Tuesday, July 01, 2008

"The middle of my foot hurts"

My old arch is falling down (click on image; watch it throb!)

"Have you ever heard of Liz Franks?" the octagnenarian asked me, waving her foot in the air.

"Yeah," I said slowly, "I've heard of it [her?!?]. My voice screamed 'haven't a clue,' but my patient proceeded with her story.

"The middle of my foot hurts sometimes when I walk. The PA at my podiatrist's office says it's a Lisfranc injury and it has something to do with a separation in the bones of the feet. He told me that's why my foot hurts and the top of it swells."

Ah, yes, Lisfranc's as in Lisfranc's fractures. And now I had the entire Lisfranc's file open in my brain and the sum total of its contents revealed in those three words.

I looked it up later on the Internet, and learned that Doc Lisfranc was a field surgeon in Napolean's army, and the joints named after him are in the midfoot where the long bones or metatarsals below the first and second toes meet the various bones under the ankle. Wang, whoever he is, has seriously injured his and won't be playing for the Yankees for awhile. On average, Lisfranc's injuries occur abruptly and dramatically in athletes or in those who've fallen from great heights or been injured in car accidents. Lisfranc joints can be subtly sprained in athletic endeavors.

In no case, per my search, do Lisfranc dislocations or fractures occur in little old ladies who now and again get pain whilst walking. Pain in the midfoot of the aged is either midfoot impingement syndrome or degenerative arthritis of the middle of the foot including, perhaps, the Lisfranc joints.

The midfoot is the highest point of the arch. As we age--and by we, I definitely include me--the arch sags or just plain goes to ground causing the bone ends to crash into each other in a painful, unsupported sort of way. As a result, with each weight-bearing step the bone ends grind together. This daily grind, over time, wears down the joints causing degenerative or osteo- arthritis.

While merely impinging on one another's space, this bone on bone action causes episodic pain with weight-bearing activities. Once arthritic, the pain is more consistent, and the entire top of the foot can be painful and swollen. As with all archless conditions, standing in bare feet aggravates the pain; I advise all my flatfoots--including myself--to immediately slip their aging feet into arch-supported clogs or sandals on rising in the morning. Good Feet has a lightweight orthotic perfect for wearing with open-toed shoes.

And, as you may know, I am also a great fan of YogaToes, the plastic toe separators, which pull the toes and their metatarsal bones out of each other's face and space.


