Tips for Princess Kate's last days of pregnancy

The Duchess of Cambridge is expected to give birth any day now, waiting it out at the Kensington Palace. And since she is at the end of her term, she is likely experiencing what many pregnant moms are feeling: tired and swollen legs, ankles, and feet.

One of the many problems carrying a six or seven pound fetus around in your lower abdomen can cause is pressure on the venous system. The venous system is the way blood returns to the heart from the extremities. This pressure means blood won’t return as quickly and easily as when there isn’t a baby in there, so there is a back up of blood and lymphatic fluid. This back up is seen as a more swollen or bloated appearance of the legs and feet.

It isn’t unusual to see a third trimester mom sitting with her feet up, as decreasing the effect of gravity helps the condition. Also known as edema, this type of swelling usually subsides after delivery.

Third trimester moms need to limit their time standing, and also need to wear soft, wide, accommodative type shoes with a mild arch support for maximum comfort. If your ankles or feet are swollen, call this Chicago podiatrist for an appointment.

Jones Fracture

Kevin Durant’s Jones fracture needs more work.

OKC Thunder star Kevin Durant will undergo a revision to the fracture site in his right foot soon. The problem started in October of last year when he suffered a Jones fracture, which is complete fracture of the fifth metatarsal in the proximal one-third of the bone. Since the blood supply to this area of the bone is not ideal to repair a fracture, the definitive treatment can be tricky, as it has been in this case. In February he underwent a screw fixation of the injury, which showed problems by late March.

When properly diagnosed and treated with screw fixation and proper rehabilitation, about nine out of ten fractures resolve, but in less than ten percent of cases, bone grafting and more fixation become necessary. This setback will cost him at least another four to six months.

If you have an acute or chronic foot injury, call this Chicago podiatrist to schedule an appointment right away.

Marathon Training Tips

Training for a Marathon

With the Chicago Marathon scheduled to start in less than 24 hours, those of you inspired to complete next years race can start to formulate a plan now. Getting in shape to run that far, regardless of time, needs to address your physical fitness across a broad range, and below are a few tips to approach training to run that far. Long distance running is the best way to get in shape that I can think of, but there is no doubt running can set you up for a multitude of injuries, from simply annoying to event ending. You aren’t just training to run the marathon, you are training to get your whole body in shape, so incorporate as many different physical activities as possible in your weekly training schedule to head off injuries that are inevitable if you just run 3 to 5 miles a day 3 or 4 times per week. Running is great, but you have to do more than just run to avoid injuries.

Resistance Training Running related injuries can be caused by muscle imbalances, and the constant repetition of this high impact activity. Depending on your body type and natural running style, you may over develop one set of muscles and under develop others. Hamstring injuries and shin splints are classic examples of this. Learn how to use weights to develop all of the muscles in your legs, add some bike riding to your weekly regimen, and read Runners World and other reliable sources of running information to learn how to effectively cross train to prepare for marathon running.

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Runners, Injuries and Gait Analysis

I thought this was an interesting article, but there are still many unanswered questions with runners and injuries. For example, if you go to a high end gait analysis center and spend hundreds of dollars, where is the data that shows if you have a particular injury, and a certain gait pattern, and do x,y, or z will you statistically have a better outcome? This problem is touched on in the article, we are just at the tip of the iceberg on many gait and running issues, but in the future we should be able to "fix" just about any runner. If you have an acute or chronic foot or ankle problem, call this Chicago podiatrist for an evaluation right away. As published in the WSJ this week.

Gait Analysis: The Serious Runner's Salvation

A Tool to Precisely Spot Stride Problems and Stop Joint Pain and Injury WSJ's Matthew Futterman participates in a gait analysis at Manhattan's Hospital for Surgery to learn how he may be able to prevent some running injuries. By MATTHEW FUTTERMAN

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