September 13, 2023 • 17 mins
Ever wondered why your feet throb after a game, run, or workout? We've all been there, dealing with the common sports injuries. This episode sets your foot on the right path (pun intended!). Join your hosts, Dr. Lauren Dabakaroff and Jeremy Wolf, as we dissect the causes of these nuisances and reveal preventive measures. Our prime focus: the notorious plantar fasciitis - what it is, why it's so common, and how to dodge it like a pro. We also touch on the importance of the right shoes, warming up, and regular stretching.
Moving beyond the surface, we dive into the realm of self-care and the fascinating world of regenerative medicine. We underscore the essence of preventative care, including daily stretching routines, to keep your feet happy. If you're battling chronic pain or injury, don't lose hope. Take a step towards healing with the insights from the LMD Podiatry Podcast, we're here to help you get back on your feet, literally!
To learn more, visit: LMDpodiatry.com or contact (954) 680-7133
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
Welcome to the LMD Pediatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDevakarov.
Jeremy (00:14):
Hello, hello everyone, and welcome to episode number
three of the LMD PediatryPodcast.
I'm your co-host, jeremy Wolth,and I'm joined by none of your
hosts.
Dr Lauren, dr Lauren, how youdoing today?
Dr. Lauren (00:28):
I'm doing great on yourself.
Jeremy (00:30):
I am doing really, really well.
I took up your advice, went andgot myself a pair of quality
running shoes.
Brooks ran my first 5K thisweekend, so I'm on that runner's
high, if you will.
So I'm doing great, yeah, and.
I'm excited to get into thisbecause, kind of keeping in
theme of the topic that we hadlast time we were talking about
(00:51):
running, obviously, and some ofthe problems that can cause on
the feet Wanted to see if youcan go a little bit more in
depth about common sportsindustries and problems related
to the feet.
Why don't you start off there?
Dr. Lauren (01:06):
Yeah, I'd love to dive into that.
I see a lot of sports injury ona daily basis in my office
bottom of the foot pain, top ofthe foot pain, toe pain, ankle
pain, leg pain, calf pain, allthat kind of stuff.
It's either one or two reasonswhy it happened.
(01:29):
It's either like a weekendwarrior syndrome, or someone
who's completely out of shapejust goes and runs for a few
miles and then everything isjust falling apart.
There's spraining andtendonitis, infestitis and all
that kind of things.
They're in a lot of pain.
Or it's someone who is anathlete and they just have this
(01:49):
type of excessive wear and tearof a specific joint or specific
tendon or a specific structureof their foot and they come in
with pain and inflammation andthings like that.
Jeremy (02:01):
Okay.
So I feel like I'm kind of, atleast personally, in the middle
of those two things, right,because I am kind of
transitioning into more of theathlete, but I am noticing a lot
of these minor issues coming up.
So, in terms of, I guess itjust goes back to what Like
stretching.
Dr. Lauren (02:24):
Right.
So in general, if you want to,I would like to delve first into
prevention.
I just told you what causesthese injuries, right, step
wrong, how to prevent thoseinjuries, right?
So if you're like it alsodepends on the sport.
If you're like a rollerblader,an ice skater, a runner,
(02:44):
something that requires likerepetitive, you know, one-sided
motion Sorry, there's a horndeep inside Like repetitive
one-sided motion, you want tomake sure that, like, the shoe
on the deep side is very wellpadded Sorry, you want to make
sure that the shoe on the insideis very well padded, you know,
(03:08):
so you don't get any blistersand things like that.
If you feel like part of yourfoot is tired at the end of your
workout, you know you shouldcome and get a value.
You might need some type ofinsert, something to correct
your foot so you don't overuse acertain part of your foot.
Another tip that you can dobefore and after you know you
(03:31):
want to stretch, you know, calfstretching, arch stretching, toe
stretching all those thingsbefore and after your run or
whatever you're doing, and thatreally does prevent a lot of
injuries.
And, as I always say, you gotto warm up, right?
So that's kind of what youshould be in your warm up.
