Your feet, like other specialized structures, require specialized care. A doctor of podiatric medicine can make an important contribution
to your total health, whether it is regular preventive care or surgery
to correct a deformity.
Neuroma An irritation of a nerve may produce a neuroma, which is a benign enlargement of a nerve segment, commonly found between the third and
fourth toes. Several factors may contribute to the formation of a
One of your physicians will help you determine your proper walking heart
rate. Heart rate is widely accepted as a good method for measuring
intensity during walking and other physical activities. The formula says
that subtracting your age from the number 220 yields your maximum heart
rate (beats per minute), and that the proper walking rate is 60-70
percent of that number. For a 50-year-old, that's 220 minus 50 equals
170; 60 percent of that is 102 and 70 percent is 119. Other factors
should be considered, though; a physician's advice is the best indicator
of your correct rate.
The third type of orthotic device (semirigid) provides for dynamic balance of the foot while walking or participating in sports. This
orthotic is not a crutch, but an aid to the athlete. Each sport has its
own demands and each sport orthotic needs to be constructed
appropriately with the sport and the athlete taken into consideration.
This functional dynamic orthotic helps guide the foot through proper
functions, allowing the muscles and tendons to perform more efficiently.
The classic, semirigid orthotic is constructed of layers of soft
material, reinforced with more rigid materials.
Dr. Steven C. Nielson Bio
To relieve the abusive effects of high heels, women can limit the time
they wear them, alternating with good quality sneakers or flats for part
of the day.
They can also vary heel height. There are comfortable and attractive “walking” pumps (also called “comfort” or “performance” pumps) for work
and social activities, that blend fashion considerations and comfort.
These pumps offer athletic shoe-derived construction, reinforced heels,
and wider toe room.
Arthritis may be treated in many ways. Patient education is important.
Physical therapy and exercise may be indicated, accompanied by
medication. In such a complex disease system, it is no wonder that a
wide variety of drugs have been used effectively to treat it; likewise, a
given treatment may be very effective in one patient and almost no help
at all to another. Aspirin is still the first-line drug of choice for
most forms of arthritis and the benchmark against which other therapies
The control of foot functions with shoe inserts called orthoses, or with braces or specially prescribed shoes, may be recommended. Surgical
intervention is a last resort in arthritis, as it is with most disease
conditions; the replacement of damaged joints with artificial joints is a
possible surgical procedure.