Thursday, December 23, 2010

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Northumberland Physiotherapy and Foot Care Centre gives Santa the "OK" to fly
 
Santa made an appearance at NPFCC today to say hello to all of our patients. While he was here our physiotherapists and chiropodists assessed Santa for any aches or pains. Santa has been successfully treated for back pain in the past due to all his heavy lifting. We are pleased to report that after a little foot care and practicing his safe lifting techniques Santa is in tip top shape this year. Our physiotherapist Rachel made sure that Santa's rotator cuff is ready to swing his bag over his shoulder while our Chiropodist Mark ensured he will be ready for the mad dash should the kids wake up before he's out of the house. 
 
We would also like to thank everyone for participating in our Christmas sweater and Christmas PJ's Days.
 
 
Merry Christmas everyone!!

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Repetitions: how much is too much?

My patients often ask me “how do I know when I should increase the weight I’m lifting or the number of repetitions I do?” This is an important question because lifting too much weight or doing too many repetitions can cause delayed muscle soreness or in the case of injury can cause more harm than good.

Generally, start a new exercise doing 10 repetitions, take a break and do 10 more (2 sets of 10 repetitions). Repeat this twice a day (for example in the morning and before bed).

A good rule of thumb when progressing exercises:

·         By the end of your set (10-15 repetitions) you should feel that you need a short break but are able to perform at least 2 sets.

·         If you can’t perform 10 repetitions you are lifting too much weight.

·         If after a break you still can’t perform your second set, you’re lifting too much weight. 

·         If at the end of your set of 10-15 repetitions you feel like you could do many more repetitions without needing a break, you may want to lift more weight.

·         If you have muscle soreness that lasts longer then a day, you’re lifting too much or performing too many repetitions.

 

Exceptions to the rule

The above rules work for most of us healing from injury but will change if you are training for something specific.  Running a marathon requires endurance.  Performing many repetitions at a low weight targets muscle fibers made for endurance. Alternatively if you need to lift something very heavy, strength is more important than endurance. Lifting heavy weights only a few times will target these muscle fibers. Talk to your Physiotherapist, Athletic therapist or trainer if you are looking for a training program to get back to performing your specific sport.

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Monday, December 13, 2010

Winter Footwear

Below are some Holiday gift ideas for your loved one's feet, recommended by Foot Works Waterloo, Ontario.
- Smartwool socks (https://www.smartwool.com/default.cfm)
The resurgence of wool as a high performance outdoor material has really taken off the past several years, and at the leading edge of that trend is Smartwool. The great thing about wool is that it insulates even when wet. These socks are great for skiers, runners, cyclists, or anyone who likes to keep their feet warm and cozy regardless of the conditions outside.
- YakTrax (http://www.yaktrax.com/)
YakTrax is a rubber device with a metal coil that slips over any regular shoe. The metal on the device digs into ice or snow and is great at providing much needed traction on slippery surfaces and thus preventing slipping and falls. They have a walker model and a pro model for running. These are great for anyone who likes to venture outside when the weather is cold and the sidewalks are icy here in Waterloo.
- Winter cycling shoes or shoe covers
One of the biggest challenges for the hardcore cyclists who ride outdoors year round here in Ontario is keeping their feet warm. The Pearl Izumi Barrier GTX (www.pearlizumi.com) is one of the most advanced winter riding shoes on the market. They are lined with Gore-Tex so they are 100% waterproof as well as having Thinsulate insulation to keep you warm. Pearl Izumi, Gore Bike Wear, Castelli, and others also make shoe covers to put over regular cycling shoes to keep out wind and winter road debris.
- Winter boots
For men, you can't go wrong with the classic Sorel Caribou boot (www.sorel.com). A more modern take on this traditional winter boot is the North Face Baltoro 400 II (www.thenorthface.com). Both of these boots are good down to -40 Fahrenheit! For women, Ugg's (http://www.uggaustralia.com/) are extremely comfortable for their warmth, comfort, and style. Patagonia (www.patagonia.com) has also entered the shoe and boot market and has some trendy new styles, including the Attlee Tie boot.
- Winter running shoes
Salomon (www.salomon.com) has had a stronghold on the trail running/Gore-Tex lined shoe for quite some time and continues that trend in 2011 with the Salomon Wings 2 GTX available in men's and women's versions. Many other companies make shoes that would be good for winter running. The trail running shoes tend to have less ventilation and soles with more traction which are both important for winter. If you can afford it, go with a Gore-Tex lined shoe to keep your feet dry on those cold and wet Ontario winter days.
Thanks for reading and have a great week!
---The Foot Works Team

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Friday, September 10, 2010

King Tut Wore Orthopedic Sandals : Discovery News

King Tutankhamun might have worn some sort of orthopedic shoes specially designed to cope with his club foot condition, an investigation into the pharaoh's footwear has suggested.