You need to, you know, juststretch a little bit, stretch
(03:53):
different parts of your legs.
You know people will stretchtheir arms too.
But when it comes to that typeof sport, you know any type of
sports injuries.
You know just the stretchingbefore and after and wearing the
right shoes.
You know properly protectingyour skin, protecting your
joints.
(04:13):
You know that's important forpreventing all these things from
happening.
Jeremy (04:19):
How often should, or how long should, one dedicate to
stretching before they get into?
I'm sure obviously depends onhow intensive you're going to be
working out, but generallyspeaking, like for me again, I
keep going back to me because itrelates to what I'm doing- now.
Your foot.
Yeah, for running like before Iget, because I typically what I
do is I'll take, like you know,a minute maybe and do some toe
(04:41):
touches and maybe some calfstretches, but I feel like I'm
not doing doing it justice.
How long should I be dedicatingbefore I go?
Dr. Lauren (04:49):
A proper stretch is 20 seconds minimum per structure
.
So if you're stretching yourcalf you want to spend a minimum
of 20 seconds per leg.
Jeremy (05:03):
Okay.
Dr. Lauren (05:04):
And then I would alternate about three reps like
three, three reps on each side.
So 20 seconds on the right, 20seconds on the left, 20 seconds
on the right, 20 seconds on theleft and one more time.
That's a total of two minutes,not even so.
Now you know.
And if you want to stretchother structures like your toes
(05:26):
or your or your arch or yourhamstrings or your quads, you
know it's 20 seconds to get aproper stretch.
Jeremy (05:35):
Okay, good to know what are probably the most common
types of injuries you typicallysee come through.
Dr. Lauren (05:46):
Yeah, go ahead Sorry .
Jeremy (05:47):
No, no related to like sports injuries and things like
that.
Dr. Lauren (05:50):
So the most common thing that I literally see in my
office every single day isplantar fasciitis.
Plantar fasciitis, I know ofplant plantar warts.
Jeremy (06:01):
I've never heard of plantar fasciitis.
Dr. Lauren (06:02):
Plantar just means the bottom of your foot.
Ah, fasciitis.
So there's a structure on thebottom of your foot.
It's called a fascia.
It's the band that holds upyour arch and unfortunately it
doesn't stretch.
And a lot of people get this Afrom having a tight calf and
hamstring and B from wearing thewrong shoes.
(06:25):
So one of the most commoncauses of plantar fasciitis is a
tight calf.
So what happens is if you walkfor three miles or run for a
mile and you did not stretchbefore, what happens is when the
calf is too tight, your heelworks extra hard.
Speaker 1 (06:45):
Overcompensates.
Dr. Lauren (06:45):
It's bringing it all the way down to the floor and
then what happens is the plantarfascia or the band.
It gets these little microtears and that's why it's called
fasciitis.
It's just inflammation of thearch caused by that micro
tearing, because the heeldoesn't have any give and you're
not.
You don't have a long enoughleg to bring your foot all the
(07:07):
way down, because everything isso tight.
Jeremy (07:11):
Okay, so somebody shows up in your office with plantar
fasciitis.
What are the common treatmentsfor that ailment?
Talk a little bit about thetherapy.
Dr. Lauren (07:23):
So typically, depending on how severe the
inflammation and pain is, I do aseries of two to three steroid
injections to the heelanti-inflammatory medication
similar to leaving Advil.
A lot of stretching, a lot oficing, shoe change, arch support
, things like that.
(07:44):
Heel pads also help at thatstage.
And then the other thing that Isometimes recommend if someone
is extremely tight, there's thissplit, a stretching split that
(08:05):
I give the patients, and whatthat does.
It actually helps you.
It's like a device that you putyour leg in and it stretches
you for an hour a day.
I teach you how to crank it andeverything like that.
It's for people that just neverget a deep enough stretch.
So there's different ways tohelp this kind of move along and
it takes about a month, monthand a half, for it to resolve
(08:28):
when it initially happens.
It's very common practiceamongst other podiatrists.
