Tuesday, December 21, 2010
Problems of the Peroneal Tendons
Peroneal tendonitis is something that's oftentimes difficult to get rid of. Peroneal tendonitis customarily shows up clinically as an ache with the peroneal tendons sometimes merely over or only below the particular lateral ankle bone. Many cases will be in professional athletes as an overuse condition. An exceptionally typical observation around peroneal tendonitis is definitely a minimal supination resistancefor the reason that feet are commonly super easy in order to invert. So the reason
Athletes and Peroneal Tendonotis
Peroneal tendonitis is an uncommon injury that is certainly oftentimes difficult to care for. Peroneal tendonitis as a rule presents as an ache around the peroneal tendons sometimes merely superior to or possibly underneath the outside ankle bone. Most cases are developed in sports athletes being an overuse impairment. An exceptionally frequent symptom for peroneal tendonitis can be a very low supination resistance, in that feet are mostly not hard so that you can invert. And so the belief that
About The Problem of Peroneal Tendonitis
Peroneal tendonitis is something that has been typically tough to start treating. Peroneal tendonitis often shows up clinically as being an hurt inside the peroneal tendons sometimes just simply superior to or simply down below the lateral ankle bone. Most all cases have been in professional athletes as a possible running accident. Quite a commonplace symptom in peroneal tendonitis may be a minimal supination resistance, because feet are regularly surprisingly easy to supinate. Therefore the
What is Peroneal Tendonitis
Peroneal tendonitis is a sporting injury which is oftentimes hard to address. Peroneal tendonitis constantly starts just as one aches within the peroneal tendons both just simply superior to or even down below the actual outside ankle bone. Many cases come in sports athletes as a possible unneccessary use accident. By far the most familiar sign around peroneal tendonitis can be a minimal supination resistance, in that the foot is ordinarily very simple for you to supinate. And so the reason
The Cause of Peroneal Tendonitis
Peroneal tendonitis is a condition that would be sometimes challenging to care for. Peroneal tendonitis mostly shows up clinically as being a definite pain within the peroneal tendons either merely superior to or simply below your lateral ankle bone. Most cases are developed in athletes as an unneccessary use impairment. An exceptionally prevalent finding within peroneal tendonitis is mostly a reduced supination resistance, because the foot is as a rule very simple so that you can invert. And
The Problem of Peroneal Tendonitis
Peroneal tendonitis is something which can be very often hard to take care of. Peroneal tendonitis normally presents as an ache inside the peroneal tendons either merely over or perhaps beneath the particular outside ankle bone. Many instances are developed in professional athletes as an too much use condition. An incredibly frequent finding within peroneal tendonitis is often a small supination resistance, because the foot is often surprisingly easy so that you can supinate. Hence the reason
Friday, December 17, 2010
About the Sources for Podiatry Books
Exactly where do Podiatric doctors get their knowledge from for their own personal continuing education. Web based citations have become more popular. There are a number user discussion forums and internet-based groups and reports rrnternet sites meant for podiatrists. You can find the particular expert periodicals that could possibly sign up for. However, the actual pillar involving almost any experienced education is the podiatry book. Podiatry books could be purchased by way of plenty of
Podiatry Book Websites
Where do Podiatry practitioners manage to get thier information and facts from with regard to their individual education. Web based places have grown to be more popular. There's a lot of discussion boards and on the internet groups plus media website pages intended for podiatric physicians. You'll find the particular expert publications that could sign up for. In spite of this, the actual anchor connected with just about any qualified professional knowledge will be the podiatry book. Podiatry
What Podiatry Books are Available?
Exactly where do Podiatrists get their tips from for his or her very own training. Web based citations are getting to be very popular. There are a lot user discussion forums and internet-based groups in addition to reports web sites meant for podiatrists. There are actually the actual expert publications that could subscribe to. On the other hand, the actual anchor involving any kind of specialized education is the podiatry book. Podiatry books can be bought through quite a few suppliers:
The Sources for Podiatrists Books
Exactly where do Podiatric doctors receive their information from with regard to their personal education and learning. On the internet sites have gotten more popular. There are numerous community forums an internet-based communities and reports rrnternet sites meant for podiatry practitioners. There are actually the professional publications that may possibly subscribe to. Even so, the mainstay of almost any skilled professional education will be the podiatry book. Podiatry books could be
How to Buy Podiatry Books
What place do Podiatric doctors receive their news from with regards to own personal training. On the web citations are getting to be most common. You'll find so many message boards and online groups as well as media webpages meant for podiatric physicians. There are the particular specialist online journals that may possibly register for. But nevertheless, the actual pillar regarding virtually any professional know-how will be the podiatry book. Podiatry books are available via numerous
About the Sources for Podiatry Books
Exactly where do Podiatric physicians receive their specifics from regarding their own personal training. Web based resources have gotten widely used. There are lots of discussion boards and on the internet communities in addition to announcement website pages intended for podiatric physicians. You will discover the specialized journals that may possibly sign up for. Having said that, the particular anchor regarding any kind of experienced knowledge is the podiatry book. Podiatry books can be
Finding Podiatry Books
What place do Podiatric physicians obtain news from regarding their personal education and learning. Internet places have grown to be most popular. There are a number user discussion forums and internet based groups and media webpages with regard to podiatrists. You will discover the particular expert periodicals that could sign up for. However, the mainstay connected with almost any competent understanding is the podiatry book. Podiatry books can be acquired right from a good number of
More on Sinus Tarsi Syndrome
Sinus tarsi syndrome is typically a frequent problem that can follow an ankle joint twist. Frequently sinus tarsi syndrome just isn't diagnosed around the original ankle strain and only can be seen eventually as the long-term problem once all the early swelling and also pain has gone lower following the initial harm of the ankle joint twist. The particular sinus tarsi is mostly a tiny tunnel involving bone amongst the two hindfoot bones. It has a volume of structures that may get stretched.
All About Sinus Tarsi Syndrome
Sinus tarsi syndrome is a very frequent problem that might come after an ankle joint sprain. Commonly sinus tarsi syndrome isn't observed over the initial ankle strain and just turns up eventually as the long-term problem as soon as most of the initial inflammation and also discomfort has gone down through the severe injury of the ankle sprain. The sinus tarsi is a really small canal involving bone amongst the talus and calcaneus. It has a amount of suspensory ligaments that might become
What is Sinus Tarsi Syndrome?
Sinus tarsi syndrome is typically a common difficulty which can come after an ankle joint sprain. Frequently sinus tarsi syndrome just isn't found around the preliminary ankle twist and mainly shows up down the track as a chronic disorder once all of the original swelling and also discomfort has gone lower following the severe trauma of the ankle strain. The particular sinus tarsi is known as a little tunnel of bone amongst the talus and calcaneus. It has a variety of suspensory ligaments which
Forefoot Varus vs Forefoot Supinatus
Forefoot varus has been getting more attention of late. It is claimed by many that forefoot varus is common when, in fact it is rare. Many confuse the osseous and non-reducible forefoot varus with the soft tissue and reducible forefoot supinatus. The distinction between forefoot varus and forefoot supinatus is extremely important as the management of them is very different. Forefoot varus is a cause of excessive foot pronation, whereas forefoot supinatus is a result of excessive foot pronation.
Thursday, December 16, 2010
What is Pedorthics?
A pedorthist is a health professional that specializes in the use of footwear and supportive devices to treat conditions which affect the feet and lower limbs. Pedorthists work in a number of different setting with a wide range of people. A number of organisations offer pedorthics certification (CPed). To be qualified in pedorthics there must be the study of anatomy, physiology, and biomechanics, as well as all the conditions that can affect the foot, especially the footwear and orthotic
The condition called forefoot varus
There are several stance factors inside the foot which will result in abnormal biomechanics within the lower leg. One of the most straightforward to be familiar with happens to be forefoot varus, yet forefoot varus can also be unusual and yet many find a way to see it very often. What they're almost certainly being able to see is a really forefoot supinatus. Each forefoot varus in addition to forefoot supinatus are extremely distinct postures. Forefoot varus is boney whereas forefoot supinatus
What about Forefoot Varus?
There are various structural troubles in the feet that could cause abnormal functionality with the lower limb. One of several least difficult to be familiar with is certainly forefoot varus, but forefoot varus is always very rare and yet quite a few manage to see it repeatedly. What they are in all probability finding is known as a forefoot supinatus. Each forefoot varus along with forefoot supinatus are usually distinct entities. Forefoot varus is boney whereas forefoot supinatus is soft
Forefoot varus
There are several structural concerns within the feet which might cause unnatural biomechanics of the feet. One of the many most straightforward to recognise is certainly forefoot varus, and yet forefoot varus may also be rare even though a few apparently diagnosis it repeatedly. What they are probably taking a look at is a forefoot supinatus. Each forefoot varus plus forefoot supinatus are particularly diverse foot types. Forefoot varus is boney while forefoot supinatus is soft tissue.
