To prevent all of these problems, several steps can be taken to avoid heel fissures in the first place! One way to begin preventing a heel spur is to try to prevent any heel calluses from forming. Ways to do this would be to decrease the amount of friction and rubbing that your heel has to deal with by purchasing properly fitting shoes. Some calluses can also form as a result of an abnormal bony growth in the skeleton of the foot which may require orthotics or surgical correction in order to stop the development of calluses. Another step in heel fissure prevention, especially in the cold dry winter months, would be to properly moisturize the skin of your feet. So remember that even though it's still a few more months until it's time to bust out the sandals and flaunt your toes, moisturizing and taking good care of your feet is important all year long!!
With the release of Christopher McDougall's book "Born to Run" in 2009, the debate over the benefits and drawbacks of barefoot running has been ignited in the running and podiatric communities. The book centers on a tribe of "super runners", the Tarahumara Indians of Mexico and their ability to run massive amounts of miles while barefoot. The amazing speed and endurance of the Tarahumara acts as a testament to the success of barefoot running and lures several everyday runners in the book to also attempt the "barefoot" style by wearing only thin soled coverings on their feet.
When you sustain an injury to the foot, it may initially be difficult to discern between a sprain and fracture. A sprain involves damage to the ligaments of the foot, whereas a fracture is a break in any one or more of the 26 bones in the foot.Since a different treatment protocol is used for a sprain or a fracture, it is important to know the difference. A failure to seek medical intervention when needed may result in long-term problems with the foot and limited functional abilities, especially in sports, where the normal structures are placed under stress in the course of activities.The Following Signs Will Help You to Discern Between a Sprained Foot and a Broken Foot Did you hear a sound when the injury occurred? A sound of "cracking" may indicate a fracture whereas a "popping" or "tearing" sound may signal a sprain.
Could you take weight on the foot following the injury. If you had excruciating pain in the injured area when you attempted to put your weight on it afterwards, it may be a sign of a fracture.Swelling following an ankle sprain is not unusual, but swelling with associated distortion of the normal shape of the foot may mean you fractured a bone in your footNumbness in the affected area may also indicate a fractureIs it possible to move the joints in your foot without too much pain? Can you wiggle your toes? If no movement is possible a fracture may be presentIs there a particular area that is very sensitive to touch and severely painful? This may indicate a fracture
Tests Done to Confirm Fractures:Normal x-rays are taken to diagnose a fracture or exclude it. However, x-rays may miss the fracture under certain circumstances. Depending on where the fracture is, certain x-rays may show up normal even though other methods of examination and the symptoms strongly suggest a fracture
Since fractures may sometimes not show up on x-rays, a bone scan can provide a more accurate diagnosis Once a fracture is confirmed a CT scan or MRI can be done to determine the extent of the damage. Whereas x-rays do not show damage done to tendons, ligaments and cartilage these scans can give a clear picture of the condition of the soft tissue structures such as ligaments and tendons.If a fracture was diagnosed, surgery and or immobilization may be the next step in addressing the injury. If a fracture is excluded and a sprain diagnosed, the information below will be useful.Healing process for sprains commence immediately following the injury and goes through several phases:Inflammation: As an initial response to tissue injury, there is blood and tissue fluid in the injured area. Any superficial bleeding will be noticed as a bruise. Sometime later, the bruise may be noticed in an area lower than the injured area. This is due to the effect of gravity. The building up of tissue fluid may result in swelling. Repair is started at the site of injury and the inflammatory reaction is the acute response phase. It may last up to 72 hours from the time of injury. Redness, heat, swelling, pain and loss of normal function of the area are the initial signs and symptoms. Applying the principle of rest, ice, compression, elevation and referral as soon as possible after sustaining the injury is key to minimizing the recovery time.