There are more holistic thingsto try.
The whole goal is to get rid ofthe inflammation, because you
do have the micro tears in yourarch and they're only going to
(08:49):
heal if you take away theinflammation, and the best way
to do that is to not use yourfoot.
But we can't do that todaybecause everybody loves to run
to publics and run after theirkids, and I can't stop anyone.
Jeremy (09:04):
I stopped running after my kids several years ago.
Don't be unreal with you.
Dr. Lauren (09:11):
Mark, I had one guy.
He tripped over his kids toyand tore his Achilles.
Jeremy (09:17):
Oh no.
Dr. Lauren (09:17):
Yeah.
Jeremy (09:20):
That's my brother.
Recently he was playingbasketball.
He's like I think he's like 28,now approaching 30.
No-transcript basically rippedI think it was his Achilles and
tore it like very, very badly tothe point where he almost you
know he just killed over almost,almost passed out from the pain
, was out of commission formonths upon end.
So that's no good.
So, speaking of that right theAchilles, if somebody shows up
(09:42):
with a bad, a bad situation forthe Achilles here, what, what's
typically the do they?
I guess they have to do kind ofsome kind of surgery to kind of
reset it.
How does that?
Dr. Lauren (09:51):
It depends how big that.
If it's a sprain, I usually putthem in a boot.
If it's a tear, I alwaysrecommend surgery.
It's always better to directlyyou know, primarily repair the
tendon basically, and that justmeans to sew it back together.
But when you do that you haveyour, your encruches for about
(10:12):
six weeks Now to prevent thatfrom happening, right so?
Jeremy (10:16):
much.
Dr. Lauren (10:17):
Achilles tendonitis right, which is the tendon in
the back of your leg.
A lot of times people have thattendonitis again because they
don't stress.
The caps are tight.
It's usually at, you know, Isee it in the older.
It ranges from young to old,but it's.
It's just.
It's the epidemic of Immobility.
(10:41):
You know, people aren't Workingout, they're not active,
they're not, you know, going tothe gym.
Even kids.
I see kids with like thetightest calves ever.
It's because they're sittingand playing video games all day
long, you know, and and and thenthey go and they do PE and then
they get injured and then,whereas other kids do not, you
(11:03):
know.
So it's all kind of related.
It's very but you would havenever, your cap would have never
gotten that tight if you didn't, if you were more active, you
know, if you, you know, went tothe gym one for a walk stretch,
that home went to the yogastudio, you know, just did
something, you know I mean.
So that's kind of where a lotof the issue happened, a lot
(11:26):
during COVID, you know, allthese people were getting
injuries because they were.
They were like, oh, let me goout for a walk in fresh air
instead of isolating myself, andthat's when they would get.
You know, they.
They got all these things, allthese problems happening.
Jeremy (11:42):
Yeah off.
Often does back, though, tojust and not just what you do
and most things when it comes totaking care of yourself,
preventative care, right.
Just doing the, doing the dailyhabits, doing the things that
most people just don't like todo, until you get hurt.
You're like, oh, I should have,should have prepared better for
that one.
Dr. Lauren (11:58):
I mean, I'm, I'm, I'm, I'm at fault for this too.
Why you like?
I know I have to stretch everyday.
So I'm like I never stretch.
So how do I?
I incorporate it into my tooth,my brushing, my teeth.
I incorporate, I have toincorporate it into my routine
incorporate, stretching into it,so killing two birds with one
stone your calves at the sametime.
(12:20):
I programmed it in my head thatwhen I brush my teeth, right
after I finished brushing myteeth, I stretch for like I Do
like 20 seconds, about two orthree times on each leg.
So I've gotten in like twominutes of stretching in the
morning and then I usually I doit at night.
Sometimes I'm tired, I forget,but I know that the second I
(12:41):
don't stretch, my back hurts, myfeet hurt.
So that's kind of where I'm at,you know.
So it's also about likeeducating the patients long term
.
Like Canvas, can I fix yourproblem?