Published in the book, "Tutankhamun's Footwear: Studies of Ancient Egyptian Footwear," the research is the first detailed analysis of the 3,300-year-old footwear since King Tut's mummy and treasure-packed tomb were discovered by Howard Carter in 1922.

See a slide show of sandals worn during King Tut's time here.

Even though the mummy had been X-rayed several times, it was only recently, during a major genetic investigation into King Tut's family, that researchers found a series of malformations in the pharaoh's feet.

Apart from a foot bone disorder known as Kohler disease II, King Tut might have had seriously deformed feet which left him hobbling around with the use of a cane.

Indeed, the second toe in King Tut's right foot lacked the middle bone, making it shorter, while the left foot was clubbed, rotating internally at the ankle.

The foot condition might have required appropriate shoes with a tight strap in order to avoid them being dragged over the floor.

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Indeed three pairs of shoes found in King Tut's tomb have horizontal straps just below the toes. One of the pairs also features semi-circular panels at the shoe's sides.

"These features are not known in any other footwear, sandal or shoe alike," book author Andre Veldmeijer, a Dutch archaeologist who specializes in ancient Egyptian leatherwork, footwear and cordage, told Discovery News in an exclusive interview.

Over 80 pieces of footwear of different sizes were buried with the boy king. Some are much deteriorated, with just fragments or isolated straps remaining. Others, however, have survived in decent condition.

Veldmeijer studied 81 specimens, including simple sewn sandals as well as other elaborately decorated, gold ornamented, brightly colored open shoes.

"They were very colorful, shiny shoes. Some are really unique as they combine shape, special materials and new manufacturing techniques," Veldmeijer said.

Veldmeijer believes it is unlikely that the most elaborate shoes, complete with gemstone inlays and gold sheets, ever touched the ground.

"King Tut might have been carried around wearing them. Some shoes, such as the elaborate marquetry veneer sandals, might have been carried by a servant," Veldmeijer said.

On the contrary, the seemingly simple sewn sandals, made of palm leaf, grass and papyrus, were the most important items.

"They were a status symbol, only used by those elite who were rewarded by the king and royalty. These sandals were so important that they were even imitated in gold," Veldmeijer said.

According to the archaeologist, the group of smallest size footwear might have fit King Tut when he was 10, the approximate age when he became king in 1333 B.C, while the largest could have been worn just before his death at age 19.

"This suggest that only the shoes he wore as a king were buried with him. Indeed, many sandals show wear, including the print of King Tut's foot on the sole," Veldmeijer said.

Two pair of open shoes were made to be extra comfortable, with the middle part of the sole stuffed to be more soft on the plantar.

Together with a German specialist in reproduction of ancient footwear, Veldmeijer is now testing the "orthopedic" shoe hypothesis by remaking King Tut's leather open shoes.

"We are collaborating with a professor in anatomy to see how deformed the foot was and how the shoes would have helped," Veldmeijer said.

According to Salima Ikram, professor of Egyptology at the American University in Cairo, the speculation is interesting.

"It is entirely feasible that tighter straps on Tut's shoes were due to a possible club foot, as these would hold them in place and enable easy maneuvering," Ikram told Discovery News.

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King Tut suffered from cleft palate, club foot, malaria - and he wasn't murdered: new DNA report

King Tut suffered from cleft palate, club foot, malaria - and he wasn't murdered: new DNA report

BY Helen Kennedy
DAILY NEWS STAFF WRITER

Tuesday, February 16th 2010, 3:22 PM

The golden mask of Egypt's famous King Tutankhamun is displayed at the Egyptian museum in Cairo, Egypt. A new DNA analysis found the teenage ruler suffered from a rare bone disorder.
Nabil/AP
The golden mask of Egypt's famous King Tutankhamun is displayed at the Egyptian museum in Cairo, Egypt. A new DNA analysis found the teenage ruler suffered from a rare bone disorder.