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Ingredient #2 Acerola Cherries
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Ingredient #3 Apricots
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Ingredient #4 Aronia (black chokeberry)
This fruit is originated from the Yucatan. Aronia juice contains very high levels of anthocyanins and flavonoids-five to ten times higher than cranberry juice. Its beneficial nutrients such as antioxidants, polyphenols, minerals and vitamins are believed to include compounds that specifically important for a healthy immune system. Aronia also contains important trace minerals, and it has been used as an anti-diabetic food.
Ingredient #5 Banana
Bananas are a great source of potassium, & tons of natural minerals. They are also known to reduce your appetite.
Ingredient #6 Bilberries
The Bilberry is a close relative of the blueberry and is noted for strengthening of the capillaries of the eye. Bilberry is already widely noted for slowing of age-related macular degeneration, night blindness, diabetes-related eye disorders and helps with cataracts Bilberries can also help prevent a wide variety of bodily problems including bruising, fatigue, coughing, diabetes, diarrhea, gout, glaucoma, rheumatoid arthritis, ulcers, hemorrhoids, and amenorrhea (absence of menstruation).
Ingredient #7 Camu Camu or Rumberry
The Camu Camu berry is the planet’s richest source of natural Vitamin C. Its content has been measured as 30-60 times higher than an equal amount of citrus fruit. The Camu Camu berry is legendary for its powers to strengthen the immune system and repair connective tissue. Camu Camu is great for treatment of the common cold and generally supporting the immune and nervous systems. It is also an excellent agent for detoxification, especially for liver detox. The respiratory system, including the lungs, sinuses, and nasal passages all benefit from this natural fruit, as does the heart and all of the circulatory system.
Ingredient #8 Cranberries
Cranberries are rich in many phytonutrients and proanthocyanidins (PAC’s) - found to prevent the adhesion of certain bacteria associated with urinary tract infections to the urinary tract wall. These antiadhesion properties are also thought to inhibit the bacteria associated with gum disease and stomach ulcers. In addition, cranberries can serve as a powerful antibiotic, fighting both E. Coli and H. Pylori. This fruit also reduces gum disease and stomach ulcers occuring especially in dental health.
Ingredient #9 Kiwi Fruit
Kiwi fruit contains ample amounts of phytonutrients, vitamin E, vitamin A, vitamin C, trace minerals and dietary fiber. This fruit helps build your immune system up and assist in respiration problems such as breathing and colds. Kiwi is also known for protecting DNA against free radicals and cleansing the colon from toxins.
Ingredient #10 Lychee Fruit
The lychee is native to low elevations in Southern China. Cultivation spread over the years through neighboring areas of southeastern Asia and reach the United States in the late 1800"s. Lychee fruit helps prevent blood clots, severe cell damage, reduces strokes, cuts heart attack patients into 50% lower chance. At 72mg of vitamin C per 100 grams of flesh, lychees are a very good source for this essential vitamin, as well as potassium and other nutrients.
Ingredient #11 Nashi Pear
This fruit is from Korea and some small parts of Japan. This was at one time known as the Korean fruit & Japanese fruit of miracles. This fruit is used to cleanse your oral & nasal cavities from existing bacterias and other types of mucous membranes.Once reserved as a food to be served only to the wealthy and to Chinese nobles, Nashi pears have been grown, cultivated and eaten for centuries. Nashi pears are a great source of dietary fiber, and they’re also very high in potassium and other essential minerals. They contain nearly 10% of the USRDA for Vitamin C, and a high concentration of folates, which make up the Vitamin B complex group. These vitamins are essential for metabolic activity and red blood cell production.
Ingredient #12 Passion Fruit
Passion fruit can be found in Brazil, and some of south Florida. Passion fruit contains high levels of Vitamin A & Vitamin C which is also a great source of Potassium. This fruit is known to relax the body and mind from stress. Helps with sleep during the night and also contains natural iron. This fruit is an excellent source for dietary fibers. The only fruit that allows you to wake up feeling fully rested. Passion fruit is also rich in vitamins and mineral including: calcium, magnesium, phosphorus, potassium, sodium and B Vitamins. The legend of passion fruit dates back to Biblical time, and its modern day uses include: promoting sleep, calming anxiety and addressing hyperactivity in children.
Ingredient #13 Pear
Pears are great for your body they contain high natural vitamins such as potassium and riboflavin. Pears are great for your skin, and have great fiber content. Potassium is used to keep your good cells alive in your body so you won't get sick as much. Potassium used in a diet also increases nerve activity, muscle growth, helps with muscle contractions, maintaining body fluid & electrolytes. Pears provide antioxidant protection and ensure cardiovascular health by lowering cholesterol, regulating blood sugar levels, increasing capillary strength and stabilizing metabolism. Pears also protect vision and fight against macular degeneration as well as support nerve transmission, aid tissue repair, and promote bowel regularity.
Ingredient #14 Blueberries
Blueberries are an antioxidant powerhouse. They contain large amounts of health-promoting phytochemicals such as anthocyanins and phenolics, currently being studied for their antioxidant benefits. Besides antioxidants, blueberries contain condensed tannins, and they offer a great lineup of nutrients like potassium and iron, as well as being an excellent source of Vitamin C.
Ingredient #15 Pomegranate
Studies show that pomegranate juice is one of nature’s most powerful antioxidants, containing more polyphenol antioxidant than any other drink. Pomegranate juice contains more antioxidants than even red wine, green tea, blueberry juice, cranberry juice or orange juice. It has been shown to be highly effective in clearing plaque from inner arterial walls. MonaVie contains pomegranate juice because of its ability to help bodily function and to prevent disease and viruses from interrupting normal body operation. Pomegranate is also helpful in maintaining healthy cholesterol levels, regulating blood pressure, preventing heart attacks and strokes, as well as preventing cancers, diabetes, and intestinal problems.
Ingredient #16 Prunes
Prunes are dried plums, rich in minerals and phenols, plus they have an extremely high ORAC value. The drying process actually increases antioxidant powers by more than six times! USDA researchers believe that people of all ages can prevent and treat diseases of aging by simply adding prunes to their diets. Prunes contain 15% Vitamin A, 10% dietary fibers, 10% potassium, 10% copper, and only 6% calories. Prunes are able to boost bone density, cleanse the bowels, and prevent against cardiovascular disease. Prunes are also known or their abilities to cleanse the liver, prevent against both Alzheimer's and memory loss, and fight off infections in the body. There is also evidence that prunes may be responsible for reducing cholesterol in humans and also for reducing the risk of developing an estrogen-dependent cancer.
Ingredient #17-18 Grapes - Purple / White
Grapes are another source of antioxidants and are also effective at fighting off bacterial and viral infections, and reducing inflammations. Grapes are also known to improve cardiovascular health by aiding in the improvement of arterial flexibility. The purple grape naturally helps with concentration, brain functions, hyper tension, arteries, hypertension usually occurs from high blood pressure.
Ingredient #19 Wolfberry
For thousands of years in China, the Wolfberry has been known as “the herb of longevity.” It provides a powerful combination of antioxidants and polysaccharides, shown to enhance the activity of the immune system. Wolfberry also provides eighteen amino acids and twenty-one trace minerals. Wolfberries aid the removal of headaches, as well as the regulation and lowering of high blood pressure. The wolfberries found within MonaVie drinks also help battle chronic fatigue, arthritis, and insomnia.
Health & Harmony,
Lisa lisadeb1989@gmail.com


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kenju said...

I had a good friend whose feet hurt terribly and swelled on top so badly that she had a hard time wearing shoes. Too bad she died of pancreatic ca before anyone found out about the cause of her foot troubles.

Anonymous said...

The pancreatic cancer had spread to her liver which was causing the top of her feet to swell. RIP--life is short. My foot is killing me, I hope I don't have anything serious.