Tuesday, January 20, 2015

TOCA TIP: Foot health and finding the shoe that fits

As online shopping grows in popularity, there is a greater temptation to purchase, keep, and wear shoes that look fashionable, but may not fit properly.

Shoes that are too tight, too loose, or without enough support, can lead to unwanted stress on the feet, ankles, lower leg, hip, and spine. This ongoing pressure can cause pain and injuries that may limit or prevent participation in work, sports, and hobbies.

According to the National Ambulatory Medical Care Survey (NAMCS), nearly 7 million Americans visited a doctor for foot- and toe-related discomfort last year. Fortunately, many foot-related problems can be prevented with shoes that are appropriate for an individual's feet, body, and lifestyle.

Top 5 Toe Deformities:
1. Bunion
2. Corn
3. Hammer Toe
4. Crossover Toe
5. Ingrown Toenail

Women's Shoes:
Over time, wearing high heels with a narrow toe box can cause the foot to take the shape of the shoe and result in deformities like hammer toes and corns.
There are a variety of women's shoes on the market ranging from comfortable, casual everyday shoes, to more formal shoes with four-inch heels. An ideal choice is a shoe that has a square or wide toe box, with a heel that is lower than two inches high.

Higher heeled, pointed shoes can cause bunions, knee pain, and lower back pain. In addition, high-heeled shoes place tremendous pressure on the fat pad under the ball of the foot (forefoot). The higher the heel, the greater the pressure and the likelihood for injury. If a high-heeled shoe has a pointed toe, it creates even more pressure in the forefoot.

If you prefer to wear higher heels, look for shoes with a platform under the toe box, which will decrease the overall stress on the foot. If you are purchasing a lower-heeled shoe, make sure that the heel is secure and that there is ample room in the toe box. Ballerina flats should have elastic along the top sides of the shoe so that they grip onto your foot better.

Men's Shoes:
In general, men's shoes are constructed to conform to the shape of the foot. Leather soled shoes are more durable and stable. If you regularly walk long distances, a softer soled shoe may be more comfortable.

Children's Shoes
In the early infant stages, a baby needs only booties or socks for warmth and protection. As the infant grows and begins to walk upright, bare feet are appropriate indoors as they allow the child to touch and feel the ground, developing proper sensory input; strengthen their intrinsic muscles (small, deep muscles of the foot); and develop their arches. To prevent injury, shoes should be worn outside of the house at all times.

When purchasing your child's first shoes:

Consider a store that specializes in shoes for growing feet. In the early years, a child's foot may be wide through the arch, so proper fitting in the width is important.

A sneaker or soft soled shoe is a good choice. A typical, low-cut sneaker allows the child to develop the ligaments and muscles around the ankle that are necessary for developing good balance and stabilization.

The toe box should be roomy and wide enough for the toes to wiggle. A finger's breadth of extra length will usually allow for about 3-to-6 months of growth, depending on the child's age and growth rate.

Your child's foot may grow faster than you expect at different ages and stages, so it is important to check the fit of your child's shoes regularly. If the shoes become difficult to place on the foot, and/or the child consistently wants their shoes off, it may mean that the shoes have become too small.



Wednesday, January 14, 2015

Dr. Chhabra Medical Director for Fiesta Bowl and Cactus Bowl

Congratulations to Dr. Chhabra! He was asked and acted as the Medical Director for the Fiesta Bowl and the Cactus bowl 2015, arranging providing medical care to all teams competing.

44th Annual Fiesta Bowl

No. 20 Boise State rode the momentum from a hot start and a late defensive stop to hold off a charging No. 10 Arizona squad en route to a 38-30 victory at the 44th Annual VIZIO Fiesta Bowl on Wednesday afternoon in Glendale, Ariz. Jay Ajayi rushed for 134 yards in the game and three first-half touchdowns to help pace the Broncos to their early lead. Quarterback Grant Hedrick completed 24-of-31 for 309 yards and a touchdown with one interception while Thomas Sperbeck caught 12 passes for 199 yards to earn Offensive MVP honors. Tanner Vallejo finished with 14 tackles and 1.5 sacks to earn Defensive MVP accolades while Donte Deayon returned an interception for a touchdown in the third quarter for BSU's only touchdown of the second half.

