around since the 60’s.  The technology was first used in to break up kidney stones and is still widely used today and is called lithotripsy.  Orthopedic use of this technology was FDA approved back in 2000.   Extracorporeal shockwave therapy or ESWT has been used in my office since 2002 with some great results.  The ESWT technology was old and outdated and we were required to use local anesthesia and it was a long treatment time and we often used boots as part of the recovery so over time we looked for newer and better options.

The US National Library of Medicine/National Institutes of Health released its first abstract on the benefits of Extracorporeal Pulse Activated Therapy (EPAT) for the treatment of plantar fasciitis in 2012. The researchers concluded that results of EPAT treatment on patients with chronic recalcitrant plantar fasciitis, in particular patients with chronic symptoms for more than 12 months, showed significant improvement.  EPAT treatment effectively decreased plantar fascia thickness and patient pain. Shocking? Literally.

NM Foot and Ankle Institute has been using a shockwave for treatment in patients since 2002. However, in January of 2018 we introduced this new EPAT technology into the practice. Our new shockwave (also known as pressure wave therapy) was introduced to the practice because this new and improved technology means that no numbing is required and with three short treatments recovery is easier and doesn’t require you to be off of your feet at all. Because foot and heel pain is typically caused by plantar fasciitis, patients suffering from this condition are thrilled to learn that relief from pain is available without the inconvenience of surgery or having to take time off of work. Some patients report improvement after only one treatment, while others report the pain subsided after 4 weeks. Overall, 85% of patients report they are pain free or enjoy significant pain reduction within 12 weeks.

Sessions take between 10 to 20 minutes on average depending on if you are having treatment on one or both feet. The recommended treatment is one treatment a week for three consecutive weeks.

Extracorporeal means non-invasive. No anesthesia is involved. Extracorporeal Pulse Activation Technology is the most advanced treatment being used today in lieu of surgery. It eliminates the requirement of rehab after surgery, and patients are able to bear their weight immediately and can return to their normal activity within days of the EPAT treatment.

Other benefits of the unique EPAT treatment is that it stimulates the metabolism, enhances blood circulation and accelerates the healing process. The damaged tissue gradually regenerates and eventually heals.

Don’t live life in pain!  Contact New Mexico Foot & Ankle Institute today at (505)880-1000 for an appointment to discuss pressure wave therapy treatment to treat your plantar fasciitis!

We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles #wearebettertogether

 

Do I have high or low arches? Does it matter?

Do I have high or low arches? Does it matter?

Do I have high or low arches? Does it matter?

People have a wide variety of foot sizes, shapes, types and deformities. Mr. Roger’s of Mr. Roger’s Neighborhood taught that each child is special and everyone is different in the world. This is also true of the foot.  Thankfully, no matter what the foot type you have, the function stays the same. With every step, your foot goes through subtle, yet very complex movements to do one of two things: #1) absorb shock, or #2) stiffen up to balance or push off. When people have pain, it’s usually because one or the other is not working right.

From looking at the foot from the side, there are three general foot types: high arch, normal, and flatfoot. Most people do actually have more of a normal arch but that does not mean they are pain or problem free. Normal arched patients can have all the same ailments as the rest of the other foot types. However, the low and high arch foot types have several problems that are more unique to each.

In flatfoot deformity, the bony structure is good at shock absorption. However, it has a more difficult time staying stable and strong as a “rigid lever” to push off. Frequently the tendons on the inside of the ankle start to hurt trying to keep the arch up and patients get pains as the arch flattens out. The legs tend to fatigue quickly as well.

For high arches, the foot has a tough time aligning the bones for proper cushioning. Hammertoes quickly develop and sometimes these feet frequently sprain because the front of the foot points inward more, causing the ankle to turn.  In severe cases, it can even be a sign of progressive neurological problems.

No matter what the foot type, shape, or size the NMFAI can help alleviate your pain, even on day one.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Justin Ward, DPM

Total Ankle Replacement: Who’s a Candidate?

Total Ankle Replacement: Who’s a Candidate?

Total Ankle Replacement: Who’s a Candidate?

I see a lot of new patients that struggle with arthritis.  One of the most common places is the ankle joint.  We usually start simple with x-rays, bracing, anti-inflammatories, injection therapy, and minimally invasive procedures like an ankle scope.  What happens if all of those things fail?  In the past, the ankle fusion was the only viable alternative.  That may sound aggressive and limiting but, truth be told, most people do very well with the procedure.  I admit that it does sound scary to no longer be able to move the ankle joint.  Many patients then ask, “Are there any other options?  Surgeons can replace hips and knees.  Can they replace ankles?”  The answer is YES.

The first total ankle replacements came out decades ago with more complications than success.  Over the years, things have slowly improved.  Companies are now on 3rd generation implants which have been very successful.  In the past year, I have started doing them at Presbyterian and they are now approved at Lovelace.  Patients have been very happy with these implants and do quite well with them.  The replacements are followed by 2-3 days in the hospital but most patients get to go home.  Most patients are walking 4-6 weeks after surgery as opposed to 8-12 weeks with an ankle fusion.

The most important thing to recognize is that not everyone is a good candidate.  I look at age, severity, deformity, activity level, weight, and of course, medical history before I perform these surgeries.  So, if you’ve been suffering with ankle pain and avoiding surgery because of limited options, I would be happy to meet with you and see if you are a candidate for a total joint implant.

Don’t  Live Life In Pain!  Call us at 505.880.1000 today to make an appointment.

Jonathan Williamson, DPM

Half Marathon: Race Day

Half Marathon: Race Day

Half Marathon: Race Day

There is much to consider with race day assuming you have sufficiently prepared for the race.  How much rest do you need? What is your cloths strategy? What do you eat pre-race, night before and morning of? The answers to all these questions can make or break your day.

Ideally you will have a good night rest for the 2 nights prior to the race as there is a study that shows the rest you feel more from 2 days prior than the night before.  Most races will start at dawn, which means you are getting ready in the dark and usually colder than when you finish.  Have a good plan to stay warm prior to race.  Eating is a little tricky just don’t venture outside your previous diet, you don’t want to lose time because your running to the port-a-potty.  The make-up of your pre-race breakfast should include simple carbs, protein and a little fat (so it tastes good). This will give your body access to immediate energy as well as stored energy from the protein and fat.  More importantly drink plenty of water the day before and the morning of, simple rule of thumb is the same number oz of water as kg you are heavy per day.

My experience this last month was less than ideal, let me tell you what I did so you can avoid struggling through a long race.  I drove 6 hours the day before and ate travel food.  When I got to Moab I decided to camp, that’s what you do in Moab right?  Wrong.  Camping does not compute to a good night rest especially if you forget a pillow.  I also ate hard boiled eggs and wheat thins for breakfast, not bad but not great.  The only thing I got right was drinking enough water.  After all of that I was feeling pretty good through mile 6 but at mile 8 I started slowing down and really struggled to finish the rest of the race.  The good news is I finished without injury and I have the medal to prove it.

If you are already a runner or are thinking about starting it’s good idea to get a foot/ankle checkup.  Call us today for an appointment at 505.880.1000.  We take care of your feet…so that they’ll take care of you!

Mark Tenny, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles #fifteenyearsstrong

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