What is Forefoot Varus
There are several alignment concerns in the feet that will result in abnormal function within the lower leg. One of the easiest to comprehend is definitely forefoot varus, nevertheless forefoot varus may also be unusual yet nevertheless a few manage to notice it commonly. What they're quite possibly being able to see is known as a forefoot supinatus. Each forefoot varus together with forefoot supinatus are certainly distinctive alignments. Forefoot varus is osseous whereas forefoot supinatus is
Forefoot Varus
There are numerous positioning troubles in the lower limb which can bring about abnormal function belonging to the foot. One of the many most straightforward to figure out is usually forefoot varus, however , forefoot varus will also be rare yet nevertheless some appear to view it very often. What they're very likely being able to view may be a forefoot supinatus. Each forefoot varus and also forefoot supinatus are really unique entities. Forefoot varus is osseous however forefoot supinatus is
Forefoot Varus Information
There are lots of stance problems in the lower limb which could contribute to unnatural functionality within the lower limb. One of the many most straightforward to appreciate can be forefoot varus, and yet forefoot varus is typically very rare even though some seem to observe it often. What they are more than likely taking a look at is really a forefoot supinatus. Both forefoot varus and forefoot supinatus are really different feet. Forefoot varus is boney while forefoot supinatus is soft
Forefoot Varus
There are various positioning complications within the feet which might result in defective functionality belonging to the feet. One of the most simplified to figure out will be forefoot varus, however , forefoot varus will also be rare but many apparently notice it quite often. What they are probably being able to see is known as a forefoot supinatus. Each of those forefoot varus in addition to forefoot supinatus are extremely diverse feet. Forefoot varus is boney while forefoot supinatus is
All About Forefoot Varus
There are many different positioning concerns within the lower limb that may lead to defective biomechanics of the feet. One of the many least complicated to figure out will be forefoot varus, although forefoot varus can also be very rare even though several find a way to view it many times. What they're in all likelihood taking a look at can be a forefoot supinatus. The two forefoot varus in addition to forefoot supinatus are particularly distinctive feet. Forefoot varus is osseous however
Wednesday, December 8, 2010
The Problem of Forefoot Varus
Forefoot varus is a position of the forefoot that is inverted when the subtalar joint is in its defined neutral position and the midtarsal joint is maximally pronated. To get this foot flat on the ground the rearfoot has to pronate. This can lead to a number of problems.
Forefoot supinatus is also an inverted position of the forefoot when the subtalar joint is in its neutral position and the midtarsal joint is maximally pronated. However, it is a very different beast to forefoot varus.
Forefoot supinatus is also an inverted position of the forefoot when the subtalar joint is in its neutral position and the midtarsal joint is maximally pronated. However, it is a very different beast to forefoot varus.
Tuesday, December 7, 2010
Finding Podiatry Jobs
Podiatrists are always in demand and good staff are always hard to find. There are many places to advertise for podiatry jobs and discuss podiatry employment. The growing demand for podiatry due to the aging of the population possibly means that there will always be a shortage of
Sunday, December 5, 2010
The Problem of Smelly Feet
Smelly feet are an embarrassing problem. The actually odour of smelly feet is due to the action of bacteria on sweat, so the two logical ways to treat this problems are to get rid of the sweat and get rid of the bacteria. There are a number of strategies to get rid of sweat, such as going barefoot as much as possible, using socks, insoles and powders that can absorb the sweat. There are a number of medications that can be used to help try up the sweat and work on the bacteria that break down
vBulletin Spam
The Forum Finder is a forum directory, probably the biggest on the web. Because of that we obviously have a keen interest in forums and how they are run. vBulletin seems to be the most used forum software used and it does run some of the biggest forums. This make it the target of the spammers, those low lifers who think nothing more of abusing other people web properties to further their own needs. They use forum profiles to build links; the spam post to promote products and the spam post just
Saturday, December 4, 2010
Vibram Five Fingers
There has been a lot of controversy around the Vibram five fingers shoes lately given the barefoot or minimalist running trend. Part of the controversy surround the hype and exaggerated claims about how barefoot running can reduce the injuries when it’s becoming increasingly clear that this is not the case (see: Vibram FiveFingers Cause Metatarsal Stress Fractures?; Why are barefoot runners getting so many injuries?; Vibram Five Fingers).
Vibram Five Fingers are a novelty item and should
Vibram Five Fingers are a novelty item and should
Sports in Medicine
Sports medicine is usually a glamorous sort of clinical discipline for lots of clinical specialities. Anyone associated with sports medicine choose to treat the actual top level sportsperson and also enable them to to try and do far better. However , sports medicine is more compared to high level sportsmen. Sports medicine can also be the treating of accidents within the saturday and sunday warrior as well as the actual professional player. Sports Medicine is likewise using exercise to help
The Sports Medicine
Sports medicine is usually a attractive division of clinical practice for lots of specialized medical clinical disciplines. Anyone related to sports medicine like to deal with the particular professional sportsman and also help them to perform much better. And yet sports medicine is a lot more compared to professional sports athletes. Sports medicine is also managing accidents with the saturday and sunday enthusiast and not only just the actual professional sportsman. Sports Medicine is
The Discipline of Sports Medicine
Sports medicine is often a exciting area of health discipline for several medical clinical disciplines. All of those interested in sports medicine prefer to treat the particular high level athlete along with help them to to try and do significantly better. Nonetheless sports medicine is much more compared to top level sportsmen. Sports medicine can also be treating injury within the weekend warrior and not just the particular high level sportsman. Sports Medicine is likewise the utilization of
Sports Medicine
Sports medicine may be a glamorous sort of clinical practice for some medical specialities. Anyone included in sports medicine choose to start treating the particular top level sportsperson and also enable them to to perform more beneficial. But sports medicine is much more compared to professional sports stars. Sports medicine can be the treatment of injuries from the saturday and sunday enthusiast and not merely the actual elite athlete. Sports Medicine is also the application of exercise to
What is Sports Medicine?
Sports medicine can be described as fascinating sort of clinical practice for a lot of medical professions. Anyone associated with sports medicine would like to handle the top level sportsperson along with help them to to perform more beneficial. Then again sports medicine is more than top notch sports athletes. Sports medicine can be treating incidents with the saturday and sunday warrior rather than just the actual professional sportsman. Sports Medicine may also be the application of
Friday, December 3, 2010
Weil's Osteotomy
Typically the Weil Osteotomy is really a surgery which may be utilized in forefoot surgical procedure to manage problems associated with the forefoot and also lesser ft. It was initially described by by Dr Lowel Scott Weil. The osteotomy certainly is the trimming involving the met head, and so the Weil osteotomy is really a cut from the forefoot bone tissue so that you can reduce this. It has been shown to be useful for clawing from the digits as well as forefoot pain. The specific method is
The Weil Osteotomy
Typically the Weil Osteotomy is a treatment that may be employed in forefoot surgical procedures to deal with problems from the ball of the foot along with smaller ft. It was initially described by by Doctor LS Weil. An osteotomy certainly is the trimming involving the met head, therefore the Weil osteotomy can be a cut from the forefoot bone so that you can cut short it. It's been been shown to be ideal for hammering from the digits and in addition metatarsalgia. The actual method is going to
About the Weil Osteotomy
The Weil Osteotomy can be described as procedure which may be utilized in metatarsal surgical procedure to handle difficulties associated with the forefoot and also smaller ft. It was first described by by Doctor LS Weil. The osteotomy is considered the trimming involving the met head, therefore the Weil osteotomy can be a slice of the forefoot bone to be able to reduce it. It has been been shown to be ideal for clawing from the digits and in addition plantar plate problems. The specific
More on the Weil Osteotomy
The actual Weil Osteotomy is actually a technique that could be utilized in metatarsal medical operation to manage issues linked to the forefoot in addition to smaller ft. It was initially explained by Dr Lowel Weil. The osteotomy is definitely the chopping involving the met head, and so the Weil osteotomy is a slice with the forefoot bone tissue to be able to shorten it. Many experts have shown to be great for hammering with the lessor toes as well as plantar plate problems. The specific
Wednesday, November 24, 2010
Tuesday, November 16, 2010
Born to Run
Born to Run
A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen
Chris McDougall
Why you really need this book:
Born to Run has become the main book referred to by the barefoot running community. Many runners have transitioned to barefoot after reading this book. It is important reading for all health professionals involved in the care of the athlete. You do not have to agree with the claims made in the book or support barefoot running (and there are many
A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen
Chris McDougall
Why you really need this book:
Born to Run has become the main book referred to by the barefoot running community. Many runners have transitioned to barefoot after reading this book. It is important reading for all health professionals involved in the care of the athlete. You do not have to agree with the claims made in the book or support barefoot running (and there are many
Search Engine Optimisation
Why a book on this on a Podiatry book shop? Does your clinic have a website? Do you want to know how to get the best out of your site in the search engines link Google to get more patients through your website?
Search Engine Optimization: Your visual blueprint for effective Internet marketing
Author: Kristopher B. Jones
A visual approach to the power of SEO marketing from a world-renowned Internet marketing expert Search engine optimization (SEO) is an ever-growing and powerful
Search Engine Optimization: Your visual blueprint for effective Internet marketing
Author: Kristopher B. Jones
A visual approach to the power of SEO marketing from a world-renowned Internet marketing expert Search engine optimization (SEO) is an ever-growing and powerful
Athletic Footwear and Orthoses in Sports Medicine
Athletic Footwear and Orthoses in Sports Medicine
Authors: Matthew B. Werd & E. Leslie Knight
400 pages; 2010
This concise manual is for sports medicine specialists who want to effectively prescribe footwear and orthotics for the athlete. The book provides a logical approach designed to maximize performance and minimize injury. Introductory chapters address the fundamentals, including athletic foot types, basic biomechanics, and gait evaluation. The reader is then guided
Authors: Matthew B. Werd & E. Leslie Knight
400 pages; 2010
This concise manual is for sports medicine specialists who want to effectively prescribe footwear and orthotics for the athlete. The book provides a logical approach designed to maximize performance and minimize injury. Introductory chapters address the fundamentals, including athletic foot types, basic biomechanics, and gait evaluation. The reader is then guided
How important is a leg length difference?
