Scared Straight: Foot X-Rays that will scare you into better shoes.

Halloween Edition:

Scared Straight: 

X-Rays that (hopefully!) will scare you into better shoes...

I wanted to talk about why having a shoe with a thick rigid sole is so crucial for proper foot care. 

I have a patient who was kind enough to give me permission to use his story and his x-rays. He is a healthy thirty-something year old man who had a horrible motorcycle accident nine years ago. 

When I walked in the exam room, I immediately noticed that his complexion was grey and he looked like he was going to vomit. We talked and he told me that the last time he saw a Podiatrist he was told that he might need an amputation. I quickly eased his fears by telling him that we would only be talking about shoes and inserts and that we should be able to greatly improve his foot by making some simple, non-painful, non-surgical changes to his current shoes and inserts.  

He said that three days ago he was walking and heard a 'pop' and felt a pain in his right foot. He stated he didn't have any specific injury but was simply walking. I checked the shoes that he had been walking in and they had an extremely thin, flexible sole. 

Let's take a look at his first x-ray (Ignore the arrows please):

The three screws were placed across his Lisfranc's joint after the motorcycle accident. On the day of the accident, he was wearing a shoe with a flexible sole and, when his foot twisted, multiple bones were broken in the midfoot area and ankle. The surgeon had to perform a joint fusion by placing screws across the Lisfranc's joint. The idea behind this is that if you fuse the joint - you stabilize the joint, limit motion and thereby limit pain. Since the accident, he's always had some degree of foot pain but has managed to stay active. 

After the surgery, he didn't realize that he needed to stop walking barefoot and wearing flip-flops and that, after an injury like this, he needed to limit himself to shoes with a thick rigid sole for maximal protection. Not knowing this, he spent the last nine years wearing improper shoe gear.

 Let's take a closer look at those screws...

  

If you look closely, can you see that two of the three screws are broken? The two that are most vertical are the broken screws and, unfortunately, it is harder to see that the one on the right is broken in half - but it is.

My point being, if nine years worth of walking barefoot and wearing flip-flops causes enough stress through the Lisfranc's joint to break two titanium screws - what is all that stress and strain doing to your joints?

The strange part of this story is the problem is not the broken screws or the Lisfranc's joint. 

The problem is that he was wearing a flimsy sole shoe and the one  titanium screw that is intact and doing it's job of limiting motion across the joint was not allowing any motion and his body needed motion to walk. The stress on his foot was too much and his body found the motion he needed by breaking the third metatarsal. 

Take a look at the arrows. The real problem - the thing that is currently causing him pain - is the new broken bone on the third metatarsal. 

We placed him in a below-the-knee walking boot for two weeks and had him come back two weeks later for x-rays. 

Two weeks later, the third metatarsal fracture is more easily visualized because it is forming a 'bone callus', which is the body's way of trying to heal itself.

What's interesting is that the broken screws don't matter. They aren't causing any pain so they don't need to be removed. The plan is to heal the current fracture and, once it is healed, make sure he:

*Wears Rx Crocs 'Relief' around the house as a bedroom slipper

*Never walk barefoot or wear flimsy shoes or flip-flops

*Wears New Balance 928 as a walking shoe

*Wears custom-molded inserts 

*Wear dress shoes that have a thick rigid sole with a metal shank

*Wear a Tri-Lock Brace for sports and increased activities 

 

And he should be able to lead a normal, healthy, active life! 

 

The moral of the story is: protect your feet!

You'll have a healthier, happier life with less pain and injuries...

My best to all of you!

Dr. Cathleen A. McCarthy

:)

Best Choice for Comfortable Women's Ballet Slipper.

Dr. Marten's Christina

I am not a big fan of ballet slippers because most of them are super-crappy with zero support! After extensive research, Dr. Marten's Christina is the best ballet slipper that I have been able to find. I'm not saying that it's a good choice for everybody but I am saying that for certain people, this is the best choice I could find in the ballet slipper category. I would recommend that you pair this shoe with a dress orthotic to give added arch support for better biomechanical control, which will result in more comfort. 

If you have serious forefoot issues or work on your feet for long hours on concrete floors, this shoe is not going to be supportive enough. I would recommend that you 'bump up' to something with more support like the Dansko Volley. Remember to listen to your body! If you try this shoe (or any shoe) and it hurts or find yourself having increased discomfort as the day goes on - don't wear it. It's not good enough for you!

