The following
program presents principles
00:00:01.36\00:00:02.70
designed to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Have you ever
considered the relationship
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between your
feet and your health?
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The feet are the
foundation of the human body
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and play a crucial
role in our overall health.
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Stay tuned and learn
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why those feet are so important.
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I'm Dr. James Marcum.
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Are you interested in
discovering the reason
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why you want solutions
to your healthcare problem?
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Are you tired of
taking medications?
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Well, you're about to be
given the Ultimate Prescription.
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You know, foot pain
is no laughing matter,
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the human foot has
26 bones, 33 joints,
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107 ligaments and
19 muscles and tendons.
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And the 52 bones in your feet
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make up about 25%
of the overall bones
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in your body.
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So there's a lot to
take care of in your foot.
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If something's
causing you pain in your foot,
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it's worth looking into.
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Welcome to the
Ultimate Prescription,
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I'm your host Nick Evinson,
here with Dr. James Marcum,
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and Dr. Marcum, how important
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is care for your
feet in foot care?
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Very important, Nick,
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and if you think of
what we've been talking
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about this series,
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we've been talking about pain
in various parts of our body.
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That's right.
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And feet are
definitely a part that has pain
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and when you think
about pain in your foot,
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if your foot aren't happy,
nothing's happy, you know,
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you can't walk,
you can't do things,
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you can't
exercise, you can't move,
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you don't sleep well at night,
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it hurts every time
you put your shoe on,
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it's a big problem.
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So the doctors
that take care of feet
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are called podiatrist,
they're experts in this.
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That's right, yeah.
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You know, we recently visited
our friend Dr. Cheryl Haag,
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at the Foot and Ankle Center
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and she had some
very interesting things
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to share about
common causes of foot pain,
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let's take a
look at the video now.
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Some of the most
common things that we see,
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probably number one is heel pain
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or plantar fasciitis
associated with heel's burst.
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We also see
bunions, hammer toes,
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lot of ingrown toe nails,
fractures, diabetic problems.
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Usually when people
show up, they're hurting,
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on a scale of zero to
ten, if zero is no pain,
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ten is the worst.
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They're usually eight to ten
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by the time they
show up on our door step.
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When a patient comes with pain,
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we take a good
history obviously,
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wanna know if there's any injury
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or something that is...
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Some event that's
contributing to the problem,
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examine their foot,
take x-rays, if it's...
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We think there is a
soft issue involved,
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we have ultra
sound here in the office,
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so that we can...
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X- rays locate bone,
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ultra sound looks at soft issue.
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If it's a problem of
the way they're walking,
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we watch them walk, we
can evaluate that also.
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People always ask me,
what causes this pain?
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If it's not
associated with an injury,
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why did I get this pain?
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And you know, we can put a
certain amount to hereditary,
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may be just 10% or so
but really it's shoes.
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The type of shoe that you wear
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or you do not wear,
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that contributes a lot
for all the thousands of steps
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that you take in a day.
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One of the major
contributing causes of heel pain
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is the lack of support.
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Stress and strain
on the arch of the foot
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gives you heel pain,
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and the most
common cause of that
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is wearing
flip-flops, sandals, bare feet,
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just shoes that do
not have good support.
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I'm just gonna show you
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what I mean by
supporting your shoe.
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A shoe, when you're gonna buy,
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it should never be
able to bend in half, okay
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there is poor support,
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it should have a
good counter in the back,
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it should never flatten down
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and a little bit
of fabric and leather,
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but again if you
want to have good support,
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you put in orthotic.
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An orthotic is a
custom type of arch support
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that goes into the
shoe that gives you support,
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so that if you do
have arch collapse
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or problems with your arch,
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that makes any shoe
give the proper support.
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If it's a problem of heel pain
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which is the most
common thing we see,
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obviously we want them to
rest, we want to put straps
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or we want to give
them arch supports,
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we wanna put them in
a better support of shoe
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or a sneaker,
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we want to give
them anti-inflammatory
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whether it's by mouth topically
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or cortisone injections,
we want to do stretching,
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a lot of times it's
just caused by tight tendons,
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there's physical therapy,
so there are several modalities
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that we can do for that.
