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Congrats Columbus Marathoners! Now, what were those crazy compression socks you saw people wearing & should you get some for your next race?

Fall brings marathon season with Chicago last weekend, New York coming up the first weekend of November and most importantly, the Columbus Marathon this Sunday, October 16th!  Runners are known to do whatever it takes to reach their goals including forcing down that last Gu, waking up at the crack of dawn to get those miles in, or unfortunately, attempting to continue training through foot pain and injury.  One item that many marathoners and distance runners have been seen wearing as a part of their race day uniform are tall compression socks in black and a rainbow of other colors.  But the real question is: are these socks just successful at intimidating competitors on the line with their cool looks, or do they actually serve a purpose?

Interestingly, while it may seem like compression socks are the ultimate new running necessity aside from proper fitting running shoes, it is not the runner population that tends to know a bit more about the benefits and uses of compression socks.  It is diabetic patients with swelling, or edema that podiatrists regularly prescribe compression stockings, or socks to.  Patients with venous stasis from causes such as improperly functioning, or insufficient valves and varicose veins also can have their condition improved with the use of compression socks.  With normal valves and vessel structure, the calf muscles function to pump blood upwards against gravity to prevent this pooling.  In patients with the conditions mentioned, there is a slowed return of blood via the veins to the heart, resulting in some venous blood pooling.  This pooling can not only result in dermatitis, or a rash, but it can also lead to the formation of dangerous deep vein thrombosis and venous ulcers.  In order to help restore normal venous blood flow, compression stockings are used to gradually increase pressure up the leg, assisting the “calf pump”.  While this has been shown to have positive effects in groups of people with the disease states discussed, the effects of compression sock induced decreased venous pooling, assistance of the skeletal muscle pump and increased deep vein blood speed still require more research before they can be conclusively linked to their claims of performance gains in running.  Many athletes also utilize compression stockings post-exercise in order to decrease lactic acid build-up, but this use also requires more research. 

So while they may look cool, and can be extremely beneficial if you have venous insufficiency in your legs and feet, compression stockings have a ways to go before they can definitely prove themselves as doing more for your race time than just making you LOOK fast.  At this point, if athletic compression socks make you feel better when running, then do what is best for you – just make sure you test them out before your big race and always call your podiatrist if you develop any foot or ankle pain! 

Please visit www.columbusfoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington. To schedule an appointment with a podiatrist in Dublin, Ohio, near Tuttle Crossing Mall, please call 614-885-FEET (3338).

By Dr. Animesh (Andy) Bhatia

This is the time of year when all runners want to be in their best shape possible and stay injury free during this critical training season.  With high school and college runners beginning their season and the Columbus, OH marathon coming up in October, runners of all ages need to be functioning at their peak level. 

There are a few things runners starting up running for the first time, or those more experienced runners who are upping their intensity should do to stay injury free.  Wearing the proper running shoe is absolutely imperative to avoiding injuries.  Shoes not only need to fit properly, but they should have the appropriate amount of support, stability and cushioning for your foot.  By scheduling a checkup with your podiatrist before you have begun purchasing expensive running sneakers, they can evaluate your type of foot and how it functions so that you can use that information to make an appropriate shoe choice.  Black toe nails can develop when shoes are too small from the foot jamming against the front of the toebox and causing bruising under the nail.  Shoes that do not fit properly may allow too much slippage or rubbing of the shoe against the skin causing calluses, and blisters.  A few good tips to help ensure you get the right fit of running shoe include trying on shoes at the end of the day when feet are slightly swollen and wear the type of socks you will be wearing when you are running.  Shoe types vary based on whether you tend to overpronate, and typically have a flatter foot, or supinate, in which case shoes tend to be more worn on their outer edge.  If a person has a severe enough problem with pronation, supination, or problems in foot function, a custom orthotic may be needed to allow the foot to function to the peak of its ability and to prevent injury. 

Along with proper shoes and orthotics, stretching and warming up are other simple ways to avoid two of the most common running problems: plantar fasciitis and shin splits.  Shin splints and plantar fasciitis are both inflammations at the point where the muscle and connective tissue, respectively, attach to bone.  Stretching, warming up and slowly increasing activity all help avoid the pain of shin splints by decreasing the chances of placing extra strain on the muscle attachment to the tibia, or shin bone.    Stretching the calf muscles can help to prevent plantar fasciitis by allowing for normal range of motion at the ankle joint and thus reducing the strain placed on the deep connective tissue, plantar aponeurosis that becomes inflamed and causes heel pain

Happy fall training to all the Columbus and Dublin area runners and remember that if you experience foot or ankle pain while running, do not wait to contact your podiatrist until a serious injury has already progressed!

Please visit www.columbusfoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Westerville. To schedule an appointment with a podiatrist in Dublin, Ohio, near Tuttle Crossing Mall, please call 614-885-FEET (3338).

By Dr. Animesh (Andy) Bhatia

 



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