Tuesday, March 25, 2014

You Can't Run Through a Stress Fracture!

Dr. Adam Thomas

Spring is finally here, and as more and more of you are considering outdoor running, you should familiarize yourself with the associated foot and ankle risks like stress fractures.

What is a Stress Fracture?

A stress fracture is a tiny crack on the surface of a bone or an incomplete fracture. When a muscle is overused, fatigued and no longer able to absorb the shock from impacts, it transfers stress to nearby bones, resulting in fractures.

What causes it?

If an individual is continuously striking their feet on surfaces, while either running or jumping, the risk of causing a stress fracture injury increases. Other causes include participating in athletic activities that increase physical stress, running on irregular surfaces, inappropriate footwear, and improper training.

Although stress fractures are caused by an abnormal force on a normal bone such as a young person running, they are also caused by a normal force on an abnormal bone, like an older person walking regularly. Oftentimes, stress fractures that occur from the latter are the result of bone density loss.

How does it relate to running?

Stress fractures, as a result of athletic activity, are fairly common and runners are especially susceptible to them. In many instances, the runner does not even know that an injury to the bone has occurred. If you feel pain that increases in severity, do
NOT try to “run through the pain.” Continued force on the injured bone can progress the fracture, cause more damage, and worsen the pain.

Where is it common?

A majority of all stress fractures occur in weight bearing bones such as the lower leg and the foot. More specifically, stress fractures can be found in the metatarsal bones of the foot, and they are most common in the 2nd metatarsal because it is the longest.

How do you treat it?

Treatment involves rest which means no more running… until healed. Treatment also includes anti-inflammatory medication and in some cases, a splint or crutches are necessary.

How do you prevent it?

You can lessen the risk of stress fractures by changing your athletic conditioning. Start slowly, gradually increase the intensity of workouts, and avoid doing too much too soon or applying too much force too early.

You should also ensure that you have the proper shoes for the activity- cleats, running shoes, basketball sneakers, etc. They all offer different ankle and arch support, with different gripping capabilities. Try eating foods with the minerals magnesium, calcium, and potassium or foods that have vitamins D and K to improve bone health. Some foods to try are broccoli, nuts, flax seeds, salmon, spinach, bananas, and dairy products.

If you have severe pain that is not going away and believe that you have sustained a stress fracture, please contact your local podiatrist.

Community Foot Specialists - Podiatrists/Foot & Ankle Surgeons Serving Dayton and Springfield, Ohio Call today to schedule your appointment! (937) 426-9500

Wednesday, March 19, 2014

Welcome to Our Blog!

Hi there and welcome to our blog!  In light of Spring and Summer’s near approach, we have decided to relaunch our Community Foot Specialists blog to help address your feet concerns through these seasons (and hopefully beyond).

For those of you who are new to our blog, this is how it works: each week, one of our doctors—Adam Thomas, Belinda Dotter, Bridget Brondon or Allen Guehl—will tackle a current common and/or medical issue related to the foot. These topics could range anywhere from how custom orthotics (shoe inserts) can help with walking habits to how regular visits to your podiatrist can reduce the risk of complications associated with diabetes. All of our doctors are both progressive and current—meaning, you will receive both comprehensive and topical information through this blog.

Ultimately, our goal is to provide relevant and important information to our patients and seekers of podiatric information, locally and nationally. To better serve you, we always encourage our users to send us topics of interest and/or concern, and we will try our best to have one of our doctors cover that topic for you. You can email your topics to . For more information on our practice, our doctors, and what we treat, visit our website:!

Thanks for stopping by our blog, and we look forward to seeing you here next week ☺

Community Foot Specialists 

Community Foot Specialists - Podiatrists/Foot & Ankle Surgeons Serving Dayton and Springfield, Ohio Call today to schedule your appointment! (937) 426-9500

Wednesday, March 5, 2014

Frostbite, Prevention and Treatment.

Dr. Belinda Dotter

This winter has been especially cold for long periods of time, quite different from our past winters that have been on the mild side. Frostbite becomes a risk every time we go out in sub-zero temperatures (and sometimes not even sub-zero temperatures). Frostbite is caused by either prolonged exposure to cold temperatures, or shorter exposures to very cold temperatures.

There are several symptoms of frostbite:  numbness, a pins and needles sensation, severe pain, itching, and burning are all common when the body part is warmed and blood starts flowing again. The skin may look white, grayish yellow, or black with severe frostbite.  Blistering is also commonly seen.

Here are some tips to avoid having frostbite on your toes and feet!

  • The most important action for prevention of frostbite is: Plan Ahead! If you are planning outdoor activities, check the weather forecast frequently, and don’t ignore warnings about storms. Avoid activities, such as hiking and camping in freezing weather, if it’s beyond your experience level.
  • Wear adequate clothing: Layering is key, with the inner layer being a fabric that wicks moisture from the skin. The outer layer should serve as a windbreaker. Mittens provide more protection than gloves. Wear two pairs of socks, with the outer layer being wool. Don’t forget hats and scarves!
  • Increase physical activity when outside to stay warm.
  • Don’t drink alcohol before or during cold weather exposure, since the alcohol may prevent you from realizing that your body is becoming too cold.
  • Don’t smoke! Smoking constricts blood vessels and increases the risk for frostbite.
  • Keep a cold weather emergency kit in the car: extra layers of clothing, blankets, and chemical hand warmers.
Community Foot Specialists - Podiatrists/Foot & Ankle Surgeons Serving Dayton and Springfield, Ohio Call today to schedule your appointment! (937) 426-9500