Can I make your heel pain andyour leg pain go away a hundred
percent?
Can it come back?
Come back?
Yes, it can always come back,and you have to do self-care.
(13:02):
You know you have to take careof yourself.
Jeremy (13:05):
Yeah, for for sure.
I know you also wanted to talk.
I don't know how any how thisapplies to the things we've been
discussing, but I know youwanted to touch upon
regenerative medicine a littlebit before we wrap up.
Dr. Lauren (13:17):
So just to hit a little bit.
So what I just described iswhen someone initially comes in
with, you know, plantafasciitis,chelotinitis, and they have
that initial sprain or strain ontheir tendon and fascia and you
know sometimes what happens isthey patients wait way too long
(13:37):
before they come to my officeand then I have diagnostic
imaging in the office, like anultrasound for example, and I
can see that they already havelike a ridiculous amount of scar
tissue in those areas and Ialready know that they're not
going to respond to the regularpills and shots and things like
that steroid injections.
This is why, you know, forchronic injuries and chronic
(14:02):
tendonitis and chronicfasciaeitis, things that you
know have not responded to thetraditional conservative
measures, there's a whole newarea of regenerative medicine.
A lot of doctors are doing it Ido it in my office as well and
what it is?
It's ways to re-heal the areaand bring, I guess, healthy new
(14:30):
cells to re-heal the area andfix it.
So when something is chronic,you have to put it into an acute
phase and get it to re-healagain.
And I do that with acombination of shockwave therapy
as well as stem cell injections.
I specifically use Bortonsjelly injections and it's like
(14:52):
stem cells that are harvestedfrom umbilical cords, that are
donated by, you know, women'splacenta, and it's all like
totally legitimate and safe.
And it's amazing and I reallysee how it really helps the
patients who've been sufferingpain for many, many years when
(15:13):
they don't respond to you knowthe regular steroid injections
and adbill and ibuprofen, forexample.
Jeremy (15:22):
I have to ask you because I had a guest on the
Good Neighbor podcast recently.
He's I don't know if you knowDr Mark Jaffe.
He's a rheumatologist.
Dr. Lauren (15:29):
Oh yeah, we're buddies.
Jeremy (15:31):
All right.
So he told me we were talkingabout stem.
I asked him if he does stemcell treatment in his office.
I don't do stem cells here, hesaid but what we do for certain
issues in the knee.
There is a material, a jelly,that comes this is so fun to the
clip from the podcast.
It's funny he said the jellyfrom the comb of a rooster, like
the red thing on the top of thehead of the rooster.
There's some kind of materialin there that's found in small
(15:53):
traces in the body already andsometimes when that, when
there's friction or when itwears down, they'll take that
and actually inject it over aseries of several months into
the knee and he's had a greatsuccess with that.
So I don't know if you've everheard of that before and whether
or not that applies to the feet.
Dr. Lauren (16:08):
Yeah, you can harvest it from a lot of
different things.
Jeremy (16:12):
Okay.
Dr. Lauren (16:13):
So you know so, so it's not just the rooster.
Yeah, sometimes it's harvestedfrom human tissue, sometimes
it's harvested from pigs, youknow, in this case from roosters
, and that's the first time I'veever heard of that.
Jeremy (16:28):
Very interesting.
It was very, very interestingfor sure Funny guy.
Dr. Lauren (16:31):
I love Dr Jaffe.
Jeremy (16:33):
Yeah, he really is.
So, yeah, we could probably do.
We'll definitely talk more.
We'll do another segment, forsure, or several, on
regenerative regenerativemedicine.
And then, because that's awhole other topic all into
itself, so anything else youwant to share before we wrap up.
Dr. Lauren (16:50):
No, I just want to let everybody out there know
that there is, there aresolutions to your pain and if
you have pain, you know, justknow and feel in your hearts
that there is, there are peopleout there that care, that can
help you, and that's really whatthe Good Neighbor podcast is
all about, right?
Jeremy (17:10):
Absolutely Connecting people, community supporting
local businesses all that goodstuff for sure.
