My Blog
By Dr. Steven Miller
April 02, 2018
Category: Shoes

Dad shoesFor the last many years, stylish sneakers had a low-key, clean cut, almost plain profile. Now bigger, sturdier sneakers are making a strange resurgence in the fashion world. Pop culture calls them “dad shoes”.

When I was a teenager, I remember my father in white and navy Nike Air Monarchs. Some credit the recent comeback of chunky sneakers to Balenciaga Triple S (=Triple Sole).

Brands such as New Balance have been creating heavily cushioned and supportive sneakers for years. Steve Jobs, the late Apple co-founder, was an avid New Balance wearer.

Dad taught us to work hard and be courteous, honest, and straightforward. Now we can also credit him for shoes that are "good for your feet".

March 29, 2018
Category: Bone

Osteoporosis boneIf you suffered a stress fracture, ask “Am I at risk for osteoporosis?”

Osteoporosis can affect men and women of all races. But some — especially older women— are at higher risk.

Most people reach their peak bone mass by their early 20s. Maintaining higher bone mass can decrease the likelihood of osteoporosis later in life. 

Although foot fractures can be painful, fractures in the spine or hip are more serious complication of osteoporosis with an increased risk of death within the first year after the injury.

Osteoporosis is more likely to occur in people who have:

  •  Low calcium intake 
  •  Eating disorders
  •  Gastrointestinal surgery (low calcium absorption)
  •  Steroid or certain other medication
  •  Sedentary lifestyle
  •  Tobacco use

If you find it difficult to get enough calcium from your diet, consider taking calcium supplements. However, too much calcium has been linked to kidney stones. Vitamin D improves your body's ability to absorb calcium. 

Exercise will benefit your bones no matter when you start, but you'll gain the most benefits if you start exercising regularly when you're young and continue to exercise throughout your life.

Swimming, cycling and exercising on machines such as elliptical trainers can provide a good cardiovascular workout (especially if you have a painful foot), but they're not as helpful for improving bone health.

Treatment recommendations are often based on a bone density test (DEXA). For people at high risk, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include:
  •  Alendronate (Fosamax)
  •  Risedronate (Actonel, Atelvia)
  •  Ibandronate (Boniva)
  •  Zoledronic acid (Reclast)

It is important to understand the risks associated with bisphosphonates before beginning therapy. Perhaps a different medication is preferable, such as hormone replacement, Denosumab (Prolia), or Teriparatide (Forteo).

For more information, Dr. Steven Miller can be reached by calling (847) 675-3400.

Picture of vitaminsIf you sustained a broken bone, stress fracture, or are at higher risk for these, look at your VITAMIN D and CALCIUM consumption.

Examples of people at higher risk for broken bone / fracture:
  ◦  Increased exercise, especially during winter or spring months.
  ◦  Diabetes (type 1 and type 2)
  ◦  Older adults
  ◦  Obesity and some weight-loss procedures

Vitamin D and calcium are naturally present in some foods, but most people in Illinois need a supplement to reach recommended levels due to the lack of exposure to sunlight. Between 600 - 2,000 IU of vitamin D3 and 1,000 mg of calcium a day are typical. Blood tests can help decide whether supplementation is appropriate.

To achieve maximum absorption of vitamin D and calcium, they should be taken with a meal containing fat, such as meat, chicken, avocados, cheese and nuts.

Healthy feet need strong bones. If your bones need an expert’s assessment, contact Skokie Foot & Ankle Specialists today at (847) 675-3400 or by clicking here.

By Skokie Foot & Ankle Specialists
January 21, 2018
Category: Orthotics

ORTHOTICS are shoe inserts designed to support the feet and are used to treat a wide variety of problems, including heel pain, plantar fasciitis, arthritis and flat feet.

Picture of orthoticPrescription custom foot orthotics match the contours of your feet precisely and can be divided into two categories:

   ○   FUNCTIONAL orthotics are designed to control abnormal motion and in the treatment of injuries. They are usually crafted of a rigid or semi-rigid material such as plastic, fiberglass, or graphite.

   ○   ACCOMMODATIVE orthotics are softer and provide additional cushioning and shock-absorption. They can be used to prevent and cure diabetic foot ulcers and painful calluses on the bottom of the foot.

Many prescription custom orthotics incorporate both soft (cushion) and firm (supportive) components, support the foot better and last long than less expensive off-the-shelf inserts, and are often reimbursed by health insurance. A three-dimensional mold of each foot plus biomechanical measurements are used to create these custom foot supports.

If the deformity is severe, an ANKLE-FOOT ORTHOTIC (AFO) may be needed. These braces are also available in custom and noncustom versions.

Podiatrists are able to assess which orthotic is best for you and advise which shoe type will work properly with the orthotic, to improve foot function and provide greater comfort.

Orthotics should be professionally inspected periodically to verify that they are still appropriate and effective. For specific questions related to your feet or those of a loved one, please schedule an appointment with Dr. Steven Miller by calling (847) 675-3400 or clicking here.

 

By Dr. Steven Miller
December 25, 2017
Category: Injury
Tags: feet   fracture   car   dash  

Picture of feet on dashboardEven low-speed collisions can create severe injuries. If you ride with your feet on the dash and you're involved in an accident, the airbag (which deploys around 200 MPH) can propel your knees into your face.

Example #1: "The airbag went off…I was looking at the bottom of my foot facing up at me." Her ankle, thigh, arm and nose were all broken by the impact. "I can't do my career…I can't stand more than 4 hours at a time."

Example #2: Her knees smashed into her face. Her left eye socket and cheekbone were broken, as was her nose. Her jaw was dislocated, a tooth cut through her lower lip and she would lose her spleen. Both feet were broken and compressed, and would eventually end up nearly 2 sizes smaller than they were before the crash. Her left pupil would remain dilated, her hearing permanently altered, and her memory impaired.

Example #3: Passenger suffered multiple facial injuries, lost two teeth, and a ceramic forehead was implanted. “I kneed myself in the face and it was like an explosion.”

Kick up your feet and relax…as long as you are not in the front seat of a vehicle.





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