My Blog

Posts for: January, 2014

Dr. Brown and Dr. Saffer have observed that runners who are more experienced in distant running, younger, of normal body weight are much more likely to tolerate barefoot running than those who are just starting out with running, older, and heavier. At this point there is insufficient evidence of what foot type is best suited for barefoot running. As the years go on and more studies are produced a clearer picture will be evident.

Currently no barefoot runners hold world records in any track events or long distance running. Many elite runners don't want to increase their risk of injury by running barefoot. Many elite runners wear thinner soled shoes/minimalists shoes to run their races.

The barefoot running debate has forced foot and ankle specialists to rethink what is good and bad for runners. New studies will shed light on the controversy of barefoot running as the years go on.

Look out for future blogs on barefoot running, minimalist shoes, and training for the upcoming bridge run.


Barefoot running has become more popular over the past few years. As Sports medicine Podiatrist and having experience in running we do not recommend barefoot running to beginner runners or runners who are restarting an exercise program after a layoff. The reason is that there could be an increase risk of injury at a time when their body is not quite ready for the extra stress it will place on the feet.  Also keep in mind that running barefoot increases your risk for stepping on foreign objects such as glass.

For more experienced runners barefoot running can be a reasonable way to train as long as it is on a safe surface. Runners who are more experienced in distance running, younger, of normal body weight, and are frequently barefoot while walking are more likely to tolerate barefoot running.  Certain areas of the body appear to have decreased stress in response to barefoot running while others have increased stress. One of the differences between barefoot running and traditional running shoes is that you land more on your forefoot with barefoot running. Landing on the forefoot creates decreased stress to the knee however there is increased stress to the ankle, Achilles, and metatarsals.

As the years go on more studies will enable us to look at the risks and benefits of barefoot running and new running techniques. For more on training for the Cooper River bridge run please refer to our Bridge run foot injury prevention series blog at



Happy New Year! We are all looking forward to many exciting road races this year. Dr. Brown and Dr. Saffer would like to blog over the next few months on how to prevent foot injuries while training for road races such as the Cooper River Bridge Run. Over the next few months we will blog about foot injury prevention, shoe gear, training suggestions, etc....

Dr. Brown ran the bridge run for the first time barefoot as well as the most recent Turkey day run. Dr. Brown suffered from a chronic foot injury but since adopting barefoot running his foot pain has resolved. Dr. Brown and Dr. Saffer will discuss the pros and cons of running barefoot as well as discuss what type of runner is best suited for this style of running. We will also talk in more detail about Chi Running Style as well as performing at your best for future road races in 2014. Dr. Saffer has considerable flatfeet but since adopting the Chi Running Style he has been able to run longer distances pain free.

We believe at Carolina Foot Specialists that our Foot Specialists not only have the training but also have the real life experience with competive running which we believe gives us a distinct advantage in taking care of your foot and ankle needs.

For more information on Foot and ankle injuries please refer to our website

Good luck with all of your runs in 2014!


As the Spring season approaches it is important to evaluate your toenails for potential fungus infection. Fungal infection of the toenails is often ignored because the infection can be present for years without causing pain.

Discolored toenails are a common complaint of patients that present to our office. Typically a discolored toenail can be a sign of "Onychomycosis." The key to diagnosis and treatment is prompt evaluation of the discolored toenail. Onychomycosis is a fungal infection of the toenail that can be caused from trauma to the toenail, pedicures, damp areas such as swimming pools, locker rooms, and showers. Treatment options consist of topical antifungal treatment, oral antifungal treatment, nail avulsion, and lazer treatment of the toenails.

The majority of cases if caught early enough can be treated with nail trimming and topical antifungal medication.

Carolina Foot Specialists offers a liquid product for toenail fungus called Clear Nails. The active ingrediants consist of liquid Lamisil, ciclopirox, and fluconazole. Clear nails is an inexpensive safe option that assists in clearing of the toenail.

Some preventative measures include proper hygiene, clean and dry feet which will resist disease, washing the feet with soap and water, shower shoes when in a locker rooms setting, disinfecting home pedicure tools, and not applying nail polish to nails suspected of infection.