Under normal circumstances, I steer patients away from ballet slippers but I've had so many requests from people who want to know if there is any comfortable ballet slippers that they can wear that I decided to delve into it deeper. 

In general, any ballet slipper that bends or flexes is garbage and is going to cause more mechanical strain for your joints, tendons, ligament, ect. This leads to 'tired leg syndrome' and can make you more susceptible to injuries. What makes the Dr. Martin Christina decent is that it does have a thicker, more rigid sole than the typical ballet slipper. I would love to see it thicker and more rigid but - that is hard to find in a ballet slipper type shoe! 

I have one patient who loves the ballet slipper so much that I advised her to try this shoe and, if she was comfortable in it, take it to a Cobbler to add more support to the bottom for more protection.

 

This Shoe is Recommended For Patients with:

*Healthy feet

*No significant biomechanical issues

*No foot pain!

This Shoe is NOT Recommended For Patients with:

*Diabetes

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

*History of Ulcerations/Open Sores

*Hypermobility

*Ligament Laxity

*Over-Pronators

*Ankle Instability

*History of Lisfranc's Fractures (Jone's Fracture)

*Bunions

*Hammertoes

*Morton's Neuromas

*Achilles Tendonitis

*Plantar Fasciitis (Heel Pain)

*Corns & Calluses

*Metatarsalgia

*Tendonitis

*Capsulitis

I know it's a limited list for who this shoe is 'recommended' for but if you have foot pain or any significant biomechanical foot or ankle issues, this is not the proper shoe for you. 

It is, however, the best choice for someone who is determined to wear ballet slippers and wants to decrease damage and increase comfort from your typical ballet slipper.

I hope this was helpful and I would love to hear any feedback you have on the Dr. Marten's Christina.

Sincerely,

Dr. Cathleen A. McCarthy 

:)

 

 

 

 

Danko Clog - Comfortable Shoe For Certain Foot Types.

The Dansko Clog

Let me preface this review by saying that the Dansko Clog is not for everyone! There are patients with certain foot types and medical conditions that I would never dream of putting into a Dansko Clog because it would be a disaster for their feet. That being said, I have many patients (including myself) where the Dansko Clog is the very definition of comfort. In Podiatry school, when I went from sitting all day in classes for two years to suddenly being thrown into 14 hour days on my feet on torturous concrete hospital floors for another four years of school and residency, I suffered horribly from heel pain, swelling in my feet and tired leg syndrome. I was a broke student and I made a very painful $95 splurge on purchasing the Dansko Clog and they were one of the best investments I've ever made!

What's great about the Dansko Clog is the thick, rigid and therefore very protective sole. I always feel extra safe wearing my Dansko clogs because if anyone ever tried to mug me, these shoes are so strong that I'm convinced I could effectively use them as a weapon (forgive me, I'm originally from New Jersey!). If you are suffering with forefoot pain of any kind, this may be the perfect shoe for you. They also have decent arch support, a wide toe-box and rear-foot control. I do not recommend the Dansko shoes that don't have rear-foot control as they force the person wearing them to scrunch down their toes to keep in the shoe, which can cause 'mechanical strain' and 'tired leg syndrome' at the end of a long day.

The Dansko Clogs do not accommodate any type of inserts but, in my experience, they don't need extra arch support. It is the one shoe where I don't have to (or need to) wear my orthotics. 

In general, the Dansko Clog is great for healthy, young, active patients who are on their feet all day, especially on concrete floors. I would never put anyone who is elderly or has any type of muscular or nerve disorder in these shoes as they are simply too heavy. 

Dansko Clogs Are Recommended For Patients With:

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Mild Haglund's Deformity

*Mild to Severe Metatarsalgia

*Mild Bunions & Tailor's Bunions

*Mild to Moderate Hammertoes

*Morton's Neuroma

*Capsulitis of the Forefoot Joints

*Hallux Limitus (Limited range of motion of the 1st toe joint)

*Hallux Rigidus (No motion of the 1st toe joint)

*Mild to Moderate Osteoarthritis

*Possibly Mild Rheumatoid Arthritis

*Mild Tendonitis

*Mild to Possibly Moderate Over-Pronators

*Mild Hypermobility / Ligament Laxity

*Plantar Plate Injuries

*Patient's recovering or trying to heal from a fractured toe

*Patient's recovering from a fractured metatarsal bone (Check with your Pod!)

