My Blog
By Dr. Steven Miller
October 17, 2018
Category: Shoes

Hole in shoeWhen Prince Harry attended a friend's wedding on his wife’s birthday, he was photographed with a hole on the bottom of his left shoe. He was previously photographed wearing the same “holy shoe” at a memorial service in April.

Leather sole shoes, like Prince Harry’s, are poor shock absorbers, can be slippery, and are more easily damaged when wet. 

Currently most shoes have rubber soles. They need a minimal break-in period to feel comfortable and are quieter.

Holes in other parts of shoes are increasingly more common. Two frequent areas for holes in running shoes are by the great toe and in lining surrounding the heel.

American country music singer Merle Haggard encapsulated public persona in his song Skid Row:
"Got a great big hole in the bottom of my shoe...
Well people walk by and they stop and stare
They giggle and they stickle at the clothes I wear"

Prince Harry should contact a cobbler to have the leather sole of his shoes replaced. Or just buy a new pair of shoes.

If you have questions about your footwear (regardless of whether you live at Kensington Palace), please call our office at (847) 675-3400.

By Dr. Steven Miller
September 17, 2018
Category: Podiatry

Google search resultsAs you type in Google, it tries to guess what you are searching for based on several factors including popularity of search terms.

The adjacent screenshot highlights misconceptions about podiatrists. (We don't take such search suggestions personally. There are more bizarre search suggestions for other professionals. Try "dentists are" and "lawyers are".)

A podiatrist is a physician and surgeon who treats the foot, ankle, and related structures of the leg.

Podiatrists must complete four years of podiatric medical school to become a Doctor of Podiatric Medicine (DPM).  Like other medical doctors, most of the third and four years are spent training in hospitals and clinics.

Most states require post-graduate training. Current graduates have three years of residency training, similar to that of other physicians. Finally, podiatrists can earn board certification after further clinical experience and examination.

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By Dr. Steven Miller
August 30, 2018
Category: Injury

Tom Cruise stuntThere may be a misconception that (except for stunt performers) employment in the film and motion picture industry is safe. Two recent high-profile ankle fractures call attention to the risks that even lead actors face.

In April 2017, Nicolas Cage was injured on the set of “211” in Bulgaria. Four months later, Tom Cruise broke his ankle while performing a stunt for "Mission: Impossible - Fallout".

The five most common types of injury are strains, sprains, fractures (broken bones), contusions, and lacerations, based on an analysis of workers' compensation claims.

One reason for lower injury rates during the last decade is that some risky stunts have been replaced with digital effects. However, unscripted action adventure shows (reality TV) reversed this trend, for obvious reasons.

The Producers Guild of America has a collection of websites as part of its Safety Initiative, to recognize and implement safe practices on film & television productions.

By Dr. Steven Miller
July 29, 2018
Category: Skin

Toe painA 45-year-old woman in England developed inflammation and painful blisters on her great toe after applying freshly sliced raw garlic to treat a fungal nail infection. This incident was reported in BMJ Case Reports, and is similar to garlic burns reported in other medical journals.

Garlic has been used as a medical treatment for generations. It is said to have antimicrobial properties. However, raw garlic on skin can cause a chemical burn and/or contact dermatitis.

The sulfur-containing compounds in garlic are believed to be the cause. The severity of the injury depends on the freshness of garlic, duration of exposure, and presence of pre-existing skin conditions and sensitivity.

Please use caution with herbal products and home remedies. If you have toenail fungus or any other foot problem, please contact our office for medical expertise.

By Dr. Steven Miller
June 14, 2018
Category: MRI

Open and closed MRI machineMetallic fibers are sometimes incorporated in clothing to keep odor and bacteria from building up. Examples include socks and athleisure (yoga) clothing. However, these fibers can burn the skin if worn in an MRI scanner.

Metal produces heat in a magnetic field.  Unfortunately, one 11-year-old girl found out the hard way. She was sedated during an MRI for scoliosis, but when she woke up, she felt burning on her skin. She received a second-degree burn from silver microfibers in her undershirt.

Clothing that says “anti-microbial” or “anti-bacterial” in the label should be avoided in an MRI scanner.

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