Showing posts with label walking. Show all posts
Showing posts with label walking. Show all posts

Wednesday, January 7, 2015

New Year's Resolutions - Walking and Osteoporosis



Start walking today, as this is a very good way to increase bone density. Osteoporosis is the most common skeletal disorder.  It is characterized by an absolute reduction in bone density and mass.  Bones become weak and are at increased risk of breaking.  Because 28 of the bones in the body are located in the foot and they are under the pressure of the entire body weight, fractures commonly manifest here.  Sunlight does not directly provide vitamin D; it stimulates the body to make vitamin D from a precursor found in the skin.  The active form of vitamin D promotes the uptake of calcium from the intestines so it can be used to calcify bone as well as stimulating the parathyroid hormone to reabsorb calcium before it is filtered out by the kidneys as waste.  Without enough vitamin D, not only are individuals at risk for osteoporosis, but they can also develop a similar condition called osteomalacia.  In osteomalacia, bone cannot be mineralized and symptoms include muscle weakness, bone pain and bone deformities.    The childhood form of osteomalacia that is more commonly known is called rickets.  In rickets, children affected will typically be six to 12 months of age and will have symptoms of muscle tetany or extreme muscle contraction, delayed development, smaller overall stature and soft tissue swelling, or edema around the growth plates located at the ends of bones.  Bowing of the tibia bone inward in the legs is a common consequence of vitamin D deficiency in rickets. 
The one upside of these diseases is that there are some preventative measures that can be taken to avoid their occurrence.  To keep your foot bones and the rest of the bones in your body healthy, be sure you have enough vitamin D as a part of your healthy diet.  Bone mass peaks at age 35, so it is especially important to maintain an adequate amount of vitamin D and calcium in your diet and through exposure to sunlight later in life.  Females are prone to developing osteoporosis following menopause and therefore should also take extra care to keep their bones strong.  By contacting your podiatrist at the first signs of foot injury or bony pain in your feet and ankles, both any fractures that have occurred as well as loss of bone density can often be identified in one set of x-rays.    The sooner that loss of bone density is identified, the sooner steps can be taken to supplement vitamins and minerals necessary to keep you healthy and on your feet!



Monday, October 13, 2014

4 Tips to Reduce Diabetes Risk






Diabetes Mellitus affects more than 230 million people worldwide!  
That is equivalent to approximately 10 times the number of people living in the state of Florida alone.  

One out of every three people with diabetes is unaware they have the disease.  

There are three types of diabetes: type 1 diabetes, type 2 diabetes, and gestational diabetes.  The number of Americans with diabetes is expected to double or triple by the year 2050.  While these statistics are grim, there are many things that can be done to prevent type 2 diabetes. 
Here are some simple lifestyle changes that can prevent diabetes:
  • Stay at a healthy weight.  Type 2 diabetes and obesity are closely linked, and maintaining a healthy weight can really make a difference!  The goal is to maintain a BMI less than 25.
  • Eating well is also important in prevention.  Surprisingly, studies have shown that women that consume processed red meat are at increased risk of developing type 2 diabetes.  Eating less meat may be preventative as well as avoiding foods high in saturated fats, cholesterol, and sugar.  Eating whole grains, nuts and citrus fruits have also shown to be preventative.  Having a diet high in fiber can also help control blood sugar, thus lowering the risk of developing diabetes.  Stay away from fad diets, and make it a goal to simply make healthier choices.
  • Ditch the soda for coffee!  Drinking soda can increase your diabetes risk by 26%, but drinking more than 1 cup of coffee a day can be preventative. 
  • Be active.  Walking for just a few minutes about half an hour after dinner has shown to be helpful by lowering blood sugar levels.  Weight lifting can also lower blood sugar better than aerobic exercise can, while maintaining muscle mass and speeding metabolism.  However, a good mix of aerobic exercise and weight training is ideal for maximum benefit.
These are just a few tips for a healthier lifestyle that may aid in the prevention of developing type 2 diabetes.  Type 2 diabetes has some genetic components, but developing the disease is greatly affected by lifestyle.  It is never too late to start living a healthier lifestyle, and if you are at increased risk of developing diabetes it is important to talk to your doctor and get screened for diabetes.

-Dr Timm

Thursday, June 19, 2014

Innovations in Neuropathy Pain

We are performing integrated nerve blockade treatments for our patients at Family Foot and Leg Center at our East Office exclusively. 


We are currently noticing an improvement in nerve pain in the foot and ankle area, as well as some studies are finding that some patients actually have improved balance and proprioception longterm after the treatment is completed. We will see patients 2 times a week for 4 weeks, and each treatment consists of 30 minutes which combines electrical and neuroblockade consisting of lidocaine to the peripheral nerves to the ankle and foot. This treatment is revolutionizing noninvasive management of the painful condition of neuropathy. 




New Advanced Technology


The vast majority of electromedical devices available in the United States employ LF stimulation (eg, transcutaneous electrical nerve stimulation [TENS]). Balanced MF currents have been developed that produce twice the electrical current with no electrical charge. A new type of electrical current technology has been developed to enhance the stimulating lower frequencies and nonstimulating middle frequencies for increased efficacy in clinical practice. The device also combines, and simultaneously delivers, frequency-modulated (FM) and amplitude-modulated (AM) electric cell currents in the MF range. We refer to this electromedical approach as electronic signal treatment (EST).
This new technology may reach deeper into tissue structures with simultaneous modulation of amplitude and frequency between 2,500 Hz and 33,000 Hz. It is also capable of modulating its MF electric cell-signaling current down into the LF range at available frequency rates between 0.1 and 999 Hz.
In addition, we have combined the new EST with local anesthetic injections (bupivacaine 0.25%) with clinical success. This technique provides a combined (electrical and chemical) nerve block that enhances treatment of a neuropathy or a painful condition (see Tables 1 and 2). 

According to the Gould Medical Dictionary, a nerve block is defined as “[t]he interruption of the passage of impulses through a nerve, as by chemical, mechanical, or electrical means.” Because nerve blocks occur at voltage-gated channels, all nerve blocks are essentially electrical. According to Szasz, “There is no such thing as a chemical block … only an electrical block.”6 We refer to this as combined electrochemical block (CEB).