Most of us are more fitness-conscious these days. We jog, do aerobics, dance. Yet although we might feel healthier s a result, playing sport can have a distinctly unhealthy effect on our feet.
When we run, which we do in nearly all sports, our body weight is multiplied nearly three times, with our feet bearing the brunt of this stress at every stride - over 1,000 per mile per foot. An 11 stone man of average size will process 112 tons of weight through each limb per mile.
Whether you are a professional athlete, or play sport just for fun, the demands made on your feet and lower limbs can lead to a range of injuries, including blisters, sprained ankles, torn ligaments, shin splints, knee pain, low back pain and other joint or muscle problems. Added to these are complaints such as corns, callous and athlete's foot, which may result from over use and exposure in communal changing areas.
Asking 'too much, too soon' of your joints can lead to injuries. Running style, poor footwear and even minor limb length differences can also contribute to injury.
As in all aspects of footcare, prevention is the key. You can help make 'good sports' of your feet by following a few rules:
Minor injuries are best treated by rest, gradually returning to exercise when any pain or discomfort has gone. If there are any cuts, cleanse them and cover with a clean dressing. Leave blisters unopened, if possible. I.C.E. - ice, compression and elevation - helps most minor sprains and strains. Minor ailments such as corns and athlete's foot are easily treated by the Chiropodist.
If the problem is more serious, or if you are in any doubt, it is best to consult a State Registered Chiropodist for advice. He or she can treat a number of acute injuries by applying appropriate strappings and pressure bandages, or by using a range of electrotherapies, such as ultrasound or lasers, to speed up healing.
There is also a lot the chiropodist can do to prevent injuries recurring, or indeed developing in the first place. State Registered Chiropodists are trained in Biomechanics - the study of the application of science to the way we walk or run. They can tell if our particular style may be causing any problems or injuries.
For example, feet normally turn slightly inwards (pronate) or outwards (supinate), when we move. But if we do this excessively, perhaps because we have inherited a structural problem with our feet, they will not function properly, which places abnormal amounts of stress on the lower leg, leading to injury.
The chiropodist will be able to tell if any biomechanical problems exist, by evaluating movement in the lower limbs, measuring angles and range of joint movements, and evaluating how we walk or run, perhaps with the use of treadmill or video. One leg may be longer than the other, and that backpain you've been complaining about may well have its origins in the feet.
State Registered Chiropodists may prescribe corrective appliances (orthoses), moulded to the shape of your foot, which will help the foot function normally and distribute weight more evenly across the foot. Each sport has its own demands, and an appropriate appliance can be made to suit your sporting needs, whether you're a ballet dancer needing 'arch supports', or a marathon runner with a tendency to form blisters.
Orthoses can be worn during training or sport, and should cut down the risk of strains or sprains. Many top class athletes require orthotic therapy. Orthoses, however, are not 'cure-alls', but merely compensate for any structural defects present.
Footwear should be given the same consideration as any other piece of sporting equipment. Sports shoes should protect as much as possible, be durable, and, as mentioned earlier, should be right for the sport and surface. If running, the shoe should have adequate cushioning in the midsole and a flared heel for stability. Lots of people, including a number of our leading sportsmen and women, have one foot longer or larger than the other. Make sure the bigger foot is comfortable within the shoe.
Always remember 'The Rule of Thumb'. When standing in a sports shoe there should always be one thumb's breadth between the end of the shoe and the longest toe.
State Registered Chiropodists will be able to give advice on suitable footwear. They will be able to suggest suitable 'warm up' exercises to ease you gently into your chosen sport, and help prevent injury.
For any further information on caring for your sporting feet, or for details of professionals specialising in this field, contact:
The Society of Chiropodists
53 Welbeck Street
Tel: 071-486 3381
Fax: 071-935 6359
[This is a copy of a leaflet available for free. It is available in
the foyer of Paul
Trickey's clinic, and from the address above.]