*Mild to Moderate Degenerative Joint Disease

*Over-Use Syndrome

Dansko Clogs Are NOT Recommended For Patients With:

*Weak legs

*Muscle disorders that cause instability or weakness of the legs

*Nerve disorders that cause weakness or instability of the legs

*Drop Foot

*Charcot Marie Tooth Disease

*Charcot Foot

*Diabetics

*Diabetics with history of Ulcerations (Open sores)

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Balance Issues

*The Elderly

*Anyone with prominent "bumps" on their feet, especially on the top of the mid-foot area

*Painful Calluses on the bottom of the feet (because they need more cushion in the shoe)

*Severe Rheumatoid Arthritis  (because they need more cushion in the shoe)

*Severe Hypermobility / Ligament Laxity

*Ankle Instability

My best advice to you is go to a store and try them on. You are either going to love them or hate them! Every time I put on my Dansko clogs, I feel like they have been custom made for my feet and can stay on my feet all day in comfort.

I hope this was helpful!

Dr. Cathleen A. McCarthy

:) 

Merrell Encore Breeze: A Comfortable Casual Shoe for Anyone with Bunions & Hammertoes...

Merrell 

Encore Breeze.

This is a great shoe for anyone who suffers with large painful bunions or hammertoes! Although there are shoes with more rigid and protective soles - what sets apart the Encore Breeze is it's wonderfully wide and soft toe-box. The toe-box is made of a breathable and soft mesh upper that applies minimal  pressure on bunions and hammertoes.

The 'lip' in the back provides enough rear-foot control so that the shoe stays firmly on your foot when you are walking but also allows for you to easily slide it on without bending or stooping. This comes in handy for anyone with severe back pain or who has trouble bending. The insert is removable and can be replaced by your custom-molded orthotic or a superior over-the-counter arch support, which will allow for better biomechanical control of the foot and, therefore, more comfort. 

The Merrell Encore Breeze is not the best choice for someone who is super-active or doing vigorous activities. It is, however, a great choice for someone more sedentary who is wearing them for casual activities or even as a shoe to wear around the house. 

This Shoe IS Recommended For Patients With:
*Mild to Severe Bunions
*Mild to Severe Hammertoes
*Mild to Severe Corns & Calluses (See your Podiatrist for periodic debridement to alleviate the pain of corns & calluses!)
*Mild to Moderate Hallux Limitus (limited range of motion across the 1st toe joint)
*Hallux Rigidus in elderly and sedentary patients
*Mild Tendonitis
*Mild to Severe Haglund's Deformity
*Mild Achilles Tendonitis 
*Mild Plantar Fasciitis (Heel Pain)
*Mild Morton's Neuroma 
*Mild Capsulitis
*Mild Metatarsalgia
*Mild to Moderate Osteoarthritis 
*Mild to Moderate Rheumatoid Arthritis
*Mild Over-Pronation (I recommend that you wear your custom-molded orthotics or an excellent over-the-counter insert for more arch control)
*Anyone who has trouble reaching their feet to put on their shoes
*The Elderly 

This Shoe Is NOT Recommended For Patients with: 
*Hallux Rigidus in super-active patients 
*Hallux Limitus in super-active patients
*Diabetics with a history of Ulcerations
*Charcot Foot
*Drop Foot
*Patients wearing Ankle-Foot Orthosis (AFO Brace) 
*Moderate to Severe Hypermobility/Ligament Laxity
*Ankle Instability
*Osteoarthritis of the Ankle Joint

This shoe MAY be appropriate for patients with certain conditions but please check with your Podiatrist to make sure that it is appropriate for you...
*Diabetics
*Peripheral Neuropathy (Nerve Damage)
*Peripheral Arterial Disease (Poor Circulation) 
*Leg Weakness
*Muscle Weakness


*For more information, please see my articles within the blog entitled:

My Feet Hurt: Top Ten Things To Do To Alleviate Foot Pain Today.
and
Shoe Recommendations For Patients Recovering From Lisfranc's Injuries.



Have a wonderful day!

Dr. Cathleen A. McCarthy

:)


 

Easy Spirit Traveltime - Comfort Shoe For People Who Have Difficulty Reaching Thier Feet.

Easy Spirit Traveltime:

This is a fabulous shoe for patients who need a comfortable shoe but have trouble reaching their feet. There are many reasons people have trouble putting on shoes and tying the laces - everything from severe arthritis in the hands, hips or lower back to having dizziness with bending, being a fall risk, and having balance issues. Patients recovering from hip and back surgery often have trouble bending and putting on shoes during the early period of their recovery. 