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Everybody thinks, "Oh,
you're gonna do surgery."
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No, we're not gonna
do surgery on them, okay.
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That's the last thing,
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the least that we
wanna think about.
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Probably eight out of ten people
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live happily ever
after with heel pain,
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we can get them better,
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may be about 20% that
we would have to take on
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where heel pain, if
it's removing a heel spur,
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if it's
lengthening the plantar fascia,
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taking care of that problem.
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So we try everything,
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a non-surgical
conservative approach first.
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Your feet are the
foundation of your body,
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they house 25% of your bones,
your ligaments and vessels
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and it's so important.
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Again a building is
built on a firm foundation,
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it's very, very important
that you take care of that
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and prevention
is the main thing.
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And we like to thank Dr.
Haag for sharing her expertise
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and her time with us.
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And, Dr. Marcum, it sounds like
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there's a lot
of different things
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that can cause pain in the feet.
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Yeah, feet pain is
foot pain, feet pain,
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whatever you wanna call,
it is not a fun thing to have.
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Yeah.
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You know, I've thought a
lot about this and, you know,
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I have problem with my
feet quite a bit and you say,
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"What causes foot pain?
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you know, what causes...
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When we know
about the trauma, like,
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you sprain your
ankle or you stub your toe,
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of course, that's
gonna cause foot pain
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but most of the foot pain we now
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are coming from
chronic problems.
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And, you know, we're
just weren't made to wear
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all these tight
shoes, and, you know,
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high heel shoes
and constrain our feet
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and also, we're
not exercising our feet
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like we used to, to
keep the muscle strong
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and to keep the
support system lasting
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for a long period of time.
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Right.
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So you add that up
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and then soon or
later, guess what?
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The part start to wear off,
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how many bones
you said, 52 bones?
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Yeah, 52 bones in your feet.
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Yeah, that's a lot
of bones and ligaments
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and tendons and
muscles and there is a lot,
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a lot of people don't realize
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but, you know,
also the blood supply
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to the foot is
very important too.
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Right.
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And just have
the vascular disease,
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you know, we've talked about
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how prominent
vascular diseases in the heart,
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we've talked about in the brain,
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you get dementia, well,
you can vascular disease
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in the blood
vessels of the feet too
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and if the bones
and the ligaments
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and the muscles
don't get enough blood,
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guess what happens?
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Pain develops. Right, yeah.
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I mean, another thing is
when we sit a lot, you know,
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that puts more, you know,
00:07:14.66\00:07:16.10
sort of an
unnatural thing for our feet,
00:07:16.13\00:07:18.23
so that's another
thing that causes foot pain
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and you add it all
up and soon or later,
00:07:20.37\00:07:22.04
our feet start to hurt.
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Right. Do you have foot pain?
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I sure have. Yeah,
it's not fun, is it?
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No, I had an ingrown toe nail
00:07:28.14\00:07:29.91
and I had to go and
actually see Dr. Haag
00:07:29.94\00:07:32.31
and she took care of it,
00:07:32.35\00:07:33.68
and I definitely waited
longer than I should have
00:07:33.72\00:07:36.05
before I went and saw her.
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Yeah, that means many people
out there that have foot pain
00:07:37.45\00:07:39.65
and I'm gonna talk about
some of the common causes,
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I mean, you know,
you hear these big names,
00:07:41.96\00:07:43.86
so we're gonna
throw out some big names.
00:07:43.89\00:07:45.46
Okay.
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Tell you what it is,
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most of the
time when you have...
00:07:48.23\00:07:49.56
Some of these conditions,
you do have to see a podiatrist
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which is a foot
doctor specialist.
00:07:51.70\00:07:54.57
One of things that we
see, like she mentioned is,
00:07:54.60\00:07:56.67
plantar fasciitis.
00:07:56.71\00:07:58.14
Right.