So, dr Lauren, always apleasure being in your company.
So I will bid you farewell andlook forward to seeing you on
the next episode.
And everybody, Thanks fortuning in and we will see you
guys next episode of the LMDPediatry podcast.
(17:30):
Everyone, have a wonderful day.
Speaker 1 (17:35):
Thank you for listening to the LMD Pediatry
podcast.
For more information, visitdavyfootcarecom.
That's daviefootcarecom, orcall 954-680-7133.
Welcome to the LMD Pediatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDevakarov.
Jeremy (00:14):
Hello, hello everyone, and welcome to episode number
three of the LMD PediatryPodcast.
I'm your co-host, jeremy Wolth,and I'm joined by none of your
hosts.
Dr Lauren, dr Lauren, how youdoing today?
Dr. Lauren (00:28):
I'm doing great on yourself.
Jeremy (00:30):
I am doing really, really well.
I took up your advice, went andgot myself a pair of quality
running shoes.
Brooks ran my first 5K thisweekend, so I'm on that runner's
high, if you will.
So I'm doing great, yeah, and.
I'm excited to get into thisbecause, kind of keeping in
theme of the topic that we hadlast time we were talking about
(00:51):
running, obviously, and some ofthe problems that can cause on
the feet Wanted to see if youcan go a little bit more in
depth about common sportsindustries and problems related
to the feet.
Why don't you start off there?
Dr. Lauren (01:06):
Yeah, I'd love to dive into that.
I see a lot of sports injury ona daily basis in my office
bottom of the foot pain, top ofthe foot pain, toe pain, ankle
pain, leg pain, calf pain, allthat kind of stuff.
It's either one or two reasonswhy it happened.
(01:29):
It's either like a weekendwarrior syndrome, or someone
who's completely out of shapejust goes and runs for a few
miles and then everything isjust falling apart.
There's spraining andtendonitis, infestitis and all
that kind of things.
They're in a lot of pain.
Or it's someone who is anathlete and they just have this
(01:49):
type of excessive wear and tearof a specific joint or specific
tendon or a specific structureof their foot and they come in
with pain and inflammation andthings like that.
Jeremy (02:01):
Okay.
So I feel like I'm kind of, atleast personally, in the middle
of those two things, right,because I am kind of
transitioning into more of theathlete, but I am noticing a lot
of these minor issues coming up.
So, in terms of, I guess itjust goes back to what Like
stretching.
Dr. Lauren (02:24):
Right.
So in general, if you want to,I would like to delve first into
prevention.
I just told you what causesthese injuries, right, step
wrong, how to prevent thoseinjuries, right?
So if you're like it alsodepends on the sport.
If you're like a rollerblader,an ice skater, a runner,
(02:44):
something that requires likerepetitive, you know, one-sided
motion Sorry, there's a horndeep inside Like repetitive
one-sided motion, you want tomake sure that, like, the shoe
on the deep side is very wellpadded Sorry, you want to make
sure that the shoe on the insideis very well padded, you know,
(03:08):
so you don't get any blistersand things like that.
If you feel like part of yourfoot is tired at the end of your
workout, you know you shouldcome and get a value.
You might need some type ofinsert, something to correct
your foot so you don't overuse acertain part of your foot.
Another tip that you can dobefore and after you know you
(03:31):
want to stretch, you know, calfstretching, arch stretching, toe
stretching all those thingsbefore and after your run or
whatever you're doing, and thatreally does prevent a lot of
injuries.
And, as I always say, you gotto warm up, right?
So that's kind of what youshould be in your warm up.
You need to, you know, juststretch a little bit, stretch
(03:53):
different parts of your legs.
You know people will stretchtheir arms too.
But when it comes to that typeof sport, you know any type of
sports injuries.
You know just the stretchingbefore and after and wearing the
right shoes.
You know properly protectingyour skin, protecting your
joints.
(04:13):
You know that's important forpreventing all these things from
happening.
Jeremy (04:19):
How often should, or how long should, one dedicate to
stretching before they get into?