King Tut was a frail teen with a cleft palate who walked with a cane and died of malaria - not murder, according to scientists who studied the famous Pharaoh's DNA.

The Egyptian boy king who died at age 19 in 1324 B.C., the 10th year of his reign, had a rare bone disorder in one foot, a club foot in the other and was infected with the mosquito-born parasite.

"This finding constitutes the oldest genetic proof of malaria in precisely dated mummies," the scientists wrote in Tuesday's Journal of the American Medical Association.

Since Tutankhamun's mummy and his perfectly preserved, gold-filled tomb were discovered in 1922, the ethereal young king has captured the world's imagination. Conspiracy theories have posited that he was murdered, variously by poison or bludgeoning.

A ground-breaking study of the mummy in 2005 - including the first CT scan of the body by a team of radiologists - concluded he died of gangrene after breaking his leg.

But now a team of genetists say Tut's DNA reveals he had malaria and likely died of complications of the disease brought on by the broken limb.

The team looked at 16 royal mummies, tracing Tut's lineage back five generations and linking him for the first time to several older mummies, including one that appears to be his grandmother and another that is likely his father, Akhenaten.

They found a host of congenital diseases - unsurprising in a line that encouraged siblings to marry.

"An accumulation of malformations in Tutankhamun's family was evident," the researchers wrote. "None alone would have caused death."

But he was so weakened by disorders and disease - including malaria - that an accidental fracture could have done him in, they speculate.

"He might be envisioned as a young but frail king who needed canes to walk because of the bone-necrotic and sometimes painful Koehler disease II, plus oligodactyly (hypophalangism) in the right foot and clubfoot on the left," the authors said.

There were staffs in Tut's tomb that could be walking sticks and what the scientists called "an afterlife pharmacy."

The study took pains to put to rest some other theories about Tut's physiognamy, including that he had various medical syndromes that made him look female, as he is often depicted in ancient art.

"It is unlikely that either Tutankhamun or Akhenaten actually displayed a significantly bizarre or feminine physique," the study said.

Indeed, the scientists noted that "the penis of Tutankhamen, which is no longer attached to the body, is well developed."

The science team, led by the flamboyant archeologist Zahi Hawass, head of Egypt's Supreme Council of Antiquities, will unveil their findings in a Discovery Channel special called King Tut Unwrapped starting Sunday night.

Too bad they didn't have a Chiropodist in 1324 BC!

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Thursday, July 15, 2010

EWWWW, Toenail Fungus! We have a solution…


In my last post, you’ll remember me talking about nail salons and the ickiness of using the same nail polish on everyone.  Well, let’s just take this one step further.  Let’s talk about women who already have fungal nails (onychomycosis).

Let’s face it - nail fungus is ugly.  It’s gross.  It’s embarrassing.  So our first impulse is to cover it up with nail polish. The darker the better, right ladies?  You know who you are…

Well, unless you’re using a nail polish that contains antifungal ingredients and is designed to treat nail fungus, as a chiropodist, I always suggest to my patients that this isn’t a good idea.  In fact, if they want to continue to receive treatment by me, I forbid it.   If you’re wearing nail polish and not treating the nail fungus, the harsh chemicals in the polish will work with the nail fungus to further weaken your nail enamel. Plus, you run the risk of developing athletes foot (a fungal infection of the skin) since the same fungus is often to blame for both conditions. If you’re trying to treat the condition with a topical antifungal cream, ordinary nail polish will create a virtually impenetrable barrier, preventing the medicine from doing its job.  And, because the polish literally “seals” the nail, the fungus can proliferate. Remember my last post when I commented about “double dipping” into the nail polish?  You can spread your fungal infection to your beautiful, healthy (currently) non-infected nails.

For women who may not have a fungal nail infection, but wear nail polish regularly:  Have you ever noticed that after months of pedicures and continuous application of nail polish your toenails are getting dry and brittle?   Do you see those white spots on the top of the nail?  This damage to the nail is caused by the formaldehyde (AKA embalming fluid!) found in most commercial nail polishes. Not only does commercial nail polish contain formaldehyde (a cancer-causing chemical!), but also toluene (toxic to liver and kidneys) and DBP (causes birth defects).

Never fear…there is a solution, and we have it!

Two Podiatrists have together created a great product to just hit the market. Dr’s Remedy Nail Polish is the ONLY nail polish that is free from all formaldehyde, toluene and DBP.   Not only is it toxin free but it is also vitamin-enriched to give your nails the extra care to stay strong and healthy.