00:07:58.17\00:07:59.51
And that's where the
fascia gets inflamed,
00:07:59.54\00:08:01.94
it hurts a lot and
that could be as simple as,
00:08:01.98\00:08:04.55
because we don't have
support on our ankles.
00:08:04.58\00:08:09.38
You know, it doesn't
have a good blood supply,
00:08:09.42\00:08:11.15
so it takes a long time to
heal that type of inflammation.
00:08:11.19\00:08:15.36
So people that
have that, they have to,
00:08:15.39\00:08:17.96
sometimes they put their
feet in boots to rest it,
00:08:17.99\00:08:21.63
sometimes they had
to take short courses
00:08:21.66\00:08:23.90
of
anti-inflammatory medications,
00:08:23.93\00:08:26.77
sometimes they had to
get support on their ankle
00:08:26.80\00:08:30.77
and you saw the foot supports.
00:08:30.81\00:08:33.21
Now there are doctors now, Nick,
00:08:33.24\00:08:34.98
they can actually make
mouldings of your feet, okay.
00:08:35.01\00:08:37.98
We have the
technology now that's exactly
00:08:38.01\00:08:40.32
what type of
foot support you need
00:08:40.35\00:08:42.42
to sort of avoid those problems.
00:08:42.45\00:08:44.05
Yeah, custom orthotic.
00:08:44.09\00:08:45.42
Custom orthotic, that's a
very common cause of foot pain,
00:08:45.45\00:08:48.29
that's the fashion gets in.
00:08:48.32\00:08:49.72
Now another thing that
happens is the tendons,
00:08:49.76\00:08:52.29
the tendons can get inflamed.
00:08:52.33\00:08:54.00
Okay.
00:08:54.03\00:08:55.36
And we call that
tendonitis, you know,
00:08:55.40\00:08:56.73
just moving the tendon a
lot, sometimes we see that
00:08:56.77\00:08:59.97
people that work
at the gym a lot,
00:09:00.00\00:09:01.74
they might be going and
doing lot of treadmill work,
00:09:01.77\00:09:04.21
repetitive work,
00:09:04.24\00:09:05.57
where the tendons
have to work over and over,
00:09:05.61\00:09:07.48
a lot of runners,
sometimes get tendonitis
00:09:07.51\00:09:10.21
where the tendons get inflamed,
00:09:10.25\00:09:12.38
that's a very painful condition,
00:09:12.41\00:09:14.05
of course, the best
treatment is to rest,
00:09:14.08\00:09:17.15
if rest doesn't work
00:09:17.19\00:09:18.52
then they can take short courses
00:09:18.55\00:09:19.89
of anti-inflammatory,
00:09:19.92\00:09:21.26
if it's getting
in the severe cases,
00:09:21.29\00:09:22.62
they inject
steroids into that area,
00:09:22.66\00:09:24.79
'cause steroids help
cut down the inflammation.
00:09:24.83\00:09:27.73
Now, of course,
00:09:27.76\00:09:29.10
one of the largest
causes of foot problems
00:09:29.13\00:09:31.40
is just trauma to the foot.
00:09:31.43\00:09:33.10
You know, the foot just...
00:09:33.13\00:09:34.47
Sprained ankles
and that kind of thing?
00:09:34.50\00:09:35.84
Yeah, it gets hurt, you know,
you're running, it gets hurt,
00:09:35.87\00:09:38.07
those type of problems.
00:09:38.11\00:09:39.44
Right.
00:09:39.47\00:09:40.81
If you think about the
structures in the foot,
00:09:40.84\00:09:42.18
we've talked
about the blood vessels,
00:09:42.21\00:09:43.55
there's also nerves in the
feet and if nerves get damaged
00:09:43.58\00:09:47.75
on repetitive use,
00:09:47.78\00:09:49.12
sometimes things in
the foot get squished,
00:09:49.15\00:09:52.62
you've heard of
things like neuromas, okay,
00:09:52.65\00:09:55.42
those are nerve
tissues, diabetes is a condition
00:09:55.46\00:09:59.16
that damages the
nerves of the feet as well.