Everyone probably has a leg length difference, but in most it is probably clinically not detectable and unimportant. A few people have a large difference in leg length, that causes compensation and clinical symptoms. It has been shown that leg length differences do affect quality of life. Where a lot of debate arises is what is a clinically significant difference and when should it be treated. Just because someone has symptoms and a leg length difference does not mean that the difference caused
Cuboid Syndrome
Cuboid syndrome is a common cause of pain on the lateral side of the foot. If you think about the anatomy, then no wonder it is common. The cuboid is a small bone with three joints - the calcaneocuboid joint; the joint between the fifth metatarsal and cuboid; and the joint between the lateral cuneiform and the cuboid. Now think about the role of the cuboid - its role is to act as the pulley for the tendon of peroneus longus. Imagine the kinds of forces that go through the cuboid when the
Cracked Heels
Cracked heels are common in those who are overweight, have dry skin, have callused skin around the edge of the heels and wear open heel shoes. When we stand or walk, the fat pad under the heel expands outwards. If the skin around the edges of the heel are not supple, then the skin is likely to crack. Cracked heels are best prevented with applying emollients to the skin, wearing shoes or a heel cup to keep the fat pad under the heel from expanding. Any thick skin is best removed by a Podiatrist
Masai Barefoot Technology (MBT) Shoes
Masai Barefoot Technology or MBT shoes are shoes with a rocker bottom that is supposed to simulate the natural gait of walking barefoot. The company make some extraordinary claims for the efficacy of these shoes. There is some limited evidence to support the claims, but not enough to support the wide range of claims made. Do MBT shoes work? There is probably enough evidence and theory to suggest that they will probably be helpful in some sub-populations and not in others. What is lacking is
Can gout cause heel pain?
Most of the time gout affects the first metatarsophalangeal joint (big toe) joint of the foot and the diagnosis is usually obvious. However, gout can affect any joint. As its not common in these other joints it may take some time to reach the diagnosis. Gout can also affect the heel, but affecting the subtalar joint and also the urate crystals can deposit around the plantar heel and mimic plantar fasciitis. Suspected gout in the heel can be treated initially with colchicine to help with the
SALRE - Subtalar Joint Equilibrium
SALRE or subtalar joint rotational equilibrium is a model of how foot orthotics work at changing the joint moments about the subtalar joint axis. It was initially proposed by Dr Kevin Kirby DPM and is finding increasing support and as a model it is consistent with the research and clinical experience. The theoretical rationale behind the model is sound and plausible. It is not without it critics: Challenging SALRE
Kohler's Disease
Kohler’s disease is a problem of the tarsal navicular bone in young children. Something goes wrong with the blood supply to the bone and it becomes avascular and the bone does not develop properly. The child can usually have a limp and there is local tenderness over the bone. Depending on how severe it is, the best treatment will be a plaster cast or other splinting or some type of foot orthotic to support the
No comments?
Most blogs on the web allow visitors to post comments. There are no comments on this blog. The main reason is that we do not have the patience or tolerance to deal with all the spam and link drop and nonsense comments that get made. It takes too long to moderate them and delete them (even with the most obvious being caught by the automated systems). Blog and forum spam are a huge problem. They are just low life idiots who post comments or join forums to get some link juice to their own
Barefoot Running
There has been a lot of publicity for research related to barefoot running in the last week or so that has caused a lot of debate, especially surrounding the meaning of and the quality of the research, The barefoot running community have been touting the research, but others have been more sceptical. On Podiatry Arena, there has been this thread: Barefoot Running Debate and this one: The Effect of Running Shoes on Lower Extremity Joint Torques. Other bloggers have weighed in and there is even
What is Search Engine Optimisation?
Search Engine Optimization (SEO) is the art and science of ranking a site well in the search engines, like Google to get free traffic to your website. If you have a website for your clinic, you have to promote it. It has to be a good domain name that patients can remember; you have to have it in you advertisements and on your stationary including your business card. For the search engines, if someone types in "{Your City} podiatrist", does your website show up? If it doesn't then you have got
Do foot orthotics or running shoes weaken muscles?
You certainly see these claims made often. Someone with an anti foot orthotic agenda will say "Do not use foot orthotics as they will weaken the arch muscles". Those with an anti-running shoe agenda will say something like "Running shoes will weaken the muscles which is why you should run barefoot." Given the strength that these assertions are made with, you would expect there was some good evidence backing them up. Well, there is no evidence that foot orthotic or running shoes weaken the
Foot orthotic and achilles tendonitis
How do foot orthotic work in Achilles tendonitis? It always used to bug me how so many claim a pronated foot can cause Achilles tendonitis and you should use foot orthotics for it. I could never understand the rationale behind how a pronated foot could cause achilles tendonitis. There is no doubt that foot orthotics do help Achilles tendonitis (and there is at least one study showing that). Achilles tendon treatment is obviously multifactorial and involves a lot more than just foot orthotics,
Lunge Test
The traditional test of ankle joint range of motion requires that the subtalar joint should be kept in its neutral position. This is because of the range of dorsiflexion that can occur at that joint and by allowing that to happen, you can get a false impression of ankle joint dorsiflexion. The lunge test is a weightbearing test of ankle joint range of motion. It was largely dismissed by many when it was initially described as it did not keep the subtalar joint in it neutral position. However,
Low dye strapping
Low dye strapping is a strapping technique that is used as a short term measure to treat foot pronation or support the arch of the foot. It was first described by a Podiatrist, Dr Ralph Dye. PodiatryOnline.TV has many video clips on how to apply low dye strapping.
A really neat thing to do to test low dye strapping is to have the patient standing, then do Jacks test to see how hard it is to dorsiflex the hallux. Then put the tape on; then do Jacks test again. It is often remarkable how
A really neat thing to do to test low dye strapping is to have the patient standing, then do Jacks test to see how hard it is to dorsiflex the hallux. Then put the tape on; then do Jacks test again. It is often remarkable how
Foot Posture Index
There are many ways to measure or determine the posture or alignment of the foot. The problem with any one method is that the foot may be normal or abnormal on that measure (eg arch height) and yet be the oposite in another measure (eg heel alignment). So the foot may be classified as being normal or abnormal depending on the measure used. Tony Redmond developed the Foot Posture Index to overcome this problem. The foot posture index is a composite measure of 6 factors that get added together to
Lateral Wedging for Medial Knee Osteoarthritis
The two main risk factors for medial knee osteoarthritis is obesity and a higher external knee adduction moment. Laterally wedging the foot or shoe has been shown to reduce this adduction moment in many people (but not all) and clinical trials appear to show that it is helpful in many people (but not all). Some review have recently concluded that they may not be beneficial. However, the response to lateral wedges is very subject specific, in that it is hypothesised that those with a more rigid
The "State of the Play" in Clinical Biomechanics
A highly amusing post on Podiatry Arena by Robert Issacs on how to succeed in podiatric biomechanics probably sums up the state of the play in the area. He may not have intended this to be a summary and intended it to be more amusing. There are so many clinical biomechanical theories that are used in podiatry to explain how foot orthotics work and how to use foot orthotics in clinical practice. The problem with some often alleged newer is that there is a product or $ attached to them. This is
Chi Running
Chi Running is a running technique, developed by Danny Dreyer who is an ultramarathon runner and practices Tai Chi. Its focus is to get runners to move in what he claims is a more efficient and natural way. He considers the traditional approach to running as focusing on the use of power and strength to push the runner along the ground as fast as possible, whereas the focus of Chi running to be more efficient and more relaxed and to feel ‘at one with the road’, much like the spirit of Tai
Posterior tibial tendon dysfunction
Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Effectively what happens in this condition is that the posterior tibial muscles just literally gives up and can no longer do its job of providing a supinatory moment to the subtalar joint. As a result of this the foot progressively becomes more and more pronated and flatter. Accompanying this progressive deformity is increasing pain and disability. If posterior tibial tendon dysfunction is not caught early
Plantar Fasciitis
Plantar fasciitis has got to be by far the most common musculoskeletal problems of the foot. It also gets commonly mislabelled as a heel spur which are not a problem. The problem is the plantar fascia inserting into the heel bone. The key symptom of plantar fasciitis is plantar heel pain after arising from rest, especially getting out of bed in the morning. This pain after rest for the first few steps is almost diagnostic of the problem. Plantar fasciitis is due to too much load in the long
Plantar Fasciitis
Plantar fasciitis has got to be by far the most common musculoskeletal problems of the foot. It also gets commonly mislabelled as a heel spur which are not a problem. The problem is the plantar fascia inserting into the heel bone. The key symptom of plantar fasciitis is plantar heel pain after arising from rest, especially getting out of bed in the morning. This pain after rest for the first few steps is almost diagnostic of the problem. Plantar fasciitis is due to too much load in the long
Podiatry Tradeshow
I just came across this new site, Podiatry Tradeshow. It’s got a listings of things like all the podiatry suppliers and all the foot orthotic labs from around the world. It’s a good
Severs Disease
Severs disease is a relatively common problem in youngsters aged 10-15 years. The pain is felt at the back and sides of the heel. This is where there is a thin cartilage growth plate that allows the heel bone to grow. This growth plate merges with bone by age 15, so it’s no longer a problem after that. Severs Disease tends to be much more common in those who are more active, particularly on the harder sports fields. The Achilles tendon also attaches to the back of this growth area, so that
The Very Best of Podiatry Arena
Be amused:
How to succeed in podiatric biomechanics
Why did the chicken cross the road?