I'm sure obviously depends onhow intensive you're going to be
working out, but generallyspeaking, like for me again, I
keep going back to me because itrelates to what I'm doing- now.
Your foot.
Yeah, for running like before Iget, because I typically what I
do is I'll take, like you know,a minute maybe and do some toe
(04:41):
touches and maybe some calfstretches, but I feel like I'm
not doing doing it justice.
How long should I be dedicatingbefore I go?
Dr. Lauren (04:49):
A proper stretch is 20 seconds minimum per structure
.
So if you're stretching yourcalf you want to spend a minimum
of 20 seconds per leg.
Jeremy (05:03):
Okay.
Dr. Lauren (05:04):
And then I would alternate about three reps like
three, three reps on each side.
So 20 seconds on the right, 20seconds on the left, 20 seconds
on the right, 20 seconds on theleft and one more time.
That's a total of two minutes,not even so.
Now you know.
And if you want to stretchother structures like your toes
(05:26):
or your or your arch or yourhamstrings or your quads, you
know it's 20 seconds to get aproper stretch.
Jeremy (05:35):
Okay, good to know what are probably the most common
types of injuries you typicallysee come through.
Dr. Lauren (05:46):
Yeah, go ahead Sorry .
Jeremy (05:47):
No, no related to like sports injuries and things like
that.
Dr. Lauren (05:50):
So the most common thing that I literally see in my
office every single day isplantar fasciitis.
Plantar fasciitis, I know ofplant plantar warts.
Jeremy (06:01):
I've never heard of plantar fasciitis.
Dr. Lauren (06:02):
Plantar just means the bottom of your foot.
Ah, fasciitis.
So there's a structure on thebottom of your foot.
It's called a fascia.
It's the band that holds upyour arch and unfortunately it
doesn't stretch.
And a lot of people get this Afrom having a tight calf and
hamstring and B from wearing thewrong shoes.
(06:25):
So one of the most commoncauses of plantar fasciitis is a
tight calf.
So what happens is if you walkfor three miles or run for a
mile and you did not stretchbefore, what happens is when the
calf is too tight, your heelworks extra hard.
Speaker 1 (06:45):
Overcompensates.
Dr. Lauren (06:45):
It's bringing it all the way down to the floor and
then what happens is the plantarfascia or the band.
It gets these little microtears and that's why it's called
fasciitis.
It's just inflammation of thearch caused by that micro
tearing, because the heeldoesn't have any give and you're
not.
You don't have a long enoughleg to bring your foot all the
(07:07):
way down, because everything isso tight.
Jeremy (07:11):
Okay, so somebody shows up in your office with plantar
fasciitis.
What are the common treatmentsfor that ailment?
Talk a little bit about thetherapy.
Dr. Lauren (07:23):
So typically, depending on how severe the
inflammation and pain is, I do aseries of two to three steroid
injections to the heelanti-inflammatory medication
similar to leaving Advil.
A lot of stretching, a lot oficing, shoe change, arch support
, things like that.
(07:44):
Heel pads also help at thatstage.
And then the other thing that Isometimes recommend if someone
is extremely tight, there's thissplit, a stretching split that
(08:05):
I give the patients, and whatthat does.
It actually helps you.
It's like a device that you putyour leg in and it stretches
you for an hour a day.
I teach you how to crank it andeverything like that.
It's for people that just neverget a deep enough stretch.
So there's different ways tohelp this kind of move along and
it takes about a month, monthand a half, for it to resolve
(08:28):
when it initially happens.
It's very common practiceamongst other podiatrists.
There are more holistic thingsto try.
The whole goal is to get rid ofthe inflammation, because you
do have the micro tears in yourarch and they're only going to
(08:49):
heal if you take away theinflammation, and the best way
to do that is to not use yourfoot.
But we can't do that todaybecause everybody loves to run
to publics and run after theirkids, and I can't stop anyone.
Jeremy (09:04):
I stopped running after my kids several years ago.
Don't be unreal with you.