00:09:59.19\00:10:01.86
Usually, they have a
lot of burning on the sides
00:10:01.90\00:10:04.00
of the foot when you
have, you know, nerve problems.
00:10:04.03\00:10:06.94
Okay.
00:10:06.97\00:10:08.30
A lot of people have
cheilosis on their feet,
00:10:08.34\00:10:10.01
because if
things not rubbing well,
00:10:10.04\00:10:12.04
you get a foot that's too
dry, that's a problem, then,
00:10:12.07\00:10:15.34
you know, socks rub on it,
00:10:15.38\00:10:17.95
here's a medical delusion gout,
00:10:17.98\00:10:19.65
that's typically when
at the base of the big toe,
00:10:19.68\00:10:22.22
you get uric acid crystals,
00:10:22.25\00:10:24.55
the uric acid
crystals deposit there,
00:10:24.59\00:10:27.06
create a lot of pain as well
00:10:27.09\00:10:28.69
and one of the
most common places
00:10:28.72\00:10:30.43
is the base of the big
toe, we call that gout.
00:10:30.46\00:10:33.63
Have you heard of bunions? Yeah.
00:10:33.66\00:10:35.43
Okay, bunions are on the
side, you get these grows
00:10:35.46\00:10:38.17
on the side of your foot
00:10:38.20\00:10:39.63
because the toes
are in that position,
00:10:39.67\00:10:42.87
this area 'cause
constant rubbing,
00:10:42.90\00:10:46.07
it can get big and it can
hurt quite a bit and of course,
00:10:46.11\00:10:49.21
that sometimes you
have a bunionectomy,
00:10:49.24\00:10:51.31
that's where they
surgically cut that bunion off.
00:10:51.35\00:10:53.75
You've talked about
the ingrown toe nail,
00:10:53.78\00:10:55.78
that's a pretty common
thing for people to have
00:10:55.82\00:10:57.75
and that can happen
00:10:57.79\00:10:59.12
just because people
don't cut their toes very well.
00:10:59.15\00:11:01.56
Yeah, the toe
nails, right. Yeah.
00:11:01.59\00:11:02.92
Yeah.
00:11:02.96\00:11:04.29
A lot of people have sweaty feet
00:11:04.33\00:11:05.86
and they can't keep
the sweat out of the feet,
00:11:05.89\00:11:07.76
so fungus and
different types like that
00:11:07.80\00:11:09.56
can grow inside the toe nails
00:11:09.60\00:11:11.17
and get a fungal
toe nail infections.
00:11:11.20\00:11:14.17
So there's lots
of different problems
00:11:14.20\00:11:16.60
that can happen to the
feet that could be secretory
00:11:16.64\00:11:18.97
but I think the big,
the big picture we want,
00:11:19.01\00:11:21.24
if you have foot
pain that won't go away,
00:11:21.28\00:11:24.41
see your doctor and
concentrate on, you know,
00:11:24.45\00:11:27.62
we talked to Dr. Haag
about how to pick a good shoe?
00:11:27.65\00:11:31.45
And we're gonna go over that
00:11:31.49\00:11:32.95
a little bit
more in greater detail
00:11:32.99\00:11:35.22
but feet are so important
and you've gotta use your feet,
00:11:35.26\00:11:38.03
you've gotta exercise them
00:11:38.06\00:11:39.53
but you've gotta keep
your whole body healthy,
00:11:39.56\00:11:41.50
that will also help
keep your foot healthy.
00:11:41.53\00:11:43.53
That's right, we don't want
you to be stubborn like I was
00:11:43.57\00:11:45.50
before I went to see Dr. Haag.
00:11:45.53\00:11:47.70
We've got more on foot
pain coming up in just a moment,
00:11:47.74\00:11:49.87
so stay with us and Dr.
Marcum is gonna help us learn
00:11:49.90\00:11:51.97
a lot about
caring for those feet.
00:11:52.01\00:11:53.68