What's great about this shoe is that the rearfoot has a 'lip' that is high enough to keep your heel firmly in place but also allows for you to be able to slip your foot into the shoe without having to bend down. It's an extremely light shoe and perfect for elderly patients. 

It has a relatively thick, rigid sole that is light and supportive. I would not recommend this shoe for someone who is young and doing extreme activities (running, jogging, ect) but it is perfect for an older, more sedentary person who is active but not doing extreme activities. It has a wide, soft toebox, midfoot control and enough rearfoot control to make them exceptionally comfortable. 

I would recommend that you remove the insert from this shoe and replace it with your custom-molded orthotic or an excellent over-the-counter insert so that you have better arch support, which will help decrease knee, hip and lower back pain. You can purchase an over-the-counter insert from your Podiatrist or purchase other over-the-counter inserts online or in the store.

This Shoe IS Recommended For Sedentary or Elderly Patients with:
*Mild to Moderate Bunions
*Mild to Moderate Hammertoes
*Mild to Moderate Tailor's Bunions
*Mild to Moderate Capsulitis
*Mild to Severe Osteoarthritis
*Mild to Moderate Hallux Limitus (Limited Range of Motion Across the 1st Toe Joint)
*Fibromyalgia
*Knee, Hip and Lower Back Pain
*Mild Tendonitis
*Mild Achilles Tendonitis
*Mild to Severe "Bumps" on the back of the Heel
*Mild to Severe Haglund's Deformity
*Mild to Moderate Plantar Fasciitis (Heel Pain)
*Painful Toes
*Mild Morton's Neuromas
*Leg/Muscle Weakness
*Patients who have difficulty reaching their feet  
*Mild Hyper-Mobility (wear an orthotic or OTC arch support!)
*Mild Over-Pronation


This Shoe Is NOT Recommended For Patients with:
*Severe Hallux Limitus/Rigidus (Limited or No Range of Motion Across the 1st Toe Joint) for a young and active patient. 
*Charcot Foot 
*History of Ulcerations 
*Moderate to Severe Over-Pronation
*Moderate to Severe Hypermobility or Ligament Laxity
*Ankle Instability



This Shoe MAY Be Recommended For Patients with:  
*Diabetes
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)  

*Please check with your Podiatrist to see if the Easy Spirit Traveltime shoe is appropriate for you if you have diabetes, neuropathy or poor circulation. 


I hope this was helpful!


Dr. Cathleen A. McCarthy 

 

Your Feet On X-Ray: Barefoot vs. Pointy-Toe High Heels...

X-Ray of a Patient's Foot
After a Lifetime of Improper Shoegear...

X-Ray of an eighty year old patient's foot who wore "pointy-toe high heels" for years.

 X-Rays of My Feet in

Barefoot vs. Pointy Toe Shoes...

The first questions I always get when I first show patients their x-rays is: what are those two 'circle things'? Those are bones called 'sesmoids' and they are normal and are located under the ball of your first toe joint. The first x-ray of my foot is me standing barefoot. The second x-ray is looking straight down on my foot in a high heel pointy-toe dress shoe. 

I've labelled the 'medial cunneiform' bone as #1 and the 'navicular bone' as #2, which gives you an appreciation of the angle that the foot in a three inch high heeled shoe. I also cut the second x-ray in the shape of the actual shoe that my foot was in and I outlined the bones on x-ray with a Sharpie pen so that the bones could be more easily visualized. My photos don't do the x-rays justice but, hopefully, they will give an appreciation of what happens to your toes inside of pointy-toe shoes.

I always recommend that if you wear high-heeled shoes - try to find shoes with a wide, soft toebox. Pointy toed shoes can cause hammertoes, bunions, corns, calluses, Morton's Neuromas and osteoarthritic joint changes that are painful and cosmetically unpleasing. 

If you are looking for a comfortable high heels - look for a shoe with a thick, rigid wedge sole, rearfoot strapping and, of course, the soft and wide toebox.

Check out my list of

"Top 20 Comfortable Women's Dress Shoes"

by using the 'search' box at the upper right of the blog.

Hope all is well,

Dr. Cathleen A. McCarthy

If Your Feet Hurt - Read This!

 This is a 're-run' of my most 
comprehensive article...

