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Hoka One One is a brand of athletic shoes marketed for runners but is also an excellent choice for many of our patients, especially those with ball of the foot pain, hallux rigidus, and midfoot or ankle arthritis. The Hoka has a stiff rocker bottom sole that significantly takes the pressure off of these areas during gait. The Hoka provides good arch support as well, is lightweight, and very well cushioned. The insole is removable and a custom orthotic can fit well inside. Hoka also makes hiking boots and now recovery sandals! 

 

 Ankle sprains are the #1 sports injury. Despite what most people 

believe, ankle sprains are a real injury and range in severity depending on the grade.  

  • Grade I injury-stretching of the ankle ligaments 
  • Grade II injury-partial tear of the ankle ligaments  
  • Grade III injury-complete tear of the ankle ligaments  

If not treated appropriately, ankle sprains can lead to chronic lateral ankle instability.  Ankle instability predisposes the patient to future sprains and repetitive rolling or turning of the ankle and this repetitive trauma leads to ankle arthritis.

 

There are other ankle structures that can be injured with an ankle sprain mechanism besides ligaments. Advanced imaging can be useful in diagnosing structural problems if an ankle does not improve with time.  

 

If there is severe swelling, bruising and pain with weightbearing, likely you will require application of a splint and non-weightbearing for around 2 weeks.  Most people are able to transition to protected weight bearing at this point in a cast boot for another 2-4 weeks.  Physical therapy is a very important part of the rehab process, which focuses on strengthening peroneal tendons and restoring balance. A removable ankle brace may be needed until the rehab process is complete.  

 

  

Simple Ankle Sprains

...

Not so simple!

Ankle sprains are the

#1

sports injury. Despite what most people believe, ankle

sprains are

a

real

injury and range in severity depending on the grade.

Grade I injury-stretching of the ankle ligaments

Grade II injury-partial tear of the ankle ligaments

Grade III injury-complete tear of the ankle ligaments

If not treated appropriately, ankle sprains can lead to chronic lateral ankle

instability. Ankle instability predisposes the patient to future sprains and

repetitive

ro

lling or turning of the ankle and this repetitive trauma leads to ankle arthr

itis.

If there is severe swelling, bruising and pain with weightbearing, likely

you will

require application of a splint and non-

we

ightbearing for around 2 weeks. Most

people are able to transition to protected weight bearing at this point in a cast boo

t

for another 2-4 weeks. Physical therapy is a very important part o

f the rehab

process, which focuses on strengthening peroneal tendons and restoring balance

. A

removable ankle brace may be needed until the rehab process is complete.

March 11, 2018
Category: Foot Care
Tags: Running Shoes   Foot Type   Arch type  

Many patients are interested in their foot type so that they are able to choose athletic shoes best suited for them. Here is a simple test you can do at home to determine this:

  • Place your foot in a shallow pan of water, enough to wet the entire sole of your foot.
  • Then step onto a brown paper grocery bag, making sure to stand up and place your entire body weight on your feet.
  • Look at your footprint and visit https://www.runnersworld.com/running-shoes/the-wet-test to compare!
  • A good athletic shoe should not flex through the arch, it should not be able to be easily twisted and it should have a stable heel counter. 
  • Athletic shoes no matter the brand are typically separated into three categories: Neutral, Support, and Motion Control.
  • If you have a high arch, you will benefit from a neutral type athletic shoe.
  • If you have an average to slightly pronated foot type, you will benefit from a support type athletic shoe.
  • If you have a flat foot, you will benefit from a motion control athletic shoe.
  • Athletic shoes wear out after about 500 miles so make sure your shoes aren’t getting too old.

Heel slippage?... try this lacing technique. 

Instead of crisscrossing all the way up the shoe, run the laces up parallel on the last eyelet. Then cross the laces and pull through the loop you have made. This makes the lacing more snug at the ankle and keeps your heel from slipping.

 

 

 

 

 

 

 

 

 

Top of Foot Pain?...  try this lacing technique.

Instead of crisscrossing all the way up the shoe, run the laces up parallel when you are halfway up, or where the bump on your foot is. Then finish lacing as you normally would. This makes the lacing leave an opening to give your arch or the sore spot a little more room.

 

 





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