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Posts for: March, 2013

Kobe Bryant professional basketball player for the LA Lakers has been recently diagnosed with a bone spur in his foot. Kobe will be seeing a Foot Doctor in Sacramento today for an evaluation and treatment plan. We will keep you updated on the location of the bone spur and how it is treated in the next few days after his evaluation.

Below is the link:

Dr. Brown was recently interviewed by David Quick from the Post and Courier about training and running in the bridge run barefoot. Dr. Brown has had over the past couple of years a nagging injury on the outside of his foot that has not responded to conservative self treatment. Dr. Brown incorporated minimalist shoes into his training and now has run the Turkety Day Run barefoot and plans on running the bridge run barefoot as well. Dr. Browns foot pain has resolved over the past year with the minimalist shoes as well as running barefoot. Please double click the link below for the article.


If you have been training for the upcoming Bridge run over the past few months I wanted to give a few tips about running up hill which may help make it easier for you during the race. 

Try to slightly lean forward into the up slope as you run up the bridge. Running shorter strides makes your running technique more efficient. Keep your head and eyes focused ahead, but not all the way up. Make sure you don't lean over at the waist which may cause strain on the lower back and overworks the hamstrings. When you run up hill on the bridge try to stand tall which will engage your glutes to help power you up more efficiently.

Lastly it is very important to get out over the next few weeks and do some practice runs on the bridge which will help you to get used to running on such a big incline and help to decrease the chance of injury.


Lisfranc injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple to complex, involving many joints and bones in the midfoot.


The midfoot is the middle region of the foot, where a cluster of small bones forms an arch on the top of the foot. Five long bones (metatarsals) extend to the toes. The bones are held in place by connective tissues (ligaments) that stretch both across and down the foot. However, there is no connective tissue holding the first metatarsal to the second metatarsal. A twisting fall can break or shift (dislocate) these bones out of place.

The midfoot is critical in stabilizing the arch and in walking (gait). During walking, the midfoot transfers the forces generated by the calf muscles to the front of the foot.

The Lisfranc joint complex has a specialized bony and ligamentous structure, providing stability to this joint.


The most common symptoms of Lisfranc injury include:

  • Swelling and tenderness on the top of the foot.
  • There may be bruising on both the top and bottom of the foot. Bruising on the bottom of the foot is highly suggestive of a Lisfranc injury.
  • Pain that worsens with standing or walking.

Treatment for a Lisfranc injury depends on the severity of the injury. If the bones have not been forced out of position, a cast or cam walker boot will need to be worn for four to six weeks. When the cast is removed, you may have to wear a custom orthotic. 

Often, operative treatment is needed to stabilize the bones and hold them in place until healing is complete. Pins, wires or screws are options for fixation. Afterwards, you will have to wear a cast and limit weightbearing on the foot for six to eight weeks. In some cases, if arthritis develops in these joints, the bones may have to be fused together.