Although this article is focused on patients recovering from Lisfranc's Injuries - this article covers everything you need to know about finding comfortable shoes and getting significant improvements in foot, knee, hip and lower back pain.

***

Shoe Recommendations 

For Patients Recovering From

Lisfranc Injuries...

(As well as any Sprain or Fracture of the Foot)

I know this sounds terrible but 
I love treating fractures...

I enjoy treating patients with fractures because:

1. On the 1st visit, patients will leave the office in significantly less pain than when they walked into the office using simple non-painful conservative treatment. 

2. Once the fracture is healed - we focus on getting patients into proper shoegear, arch support and possibly bracing so they can get back to doing all the activities they enjoy! 

I love my profession because I have the opportunity of helping people heal from foot and ankle injuries and get back to their lives.

Over the years, I have discovered that if patients follow the recommendations below - our success rate is amazingly high!

LISFRANC'S INJURIES.

So, let's talk about Lisfranc Injuries...

The Lisfranc Joint (also known as the Mid-Tarsal Joint) is in the midfoot and, in my opinion, it is the most common foot injury. 

Although it can be caused by direct trauma (and if that happens - you are going to the Emergency Room and possibly having surgery), I find that the wide majority of Lisfranc Fractures or Sprains are caused by an often minor twisting of your foot on a stair or curb and, if you happen to be barefoot, wearing flip-flops or a shoe that bends through the midfoot area - there is a very high probability that you are going to break a bone or pop a ligament.  

I see this type of fracture every single day. 

One day last week I saw four Lisfranc fractures before lunch. The amazing thing was not one of them knew how they did it!

In my opinion, this fracture is caused by taking a

wrong step in a crappy shoe!

And it's not you're fault because 

80% of shoes out there are crappy 

and there is tons of misinformation about what makes a good shoe...

One of the main reasons I started the blog was because of my frustration with all of the misinformation about shoes.

I'm passionate about this topic because I have spent the last twelve years in private practice striving to help people heal foot injuries and get back to their lives.

So...

These Rules Are Stringent 

BUT

You ARE Recovering from a Foot Fracture

and you need to protect your foot!

You went through a lot of pain and time in "the boot" or on crutches to take the chance of wearing bad shoegear and re-injuring...

So...

THE RULES 

FOR WHEN YOU ARE RECOVERING FROM A FRACTURE OF THE FOOT:

1. No barefoot! 

Ever. 

The only time you are barefoot and standing is in the shower. 

2. No Flip-Flops. 

I don't care how "good" they say the flip-flops are - they're not. 

3. No Walking Around the House Wearing

Only Socks.

 Zero biomechanical protection. 

4. No Flimsy Bedroom Slippers.

Any slipper that bends or flexes is garbage.

5. As a bedroom slipper around the house - wear Croc RX Clogs with the strap 

in the back.  

As soon as you get out of the shower, dry yourself, put on your Crocs.

If you get up in the middle of the night to go to the bathroom, when you get out of bed, straight into your Crocs and off you go.

Yup, the strap MUST be to the back. 

IF YOU ARE RECOVERING FROM A FOOT INJURY / FRACTURE / SPRAIN 

ANY SHOES THAT YOU WEAR 

MUST HAVE:

1. A Thick Rigid Sole

If you can bend or flex it - it is garbage.

Put some muscle into it, please - no wimpy "bends"...

2. Arch Support

Whether it is Custom-Molded Arch Support or an Excellent Over-The-Counter Insert - you need arch support.

Unless you are one of the 10% of people who can't tolerate arch support in which case, do not wear arch support. 

3. A Wide, Soft Square Toebox. 

Google: Extra-Depth Shoes and there are many brands of shoes that have extra-depth for the toes.

No cock-roach kickers, please -- they are bunion factories. 

4. Rearfoot Control. 

Every single shoe MUST have rearfoot control. 

If you are not biomechanically controlling the rearfoot - you are not controlling the mid-foot - which will lead to more chance of re-injury, pain, strain as well as knee, hip and lower back mechanical strain. 

To stay in a backless shoe, you are gripping your toes down when you walk. There are tendons that start below the knee and go all the way down to your toes - they are also passing through or connecting into the bones that make up the Lisfranc's Joint and a biomechanically uncontrolled rearfoot equals more strain, more pain and more chance of re-injury. 

ONE "SHOE DAY"

IN  THE LIFE OF SOMEONE RECOVERING FROM A LISFRANC'S FRACTURE

(Any midfoot fracture or Injury)

 6am

Good Morning!