Demotivational
How to succeed in podiatric biomechanics
Why did the chicken cross the road?
Demotivational
Chilblains
Chilblains are a common skin condition in the colder climates that occur on the toes. Chilblains, however, are NOT caused by the cold and they are NOT caused by poor circulation. The cause of a chilblain is a too rapid warming of the foot or toe after it has got cold and the circulation not responding quick enough to that warming. It is not the cold that is a probem in chilblains, it is the rewarming that the problem. It’s not the quantity of circulation that is the problem, it how the
The Cluffy Wedge
The Cluffy Wedge is an extension for a foot orthotic that has been getting some attention lately. All it is aimed at doing is slightly dorsiflexing the hallux, which many call preloading the hallux. The effect of this is to bring the windlass mechanism into effect earlier, which is really helpful for those with a delay in windlass action (they require more dorsiflexion before the resistance of the windlass is felt). It is also use for functional hallux limitus. The Cluffy Wedge was developed by
Sinus Tarsi Syndrome
Sinus tarsi syndrome can be a tricky problem. It usually presents with pain on the outside of the ankle joint. Sinus tarsi syndrome can be due to two quite distinct causes. It can follow a lateral ankle sprain in which the structures in the sinus tarsi are damaged as part of the ankle sprain. This usually presents as a chronic problem following the ankle sprain. The other cause of an sinus tarsi syndrome is a chronic pronated subtalar joint in which the joint functions at its end range of
The Windlass Mechanism
The windlass mechanism is a mechanism in the foot first described by Hicks in 1954. In yachting, the windlass is that lever system that is used to pull in sails. In a wishing well, it is the pulley system that is used to raise and lower the bucket. In the foot, the hallux is the lever that pulls the plantar fascia or aponeurosis around the head of the first metatarsal. The effects of the windlass mechanism, which occurs when the heel comes off the ground are to elevate the arch of the foot and
The Diabetic Foot
The diabetes epidemic that is sweeping the world is being fuelled by many things. There is the obesity epidemic, the lack of traditional exercise, the westernization of traditional diets (I have even heard this called the Coca-Colonisation of traditional societies). It is all adding up to a looming health care crisis. From a podiatry perspective, this means the ‘diabetic foot’. The diabetic foot is that foot that has been placed at increased risk from damage due to the processes of
Asics Running Shoes
Asics running shoes seem to some of the more popular on the market today. They are responsible for a number of technical innovations such as the Asics space trustic system that is claimed to enhance the windlass mechanism of the foot. The Asics running shoe company has sponsorship deals with a number of sports medicine organisations around the world. Some of the popular models in the Asics running shoe range include the Asics Gel Kayano, the Asics Gel Cumulus, The Asics Gel Nimbus and the Asics
Medial Tibial Stress Syndrome
Medial tibial stress syndrome is a common overuse injury in the legs of athletes. There are many theories and ideas as to what it exactly is. Equally, there are many theories and ideas as to exactly what causes or increases the risk for medial tibial stress syndrome. One idea that is gaining increased popularity is that it is due to higher bending moments in the tibia. These can be reduced with the use of medial wedging under the foot. See this discussion on medial tibial stress
The N Spot in Navicular Stress Fractures
A key diagnostic feature of navicular stress fractures is tenderness at the so-called "n spot". This is an spot on the proximal dorsal portion of the navicular bone. When the thumb is pressed into this area, the tenderness is felt. This is an important physical finding of a navicular stress fracture. This should be confirmed with an x-ray (or MRI). Tenderness at the n-spot is also used to monitor progress. Many of these navicular stress fractures are placed in a weight bearing cast or walking
Are you on Twitter?
Do you even know what Twitter is? (if not see this on the Twitter basics & Twitter forums). Twitter is a social media site that started out as a bit of fun, but has now become a marketing tool. More and more Podiatrists, podiatry websites and podiatry related companies are on Twitter (Podiatry Arena is). Many Podiatrists are using it to provide updates. See this Twitter search for Podiatry to see what is
Medial Tibial Stress Syndrome (MTSS)
Medial Tibial Stress Syndrome (MTSS) is an overuse injury of the leg that is reasonably common. The pain is felt along the inside of the tibial or shin bone. The most common assumed causes are poor foot biomechanics and training errors (such as too much training too soon). The role of foot biomechanics and foot orthotics is somewhat controversial as the clinical experience with them is that they are effective, but the rationale to explain how they work is not clear. Recent suggestions on medial
Why does gout affect mostly the first metatarsophangeal joint?
Why does gout affect mostly the first metatarsophangeal joint? No one really knows for sure, but there are several possibilities:
1. The joint is further away from core body temperature than other joints, so the temperature of the joint is lower. This may affect the crystallisation of the uric acid.
2. The pH of this joint is lower and may also affect the crystallisation of uric acid
3. The first MPJ is subject to more trauma (on average) than other joint
1. The joint is further away from core body temperature than other joints, so the temperature of the joint is lower. This may affect the crystallisation of the uric acid.
2. The pH of this joint is lower and may also affect the crystallisation of uric acid
3. The first MPJ is subject to more trauma (on average) than other joint
Growing pains in children
Growing pains in children are common, and the term is often inappropriately used as diagnosis for any unexplained musculoskeletal leg pain in children. The true syndrome of growing pains that the diagnosis should be reserved for:
it usually peaks around ages 4 to 5, but can occur up to age 12.
it generally occurs just behind the knee at night and is usually relieved by rubbing.
growing pains do not occur during the day.
growing pains occur in the muscle and not the joints.
The
it usually peaks around ages 4 to 5, but can occur up to age 12.
it generally occurs just behind the knee at night and is usually relieved by rubbing.
growing pains do not occur during the day.
growing pains occur in the muscle and not the joints.
The
Barefoot Running
Many runners want to know if they can or should run barefoot. A search of the web shows many claims being made for barefoot running. There are many clips on You Tube touting the benefits of barefoot running. There is no evidence that any of the claims are true. There is also no evidence that any of the claims are not true. There is quite a fanatical support for the running barefoot movement. They want to blame running shoes for everything which goes wrong when running, especially the injuries.
The regulation of foot orthotics
Most things that affect our health are regulated. Things like drugs and medicine have to go through a rigourus testing and regulation before they can be used. Even those who use them are also regulated by a registration or licensing system (depending on the country). Foot orthotics also affect our health, in that they are used to treat a wide range of foot and leg problems. They obviously not in the same league as drugs or medicine, but why should they not be? Most health professionals who
Hallux Rigidus
Hallux rigidus is a big toe joint that does not move. Invariably this is due to osteoarthritis in the joint that has progressed to the stage that the joint hardly moves. Hallux rigidus makes not only the joint painful, but as the joint is not moving properly, other joints get forced to move at a time when they should not be moving. These compensation in other joints can also be painful. The big toe joint is so important for forward motion as this is the joint that the body pivots forward over
Jones Fracture
A Jones fracture is a fracture to the base of the fifth metatarsal bone at metaphyseal-diaphyseal junction. A Jones fracture is located within 1.5 cm distal to tuberosity of 5th metatarsal base and should not be confused with the more common avulsion fracture of the styloid process of the fifth metatarsal. It was first described in 1902 by Sir Robert Jones in a paper called "Fractures of the Base of the First Metatarsal Bone by Indirect Violence." He had the fracture himself.
If the
If the
Does foot reflexology work?
Podiatrists often get asked about foot reflexology and if it works. Foot reflexology is based on the principle that each body system or organ can be mapped to a part of the foot, so any problem with one of these body systems occurs, it is reflected in the foot and treatment of that part of the foot can help. This is essentially what reflexology is. Basically, reflexology is absurd and nonsense. The research evidence has clearly shown that it does not work. A soothing foot massage can have
Functional hallux limitus
Functional hallux limitus is defined as a limitation in the range of motion of the first metatarsophlangeal joint when functioning (ie walking). It is not present on a normal weightbearing examination, where there is a full range of motion at the joint. The controversy surrounding functional hallux limitus is, is it a primary or a secondary problem? Does the functional hallux limitus occur first and cause the midfoot to collapse or does the midfoot collapse and this causes the functional
Podiatry Around the World
Podiatry is practiced in many different countries. Just what a podiatrists does in each country is governed by the legislation of that country, the scope of practice in that country and the nature of the training. Podiatry in the USA is a postgraduate degree with a 2-3 year residency after that, but they pretty much have full medical and surgical rights to treat the foot. Podiatry in the UK and Australia is an undergraduate degree and they can get licensed or registered to practice after that.