2015 TicketCity Cactus Bowl

(Tempe, Ariz.) - The Oklahoma State University football team utilized a dominating opening half and held off a late surge from the University of Washington to take home a 30-22 victory at the TicketCity Cactus Bowl on Friday evening in Tempe, Ariz.
The Cowboys (7-6, 4-5 Big 12) opened up a 24-0 lead through 30 minutes of action and did just enough to hold on at Sun Devil Stadium, despite being outscored 22-6 in the second half.
Desmond Roland finished with 123 yards on the ground for OSU, earning Offensive MVP honors, and playing a pivotal role in OSU outgaining the Huskies with 473 total yards of offense to just 369.
Mason Rudolph had 299 yards and two touchdowns on 17-of-26 passing with an interception while Brandon Sheperd added 98 yards through the air with a touchdown reception to help key the Cowboys' multi-faceted offense.
In a game that featured the coldest kickoff temperature (45 degrees) in Cactus Bowl history, the announced 35,409 in attendance sat through temperatures that started dipping close to freezing in a contest that saw Washington (8-6, 4-5 Pac-12) keep things interesting after a slow start. The Huskies closed things within a single possession with 3:29 remaining in the contest on a Jaydon Mickens 16-yard touchdown reception from Miles and a successful two-point pass conversion from Miles to Deontae Cooper.
The Cowboys looked to have things in the bag, however, following a 48-yard third-down reception by defensive lineman James Castleman to set up a 27-yard Ben Grogan field goal attempt on the following drive. The score would have made it a two-possession game with under a minute left, but the attempt was hooked wide left to give UW one final gasp.
The hope was short-lived, however, as Kevin Peterson picked off Cyler Miles with five seconds remaining in the game to seal the victory for the Cowboys.
Seth Jacobs earned Defensive MVP honors with eight tackles, a tackle for loss and a forced fumble. The OSU defense had eight tackles for loss in the contest.
After being thoroughly dominated in the first half (gaining only 108 total yards of offense), Washington opened the second half with seven-play, 82-yard drive to get on the board to climb back within 24-7 following a 31-yard Jaydon Mickens rushing touchdown.
Oklahoma State would add a 27-yard Grogan field goal with 1:47 remaining in the third but Washington wouldn't go quietly into the night, as John Ross returned ensuing 96 yards to the house - the longest kick return in Cactus Bowl history - to bring UW back within 27-14.
Mickens' second touchdown of the game made things interested, but the Washington offense just couldn't muster one final drive at the end of regulation.
Miles finished with 268 yards and a touchdown on 25-of-38 passing with only the interception at the end of regulation against his credit. Mickens finished with 113 total yards (31 rushing, 82 receiving) to pace the Husky offense.
The Cowboys drew first blood in the contest, driving 84 yards on 11 plays on the opening drive of the game and taking a 7-0 lead on a bruising goal line run up the gut by defensive tackle James Castleman - his first rush and first touchdown of the season.
Oklahoma State was able to withstand the storm of back-to-back turnovers on the ensuing two drives. The Huskies forced a Rudolph fumble on the OSU 28-yard line, but UW's Cameron Van Winkle's 43-yard field goal attempt a couple plays later clanked off the left upright to keep the Huskies off the scoreboard.
It took just three plays for Washington to regain possession as Budda Baker utilized one hand to help bring down a long Rudolph interception deep in UW territory.
The Huskies were unable to capitalize and OSU made them pay on the following drive, heading 84 yards down the field on the next drive - including a nifty double pass play - with Rudolph finding James Washington on a 28-yard strike with the seconds drifting down in the first quarter to give the Cowboys a 14-0 edge through one frame.
After adding a field goal in the second quarter, Oklahoma State ended the first half with a dagger as Rudolph found Brandon Shepherd on a 47-yard bomb with 48 seconds remaining before the break to go ahead 24-0 heading into the locker room. 



Wednesday, January 7, 2015

TOCA Talk with Dr. Yacobucci

Join TOCA, Dr. Gerald Yacobucci and patient or Dr. Yacobucci's (Bill) in the first in series TOCA Talk to discuss Knee Arthrosurface.

You may also watch this and other TOCA videos at:  https://www.youtube.com/channel/UCHu8e43DA9pvzIxZFazBeSw