Dr. Lauren (09:11):
Mark, I had one guy.
He tripped over his kids toyand tore his Achilles.
Jeremy (09:17):
Oh no.
Dr. Lauren (09:17):
Yeah.
Jeremy (09:20):
That's my brother.
Recently he was playingbasketball.
He's like I think he's like 28,now approaching 30.
No-transcript basically rippedI think it was his Achilles and
tore it like very, very badly tothe point where he almost you
know he just killed over almost,almost passed out from the pain
, was out of commission formonths upon end.
So that's no good.
So, speaking of that right theAchilles, if somebody shows up
(09:42):
with a bad, a bad situation forthe Achilles here, what, what's
typically the do they?
I guess they have to do kind ofsome kind of surgery to kind of
reset it.
How does that?
Dr. Lauren (09:51):
It depends how big that.
If it's a sprain, I usually putthem in a boot.
If it's a tear, I alwaysrecommend surgery.
It's always better to directlyyou know, primarily repair the
tendon basically, and that justmeans to sew it back together.
But when you do that you haveyour, your encruches for about
(10:12):
six weeks Now to prevent thatfrom happening, right so?
Jeremy (10:16):
much.
Dr. Lauren (10:17):
Achilles tendonitis right, which is the tendon in
the back of your leg.
A lot of times people have thattendonitis again because they
don't stress.
The caps are tight.
It's usually at, you know, Isee it in the older.
It ranges from young to old,but it's.
It's just.
It's the epidemic of Immobility.
(10:41):
You know, people aren't Workingout, they're not active,
they're not, you know, going tothe gym.
Even kids.
I see kids with like thetightest calves ever.
It's because they're sittingand playing video games all day
long, you know, and and and thenthey go and they do PE and then
they get injured and then,whereas other kids do not, you
(11:03):
know.
So it's all kind of related.
It's very but you would havenever, your cap would have never
gotten that tight if you didn't, if you were more active, you
know, if you, you know, went tothe gym one for a walk stretch,
that home went to the yogastudio, you know, just did
something, you know I mean.
So that's kind of where a lotof the issue happened, a lot
(11:26):
during COVID, you know, allthese people were getting
injuries because they were.
They were like, oh, let me goout for a walk in fresh air
instead of isolating myself, andthat's when they would get.
You know, they.
They got all these things, allthese problems happening.
Jeremy (11:42):
Yeah off.
Often does back, though, tojust and not just what you do
and most things when it comes totaking care of yourself,
preventative care, right.
Just doing the, doing the dailyhabits, doing the things that
most people just don't like todo, until you get hurt.
You're like, oh, I should have,should have prepared better for
that one.
Dr. Lauren (11:58):
I mean, I'm, I'm, I'm, I'm at fault for this too.
Why you like?
I know I have to stretch everyday.
So I'm like I never stretch.
So how do I?
I incorporate it into my tooth,my brushing, my teeth.
I incorporate, I have toincorporate it into my routine
incorporate, stretching into it,so killing two birds with one
stone your calves at the sametime.
(12:20):
I programmed it in my head thatwhen I brush my teeth, right
after I finished brushing myteeth, I stretch for like I Do
like 20 seconds, about two orthree times on each leg.
So I've gotten in like twominutes of stretching in the
morning and then I usually I doit at night.
Sometimes I'm tired, I forget,but I know that the second I
(12:41):
don't stretch, my back hurts, myfeet hurt.
So that's kind of where I'm at,you know.
So it's also about likeeducating the patients long term
.
Like Canvas, can I fix yourproblem?
Can I make your heel pain andyour leg pain go away a hundred
percent?
Can it come back?
Come back?
Yes, it can always come back,and you have to do self-care.
(13:02):
You know you have to take careof yourself.
Jeremy (13:05):
Yeah, for for sure.
I know you also wanted to talk.
I don't know how any how thisapplies to the things we've been
discussing, but I know youwanted to touch upon
regenerative medicine a littlebit before we wrap up.
Dr. Lauren (13:17):
So just to hit a little bit.
