Saturday, January 25, 2014

What causes a foot to feel like you are walking on pebbles in your shoe?

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This feeling is in the area from the ball of the foot to the toes, and across the entire foot side to side. Is there any way to cure this? Suggestions?


Answer
It could be Mortons Neuroma or Metatarsalgia. There are nerves running through your foot that can get inflammation from a variety of things. The main one being shoes with little or no arch support.
You could try a shoe with a better arch support and see if that helps. Or try a drugstore for finding some metatarsal pads to insert in your shoe. In the meantime, don't wear high heels if you are a women or shoes with a narrow toe.
Try icing the area 15 minutes a day, several times a day. If you can, take Advil or Motrin to help with the pain as well as decrease inflammation in the area. If all else fails, schedule an appointment with your doctor. If this has been going on for a long time or you don't feel relief in the next few days, make an appointment. Since nerves are involved, it would be best to seek medical advice if it continues past a few days or is so painful you can't walk.

When running all of a sudden my knees are almost giving out?

Q. I started running 2 miles almost every day like 4 weeks ago. Up until last week everything was okay but now I can barely run and I have to job because when I extend my leg and it touches the ground my knee has this sharp pain like it can't extend :( It's on the inside of my legs and I've gone to the trainer who has no idea what it could be... any insight would be great.

Oh and my shoes are Nike Free Training
JOG* not job hehe


Answer
Sounds like you have a case of Runner's Knee (or patellofemoral pain syndrome PFPS). This is a very common overuse injury that many beginners suffer from. It occurs when a mistracking kneecap (patella) irritates the femoral groove in which it rests on the thighbone (femur). Also, worn cartilage in the knee joint reduces shock absorption, high-arched feet provide less cushioning, and flat feet or knees that turn in or out excessively can pull the patella sideways. There are also muscular causes. Tight hamstring and calf muscles put pressure on the knee, and weak quadriceps muscles can cause the patella to track out of alignment. Just the repetitive force of a normal running stride alone can be enough to provoke an attack.

PFPS can affect one or both knees. It strikes mostly younger, recreational runners and twice as many women as men, according to the British Journal of Sports Medicine. (Women tend to have wider hips, resulting in a greater angling of the thighbone to the knee, which puts the kneecap under more stress.)

Symptoms include tenderness behind or around the patella, usually toward its center. You may feel pain toward the back of the knee, a sense of cracking or that the knee's giving out. Steps, hills, and uneven terrain can aggravate PFPS.

To prevent PFPS, run on softer surfaces, keep mileage increases less than 10 percent per week, and gradually increase hill work in your program. Visit a specialty running shop to make sure you're wearing the proper shoes for your foot type and gait. Also, strengthening your quadriceps will improve patellar tracking, and stretching your hamstrings and calves will prevent overpronation. (Try the exercises below from Pribut.)

At the first sign of pain, cut back your mileage. The sooner you lessen the knee's workload, the faster healing begins, says Pribut. Avoid knee-bending activities, canted surfaces, and downward stairs and slopes until the pain subsides. As you rebuild mileage, use a smaller stride on hills. Consider orthotics if new shoes don't fix the problem. "If your feet have good form, your knees will follow," says Pribut. See a doctor if the pain persists, to rule out another condition.




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