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Posts for: March, 2014

The Cooper River Bridge run is one week away and we want you to be ready for race day. Over the past few weeks we have seen a good number of overuse injuries specifically Plantar fasciitis and Achilles tendonitis. If you are experiencing any foot pain at all this close to the race we would like to offer a few tips to help you this week as well as on race day. Stretching before and after is a key component to keep you propertly warmed up and to prevent muscle strain and injury. If you are experiencing pain during your run it is alright to slow your pace down and even to a run/walk. Icing after your runs for 20 minutes with a frozen water bottle, ice bag, or frozen bag of vegetables will help to reduce inflammation. NSAIDS such as Ibuprofen or Alleve can help to reduce inflammation. Please make sure your running shoes are current. We recommend changing your running shoes every 300-350 miles or every 5 to 6 months. If you feel like you have an injury please come in and see us at either our Mt. Pleasant or Charleston offices. We have the latest state of the art digital x-ray and diagnostic ultrasound to evaluate the internal structures of your feet. Our Doctors are experienced runners and understand not only the biomechanics of running but have experienced most foot injuries themselves as runners.

Please don't hesitate to contact us for questions or for an appointment at either our West Ashley or Mt. Pleasant offices so we can help to prevent foot injuries and allow you to finish the race. We would like to wish everyone good luck next Saturday and we will have blogs about the bridge run and prevention of foot injuries this entire week.


If your child has been experiencing heel pain it may be a condition called Calcaneal Apophsitis or Sever''s Disease. We are seeing more of this condition over the past several years especially children that are involved with travel teams for sports. Calcaneal apophysitis is a painful inflammation of the growth plate of the heel. Typically it affects children between the ages of 8 and 14 because the heel bone is not fully developed. When there is repetitive stress on the growth plate inflammation can develop.

Calcaneal Apophisitis is the most common cause of heel pain in children. The cause of this condition is overuse and stress on the heel bone. Children who are involved in soccer, track, and basketball are especially prone to this injury. Tight achilles tendon, improper shoe gear, flatfeet and high arched feet are other potential causes.

Symptoms are typically pain in the bottom or back of the heel, walking on toes, difficulty running, and pain on the sides of the heel. Diagnosis is made through clinical exam and x-rays by your foot and ankle specialist.

Treatment involves rest, ice, NSAIDS, heel cushions, stretching, over the counter or custom orthotics, and education of the underlying cause of the condition. Sometimes for chronic pain immobilization with a cast or walking boot is needed.

Luckily if treated early enough the symptoms resolve fairly quickly. If your child is experiencing any heel pain at all please contact our office for an evaluation.


The Cooper River Bridge Run is right around the corner and we hope you training is going well. We wanted to update our experience with Minimalist shoes and preventing foot injuries before the race. Over the past several years we have seem more patients run with Minimalist shoes. We have seen a good number of our patients suffer from Achilles tendonitis and forefoot issues such as stress fractures, neuromas, and metatarsalgia. If your are considering switching to a minimalist shoe our practice recommends starting slowly first running on a treadmill without an incline. We recommend running every other day and building up your mileage. After a few weeks of adjusting to the minimalist shoe we recommend that you can slowly progress into running outdoors and on hard surfaces then eventually hills.

According to the British Journal of Sports Medicine they maintain that running in minimalist footwear appears to increase the chance of injury. A recent study of 99 runners with either a neutral or mild pronation wore either a neutral shoe, partial minimalist shoe, or full minimalist shoe. The study there was 23 infuries. The majority of injuires were with either the partial or full minimalist shoes. The authors suggested caution when recommending minimalist footwear to runners who are new to running or preparing for a 10 K event.

We recommend if you are a seasoned runner with a good foot structure then gradual transition to barefoot or minimalist shoes would be acceptable. We are most concerned about our patient population that is older than 40 (Achilles loses it's elasticity), over weight, or have had a history of foot injuries. In addition having a lower arch or overpronating when you run would not be the ideal situation to run with a minimalist shoe.