So what I just described iswhen someone initially comes in
with, you know, plantafasciitis,chelotinitis, and they have
that initial sprain or strain ontheir tendon and fascia and you
know sometimes what happens isthey patients wait way too long
(13:37):
before they come to my officeand then I have diagnostic
imaging in the office, like anultrasound for example, and I
can see that they already havelike a ridiculous amount of scar
tissue in those areas and Ialready know that they're not
going to respond to the regularpills and shots and things like
that steroid injections.
This is why, you know, forchronic injuries and chronic
(14:02):
tendonitis and chronicfasciaeitis, things that you
know have not responded to thetraditional conservative
measures, there's a whole newarea of regenerative medicine.
A lot of doctors are doing it Ido it in my office as well and
what it is?
It's ways to re-heal the areaand bring, I guess, healthy new
(14:30):
cells to re-heal the area andfix it.
So when something is chronic,you have to put it into an acute
phase and get it to re-healagain.
And I do that with acombination of shockwave therapy
as well as stem cell injections.
I specifically use Bortonsjelly injections and it's like
(14:52):
stem cells that are harvestedfrom umbilical cords, that are
donated by, you know, women'splacenta, and it's all like
totally legitimate and safe.
And it's amazing and I reallysee how it really helps the
patients who've been sufferingpain for many, many years when
(15:13):
they don't respond to you knowthe regular steroid injections
and adbill and ibuprofen, forexample.
Jeremy (15:22):
I have to ask you because I had a guest on the
Good Neighbor podcast recently.
He's I don't know if you knowDr Mark Jaffe.
He's a rheumatologist.
Dr. Lauren (15:29):
Oh yeah, we're buddies.
Jeremy (15:31):
All right.
So he told me we were talkingabout stem.
I asked him if he does stemcell treatment in his office.
I don't do stem cells here, hesaid but what we do for certain
issues in the knee.
There is a material, a jelly,that comes this is so fun to the
clip from the podcast.
It's funny he said the jellyfrom the comb of a rooster, like
the red thing on the top of thehead of the rooster.
There's some kind of materialin there that's found in small
(15:53):
traces in the body already andsometimes when that, when
there's friction or when itwears down, they'll take that
and actually inject it over aseries of several months into
the knee and he's had a greatsuccess with that.
So I don't know if you've everheard of that before and whether
or not that applies to the feet.
Dr. Lauren (16:08):
Yeah, you can harvest it from a lot of
different things.
Jeremy (16:12):
Okay.
Dr. Lauren (16:13):
So you know so, so it's not just the rooster.
Yeah, sometimes it's harvestedfrom human tissue, sometimes
it's harvested from pigs, youknow, in this case from roosters
, and that's the first time I'veever heard of that.
Jeremy (16:28):
Very interesting.
It was very, very interestingfor sure Funny guy.
Dr. Lauren (16:31):
I love Dr Jaffe.
Jeremy (16:33):
Yeah, he really is.
So, yeah, we could probably do.
We'll definitely talk more.
We'll do another segment, forsure, or several, on
regenerative regenerativemedicine.
And then, because that's awhole other topic all into
itself, so anything else youwant to share before we wrap up.
Dr. Lauren (16:50):
No, I just want to let everybody out there know
that there is, there aresolutions to your pain and if
you have pain, you know, justknow and feel in your hearts
that there is, there are peopleout there that care, that can
help you, and that's really whatthe Good Neighbor podcast is
all about, right?
Jeremy (17:10):
Absolutely Connecting people, community supporting
local businesses all that goodstuff for sure.
So, dr Lauren, always apleasure being in your company.
So I will bid you farewell andlook forward to seeing you on
the next episode.
And everybody, Thanks fortuning in and we will see you
guys next episode of the LMDPediatry podcast.
(17:30):
Everyone, have a wonderful day.
Speaker 1 (17:35):
Thank you for listening to the LMD Pediatry
podcast.
For more information, visitdavyfootcarecom.
That's daviefootcarecom, orcall 954-680-7133.
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