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How to Treat Hypertension with Running

Dr. Alan Boehm Podiatrist Foot and Ankle Specialists of the Mid-Atlantic Dr. Alan Boehm runs a 5K in Castaway Cay, Bahamas.
So your doctor has given you the diagnosis of hypertension and recommended some lifestyle modifications and changes. One of them likely is to exercise. One of the easiest and greatest ways to exercise is running. It also can be inexpensive compared to other sports activities or joining a gym. Get a good pair of running shoes and you are good to go. Keep in mind, the running shoe is a very important part of equipment to help keep you running pain free. There are stores where you can get a great deal as well as online, but a true running store is your best bet, at least for that first pair. Most new runners are not going to know what shoe is best for them. Controlling or cushion. Trail or running flats. I often have patients tell me they are intimidated by running stores, but they are full of information and often staffed by runners who will help get you dialed in to the right shoe.
Dr. Alan Boehm Podiatrist Foot and Ankle Specialists of the Mid-Atlantic Dr. Alan Boehm and his wife, who both competed in the Raleigh Half Marathon, are pictured with their two children.
You might want to start running but have foot or ankle pain. Before you start that running program, make an appointment with a foot & ankle specialist for an exam and treatment plan. Even if you just have some questions about your feet, in general. Better to tackle minor problems before they become major problems that could sideline your training plan. So, if you get that dreaded diagnosis of hypertension and you want to start running to improve your fitness and avoid medication, keep in mind the importance of good-fitting running shoes and the health of your feet and ankles. Please contact us today if you have any foot or ankle concerns for an appointment to help you get in good running shape. Our goal is to keep you active and pain free!           Foot and Ankle Surgeon Dr. Alan Boehm, JrDr. Alan Boehm, Jr. works in two offices for your convenience- Raleigh, NC (Blue Ridge) and Raleigh, NC (Millbrook). The information on this site is provided for your assistance only; this site does not provide podiatric advice. You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose. Likewise, you should never determine that treatment is unnecessary based on this information. The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional. The information provided herein is not podiatric, medical or professional advice. This site does not create a doctor-patient relationship. Dr. Alan Boehm and Foot & Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site. Dr. Alan Boehm and Foot & Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use. You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance. In no event will Dr. Alan Boehm and Foot & Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This website, and the information contained herein, is provided to you as a service for use at your sole risk.

What is a Sesamoid?

Sesamoid Treatments

Doctor, why do I have this nagging pain underneath my big toe joint?

Have you ever heard of a Sesamoid injury? Let’s take a closer look at this problem.  

Let’s start at the beginning…  What exactly are sesamoids?

A sesamoid is a bone embedded in the tendons that course below your big toe joint. Sesamoids are found in several joints in the body. Your kneecap, or patella, is another example. Acting as a fulcrum point, the sesamoids help the big toe move normally and provide leverage when the big toe “pushes off” during walking and running. The sesamoids also serve as the weight-bearing interface for the first metatarsal bone. As such, they absorb the weight placed on the ball of the foot in motion.  Sesamoid injuries encompass a variety of disorders involving tendons, bones, ligaments and/or surrounding tissues.   Sesamoid Injury & treatments

Who is most likely to get an injury to the sesamoid complex of the foot?

Sesamoid injuries often are associated with activities that tend toward increased pressure on the ball of the foot, such as running, basketball, football, golf, tennis, and ballet. Repetitive use in the same position (loading the big toe joint) can lead to inflammation and even fractures. People with high arches are also at risk for developing sesamoid injuries.             

The three types of sesamoid injuries in the foot:

  • Sesamoiditis:  This is an overuse injury involving chronic inflammation of the sesamoid bones and the tendons involved with those bones. Sesamoiditis is caused by increased pressure or traction forces around the sesamoids. Sesamoiditis is commonly reported as a dull, longstanding pain beneath the big toe joint. The pain comes and goes, usually occurring with certain shoes or certain activities.
  • Fracture:  A fracture (break) in a sesamoid bone can be either acute or chronic. An acute fracture is caused by trauma – a direct blow or impact to the bone. An acute sesamoid fracture produces immediate pain and swelling at the site of the break, but usually does not affect the entire big toe joint. A chronic fracture is a stress fracture (a hairline break usually caused by repetitive stress or overuse). A chronic sesamoid fracture produces long standing pain in the ball of the foot beneath the big toe joint. The pain, which tends to come and go, generally is aggravated with activity and relieved with rest.
  • Turf toe:  This is an injury of the soft tissue surrounding the big toe joint. Turf toe causes immediate, sharp pain and swelling.  It usually occurs when the big toe joint is extended beyond its normal range. It usually affects the entire big toe joint and limits the motion of the toe.

What should I do if I think I have sesamoid problems?

If you have pain, swelling, or bruising below the big toe joint, it may be a sesamoid issue. It all begins with a test. The x-ray is the most common and widely used first diagnostic test for this injury. During an exam, your foot and ankle doctor will examine the foot, focusing on the big toe joint. Your doctor will press all around the big toe, move it up and down. Your walking may also be assessed. Sesamoid Injury & treatments

How is a sesamoid injury treated?

At-home remedies can include wearing stiffer shoes, icing the area, and avoiding wearing heels. In most cases, at FASMA, our podiatrists will recommend a non-surgical treatment for sesamoid injuries to be first attempted. Depending on your doctor’s exam this may include: Immobilization, oral nonsteroidal anti-inflammatory drugs (NSAIDs), orthotic devices, physical therapy, and padding, strapping, or taping When sesamoid injuries fail to respond to non-surgical treatment, steroid injections or surgery may be required. Your foot and ankle surgeon will determine the type of procedure that is best suited to your individual needs. Podiatrist Dr. Stewart ChangDr. Stewart Chang works in two offices for your convenience: Charlottesville, VA (Rio East Ct) and Fishersville, VA. The information on this site is provided for your assistance only; this site does not provide podiatric advice. You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose. Likewise, you should never determine that treatment is unnecessary based on this information. The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional. The information provided herein is not podiatric, medical or professional advice. This site does not create a doctor-patient relationship. Dr. Stewart Chang and Foot & Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site. Dr. Stewart Chang and Foot & Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use. You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance. In no event will Dr. Stewart Chang and Foot & Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This website, and the information contained herein, is provided to you as a service for use at your sole risk.

APMA Video Interview with Dr. Rubenstein

Dr. Seth Rubenstein fields questions on Facebook regarding foot and ankle health. Dr. Rubenstein is the Vice President of the American Podiatric Medical Association (APMA). Based on an APMA survey of over 1,200 US adults ages 18 to 75, over 75% of those who responded have had foot pain. Almost half of the respondents experienced more than one painful foot condition and over 81% of obese respondents have experienced foot pain. Learn more about foot pain and podiatry by watching the video below. Foot pain is not normal. If you're experiencing foot pain, be sure to make an appointment with a podiatrist.