Ski boot pain rings…are you listening?

Ski season is in full swing and a long day on the slopes can be exhausting – in a good way. But your après ski pain should be limited to a little post-workout soreness, and not pain from your ski boots. Sometimes described as a good, firm handshake, a proper ski boot fit should provide three things:
 
1.     Free toes
2.     Comfortable, yet fitted instep and shin pad
3.     Snug heels
 
Correct fit can help address many common problems, so be sure to get a proper fitting and avoid buying new boots based on price alone. If you’ve been suffering in your boots for years, maybe it’s time for a new fit. But before you go shopping consider these three common contributors to ski boot pain:
 
1.     Boots too tight or too loose: It seems like an easy thing to get right, but you’d be surprised at how many people wear boots that do not fit. Overly snug boots give you that tingly “pins and needles” feeling and can reduce circulation in the foot. On the other hand, pronation is one of the most common foot presentations, and without the proper stability and support of a secure fit, it can cause extreme pain. Pronation affects several bones in the top of the ankle, and leads to compensation and coping responses that include toe pain from pressure at the front of the boot, cramping arches, numbness, and knee pain from improper foot/leg alignment. A secure fit across the top of the foot is important to help hold pronating feet in place.
 
2.     Ill-fitting footbeds or insoles: We can customize almost any product we buy these days – so don’t overlook this option when buying boots. Stock insoles are for stock feet. Insoles and footbeds provide support for your foot and arches. The less common supinating foot has a tendency to maintain a high arch and faces greater obstacles in proper ski boot fitting because of the rigid nature of the foot. One of the easiest ways to ensure proper arch support is to invest in a custom insole or footbed that meets the needs of your own foot.  
 
3.     Inadequate heel height: if your ankle’s range of motion is limited, or you have tight calves, the height – or ramp – of your heel may need to be raised to you to achieve the proper skiier’s position and pull your toes away from the front of the boot. A heel ramp can be increased in your boot or with binding adjustments – so be sure you are considering their collective position before making changes, and work with a professional who can determine the proper angle for you.
Listen to your feet. If your foot or ankle only hurts in your ski boot, there’s a good chance you can fix the problem by fixing your boot. 

Special Holiday Hours

Special Holiday Hours. Advanced Orthopedic will be closing early, at noon on Tuesday, Dec. 24, and will remain closed until Thursday, Dec. 26, when we will resume normal hours. We will also close early, at 3:00 on Tuesday, Dec. 31 and will be closed on New Year’s Day. No prescription orders or appointments will be booked during this time. Need a prescription refill or update before the holiday? Give us a call now and we’ll be sure to take care of you. 

Glove Drive

We are fortunate to live and work in a wonderful community, and with the holiday season upon us, we have an opportunity to give thanks, and a responsibility to lend a helping hand. This year, we’re sharing the gift of warmth with those hands in need by collecting and donating new and used gloves and mittens for His Hands, a local food and clothing bank. Our staff is making donations between now and December 31st, and we won’t rest until we’ve  collected 200 pairs of gloves! We are also accepting donations at both our Parker and Lowry office locations through the end of the year. Drop off a pair of new or gently used gloves and our team will ensure that your gift of warmth finds deserving community hands.

Looking at hip replacement from another angle.

A lot has changed in joint replacement in the past 10 years and I get a lot of questions about what makes a good candidate for hip replacement in particular. This week, I’m sharing answers to some of the most common questions about the latest in hip replacement including the anterior approach.

When is it time to consider surgery?
I always recommend that any patient with joint pain visit us – or another orthopedic specialist – before pain begins to significantly interfere with daily activities. Doing so allows us to explore physical therapy, and other non-surgical solutions first – surgery is always the last option. But even when other options have been exhausted, far too many people put surgery off for too long, even when hip pain is severely limiting simple day-to-day activities like walking up or down stairs. Living in pain inhibits your ability to be independent, manage responsibilities and stay fit – a key factor for long-term health.

How invasive is a hip replacement procedure?
Traditional hip replacement is accomplished by accessing the joint through the side or back of the hip, a method that requires cuts to multiple tendons and muscles. Recovery from this procedure can take months, but is still a highly effective long-term solution. But a newer, very minimally invasive procedure is also available. Using the anterior hip approach, we access the hip from the front of the body and avoid cutting any major tendons or muscle groups, significantly reducing pain and recovery time.

How long will it take to recover from a hip replacement procedure?
Patients must start slow with traditional hip replacement and keep their range of motion to an absolute minimum after surgery to aid recovery and avoid dislocation. A full recovery can take around six months. By contrast, the anterior approach has many people back to an active lifestyle as soon as six weeks after the procedure, with far fewer post-procedure restrictions.

Remember, surgery is always the last option patients should explore, but no one needs to live in pain. See one or our orthopedic specialist to find the best solution for you. To learn more about the anterior approach to hip replacement, contact our offices for a consultation. If you would like to make an appointment, please Click Here to use the online form or call (303) 344-9090.