While I don’t recommend this product’s use to actually treat the fungus, Dr.’s Remedy Antifungal Nail Polish is a healthy way to conceal your fungal nails if you so choose during the medical treatment of your toenail fungus.  This wonderful invention contains tea tree oil and garlic bulb extract, two safe and natural antibacterial and antifungal disinfectants that are proven home remedies for toenail fungus. It is also enriched with vitamin C, vitamin E, and wheat germ; ingredients that actually help strengthen your nail enamel and restore its natural shine.  Also safe for pregnant women and children to use.

You can find these safe polishes (and removers) at our Cobourg location.  Stop in to check out the variety of beautiful colours we carry.  You’d better hurry though.  Our female staff members are very excited about this new product and are sure to buy it all themselves!

Visit us at http://www.we-fix-u.com/

Nail Salons BEWARE!


Well girlies, it’s that time of year again….our tender tootsies, spent hibernating in hot, sweaty shoes all winter long, are dying to be exposed. Freed to the sunshine.  Freed to gentle breezes.  There is nothing better than the first sandal-wearing day of summer. Mmmmmm, I relish the moment.

 Like most women, I spend every chance I get in my sandals, from the first warm day of spring, to the last in autumn.  BUT...these little piggies of ours, they don’t look so purrty after spending the winter all cramped up -  so what do we do?  We get pedicures.  We get pedicures, and more pedicures, and more pedicures.  Do I get pedicures?  NO.  Have I ever had a pedicure?  Yes.  ONCE.  Why once do you ask?  Because my one and only experience was awful.  A-W-F-U-L.

There was a fly in my foot bath.  A FLY!!!!!  And I had to ask the pedicure lady to take it out.  I HAD TO ASK!!!!!!!!    And, guess how she cleaned the (gulp, reusable) foot file?  She cleaned it in my stinky smelly footbath water.  YEP, she used the same water my sweaty feet had been soaking in, TO CLEAN THE FILE!  I cringe when I ponder how the nail instruments were cleaned and disinfected, ‘cause I’m pretty certain they weren’t sterilized.  Like most nail salons, the instruments may have only been rinsed off in the sink, or dipped in a “barbicide-like” substance, and reused again on another unsuspecting victim.  Ladies, this salon I went to is right here in COBOURG!!! And, it is a reputable salon.

Here is the problem.  Nail salons are not regulated. There is nobody to enforce how instruments should be cleaned, how footbaths should be cleaned.  Most salons don’t sterilize their instruments.  Most salons don’t properly disinfect their footbaths.  Most salons use the same file on everyone.  Most salons use the same nail polish on everyone. 

Did you know that sharing nail polish can lead to the spread of fungal nail infections?  It’s true!  When someone with nail fungus has their nails painted (and trust me, a lot of salons do not discriminate against nail fungus… they just ignore it and pamper the nail anyway), the fungus transfers from the toe, to the brush, and eventually into the paint.  It waits there, like a thief, waiting for the next unsuspecting victim to paint their nails, and then BAM!  A second person comes into contact with the fungus.
Admittedly, toenail fungus is not a life-or-death issue for most people.  But it is gross.  And it is contagious.  Who wants flakey, crusty, thick and discoloured toenails that resemble something that came from the crypt?  Especially when they are visible in sandals!!!

If you are going to have a foot pampering session, please do the following:

Ask how they STERILIZE (Not clean. Not disinfect. STERILIZE.) their instruments.  Are they placed in an autoclave (a machine which gets really hot and sterilizes under pressure – always seen in your dentist and chiropodist’s office)?  I certainly hope so.

If they don’t sterilize, do they use disposable tools?  Make sure you see the pedicurist remove the packaging from the tools.

Is the salon clean and tidy?  Or are toenails and toe jam lurking on the floors?  This should be your first observation.

Can you bring/buy your own nail polish?

To be even safer, can you bring your own tools?

Make sure they use a disposable liner if they soak your feet in a footbath. 

NEVER let your bare feet be dipped into the wax bath.   Your feet should be covered with some sort of plastic wrap.

Don’t let them cut your cuticles.  They are there for a reason - they stop the entrance of harmful bacteria. 
If you are doubting any of the above…..RUN AWAY!!!

