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Posts for: January, 2011

As you train for the upcoming bridge run it is essential to know what foot type that you have and how to choose the proper running shoe. Classification of arch types generally fall into three categories. 1) Normal arch 2) High arch 3) Low arch. Advances in running shoe technology allows matching your specific foot type with the proper running shoe.
(Overpronators) foot types leave a flat foot impression on wet sand. Common injuries for flattened arches from improperly fitted running shoes are heel pain, arch pain, and knee pain. Overpronators need motion control running shoes.
At the other extreme are people with "high arch feet". These feet are very tight-jointed and do not yield enough upon impact. Rigid feet leave only the toes, balls of the feet, and heel impression in wet sand. Improperly fitted running shoes for rigid feet tend to wear unevenly on the outside of the shoe. Common rigid foot running injuries are stress fractures, ball of the foot pain, and shin splints. To help avoid these injuries, these people need cushioned control running shoes.
Laslty, the third type, or normal foot, falls somewhere between the overpronator and rigid foot type. This type of foot can use any running shoe that is stable and properly cushioned.
Visit your local specialty running shoes to get you ready for the upcoming Cooper River Bridge Run.

By drsaffer
January 20, 2011
Category: Sports Injuries
Tags: Stress fracture

NFL quarterback Tom Brady recently suffered a stress fracture of his foot in a playoff game.
Stress fractures are small, hairline breaks that can occur in the bones of the foot. Typically stress fractures can be caused by overtraining, improper training habits, improper shoe gear, flatfoot or other foot deformities, and even osteoporosis. Tom Brady's injury was more likely due to trauma from blunt force on his foot.

Pain, swelling, and possibly bruising can be signs of a stress fracture. The metatarsal bones are one of the most common locations of stress fractures of the foot. X-rays are used to diagnose stress fractures. Stress fractures may not be visible for 10 to 14 days on x-ray examination. Possible treatments include rest and possible immobilization of the foot ( with a cam walker walking boot/or below knee cast). In Tom Brady's case he may have a fracture that is not in a proper alignment or a fracture that is in a location that won't allow it to heal properly. His surgery will more likely involve screws and possibly a plate to stabilize the fracture. Fractures can take between 6-8 weeks to heal.

By drsaffer
January 12, 2011
Category: Uncategorized
Tags: Untagged

Do you suffer from pain when you first step out of bed in the morning or are your shoes not fitting properly because of hammertoes and bunions? Please join us for an open discussion on foot issues and their medical solutions.
Tuesday, January 18th, 11:00am at the Mount Pleasant Hospital medical offices, Suite 200. Presented by Dr. Andrew Saffer, DPM, Carolina Foot Specialsts.

By drbrown
January 09, 2011
Category: Uncategorized
Tags: Untagged

Changes in the length of your limbs over time can cause increased strain of your plantar fascia.

Plantar fasciitis is the most common foot injury that we see in our practice. 95% of the time we can resolve plantar fasciitis with conservative treatment. We will be reviewing various running injuries and treatments over the next several months as you prepare for the Cooper River Bridge run. We would like to focus this blog on two minimally invasive state of the art procedures that have quicker recovery times and excellent results. These produres are excellent options if you have suffered with plantar fasciitis that hasn't improved with various conservative treatments
1) Extra Corporeal Sound Wave Treatment (ESWT): This procedure can be performed in the offfice under local anesthesia and takes 20 minutes. This technology originally known as Lithotripsy, was used to break up kidney stones. Sound waves utilize a high intensity sonic pulse which is focused on the heel. It is believed that micro-trauma will repair and increase blood supply to the plantar fascia. ESWT is thought to break up scarring and allow the body to regenerate new and improved tissue to the area.The procedure is noninvasive with no cutting of the skin, patients can walk home in sneakers after the procedure. The day after the procedure patients are able to resume normal activities.
2) Topaz Procedure: This procedure uses Bipolar radiofrequency which is quick, simple, and minimally invavsive. Numerous small 5mm punture holes are placed in the area of maximal tenderness in the heel in a grid like fashion. Microtenotomy of the plantar fascia is performed by placing a Topaz wand through the small puncture holes and radiofrequency is applied. No sutures are needed. Steri strips (medical band-aids) are placed on the puncture sites with a small dressing. Patients wear a boot for two weeks and then transition back into a sneaker. Patients are typically back to full activities at 4-6 weeks.
For more information on plantar fasciits please refer to our website: