Welcome back to the program.
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I'm Nick Evinson
here with Dr. James Marcum
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of Heartwise Ministries
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and we'd like you
to visit our website
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at Heartwiseministries.org,
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there are Dr.
Marcum's blog articles there,
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you can read,
learn more about health.
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We also have,
ask the doctor page
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where you can ask your questions
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and we also
encourage you to get on there
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and ask for
your prayer requests.
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We pray weekly for those
who write in their requests
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and we take it,
as quite a privilege
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that people put their requests
there for us to lift up to God.
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And, Dr. Marcum,
today we're talking about
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the sources of foot pain.
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Yeah, and we're
doing this pain series
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and we've talked about
different parts of the body,
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and feet are definitely a part
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that cause pain
to lot of people.
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And we've talked a little
bit about some of the things
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that we need to
do for feet and foot,
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I keep saying that the wrong way
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but when you think about it,
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you know, we want to do things
that keep our feet healthy,
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so we don't need to
put trauma on our foot
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and then when we do have trauma,
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we want to do things
that get it well, right away.
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And if we think
about little things
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that we can do on a daily basis,
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we want to keep our
entire bodies healthy,
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that's gonna help our feet.
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We want to give good foot wear,
keep our feet clean, you know,
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not have a lot of
other health problems
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and then when we
notice we have a foot problem,
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we want to deal with it quickly
and we've met a podiatrist,
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Dr. Cheryl Haag
and she is a podiatrist
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and that's a doctor
specialized in feet,
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and they could help
you get through foot pain
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hopefully before it
becomes a big problem.
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And I'm glad you've
mentioned our website, Nick,
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there's a lot of neat things
there are that people can go to
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and right now,
one of the nice things
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about the website
is if you're interested
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in helping your
fellow man, you know,
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we're a place
where people can get on
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and give health information
but they can share it
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on their blogs, their websites.
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That's right.
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We're making one
minute radio spots,
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we're also gonna give
one minute television spots,
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so they can go back
and listen to a lot of
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radio programs
about their health,
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so this is a good
place where people can
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grow in their
health because, you know,
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when people become healthy,
I mean, sort of, they realize,
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you know, my health's
important and it's sort of...
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The physical and
spiritual goes together.
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And whenever
anyone starts having pain,
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you know, we've
talked about this before,
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it puts stress on the body.
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That's right, yeah.
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And if you have
pain all the time,
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guess what, you know,
if you have foot pain,
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you don't sleep well,
if you don't sleep well,
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that puts more
stress on your body,
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it may be you eat comfort foods.
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That's right.
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You know, no one
wants to eat, you know,
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but you'll start eating poorly,
you don't exercise as much
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and some people get
in the medicine routine,
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"Oh, I'm gonna take a medicine,
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just so I can walk
and feel better..."
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"And keep the
inflammation down."
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Yeah.
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And then, you know,
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not too longer I wrote the book,
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"Medicines that kill,"
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and long term medications
all have side effects.
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Some have
dangerous side effects.
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So I'm glad we're getting
the message out here today,
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and I heard we have some
questions that come in...
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That's right,
that's right, we do.
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Our first person writes in,
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what can I do to
prevent a foot problem?
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Okay, that's a great one.
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So I guess we would address this
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to a baby, you know,
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what can I do over
the course of the life
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to lower my risk of foot?
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Well, I think that Dr.
Haag made a great footwear,
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we have to have the
appropriate footwear.
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Right, and I think she point out
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specifically
sandals and footwear
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that doesn't give good support.
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Yeah, it's not gonna be
a good thing and, you know,
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I had a patient once
that had high heel shoes
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and that really
damaged her life,
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you know, you
wanna have, you know,
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you don't wanna
confine your feet,
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you wanna give
them room to breeze,
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so I think in
keeping the foot healthy,
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nice footwear,
we wanna have that.
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I mean, other thing
that's very important
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for the foot is water, okay?
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A large percentage of
the foot is made of water.
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If you're
dehydrating, guess what happens?
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The skin gets
dry, starts to crack,
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higher risk of infection.
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Rubs on the
shoes, you're more likely
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to get cheilosis
and those type of thing,
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that's an important thing.
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You don't wanna put things
on your foot that's too tight,
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you don't wanna
squeeze them to death.
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That messes up the circulation.
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Yes, and it can
damage the nerves,
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you know, damages nerves
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when you press
on things too much,
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that's never a good thing.
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Other things that
help us exercise the feet,
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you know, feet
need exercise too.
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Moving, walking,
stretching the feet,
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stretching the
tendons, the ligaments,
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the different parts of the feet.
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One of the things
that a lot of people
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don't realize is
that, feet support the body.
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If you carry too much weight,
guess what that's gonna do?
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Be harder on your feet.
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Yes, heavy people, lot
of stress on the feet and,
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you know, you might be
able to do it on the short term
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but week after
week, year after year,
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all that extra
pressure on the foot,
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the foot part
starts to wear out quicker.
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Right.
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Unfortunately,
when your feet wear out,
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you cannot be ambulatory,
you can't move around
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and you start to
lose your independent.
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What are other things?
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Standing too long,
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you don't wanna stand
too long in one position.
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That's gonna hurt your feet
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because of the
continued wear and tear
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of the ballets
mechanisms that you have to do.
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Another thing that can
help prevent foot problems is
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when your toes are
actually in your shoe,
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move your toes.
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Right, sure...
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And move your
toes every so often.
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Some people like to wear
the same shoe all the time
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but giving your foot a
different look, you know,
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of course,
sometimes we have fungus
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in different shoes
that goes from foot to foot.
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We don't want to
have fungus foot shoes
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and so that's another thing,
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change your shoes
on a regular basis.
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Stand on carpet,
instead of hard things
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that might help support up.
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At the end of
day, prop up your feet,
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let your feet do
some resting and massage.
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Massage is another good
thing we can do for the foot.
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And then of course,
in general be healthy,
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especially diabetes.
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Diabetes hurts the
circulation of the foot,
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hurts the nerves of the foot,
so we want to avoid diabetes,
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so just avoiding
diabetes, obesity, big shoes,
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all these things are
just little things we can do
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to prevent foot problems.
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And then we do
have a foot problem,
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identify what the problem
is and get help right away.
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But a lot of time
the feet will get better
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just by proper shoe
wear, proper exercise,
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getting enough rest
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and that's really many
times all that's needed.
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Now if you don't
pay attention to that
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and you continue
to wear and tear,
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that's when they go on
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to need surgery
and larger things.
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Right.
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Now you've
mentioned something about
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finding the right kind
of shoe and good support.
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Yeah. What does that mean?
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What does that look
like, shoe with good support?
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Well, yeah, what does
a good shoe look like?
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Well, first of
all, you wanna make sure
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you're getting in
the right size of shoe.
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So you wanna
measure your shoe, you know,
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your shoe size in the evenings
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'cause that's
when your foot expands,
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so measure your
foot in the evening
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as when your foot,
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you wanna get
shoes that are wide,
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wide shoes so you have
plenty of room, move your toys,
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you actually wanna
avoid heels if you can,
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you know, this high heels shoes.
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That puts pressure on
different parts of the foot,
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puts extra strain
on different ligaments
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that you don't really need.
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You want to try to
avoid pointy shoes,
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you know, they squish
all your toes together.
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Toes together, right.
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'Cause remember, we talked about
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when the first toe
squeezes the second toe,
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it's a setup for
bunions, don't want that.
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You want, as you said,
you want a roomy shoe with...
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You want a stiff shoe
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that doesn't have
too much flexibility,
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about the toe shift
and you wanna have support
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that helps the
planar structures.
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We talked about what shoes
to avoid, we wanna avoid flats.
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There's no arch support there.
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We wanna have some
shoes that will allow air in,
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allow your foot
to breathe, you know,
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if you think back,
the original design,
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do you think in
the garden of Eden
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that there were shoes?
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No.
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Do you think they
went on bare foot?
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Yeah, bare foot, obviously.
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Yeah, they breathe
and then when they,
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after that they went
to sandals, you know,
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we didn't get all these,
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I don't think fancy footwear
for quite a few years, so...
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Now do you think,
back in those times,
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that they were using
their feet as intended
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and they were up
on their feet more?
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And so that
benefited their feet.
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Yes, I think that the
original plan was to be up
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and moving and
exercise our feet,
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I'm sure they didn't have
00:08:05.88\00:08:07.22
some of these
chronic weight issues
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that we have now today.
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They weren't sitting all day,
the things they weren't doing,
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so their feet were probably
better, overall shape...
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To deal with the
complexities of life.
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So because of the
lifestyle we have now,
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we're rather sedentarian,
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we're not up
working on our feet a lot,
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our feet can't
handle being barefoot,
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we need that
support, a lot of us.
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I think that's a good
support and, you know,
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you remember she said,
cushioning in the shoes,
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especially for arch support
was a very important thing
00:08:32.74\00:08:35.81
and I think another
thing that's helpful for feet
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is having some traction
on the bottom of the shoe,
00:08:37.58\00:08:40.62
you know, so
you're not sliding a lot.
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Yeah.
00:08:42.32\00:08:43.65
Now those are just some
general things to look for
00:08:43.69\00:08:45.12
when you're buying a
shoe but how many people
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when they look for a shoe,
00:08:46.86\00:08:48.19
they don't think about
the foot health, they think,
00:08:48.22\00:08:49.92
let me pick
some that looks good.
00:08:49.96\00:08:51.29
Let me get the color right.
00:08:51.33\00:08:52.66
Yeah, let me look
good but how about this,
00:08:52.69\00:08:54.03
whatever is the
coolest shoe out there...
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Right, that's right, yeah.
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Whether it's a good shoe or not,
00:08:56.80\00:08:58.13
I'm gonna get that shoe
because it's a cool shoe,
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you know, I'm gonna get this
'cause this is what expecting,
00:08:59.53\00:09:01.54
it makes me look
good but I would tell you
00:09:01.57\00:09:03.91
over the long
haul, day in, day out,
00:09:03.94\00:09:05.97
if you put
pressure on your feet,
00:09:06.01\00:09:08.28
that shouldn't be
there and sort of,
00:09:08.31\00:09:09.84
going against
the original design,
00:09:09.88\00:09:11.61
our foot was never
designed to be cramped,
00:09:11.65\00:09:14.02
it was never designed
to have all this stuff
00:09:14.05\00:09:16.22
we're doing to it,
over a long period of time,
00:09:16.25\00:09:18.65
it puts trauma,
damages the foot,
00:09:18.69\00:09:21.06
the foot has long term problems.
00:09:21.09\00:09:22.66
What about people
that have a flatfoot?
00:09:22.69\00:09:24.79
Is there a flat
shoe with no arches?
00:09:24.83\00:09:27.50
Is that okay for them?
00:09:27.53\00:09:29.10
Well, there is a condition
known as flatfeet, you know,
00:09:29.13\00:09:30.47
where people have flatfeet,
00:09:30.50\00:09:31.83
they end up
getting arch support,
00:09:31.87\00:09:33.30
to support their
arch, so they do better.
00:09:33.34\00:09:36.00
And, you know, we do that
some great technology now,
00:09:36.04\00:09:38.34
where we can get special
shoes, that breathe easier
00:09:38.37\00:09:41.28
you know, the
diabetics have special shoes
00:09:41.31\00:09:43.51
and I recommend
them getting those shoes,
00:09:43.55\00:09:46.25
makes it less
likely get a small crack
00:09:46.28\00:09:49.82
in their foot or
whatever but I think
00:09:49.85\00:09:51.75
everyone needs to
just pay attention
00:09:51.79\00:09:53.79
to their feet
00:09:53.82\00:09:55.16
and give it a
little bit more care
00:09:55.19\00:09:56.52
and prevent some
of these problems
00:09:56.56\00:09:58.06
that we're talking about.
00:09:58.09\00:09:59.43
I know, when I was
doing some training,
00:09:59.46\00:10:01.16
I starting to run, I
learned pretty quickly that
00:10:01.20\00:10:04.10
I need to start
in small increments
00:10:04.13\00:10:05.97
and build up slowly,
00:10:06.00\00:10:07.37
otherwise my feet
just couldn't handle it.
00:10:07.40\00:10:08.74
Right, and your feet,
00:10:08.77\00:10:10.11
remember your feet
have muscles and ligaments
00:10:10.14\00:10:11.47
so they have to get stronger too
00:10:11.51\00:10:13.11
and the blood supply has
to keep up with the demands
00:10:13.14\00:10:15.34
you put on your feet,
feet are lot more complicated
00:10:15.38\00:10:18.81
and, you know, in
our opening you said,
00:10:18.85\00:10:20.38
52 bones...
00:10:20.42\00:10:21.75
That's a lot of bones
and if you think about it,
00:10:21.78\00:10:23.79
bones are bones, no
matter where they're at.
00:10:23.82\00:10:26.25
So bones need to be
strong with, you know, calcium
00:10:26.29\00:10:28.96
and there's a
certain amount of things
00:10:28.99\00:10:30.43
you do to keep the bones strong,
00:10:30.46\00:10:31.86
we've talked about that,
before you move the bones,
00:10:31.89\00:10:33.73
your water, vitamin
D, you hydrate yourself,
00:10:33.76\00:10:36.70
get lots of calcium,
00:10:36.73\00:10:38.07
lots of those
electrolytes that do it,
00:10:38.10\00:10:39.87
keep the blood
supply to the bone healthy
00:10:39.90\00:10:42.24
and keep working the bone.
00:10:42.27\00:10:43.77
And I think that's
one of the big things is,
00:10:43.81\00:10:45.51
we don't work our
bones like our ancestors did.
00:10:45.54\00:10:48.11
Right.
00:10:48.14\00:10:49.48
And because of that,
00:10:49.51\00:10:50.85
we're seeing
more chronic disease.
00:10:50.88\00:10:52.21
Yeah, we got another viewer
00:10:52.25\00:10:53.58
that writes in
with the question,
00:10:53.62\00:10:54.95
they ask, what are the
options for toe nail fungus?
00:10:54.98\00:10:57.12
You know, Nick,
00:10:57.15\00:10:58.55
that is probably the
number one all time question
00:10:58.59\00:11:01.79
that comes in to
Heartwise Ministries.
00:11:01.82\00:11:03.66
It's a big problem, huh.
00:11:03.69\00:11:05.26
Toe nail fungus, yeah,
00:11:05.29\00:11:06.63
no one likes to look down
into a toe and see a fungus.
00:11:06.66\00:11:09.06
Right.
00:11:09.10\00:11:10.50
And unfortunately, you know,
00:11:10.53\00:11:11.90
this is sort of a two
part answer, you know,
00:11:11.93\00:11:14.74
and there is a lot of
different home remedies
00:11:14.77\00:11:17.07
that have been used, you know,
00:11:17.11\00:11:18.44
I've heard things
from Vicks vaporub,
00:11:18.47\00:11:21.21
wrapping it in that to some
anti fungus medicines in that,
00:11:21.24\00:11:26.72
the party line is that
most of podiatrists recommend
00:11:26.75\00:11:29.45
a short course of
antifungal medication.
00:11:29.48\00:11:31.95
Okay.
00:11:31.99\00:11:33.32
Now the antifungal
medications can hurt the liver,
00:11:33.36\00:11:35.99
so they have to
monitor the liver.
00:11:36.02\00:11:38.33
And at the same time, if
you get rid of the fungus,
00:11:38.36\00:11:40.90
you have to get rid of
the cause of the fungus,
00:11:40.93\00:11:43.57
so you have to make sure
you're not passing fungus
00:11:43.60\00:11:45.93
from shoe to shoe and
they usually recommend
00:11:45.97\00:11:47.67
some ultraviolet
lighting that they can put in,
00:11:47.70\00:11:50.17
that will kill
fungus in the shoes.
00:11:50.21\00:11:51.84
Okay.
00:11:51.87\00:11:53.21
Recommend different shoes,
different changing of the,
00:11:53.24\00:11:57.55
whatever sock
type wear you're doing
00:11:57.58\00:11:59.75
and also keeping
the feet fairly dry,
00:11:59.78\00:12:02.68
so in addition to
give the medicine,
00:12:02.72\00:12:04.05
they recommend
those things as well.
00:12:04.09\00:12:06.32
There is some
other home remedies,
00:12:06.35\00:12:08.16
I'm not sure, they've
never had scientific studies
00:12:08.19\00:12:10.23
that show they help
well but it's a big problem.
00:12:10.26\00:12:13.53
Now, the problem is if
one toe nail is infected,
00:12:13.56\00:12:16.43
the fungus can jump
to another toe nail.
00:12:16.46\00:12:19.03
Now another
thing you can always do
00:12:19.07\00:12:20.40
is have the whole toe nail
and the toe bed removed as well
00:12:20.44\00:12:23.77
and that's an option as well,
00:12:23.81\00:12:25.17
but this is a big
problem but right now,
00:12:25.21\00:12:27.51
they're using medicines
for a short period of time,
00:12:27.54\00:12:30.35
that's monitored closely
then getting rid of the cause
00:12:30.38\00:12:32.91
of the fungal infection,
00:12:32.95\00:12:34.58
otherwise you take the
medicine and guess what?
00:12:34.62\00:12:36.38
The fungus come back.
00:12:36.42\00:12:37.75
Yeah, you know, Dr.
Haag actually mentioned
00:12:37.79\00:12:39.12
one other thing to me
00:12:39.15\00:12:40.49
that didn't make
it into the video,
00:12:40.52\00:12:41.86
if you wear socks that
are just white cotton socks,
00:12:41.89\00:12:43.69
that don't have a dye in
them, that sometimes can help
00:12:43.73\00:12:45.56
'cause sometimes the dye
can interact with the foot
00:12:45.59\00:12:48.66
and make your feet sweatier.
00:12:48.70\00:12:50.37
It's like a little
bit of problem itself.
00:12:50.40\00:12:51.73
Yeah, and feet really
aren't made to retain sweat.
00:12:51.77\00:12:54.20
'Cause when it
retains moisture, you know,
00:12:54.24\00:12:56.10
that's where bugs like to
live and things like to grow
00:12:56.14\00:12:59.07
and this little things
like that and just, you know,
00:12:59.11\00:13:01.68
simple things as making sure
00:13:01.71\00:13:03.04
your toe nails
are cut correctly.
00:13:03.08\00:13:04.71
That's a very
important thing as well.
00:13:04.75\00:13:06.18
And that queues
our next question here,
00:13:06.21\00:13:07.55
is surgery usually recommended
for an ingrown toe nail?
00:13:07.58\00:13:10.52
Well, everyone handles
ingrown toe nails differently
00:13:10.55\00:13:13.69
and I've had friends that will
try to plough their nail out
00:13:13.72\00:13:17.09
and do everything they can
00:13:17.13\00:13:18.79
but, you know, you're in trouble
00:13:18.83\00:13:20.16
when it gets infected
00:13:20.20\00:13:21.53
and it hurts a lot of
lot, but I say, you normally,
00:13:21.56\00:13:24.47
they can do some
things that, you know,
00:13:24.50\00:13:25.93
to get it taking
care of by podiatrist,
00:13:25.97\00:13:28.37
then get them to teach you
how to cut the nail correctly,
00:13:28.40\00:13:31.27
but I would go to
podiatrist for that
00:13:31.31\00:13:32.97
'cause you could actually
get an infection of the toe
00:13:33.01\00:13:35.54
if you don't get
that taking care of well.
00:13:35.58\00:13:37.21
Yeah, and that can be a
really sensitive area too,
00:13:37.25\00:13:39.35
if you get an ingrown
toe nail and it's infected,
00:13:39.38\00:13:41.55
it hurts a lot.
00:13:41.58\00:13:43.22
It hurts a lot and then makes it
00:13:43.25\00:13:44.59
that much, you know,
00:13:44.62\00:13:45.95
if you cut it right
and get the, you know,
00:13:45.99\00:13:47.39
they put some medicine on it
00:13:47.42\00:13:48.76
that helps it
from curling under it,
00:13:48.79\00:13:50.13
that's a thing to do.
00:13:50.16\00:13:51.73
Yeah, well, Dr. Marcum,
thank you for all the advice
00:13:51.76\00:13:53.70
and thoughts on foot pain.
00:13:53.73\00:13:55.33
My pleasure and the
big take home point is,
00:13:55.36\00:13:57.63
you know, try to take
care of your feet, you know,
00:13:57.67\00:14:00.37
get back to the original
plan and when there's a problem,
00:14:00.40\00:14:02.84
get it taken care
of as quick as you can
00:14:02.87\00:14:04.87
and try to keep the
over all body healthy
00:14:04.91\00:14:07.14
that'll help keep
the foot healthy as well.
00:14:07.18\00:14:09.28
Right, and we wanna invite
you if you have questions,
00:14:09.31\00:14:11.85
visit Heartwiseministries.org
00:14:11.88\00:14:14.28
where you can
ask and get answers
00:14:14.32\00:14:15.92
for your health questions
00:14:15.95\00:14:17.29
and also put your
prayer requests on there
00:14:17.32\00:14:18.79
and we'll pray
for you every week,
00:14:18.82\00:14:20.36
we'll be back in just a moment.
00:14:20.39\00:14:21.72
We have been
talking about the feet
00:14:31.53\00:14:35.07
and what are the take home
points we must remember today,
00:14:35.10\00:14:38.27
well, I think from
listening to the program,
00:14:38.31\00:14:40.94
you'd have to say, we
have to have good shoes.
00:14:40.98\00:14:43.98
Shoes that take care of our feet
00:14:44.01\00:14:46.11
and we have to spend more
time on choosing those shoes
00:14:46.15\00:14:50.29
and don't worry about
00:14:50.32\00:14:51.65
if it costs a
little extra money,
00:14:51.69\00:14:53.02
it's better to have
your feet feeling well
00:14:53.05\00:14:54.99
than have the latest in fashion.
00:14:55.02\00:14:57.69
Another important thing
00:14:57.73\00:14:59.09
is keep your
entire body healthy,
00:14:59.13\00:15:01.73
this will also
help keep your feet
00:15:01.76\00:15:03.93
the healthiest they can
be, no one likes chronic pain
00:15:03.97\00:15:07.47
and if your feet are
hurting all the time,
00:15:07.50\00:15:09.50
even though it might not
be an immediate danger to you,
00:15:09.54\00:15:12.57
you need to see about
getting that checked out,
00:15:12.61\00:15:15.58
the doctor that does
that is a podiatrist.
00:15:15.61\00:15:18.48
I wanna pray with you today.
00:15:18.51\00:15:20.42
Father God, please be with
us as we care for our bodies,
00:15:20.45\00:15:23.85
we hope that no one has pain
00:15:23.89\00:15:25.45
and just keep us in
your love is our prayer.
00:15:25.49\00:15:28.09
Amen.
00:15:28.12\00:15:29.96
Please join us again,
check our website out,
00:15:29.99\00:15:32.59
that's Heartwiseministries.org,
wishing you the best of health.
00:15:32.63\00:15:36.87