By the way…Chiropodists/Podiatrists are the only regulated foot health specialists in Ontario.  We have standards set in place to ensure that we keep our instruments sterilized.  At Northumberland Physiotherapy and Foot Health Centres, we take the standards one step further.  We test our autoclaves regularly to ensure that they are functioning properly.  Just ask to see our proudly displayed test results.  You will never see a failed test.

Visit us at http://www.we-fix-u.com/

Friday, July 2, 2010

FLIP-FLOPS: A major....FLOP!

After spending hours walking at this years' Cobourg Waterfront Festival (we never tire of it!), I was absolutely amazed at how many people were wearing flip-flops. There is some serious walking at this festival folks!

In recent years, flip-flops have become the new "norm" for people of all ages, not just teenagers. What used to be a shoe designed for use around the pool or at the beach, has now become a shoe worn for all activities, just like regular shoes. Sure, they are inexpensive, they let your feet air out, and some even find them comfortable, but they have NO SUPPORT! If you wear these shoes for every day use, you are risking serious injury to your feet, legs and back - injuries that can create a lifetime of painful problems.

Think about it - how does an extremely flat piece of rubber, held together by another strip of rubber, provide support? Your feet have to work really hard to keep these shoes on.

Now, I don't have an issue with the shoes themselves - they are great if used for their intended purpose - but I do take issue with people who wear them for long jaunts, or allow their kids to wear them at the playground (what would happen if the child's flip-flop got caught on the monkey bars???....CRASH!). This little flat rubber shoe is fantastic at the pool or at the beach, providing protection from the hot sand, slippery pool surround, and to protect the foot from viral (plantar warts) and fungal (athlete's foot and fungal toenails) infections. So, why not use them for just that?

If, after reading this post, you decide to continue to wear flip-flops because you are making an "informed decision", lol, please consider wearing ones with good arch support...and wear your running/walking shoes when you plan to be on your feet for long periods.

If you are a die hard flip-flop wearer and need some help getting your feet back to good health, our chiropodists would love to help you (and no, we won't lecture you...you already know better). Give us a call.....Northumberland Physiotherapy and Foot Care Centre, in Cobourg, Port Hope and Brighton...905-373-7045. Visit us at our website too: http://www.we-fix-u.com/

Thursday, July 1, 2010

Kids' Feet


Does your child show some common signs of foot problems?

Toes pointed inward or outward
• Persistent tripping
• Over-lapping or under-lapping toes
• Knock knees
• Bulging ankles
• Leg cramps, tired legs or feet (aka “growing pains”)
• Corns, calluses or warts
• Flat feet
• Abnormal shoe wear
• Ingrown toenails


If you answered YES to any of the above, please book an appointment to have your child assessed by our expert Chiropodists.

WHY YOUR CHILD'S FOOT CARE IS IMPORTANT

You worry about your children’s teeth, eyes, and other parts of the body. You teach brushing and grooming, but what do you do about your child’s feet - those still developing feet which have to carry the entire weight of the body throughout a lifetime? Having strong, healthy feet allows your child to walk, run, and play in comfort and correct posture. If your child's feet form correctly, certain types of back and leg pain can be avoided later in life.

Many adult foot problems have their origin in childhood. An examination of the lower extremity insures that your child is growing correctly. Our Chiropodists can also make sure that your child's gait (walking pattern) is correct. This helps prevent some future foot problems, and if a problem does arise, it can be handled early, when it is easier to treat.

Neglecting foot health invites problems in other parts of the body, such as the knees, hips, legs and back. There can also be undesirable personality effects. The youngster with troublesome feet walks awkwardly and usually has poor general posture. As a result, the growing child may become shy, introverted and avoid athletics and social functions.

Children rarely complain of pain in their feet or legs. When they do, most people believe them to be “growing pains”. However, the achiness or tiredness may be the result of severe tendonitis due to joints being out of position or misaligned.

Kids with flat feet tend to become sedentary and cannot walk or play sports for long periods of time due to over working muscles and excessive pressure on hips, knees, ankles and foot joints.
Kids with high arches tend to experience more ankle, knee, hip and lower back pain because they cannot tolerate the shock which occurs when they walk or run. Proper evaluation of a child by our expert Chiropodists can prevent future disabilities in life.

To book an appointment with our expert chiropodists, please call Northumberland Physiotherapy and Foot Health Centre in Cobourg, at 905-373-7045. For more information, visit our website at http://www.we-fix-u.com/