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Cracked Heels

crackedheel

Cracks in the epidermis at the back of the heel are frequent, are painful, and do not appear very good. They happen when the fat pad beneath the heel expands out side to side beneath the foot and the dried-out skin cracks or splits to create a heel fissure. A great way to fully understand them is to use the example of a tomato being squashed. When you apply force to the tomato to squash it, the skin around the tomato cracks as the insides forces outwards. So it is with the heel. As bodyweight compresses the fat under the heel it stretches out sideways from underneath the heel, it tries to tear the skin around the perimeter of the heel. If this succeeds or not is going to depend on how supple and strong that the epidermis is. If the skin is dry, thicker or callused, it will tear quickly. If the skin is thicker with a layer of callus, that skin will crack easily and put a strain on the healthy skin below that will become somewhat painful, sometimes bleeding. Every step that is taken with further open the split and prevent it from getting better. This is more prevalent in those that use open heel type shoes, as a closed in shoe can help keep the fat pad beneath the heel in position and help avoid or lessen the effects of this.

The most effective short term relief of cracked heels is to have the callused skin cut back by a podiatrist and then use tape to hold the edges of the crack together so that it can heal. The long term prevention of cracked skin around the heel ought to be clear from the process that was explained above. To begin with, weight loss will help decrease the problem, but this is a long term concern. To help stop the fat pad beneath the heel from broadening out sideways and trying to split the skin, a closed in shoe needs to be worn and in some cases the use of deep heel cup orthotics can help. A foot doctor should really be seen regularly to debride any thick callused skin. Creams ought to be used regularly to keep the skin supple so that it does not fissure. The use of filing tools to maintain the thick skin in check can also be used.

Chinese Foot Binding

There is a historic technique from rural China which involved the binding of the feet of female children to prevent them from growing. It was a brutal process and was debilitating and disabling to the feet. It was carried out as a smaller sized foot was considered an attractive feature in the female and a higher dowry can be asked for by the family for the bride-to-be when the feet had been bound. There was a considerable market in these rural communities for the ornamental and finely crafted shoes that these girls would need to wear because of the smaller and deformed feet. More than 100 or so years ago cultural pressures began to mount to ban the practice and this generally was successful and it is not done any longer. The practice had to stop as it was so disabling and painful for the child. When they became an adult, the damage had been done and there is not much that could be done to manage the suffering and deformity. Having said that, you will still find many elderly woman still living that had their feet bound when they were little girls.

You will find theoretically parallels to this practice of chinese foot binding that may be seen nowadays. A number of experts try to link the practice these days of females who force their feet into the high heel shoes as being the same as the foot binding. In rural China the practice was all about the female doing something that pleases the male, no matter the outcomes in terms of pain and deformity. The practice today of wearing tight fitting high heel shoes by females has consequences in the terms of foot disability and foot pain. It is also apparently done in the context of the female doing something which is pleasing to the eye of the man. There is some disagreement if the connection between the two practices really do warrant the type of evaluation that they have been put through.

Barefoot Running

Running without shoes had been all the rage not long ago however interest in it and the number doing it have dropped of considerably. It was a craze that continued for several years and was mostly influenced by social media commentary. It was a short lived trend towards barefoot running that took off around 2009 with a lot more interest in running free of running shoes. It was touted in numerous books, blogs and magazine articles and Youtube Videos thhtbarefoot running was more natural, that it was a more economical method to run and that you got significantly less injuries running that way. Many runners tried barefoot running as an alternative to using running shoes and interest in it peaked about 2013. The sales of minimal or barefoot running shoes furthermore peaked at around that time, getting to nearly 10% of the running shoe market.

After that original attention and peak interest in barefoot running and minimalist running shoes have been steadily decreasing. Runners lost interest in running barefoot. The sales of the minimalist running shoes have been dropping steadily since around mid- to late 2013. The believed advantages for it failed to eventuate to many runners who tried barefoot running but, needless to say, those who touted barefoot running simply claim that those runners were doing it incorrectly. When the scientific data accumulated, the advantages weren’t just there. All of the injury rate reports were showing that the risk of injury was the same had you been running in footwear versus running without shoes and the majority of of the running economy investigations were also showing that generally there weren’t any systematic advantages.

While some runners, who’re rather vocal, still do their running without footwear the big market shift has now been towards the maximalist running shoes with the Hoka One One running shoe being the innovator in that group of running shoes. It has now reached the stage where the Hoka’s now outsells the entire group of minimalist running shoes giving an obvious sign of the popularity of cushioned running shoes compared to barefoot running.

Plantar Fasciitis

Plantar fasciitis has become the prevalent complaint which affects the feet. As a result of how widespread it is, there are so many pretending to be experts about it online giving out harmful advice on what to do about it. The characteristic signs of plantar fasciitis are soreness in the heel that is worse when getting up from rest, in particular first thing each morning.

Plantar fasciitis is an issue with the plantar fascia (which is a strong ligament which supports the mid-foot of the foot) once the cumulative weight applied to the plantar fascia is higher than what the tissues can carry. Because of this there are only two main reasons for plantar fasciitis: the cumulative load is simply too high or the tissues are too weak. The stress is elevated by body weight, restricted leg muscles, activity amounts and biomechanical reasons. The tissues being too prone is caused by nutritional deficits and genetic factors.

The sensible solution to improve from plantar fasciitis is to lessen the strain and increase the capacity of the plantar fascia to take the load. You reduce the force by slimming down, using strapping in addition to foot supports, as well as stretching the calf muscles. You increase the capability of the plantar fascia to accept the load through ensuring the dietary status is satisfactory and perform gradual loading activities for the plantar fascia. You can’t do anything at all about the genetics. It is really that easy and there is no necessity for plantar fasciitis to become such a huge problem that it is.

The problem with the therapy of plantar fasciitis and all the tips being given on the web for this is that the natural history of plantar fasciitis is to get better by itself eventually. Just look into the placebo groups in the clinical studies on different treatments for plantar fasciitis; they do improve. Eventually could be a long time and it is sore, so they still need to be addressed rather than wait until it improves. This means that, it doesn’t matter what therapy is used, a particular percent will likely become better regardless as a result of that natural history. Which means that bad remedies persist as they all do manage to help some, when in reality they didn’t help any. Those who appear to be effectively treated with that treatment probably will propose that it is useful. This also implies that the treatments that ought to be used are those which have been shown to result in superior results than just the natural history. Because of this we won’t become misled into believing a therapy will work when in reality it might not work any better than the natural history. You should be cautious taking any recommendations on the internet for almost any medical problem.