Make the Switch from Sandals to Shoes Safely

  • By Ruth Ann Cooper
  • 22 Sep, 2016

 Even though it seems summer may last forever in Cincinnati, we know autumn is just around the corner.  As you transition from summer sandals and bare feet to shoes and socks for the fall. Keep in mind that this change can cause foot problems.  Contact my office if you experience any of the following issues after you switch to fall shoes.

  • Ingrown Toenails

Wearing enclosed or improperly sized shoes can lead to ingrown toenails. Trim your toenails straight across and wear shoes that are not too tight in the toe box. Extra-depth shoes are available for sale in my office for my patients who are diabetic or need extra room in the toe box.

 

  • Irritated Bunions, Bone Spurs & Hammertoes

Constant rubbing on your feet from shoes can irritate existing hammertoes, bunions or bone spurs. Wear socks and properly fitting shoes and consider having your shoe stretched in the areas of irritation to provide relief.

 

  • Neuroma Flare-ups

Tight-fitting, enclosed shoes can trigger neuromas or nerve pain. Make sure your shoes provide enough room in the toe area so your toes are not squeezed or irritated .

 

  • Toenail Fungus

Fungus thrives in dark, moist and warm environments, such as your shoes. To prevent fungal growth, disinfect your shoes and wear different shoes daily to allow your shoes to air out. Also, remove any leftover summer nail polish from your toes. Nail polish seals the nail and traps moisture, which can create a breeding ground for fungus. I offer the Sciton Laser for the treatment of fungus nails as well as nail polish formulated to fight fungus.

Dr. Ruth Ann Cooper

By Ruth Ann Cooper 20 Jul, 2017

With warm weather in full swing, most of us have been enjoying the outdoors, whether that means tending to our yards and gardens, playing recreational sports or spending time at the beach. However, it takes just one wrong step for summer fun to turn into a painful ankle sprain or fracture. Walking, running and playing on uneven surfaces, such as grassy lawns, beaches and hiking trails, leave us susceptible to ankle trauma. Lightweight,  unsupportive summer footwear, such as sandals or flip-flops, make it even more difficult for us to regain balance on uneven surfaces.

 Sprains are one of the most common ankle injuries, but how can we tell if ankle pain is a sprain or a fracture? An ankle sprain is an injury to one or more of the ligaments in the ankle. These ligaments are like rubber bands that stabilize the ankle and limit the side-to-side motion. When these ligaments are stretched or torn, which can happen, for example, when the ankle is suddenly twisted, a sprain results. A fracture can also occur when the ankle is rolled under and the ankle is twisted. In this case, one or more bones may break or the ligament may pull a piece of bone off when it tears.

 When you have an ankle sprain, rehabilitation is crucial and it starts the moment your treatment begins. Treatment of ankle fractures depends on the type and severity of the injury. If you suffer from an ankle injury, follow the R.I.C.E (Rest, Ice, Compression, Elevation) protocol and contact my office for a proper evaluation or seek care at your local Emergency Department after hours. In some case, surgery may be necessary to repair the fracture and other soft-tissue related injuries, if present.


  If you or a family member suffer a sprained or fractured ankle this summer, follow these steps:   

  1.       Stay off it. Walking with a sprain or fracture can cause further damage.

2.       Ice It.   Make an ice pack by wrapping a bag of frozen vegetables in a lightweight towel. Do not apply the ice pack for more than 20 minutes each hour.

3.       Wrap It.   A loosely applied elastic bandage can help stabilize the ankle and can reduce swelling.

4.       Elevate it.   Lie with the leg on a pillow so that the ankle is above the level of your heart. This will help with pain and swelling.

5.       Call my office.   Prompt diagnosis and treatment are important in a successful recovery.

By Ruth Ann Cooper 14 Jun, 2017

  1. Wear comfortable shoes to the airport. You never know how long you will wait in line, how far you will walk to a terminal or if you will need to run to make a connecting flight. Loose fitting flip-flops and sandals increase your risk of tripping, falling and spraining your ankle. Sprains should be evaluated by a foot and ankle specialist within 24 hours to ensure proper healing.
  2. Wear socks with your comfortable shoes.   Not only do socks protect skin from shoe friction that can cause blisters and calluses, they also keep you healthy. Walking barefoot through an airport metal detector exposes your feet to bacteria and viruses that could cause plantar warts and fungus.
  3.   Avoid bringing new shoes on vacation.   If your vacation includes walking tours, hiking or dancing, wear worn-in shoes that support and cushion your feet.
  4. Check your children’s shoes for fit and comfort.   Make sure their shoes are not too big or too small and ensure that they provide proper arch support and shock absorption.
  5. Pack flip-flops or sandals and wear sparingly. Use them in place of walking barefoot in locker rooms and around pools, where you may pick up athlete’s foot, a plantar wart infection or toenail fungus.
  6. Pack an antifungal cream or powder.   Use an antifungal product to help prevent athlete’s foot if you are staying in a hotel or swimming in public pools.
  7. Place a towel on the floor before entering the shower or bathtub.   The towel will help prevent slipping when you exit and will also help dry toes and protect them from infection.
  8. Stretch your legs and pump your feet if you are traveling more than two hours.   This will help circulate your blood to prevent dangerous blood clots in your legs known as deep vein thrombosis (DVT)
  9. Consider wearing compression socks on the aircraft.   These can help prevent blood clots and DVT by pushing the blood through the legs and back to the lungs and heart.
  10. Pack a small first-aid kit. If you develop a blister on your foot, clean your foot with saline solution, apply a small amount of antibiotic cream to the blister and cover it with a Coverlet bandage, Band-Aid or gauze. If you suffer a puncture wound, see a foot and ankle specialist within 24 hours for professional cleaning of the wound to prevent infection and other complications.

By Ruth Ann Cooper 22 May, 2017

What lies hidden in the grass, dirt or sand can definitely wreak havoc on bare feet. From nails, shards of glass, slivers of wood, pieces of seashell at the beach, thorns from trees and plants or sometimes discarded toothpicks, each can puncture the skin of the foot and cause serious injury. Even after the object has been completely removed from the foot, any dirt or bacteria pushed into the wound from the puncture can lead to an infection, painful scarring or even a cyst. Any puncture wounds should be promptly treated in my office within 24 hours.

Besides hidden dangers, “everyday childhood injuries” can also interrupt a summer break. Protect your children’s feet from traumatic injuries, such as bicycle injuries and lawn mower accidents, by making sure they wear sturdy shoes while riding a bike or when cutting the grass.

Do not discount sunburn on the feet. Protect your children’s feet from the sun’s harmful rays by applying sunscreen to the tops and bottoms of their feet. Feet, like shoulders, burn faster than the rest of the body since they are most perpendicular to the sun’s rays. Not only is sunburn of the feet painful, it can also cause skin cancers that often go unnoticed until they become very serious.

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