 I have to let the dog out so I guess I'll get out of bed and right into my Crox RX Clogs 

(making sure that the strap is to the back) and let the dog out. She's fascinated with the Geckos and Hummingbirds...

6:30am

Exercise

I'm going to put on my Diabetic socks (even though I'm not diabetic), my Tri-Lock Brace, which I got from my Podiatrist and I use when exercising (for at least 6-12 months after a Lisfranc's Injury) and I'm going to put on my 

New Balance walking shoes so I can take my dog for a thirty minute walk. 

Luckily, my Podiatrist sent me to the New Balance store and gave me a prescription for:

RX:
New Balance Walking Shoes

with Roll Bar Technology and

a wide base for more stability

(Because it's an RX and medically necessary it should make them tax deductible...)

9am

Work

My foot feels pretty good so I don't need to wear my brace to work today -- but I'm going to take my Tri-lock brace to work so that if my foot hurts I can put it on. 

I went to Dr. McCarthy's blog and found the search box (top right hand corner) and searched for:

"Top 20 Women's Comfortable Dress Shoes"

and found a great shoe for work. 

I wrote down what I liked and went to the store to try them on -- my brace fit into some of them but not all so, in the early days of recovering from my injury, I wore the chunkier shoes with my brace and once I was further along in the healing process, I didn't need my brace anymore. 

Anything on this list would be fine with someone who has healed from a foot fracture

because I know all of these shoes meet her criteria on that stringent list from her blog...

2pm

Go Play!

Wow, I can't believe it! Work shut down early and now I can go do whatever I want! 

Let's look and my options...

Beach:

I'm going to wear my Amphibious Teva's or Chaco's (with a rearfoot strap) whether I am on the sand or in the water because it'll be more comfortable and I'll have more fun. 

Water Aerobics

Am I going to do water aerobics barefoot? 

Oh heck no! 

My Pod told me she sees a surprising number of fractures from women bouncing around in the swimming pool -- I think I'll wear my Amphibeous Teva's (with rearfoot strapping). Right after I was recovering from my foot fracture, I had to wear a pair of New Balance Walking Shoes with Roll Bar Technology and a wide base (for more stability) in the pool. 

Hiking

I didn't like any of the hiking boots Dr. McCarthy featured on her blog so I went to REI and I picked out a boot I liked but I made sure that the sole didn't flex or bend. The salespeople must have thought I was crazy because I walked around -- bending and flexing all the shoes before I tried them on. I then picked a great boot that felt the best on my foot and met all Dr. McCarthy's criteria for proper shoes. 

She told me that no matter what she says, 

I'm the acid test. 

 If I try on a shoe and it's not comfortable -- 

I don't get it. 

Yoga

I don't care what anybody thinks! 

I went through too much to get my foot healed to risk re-injuring it by being barefoot so I am going to wear my New Balance walking shoes with Roll-Bar Technology and a wide base. 

I love Yoga and I want to keep doing it so 

Dr. McCarthy wrote me a prescription that I gave to my Yoga studio that says it's medically necessary for my to wear my shoes in class. 

7pm

Home at Last!

I used to not want to wear my Croc RX Clogs around my husband because I thought they were goofy but, guess what -- I got him in Crocs Rx around the house and he had the following benefits:

1. 

30% Improvement in knee, hip and lower back pain within 3 weeks.

2. 

We saved a truckload of money in medical bills - everything from foreign bodies, warts, tendonitis, fractures, heel pain, calluses, ect.

3. 

His feet are prettier! 

Turns out that kooky Dr. McCarthy was right! She said, "You're either beating up your feet or you're beating up your shoes -- think what your shoes look like after a couple of years -- that's what's happening to your joints."

10pm

Good Night!

I'm so glad that my day tomorrow doesn't include going to see my Podiatrist! 

We got the fracture healed and as long as I do the right things when it comes to protecting my feet, 

I don't need to see her. 

I can live my life and have fun!

Gee, 

I wonder why a Podiatrist would be giving out advice that would decrease her business?

 Hmm, I wonder if it's because she figures it's a better marketing plan to fix people's foot problems and then protect their feet with proper shoes so they don't need to keep constanly coming back and she gets new clients from "Word of Mouth" referals from happy patients? 

That must be it...

Have a Great Day!

Dr. Cathleen A. McCarthy

:)