Peroneal Tendonitis
Peroneal tendonitis is not a common problem that occurs on the lateral side of the ankle, usually starting with an ache above and/or below the lateral malleolus. It seems to occur in those with low supination resistance. This mean that the peroneal muscles are having to work much harder to resist that force that is easy to supinated. Combine that with some sports activity, then there is a high risk for peroneal tendonitis. This means that the treatment for peroneal tendonitis is to use some
Cycling Foot Orthotics
Cyclists bring a particular challenge to podiatric practice. Running and other sports have a swing phase to gait when the foot is off the ground and not weight bearing. Cycle “gait” does not really have a swing phase and the foot is constantly “weight bearing”. This makes for an unusual injury risk profile due to the constant “stance phase”. Added to that is the relatively tight cycling shoes that cyclists tend to wear means that there is not a lot of room in the cycling shoe if
Golf and Foot Orthotics
Golf is a popular sport or activity for participation and for competition. It attracts millions of dollars in sponsorship and prize money (and a few controversies!). There are a lot of golf forums on the web for discussion of golfing and related issues. Foot orthotics for golf do raise some issues when they are indicated. On the one hand you need a fairly supportive foot orthotic to control the foot over the long distances that get walking during a game of golf (and unless you are a pro, you
MBT Shoes
Questions keep being asked in all sorts of forums about the MBT Shoes (MBT Shoes, do they Work?; Do MBT shoes Work). MBT stands for Masai Barefoot Technology and the shoes are designed to mimic the gait of the Masai tribe from Africa, who have a very upright posture and do not develop any postural or low back problems. The shoe is designed to help people with these problem A number of studies have shown the biomechanical effects of the shoes, but very limited studies have shown the effects on
Monday, November 15, 2010
Athletic Footwear and Orthoses in Sports Medicine
Athletic Footwear and Orthoses in Sports Medicine
Matthew B. Werd and E. Leslie Knight (editors)
Springer; 2010
Publishers Information:
This concise manual is for sports medicine specialists who want to effectively prescribe footwear and orthotics for the athlete. The book provides a logical approach designed to maximize performance and minimize injury. Introductory chapters address the fundamentals, including athletic foot types, basic biomechanics, and gait evaluation. The
Matthew B. Werd and E. Leslie Knight (editors)
Springer; 2010
Publishers Information:
This concise manual is for sports medicine specialists who want to effectively prescribe footwear and orthotics for the athlete. The book provides a logical approach designed to maximize performance and minimize injury. Introductory chapters address the fundamentals, including athletic foot types, basic biomechanics, and gait evaluation. The
Barefoot Running
Barefoot running is a controversial topic, mainly because there is a perception in the barefoot running community that podiatrists are opposed to it. Nothing could be further from the truth. See this thread on Barefoot Running Debate on Podiatry Arena. The real problem seems to be the use and misuse of research by barefoot runners. There is even a running barefoot website that is dedicated to debunking the claims that those in the barefoot running community make. There are also issues about how
Hallux Rigidus
What’s new in hallux rigidus? I had a look around and there is nothing. The only thing that seem to be new is some discussions around the terminology (Functional hallux rigidus), some research on how it affects gait (Gait changes following cheilectomy for hallux rigidus), and some outcome studies on surgical procedures (Surgery for hallux rigidus). This is somewhat disappointing that it is a common problem and is frequently seen in podiatric practice. The treatment options still remain pain
Cuboid Syndrome
Cuboid Syndrome is a problem that develops in the joints around the cuboid bone if they are not stable when the peroneus muscle contracts. As the cuboid acts as a pulley for the change of direction of the tendon of peroneus longus, the tendon will always try and sublux the cuboid. Normally the bone is anatomically and functionally very stable in its joints and can take the load from the tendon. But if it cannot, then cuboid syndrome is one consequence. The subluxation is often easily fixed with
The Weil Osteotomy
The Weil Osteotomy is a commonly used a surgical procedure for "metatarsalgia" which shortens the metatarsal, theoretically relieving pressure to the metatarsal head. As such it can be used in a wide range of problems. However, there does seem to be a large complication rate for the Weil Osteotomy and there is quite a bit of controversy surrounding its use. Podiatry Arena has a poll on the Weil Osteotomy, which was started after a point/counterpoint debate in Podiatry Today. Opinions are
Podiatrists and the Diabetic Foot
Two recent studies have shown just how important podiatrists are to managing the complications of the diabetic foot and in reducing the burden of lower limb amputation.
The first on one JAPMA showed:
Early identification of individuals at increased risk for lower-extremity ulceration and subsequent referral for advanced multidiscipline podiatric medical specialty care may decrease rates of ulceration and proximal amputation and improve survival in patients with diabetes mellitus who are at
The first on one JAPMA showed:
Early identification of individuals at increased risk for lower-extremity ulceration and subsequent referral for advanced multidiscipline podiatric medical specialty care may decrease rates of ulceration and proximal amputation and improve survival in patients with diabetes mellitus who are at
Chi Running
Chi running, like the barefoot running movement is something that Podiatrists need to be familiar with. Patients will come in with injuries from one or more of the many different running technique and to be able to adequately treat patients who participant in running and use some of the many alternative techniques. Chi running is a running style that uses more of forward leaning and uses more of a midfoot strike than the traditional heel or rearfoot strike used by most runners. Like the
Severs Disease
Pain in the heel of children is not very common, but when it does happen, it is almost always a condition known as Severs Disease. This is thought of as being a strain of the cartilage growth plate at the back of the calcaneus. Some have even suggested that it is a stress fracture of this growth plate. The most common cause of severs disease is a combination of factors such as activity level, hard surfaces and tight calf muscles. Many consider abnormal foot biomechanics also plays a role. The
Barefoot Running Shoes
Barefoot running is getting increasing popular. There are arguments on both sides of the fence as to if it is worth it or not and very little science to guide it. The barefoot running community do make a lot of claims about the benefits of barefoot running and the science that is supposed to underpin it, but when you look up the science it does not stack up to scrutiny. This does not mean that it does not have benefits and runners will benefit from using barefoot drills in their training
Sunday, November 14, 2010
Gout as a cause of heel pain
Gout is not a common cause of heel pain but gout can affect the subtalar joint, causing pain in the rearfoot. The urate crystals can also deposit in the plantar soft tissue and mimic plantar fasciitis. The differential diagnosis is usually difficult as both can mimic other symptoms. For gout and heel pain, considers a course of colchicine to help in the
Experts Applaud Physical Activity Guidelines Bill
Press Release:
EXPERTS APPLAUD PHYSICAL ACTIVITY GUIDELINES BILL
ACSM led call for creation of federal guidelines in 2006; members served on scientific writing team
INDIANAPOLIS — As debate continues over health system reform, a proposal with vast preventive power is drawing widespread support. Scientists, physicians, public health experts and others have rallied in favor of the Physical Activity Guidelines for Americans Act of 2009. The measure (S. 1810 in the Senate and
EXPERTS APPLAUD PHYSICAL ACTIVITY GUIDELINES BILL
ACSM led call for creation of federal guidelines in 2006; members served on scientific writing team
INDIANAPOLIS — As debate continues over health system reform, a proposal with vast preventive power is drawing widespread support. Scientists, physicians, public health experts and others have rallied in favor of the Physical Activity Guidelines for Americans Act of 2009. The measure (S. 1810 in the Senate and
Exercise for cancer patients under going chemotherapy
A randomized controlled trial from two hospitals in Denmark published in the British Medical Journal set out to assess the effect of a group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with cancer who were undergoing chemotherapy. They found an improvement in physical capacity, but no significant effect was seen on global health status or quality of life. They concluded that a
Sports Medicine Forums
There are a number of online sports medicine communities for the discussion of issues of relevance to the discipline. The Forum Finder directory of forums, has a listing of Sports Medicine Forums. At these forums you can interact with colleagues and discuss the latest sports medicine
Severs Disease
Severs disease or calcaneal apophysitis is a common problem of the heel in children aged 8 to 12 years. Some recent data on Severs Disease has suggested that the mechanism of injury may be a stress fracture like lesion of the cartilage growth plate. Most cases respond well to a cushioning heel lift, calf muscle stretching and some reduction in activity levels. Some may need foot orthotics or strapping. All cases of Severs Disease are self limiting as the growth plates fuses by around age
Cuboid Syndrome
Cuboid syndrome is a common overuse injury on the lateral side of the foot. it is generally thought to occur when the cuboid bone is not stable in the proximal and distal joints it has and contraction of the peroneus longus tendon that passes under the cuboid try to sublux the bone. The symptoms involve pain around the cuboid. Usually some forum of cuboid manipulation is needed to deal with the subluxation. Strapping and or foot orthotics are often also needed to help stabilize the cuboid
How do foot orthotics work?
A review just published in the British Journal of Sports Medicine looks at how how foot orthotics might work (Foot Orthoses and Gait: A Systematic Review and Meta-analysis of Literature Pertaining to Potential Mechanisms. Br J Sports Med. 2009 Dec 8)
The authors did a systematic review and meta-analysis looking at the evidence for the physiological basis for orthoses under the biomechanical, shock attenuation and neuromotor paradigms. They concluded that:
Based
The authors did a systematic review and meta-analysis looking at the evidence for the physiological basis for orthoses under the biomechanical, shock attenuation and neuromotor paradigms. They concluded that:
Based
Determining a "Do Not Start" Temperature for a Marathon on the Basis of Adverse Outcomes
In the February 2010 Medicine & Science in Sports & Exercise, William Roberts reports on the Do Not Start temperature issue for starting a marathon. He analyzed the number of starters, finishers, and finish line medical encounters and this was plotted against the race start wet bulb globe temperature (WBGT), and the WBGT level at which a mass casualty incident (MCI) occurred was used to calculate a "do not start" WBGT. The results showed: "A start WBGT of >21°C
Barefoot running and its interpretation by the media
There has been a lot of recent attention given by the media to barefoot running. Recent publications by Kerrigan et al and Liebermann et al have been widely promoted in the news media and on running barefoot websites. Both studies have been badly interpreted and misrepresented by the media and barefoot running websites as showing something that they did not show. Liebermann even went to the extraordinary step of posting a disclaimer on his website about how his research was being used! See
Exercise improves survival rates for colorectal cancer patients
Press Release:
Exercise improves survival rates for colorectal cancer patients
Men who have been treated for colorectal cancer can reduce their risk of dying from the disease by engaging in regular exercise, according to a new study by researchers at Dana-Farber Cancer Institute. The findings are published in the December 14 issue of the Archives of Internal Medicine.
