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Sunday, August 6, 2017

Secrets to Keep Moving: Correct timing

     We all have our secrets. But, we are obligated to let them out when others could benefit from them. This is where secrets and mere gossip separate. In my book entitled "Secrets to Keep Moving: A Guide from a Podiatrist", I try to spread some of the foot secrets out into the world. I feel that the truths spoken are only secrets because the new generation docs with high tech, short appointment times, etc, have removed anything that takes time, experimentation, low tech, apparently invented by someone old, and thrown it out the window. 
     One of the secrets we should talk about today, as I will try to weekly expand on these ideas, is timing. Yes, timing as meaning "what is the order of events that should happen for the patient to get better". This brings me to some of the Golden Rules of Foot of rehab. These would include: 
  1. Create a pain-free (0-2 pain level) environment as soon as possible
  2. Start some sort of strengthening exercises the day before you got hurt or very very soon
  3. Weight bearing is so important for healing that there must be a great reason to non-weight bear
  4. Always work on 2 causes of pain--the mechanics of the injury or getting well and the inflammatory pain
  5. Always work on the 3rd cause of pain--neuropathic-- when there is nerve involvement or nerve symptoms. 
  6. If the bottom of the foot is sore, try to off weight the area with padding.
  7. Get xrays if the pain has been two weeks old, and someone thinks a fracture may have occurred
  8. Get an MRI if the pain is over 2 months old, and not showing improvement.
I will continue going along these lines as the weeks progress. Please sign up to follow this blog and send questions to Thanks Rich


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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.