"Previous research has shown regular physical activity reduces the risk of developing colon cancer," says the study's
Exercise improves survival rates for colorectal cancer patients
Men who have been treated for colorectal cancer can reduce their risk of dying from the disease by engaging in regular exercise, according to a new study by researchers at Dana-Farber Cancer Institute. The findings are published in the December 14 issue of the Archives of Internal Medicine.
"Previous research has shown regular physical activity reduces the risk of developing colon cancer," says the study's
Weightbearing MRI for plantar fasciitis
In a recent edition of Radiological Medicine there is a new study that investigated the use of a weightbearing MRI to assess those with plantar fasciitis. They were able to report that the changes in the MRI signal that was associated with plantar fasciitis when compared by blinded examiners in those without plantar fasciitis. Unlike the usual ultrasound finding, the thickness of the plantar fascia was reduced due to stretching in the weightbearing position compared to the supine
Medial Tibial Stress Syndrome
The April 2010 edition of  Podiatry Today magazine has a good update of the latest concepts in Medial Tibial Stress Syndrome by Kevin Kirby. Two interesting key concepts that came through in the review is that there is no agreement on exactly what is the pathological process in the condition – is it a soft tissue traction issue or a bone stress reaction due to tibial bending actions?  The tibial bending moments are a recent consideration in the risk factors for this
Diabetic Foot and Exercise
Exercise for those with diabetes is extremely important. It is important for general health and fitness as well as weight control. There are also some diabetes specific benefits of exercise for those with diabetes such as assisting in glucose controls and also in type two diabetes its also has the affect of increasing insulin sensitivity. Those with diabetes who exercise need to take precautions such as the timing and amounts of insulin injections relative to the timing of exercise. There is
Misuse of non-steroidal anti-inflammatory drugs by athletes
Press Release:
Misuse of non-steroidal anti-inflammatory drugs by athletes
High school winter sports athletes' need to baby their immune systems
NSAIDs: Take 'em early and often when competing? Think again. Athletes' superstitions and rituals can help them get psyched up for contests, but when these rituals involve non-steroidal anti-inflammatory drugs (NSAIDs), which many athletes gobble down before and during events, they could be causing more harm than good. "These agents are
Misuse of non-steroidal anti-inflammatory drugs by athletes
High school winter sports athletes' need to baby their immune systems
NSAIDs: Take 'em early and often when competing? Think again. Athletes' superstitions and rituals can help them get psyched up for contests, but when these rituals involve non-steroidal anti-inflammatory drugs (NSAIDs), which many athletes gobble down before and during events, they could be causing more harm than good. "These agents are
Diabetic Foot and Exercise
Exercise for those with diabetes is extremely important. It is important for general health and fitness as well as weight control. There are also some diabetes specific benefits of exercise for those with diabetes such as assisting in glucose controls and also in type two diabetes its also has the affect of increasing insulin sensitivity. Those with diabetes who exercise need to take precautions such as the timing and amounts of insulin injections relative to the timing of exercise. There is
Diabetic Foot and Exercise
Exercise for those with diabetes is extremely important. It is important for general health and fitness as well as weight control. There are also some diabetes specific benefits of exercise for those with diabetes such as assisting in glucose controls and also in type two diabetes its also has the affect of increasing insulin sensitivity. Those with diabetes who exercise need to take precautions such as the timing and amounts of insulin injections relative to the timing of exercise. There is
Masai Barefoot Technology (MBT) Shoes
These are the shoes that are supposed to give you a workout while you wear them. Masai Barefoot Technology or MBT shoes are shoes inspired in design by the non-shoe wearing Masai tribe of people from Africa. The shoes have a rocker bottom that is supposed to simulate the natural gait of walking barefoot exhibited by these people and as these people have no back problems, this has to be a good thing. There does seem to be some sort of flaw in that logic. The company do make many claims for
How Can Some Athletes Play on Through Intense Pain?
How can some sportsmen and women, in the heat of the moment, play on through pain that would floor anyone else?
Press Release from the University of Oxford
Bert Trautmann, the Manchester City goalkeeper, famously played on through to the end of the 1956 FA Cup final - holding on for a 3-1 win - despite suffering a broken neck from a collision in the second half.
Similarly, why do some people seem to suffer long-lasting debilitating pain when others are better able to cope? Each of
Press Release from the University of Oxford
Bert Trautmann, the Manchester City goalkeeper, famously played on through to the end of the 1956 FA Cup final - holding on for a 3-1 win - despite suffering a broken neck from a collision in the second half.
Similarly, why do some people seem to suffer long-lasting debilitating pain when others are better able to cope? Each of
Self-reported disordered eating in adolescent elite athletes
Dieting to win or to be thin? A study of dieting and disordered eating among adolescent elite athletes and non-athlete controls
M Martinsen, S Bratland-Sanda, A K Eriksson, J Sundgot-Borgen
Br J Sports Med 2010;44:70-76 doi:10.1136/bjsm.2009.068668
Objective: To examine the prevalence of dieting, reasons for dieting and prevalence of disordered eating among adolescent elite athletes and age-matched controls, and to examine the differences between athletes competing in leanness and
M Martinsen, S Bratland-Sanda, A K Eriksson, J Sundgot-Borgen
Br J Sports Med 2010;44:70-76 doi:10.1136/bjsm.2009.068668
Objective: To examine the prevalence of dieting, reasons for dieting and prevalence of disordered eating among adolescent elite athletes and age-matched controls, and to examine the differences between athletes competing in leanness and
Does your clinical practice have a website?
Do you have a website to promote your clinical practice. How does it rank in the search engines? DO you know how to get it to rank better? Search Engine Optimization (SEO) is the art (there is no science in it!) of getting a site to rank well in the search engines, such as Google to get free traffic and visitors to your website. If you have a website for your clinic, its not much use unless you promote it. You must have it printed onn your advertisements and on your stationary including
Risk factors for plantar fasciitis in assembly plant workers
A recent study published in Physical Medicine and Rehabilitation looked at what were the risk for plantar fasciitis in assembly plant workers. Plantar fasciitis was found to be very common in this group of workers and the factors that increased the risk for it were almost all due to increased time spent weightbearing. The factors that increased the risk were: forefoot pronation on physical examination; high metatarsal pressure on the gait assessment; increasing time spent standing on hard
Weight bearing MRI of Plantar Fasciitis
In the Feb 2010 edition of Radiological Medicine is a study looking at the use of weightbearing MRI for the assessment of plantar fasciitis. They were able to identify the changes in the MRI signal that was associated with plantar fasciitis. The thickness of the plantar fascia was in those with plantar fasciitis was also reduced due to strecthing in the weightbearing position compared to the supine position. This is an interesting observation given the emphasis that is put on the thickness of
Friday, November 12, 2010
Plantar Fasciitis
Plantar fasciitis is the most common injury that occurs in the foot of runners. The plantar fascia is a very strong ligament like structure that attaches to the base of the toes in the ball of the foot and to the heel bone (calcaneus). The role of the plantar fascia is to support the arch of the foot and function as part of the windlass mechanism in the foot which is part of the foot's own autosupport system.
Plantar fasciitis is an inflammation or degeneration of the plantar fascia that
Plantar fasciitis is an inflammation or degeneration of the plantar fascia that
Asics Gel Kayano 16 Review
The Asics Gel Kayano is the one of the more popular shoes in the Asics range. It is designed for moderate overpronators. It combine the best of both worlds with cushioning and stability. The Gel Kayano16 has an assymetrical lacing pattern for a more comfortable fit. The 16 has also lost some weight compared to the 15. The midsole and outsole has a vertical groove design in them that encourages the foot to maintain a constant and steady line of progression with each stride by following the
Asics Gel Nimbus 12 Review
The Asics Gel Nimbus 12 is the running shoe designed for the neutral or underpronating runner. It is really for the serious runners and it the top-of-line for the neutral runners that needs good cushioning.
Buy the Asics Gel Nimbus
More on the Ascis Gel
Buy the Asics Gel Nimbus
More on the Ascis Gel
Barefoot Running
A lot of publicity has been given to the concept of barefoot running vs. running in running shoes. Most of the media's interpretation of the research on this has been extremely misleading (see: Barefoot running and its interpretation by the media). All the research has shown is that running barefoot is different to running in shoes. No research has shown that one is better than the other.
Despite numerous claims made by the barefoot running community:
No research has shown that running
Despite numerous claims made by the barefoot running community:
No research has shown that running
Asics Gel Cumulus 12 Review
The Ascis Gel Cumulus 12 is the better shoe in the Asics range for the netral or underpronating runner. It is a 'no-nonsense' lightweight running shoe. The most recent update has more gel in the heel compare to previous models. It is also a very flexible shoe.
Buy Asics Gel Cumulus
More on the Asics Gel
Buy Asics Gel Cumulus
More on the Asics Gel
Asics Gel DS Trainer Review
The Asics Gel DS Trainer is the lightweight training shoe from Asics that has a low profile.
Buy the Asics Gel DS Trainer
More on the Asics Gel DS
Buy the Asics Gel DS Trainer
More on the Asics Gel DS
Asics GT 2150 Review
Asics Say: Since the mid-90’s the GT-2000 series has maintained an enviable position as the industry’s most popular all-around running shoe by sticking to a simple strategy: Like the rest of the family the new Asics GT 2150 combines a comfortable, supportive platform with an uncomplicated upper, while striving to stay consistent with prior models.
The Asics GT 2150 delivers great stability for slight to moderate over-pronation issues. The ride is incredible with a super responsive
The Asics GT 2150 delivers great stability for slight to moderate over-pronation issues. The ride is incredible with a super responsive
Medial Tibial Stress Syndrome
Medial tibial stress syndrome is the technical name for what most runners call ‘shin splints’, which is a name the medical community gave up using years ago and now considers the name of historical interest only. Medial tibial stress syndrome is relatively common in runners, but does not always get bad enough to interfere with the running.
The pain of medial tibial stress syndrome is fairly typical and primarily occurs along the inside or medial edge of the shin bone (tibia). Initially
The pain of medial tibial stress syndrome is fairly typical and primarily occurs along the inside or medial edge of the shin bone (tibia). Initially
Cuboid Syndrome
Cuboid syndrome is an injury that happens along the outside of the foot. An important bone there, the cuboid bone, acts as a pulley for a tendon (peroneus longus) as it wraps around the bone. The tendon comes down the outside of the ankle, so changes direction at the cuboid bone. When the peroneus longus muscle on the outside of the leg contracts, it is going to want to try and move the cuboid rather than use it as a pulley. The joints in the area are built to be very stable so the bone does
Severs Disease
Severs Disease is a problem with the growth area at the back of the heel in children. The heel bone has two centres of growth separated by a thin plate of cartilage. It is at this area of cartilage that growth occurs. Severs disease is thought to be a strain of that growth plate. Some liken Severs disease to being like a stress fracture. It is more common in active children, especially on hard surfaces. The most common symptoms of Severs disease are pain at the back of the heel and pain on
Twitter Wit
Are you one of the few people on this planet who does not know what Twitter is? Twitter is a social networking site in which you submit up to 140 words about what you are doing for your followers to see. There are Twitter Forums and plenty advice on how websites can use twitter to promote their sites. Even Google is now providing the Twitter ‘tweets’ in its search results, so the search results are much more current.
The up to 140 words that are the tweets can be quite witty. One of
The up to 140 words that are the tweets can be quite witty. One of
There is no 'Secret Sauce' for Plantar Fasciitis
Plantar fasciitis is the most common musculoskeletal problem seen in the foot. I was intrigued recently when searching the web for something and came across a couple of eBooks on plantar fasciitis touting some magical cures from their secret sauce. The problem is they do not even give you a hint what the secret sauce is until you part with $19.95 or $49.95, so you have no idea if it’s worth the money or not. Of course it's really $99.95 worth of value that you are getting for $19.95 and
Alexa Website Rankings
Alexa is a web company the collects data on websites and publishes the ranking of websites from number 1 (Google) to number 2 (Facebook) to number 1 692 102 (this site) to over 5 million based on the traffic they get.
Where do they get there data from? They have several million users that use the Alex toolbar. The toolbar send data back to Alexa each time a user visits a website. Several million users sounds impressive which has led many to put a lot of credibility to the Alexa rankings,
Where do they get there data from? They have several million users that use the Alex toolbar. The toolbar send data back to Alexa each time a user visits a website. Several million users sounds impressive which has led many to put a lot of credibility to the Alexa rankings,
Forums
Forums are fun places to hang out at; learn things at; ask questions at; and meet up with people either who argree or disagree with each other on topics. I have been known to frequent a number of different forums on a regular basis. I also manage some (eg Podiatry Arena). I have had many people ask for advice on running a forum and they really need to take a lot of advice. It is not as easy as it seems. Anyone thinking of running a forum should take a lot of advice on forum management.
Authority Website Links
Anyone interested in getting a website ranked well in the search engines knows that the number of links to the website are an important factor in the rankings. I have a few sites I admin at, especially the Podiatry Arena forum. It does well in the search engines, because it gets a lot of links to it from other sites. Those links are attracted due to what some call link bait. There is a lot of discussion and controversy on Podiatry Arena that a lot of sites like linking to. There are lots of
Chilblains
It that time of the year for chilblains. Here in Melbourne, it gets cold, but not cold enough for chilblains to be a big problem. At the University Teaching Clinic we see a few chilblains. So far this year just about every student has missed them! Very frustrating!. They have dismissed them as bruising or a just a skin discolouration. Chilblains are due to the too rapid warming of the foot after it as got cold, so the cold does not really cause it. Despite popular myths, chilblains are not due
The Individual Nature of Google's Search Results
Google do a number of things to the search results to individualise them. They use geotargeting to make the search results more relevant to your geographic region, showing local search results. They also individualize the search results in which they customise your search results based on your previous search history. This means that search results and rankings can vary from computer to computer; from city to city; and from country to country.
This is great for the user or searcher as
This is great for the user or searcher as
The Frustration of Search Engine Optimization (SEO)
Search engine optimization is the technique that is used to try and get sites to rank higher in the search engines. There are plenty of strategies available for this and include things like the use of the keywords being targeted on the page and the use of strategies to build more backlinks to a site. Search engine optimization is sort of like a game. You try to rank your site better, but at the same time the search engines want to give the best results to the person doing the searching.
Wordpress Security and Hackers
Wordpress is the most popular blogging or content management systems for websites (I use it here). This also makes it a massive target for the hackers who go to great links to damage sites (I can never understand the mentality).
To protect my site and others that run on wordpress you need to:
1. Make sure there is no scripts installed on your computer to detect passwords. Use Adaware or similar and keep it updated.
2. Use admin and ftp passwords that are very highly secure and
To protect my site and others that run on wordpress you need to:
1. Make sure there is no scripts installed on your computer to detect passwords. Use Adaware or similar and keep it updated.
2. Use admin and ftp passwords that are very highly secure and
Thursday, November 11, 2010
injinji Performance Mini Crew Toesocks
Anatomical Interface System (AIS) is engineered to separate your toes with a CoolMax moisture wicking lining and a resistant nylon outer shell built with Lycra fibers, to create a thin, anti-friction membrane that is both lightweight and breathable. Seamless in construction, the tetratsok forms to every contour of your feet. This allows for true restriction free movement from your heel to five toes,encourages healthy circulation, and eliminates skin on skin contact between your
FIVEF C 248 KSO BLACK/BLACK
No description for this product could be found, but have a look over at Amazon for reviews and other
Vibram Five Fingers Classic – Women’s (36, Black/Black/Black)
No description for this product could be found, but have a look over at Amazon for reviews and other
Vibram Five Fingers Classic – Women’s (37, Black/Black/Black)
No description for this product could be found, but have a look over at Amazon for reviews and other
injinji Performance Micro Toesocks
Anatomical Interface System (AIS) is engineered to separate your toes with a CoolMax moisture wicking lining and a resistant nylon outer shell built with Lycra fibers, to create a thin, anti-friction membrane that is both lightweight and breathable. Seamless in construction, the tetratsok forms to every contour of your feet. This allows for true restriction free movement from your heel to five toes,encourages healthy circulation, and eliminates skin on skin contact between your
FIVE FINGER WS102 CLASSIC SMARTWOOL CHAMPAGNE
A Great Outdoor-Shoe For Any Outdoor EnthusiastSmartwool UpperAnon-Marking Vibram TC-1 Performance Rubber SoleSmartwool is Moisture-Wicking, Itchless, and Anti-MicrobialBest Suited For After Sport, Yoga/Pilates, Travel, and FitnessRubber Sole Provides A Sure Grip On The Ground
FIVE FINGERS W119 SPRINT SLATE/PALM/LICHEN
Vibram FiveFingers? allow you to relive that sensation. Unlike conventional shoes that insulate you from your surroundings, FiveFingers footwear deepens your connection to the earth and your surroundings. FiveFingers enhance your sense of touch and feel, while improving foot strength, balance, agility, and range of motion. Because wearing Vibram FiveFingers is so close to going barefoot, you?ll enjoy the health and performance benefits of barefooting without some of the risks.
FIVEFINGER M343 BIKILA VARIOUS RED/BLUE
Vibram FiveFingers Bikila running shoes are designed specifically for a more natural running experience, offering barefooted feel and efficiency with the protection and traction of a Vibram sole. Thin, abrasion-resistant polyamide stretch fabric fits low on feet and offers quick-drying comfort; breathable stretch-mesh panels keep debris and grit out. Individual toe slots enhance dexterity, control and stability to deliver a natural running motion; thermoplastic urethane toe
Barefoot Running is not without its Controversy!
While there are many benefits to be gained from the concept of barefoot running, not everyone is convinced by the science (see: Barefoot Running is Bad). Even on a doctors forum, there is a lot of debate and discussion (see: Barefoot Running Debate). Others are concerned about the media interpretation of the science of barefoot running. A lot of the debate is around if barefoot running really does reduce injuries. It seems that there are arguments both ways. After reading the above links, I do
Posterior Tibial Tendon Injury
Typically the tibialis posterior muscle tissue and also tendon is definitely an crucial muscle complex regarding providing strength to the mid-foot of the feet up. In the event that something goes wrong with the muscle tendon complex and it can no more accomplish their job effectively, then a dysfunction named posterior tibial tendon dysfunction might occur. The consequences associated with posterior tibial tendon dysfunction are a gradual pronated foot. It is an increasing deformity which
Which is the Best Running Shoe?
There is no such thing as the best running shoe. Many claim that a certain running shoe is better for them, but for every claim that a certain shoe is the best, there will be someone who got a running injury for that shoe.
Each running shoe brand (eg Asics) and each model within that brand (eg Kayano) all have different design characteristics and different features. These design features of the running shoe will affect the way that the running shoe interacts with the foot. Each runner has
Each running shoe brand (eg Asics) and each model within that brand (eg Kayano) all have different design characteristics and different features. These design features of the running shoe will affect the way that the running shoe interacts with the foot. Each runner has
Podiatric Sports Medicine
The feet are a complicated arrangement with 26 bones and more tendons, muscles and also ligaments. To mess with that even more, we walk on the foot as well as place it in to the darkish and also moist environment with the shoe. Place all this jointly and there is no surprise that foot complications tend to be so widespread. It's also not surprising that there is a entire health discipline which is devoted to the diagnosis and also therapy of feet complications. Podiatry has existed for around
Search Engine Optimisation
Getting a site ranking well in the search engines is something that every webmaster wants to do and it is getting harder. There is only room for 10 websites on the front page of the search engines, but with so many different things such as videos and pictures and paid advertisements on the search results pages, it’s getting harder. With so many sites competing for the same positions, it’s only going to get harder. A whole industry known as search engine optimisation has grown up to rank
Severs Disease of the Heel in Young Athletes
Severs disease is a growth problem that happens in youngsters who play a lot of sport. As the back of the heel bone or calcaneus there is a thin cartilage growth plate that growth of the bone occurs at. The Achilles tendon inserts into the back of this growth plate. During sport, especially on hard surfaces there can be a lot of strain from the hard ground and the Achilles tendon pulling on this growth plate. Severs disease is a “strain” of the growth plate. Some even consider Severs
Plantar Fasciitis in Athletes
The most typical orthopedic diagnosis seen in the feet a problem called plantar fasciitis. The actual plantar fascia is an extremely sturdy tendon on the underneath of the feet that holds the mid-foot ( arch ) of the feet in shape. It's linked to the rearfoot and the forepart of the foot. The cause of this issue will most likely be anything that increases the stress on the actual arch of the foot. This can be a greater body weight, greater levels of exercise, tight leg muscles as well as poor
The Running Communities
Running is just one of these sports which includes not much by the way of constraints placed on it when ever and where. It is possible to run at any time and also workout where you just like. The only constraint is actually the need for an excellent set of athletic shoes, although the minimalist or barefoot running group is even doubting this. Working out by jogging is one of the greater actions with regard to cardio health and fitness. Jogging can be utilized with regard to simple health and
What About Pedorthics
Pedorthics ?s really a profession which is getting more well-known even though it has been around for years. Pedorthics carries out the design and style, and production, and also the modification as well as fitting regarding footwear and foot orthoses to reduce problems that are generated by a variety of illnesses. These problems could be brought on by several illnesses, running, genetic problems or traumas. Pedorthics can be used to treat an array of problems in a wide array of individuals
vBulletin Nulled
Forums are getting to be a terrific way to build online communities and have an active website. In message boards you can find a variety of information and search engines like google do often rank all of them well. For the website owner, there are numerous solutions for your program which you can use to create the community. There are free of charge options and also right now there are paid alternatives. Additionally, there are totally free hosted options. Probably the most well-liked paid out
Medial Tibial Stress Syndrome
Pain in the legs of runners is a common overuse injury. The most common reason for it is a condition known as medial tibial stress syndrome. In the past this was known as shin splints due to it similarity to a problem that occurs in race horses. Medial Tibial stress syndrome is due to a combination of training errors, like not building up the distances run gradually; poor foot biomechanics such as a pronated foot; inadequate footwear; and possibly calf muscle tightness. The pain of medial
Walking in MBT Footwear
The shoes marketed by Masai Benefit Technology (MBT) manufacturer happen to be offered as the actual opposite to a shoe by way of the manufacturers while they are supposed to copy barefoot walking. The claim which they imitate or even simulate barefoot action is as a result of modification on the underneath.
The particular shoes layout was prompted by the native Masai people from Africa that use a vertical position and also a gait or walking routine which is very much like flowing over the
The particular shoes layout was prompted by the native Masai people from Africa that use a vertical position and also a gait or walking routine which is very much like flowing over the
Do You Play Golf?
Golfing is a game with a lot of players and plenty of audiences on tv. There is lots of money involved in the large occasions that get televised. The game of golf is also a powerful way to enhance health and fitness, since a game regarding playing golf entails walking for 18 holes. It is additionally a powerful way to get friendly with close friends. There is a lot of debate on golfing forums in regards to the activity, the actual competitions and how to get advice. It is good activity to keep
Geotargeted Advertisements
All website owners would like their web site to position well within the various search engines. That's tough and a lot of effort is needed. Part of the problem is really because Google uses geotargeting to alter the particular search results coming from area to area to make them much more relevant to the actual user to provide all of them much more relevant local internet search listings. This can keep the online marketer speculating concerning exactly how well they get ranking and also the
The Problem of Foot Odour
A foot which smell is definitely an awkward hassle when you remove your footwear away. The smelly foot is a kind of challenge these days and also impacts every age as well as guys and females and individuals from almost all walks of life. Smelly feet or foot odor can be caused by a variety of factors. The most typical predisposing components would be the abnormal levels of sweat that hangs around (this is whats called hyperhidrosis). The specific foot odour or smelly foot will be basically due
The Diabetic Athlete
The type 2 diabetes pandemic which is beginning to spread around the entire world has been pushed by way of many things. It is undoubtedly a unhealthy weight pandemic, the lack of regular physical exercise, the westernization involving regular quality diets (I've actually over heard that known as the Coca-Colonisation of classic societies). It is all adding up to a growing health care crunch. From a podiatry viewpoint, this means the particular ‘diabetic foot’. The actual diabetic foot is
Cuboid Syndrome
Cuboid syndrome is a problem that develops on the outside of the foot with the joint between the calcaneus bone and the cuboid bone. It is more common in athletes where it is considered and overuse type injury. The cuboid acts as a pulley for the peroneus longus tendon where is changes direction. If the bone is not stable the contraction of the peroneus longus muscle moves the cuboid too much and strains the calcaneocuboid joint, resulting in cuboid syndrome. The first symptoms are just a mild
Croydon Total Footcare
Croydon Total Footcare is actually a podiatrist in Croydon, Melbourne, Australia that commenced serving the Croydon and also Ringwood and surrounding suburbs over fifteen yrs back. The business was started out by Mimi Chrzanowski immediately after her initial profession being a registered nurse. She's joined up with in the practice together with Tom Rosewarne and Jenni King. Every staff member gives different strengths and interests towards the practice in order to complement one another. The
The Cluffy Wedge
There are various and numerous types of foot orthotics or supports that are designed to manage a wide range of foot biomechanical issues. Most of these types of foot orthotics tend to be targeted at correcting the structural alignment of the foot and lower limb. One addition to the foot orthotic that was recently reacted is the Cluffy Wedge which is designed to change foot function. This is a foot orthotic extension that was made for a condition of the first metatarsophalangeal joint known as
Is Chi Running For You
There are many different jogging approaches that are getting publicised like pose training, barefoot running in addition to chi running. Each of them have their supporters and promoters that market their method being the most beneficial.
Chi running is a technique which advocates having a midfoot contact and flowing across road rather then pushing towards the actual road. A lot of claims are created for Chi running, but none of them are usually sustained by researching. There are claims that
Chi running is a technique which advocates having a midfoot contact and flowing across road rather then pushing towards the actual road. A lot of claims are created for Chi running, but none of them are usually sustained by researching. There are claims that
Chilblains in Athletes
Chilblains are a vasospastic disorder that mostly occurs on the toes of the feet, but can occurs on the fingers, the nose and the ears. They are of particular concern to athletes who participate in outdoor sports events in the cold weather. Chilblains are not really caused by the cold, they are caused by a too rapid warming after the toes get cold. Normally when we are exposed to gold the blood vessel constrict to conserve heat. When we warm up, the blood vessels are supposed to open up to
What are Barefoot Running Shoes
Exerciseing barefoot is actually becoming more popular in a virtual kind of approach. Everyone is apparently speaking about it online and within digital environments, but when you show up at running events, you might be lucky if you notice anyone working out not usuing running shoes. That is one in a large number of athletes! It's also possible to notice one in 1000s of joggers in barefoot running shoes. These are running shoes that will mirror the act of barefoot running. These barefoot
Running Barefoot
Barefoot running is for better or worse becoming a popular fad in the running community as an alternative to the usual running shoes. Depending on who you talk to, we were originally made to run without running shoes as we had to survive, to go hunting for food supplies. Since that time asphalt and concrete got invented and we then needed to protect ourselves from the impacts on those unforgiving surfaces. The longer term effects of this impact on our bodies is not clearly known. The
What is an Authority Website?
A few internet websites have some thing unique in terms of rating within the various search engines. They appear to rank well for many factors. These sites are considered to be authority web site. It's not recognized plainly what produce a web site an authority site, nonetheless it possibly has a lot related to the web link profile with the web page. If, as an example, almost all of the particular sites inside a niche almost all connect to the identical website, then that web site should be
Running Shoes Review from Asics
The Asics company are one of several market leaders in terms of running shoe advancement as well as engineering like the the asics space trustic system. The organization started creating footwear about 1949 but has been created in the existing form in 1977 with the merging of 3 companies, Onitsuka, GTO and JELENK. They think of themselves to be a true athletic shoes business instead of a good apparel company. They've got an active study and improvement group that is situated in Japan. Asics
Alexa Website Rankings
There are many ways to determine how much traffic a website gets. On flawed way used by many webmasters is the Alexa website rankings. The Alexa toolbar is used by about a million people. When they visit a website, this information is sent back to Alexa and they come up with the rankings of websites based on how many visits they get. The reason the Alexa Website Rankings are flawed is that the sample of users of the toolbar are biased. They tend to be more technically orientated people and the
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