Jan. 2015: #AskCorrectToes, Tarsal Tunnel Syndrome, PDX Clinics
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Tarsal Tunnel Syndrome
Featured Condition

This month's featured condition is tarsal tunnel syndrome. More info here:

Introduction

Your tarsal bones are the short bones that form a bridge between your ankle and your metatarsal bones. Your tarsal tunnel is a space located just below the bony prominence on the inside of your ankle (also known as your medial malleolus), and it is made up of bone on the inside and your flexor retinaculum—a band of connective tissue—on the outside. Several structures pass through your tarsal tunnel, including tendons, blood vessels, and your tibial nerve. Compression of any of these tarsal tunnel structures can cause foot problems.

Condition Information

Tarsal tunnel syndrome, also known as tibial nerve dysfunction or neuralgia, occurs when your tibial nerve—the nerve that supplies movement and sensation to your foot muscles—becomes entrapped or compressed within your tarsal tunnel. The parts of your foot affected by this compression neuropathy depend on the area of entrapment. Any problem or condition that causes inflammation and swelling in your tarsal tunnel can cause tarsal tunnel syndrome, as increased pressure causes compression of your tibial nerve and sensations such as numbness, tingling, and cramping.

Causes and Symptoms

The underlying cause of tarsal tunnel syndrome is often difficult to determine. But anything that increases pressure in your tarsal tunnel can cause this health problem, including benign tumors or cysts, tendon sheath inflammation, bone spurs, nerve ganglions, and varicose veins. Direct trauma is another possible cause of tarsal tunnel syndrome.

Excessive foot pronation (the inward rolling of your ankle during gait) may compress your tibial nerve, leading to tarsal tunnel syndrome. Most conventional footwear holds your foot in a position in which excessive pronation is inevitable—a circumstance avoided by using appropriate minimalist footwear. You may experience symptoms bilaterally (i.e., on both sides of your body) if your tarsal tunnel syndrome is caused by inappropriate footwear.

Most conventional footwear holds (and essentially immobilizes) your big toe in a bunion configuration (i.e., big toe extended and pointing toward your second toe). In this configuration, your abductor hallucis muscle pulls on your flexor retinaculum—a band of fibrous tissue that overlies your tarsal tunnel—which cinches down on the structures passing through this tunnel, including your tibial nerve.

Some of the most common signs and symptoms associated with tarsal tunnel syndrome include:

- Foot, ankle, and toe muscle weakness
- Foot pain
- Burning, numbness, or other unusual sensations in your foot
 
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Order Correct Toes!
Buy Correct Toes

Purchase Correct Toes and other helpful natural foot care products from the Correct Toes/Northwest Foot & Ankle website. Visit this page for more information about Correct Toes and how it can help you.
PROMO:

To get FREE SHIPPING* on your Correct Toes order, please enter the following code at checkout:

012015freeship

*Offer applies to US retail customers only and is good until January 31, 2015.
Wholesale Info

If you are a healthcare practitioner, coach, or retailer interested in creating a Correct Toes wholesale account, please contact us by phone (503-243-2699, ext. 105) or e-mail, or click here.
 
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SOM Footwear
Featured Product

Check out a new shoe that works well with Correct Toes: SOM Footwear. We're excited to highlight this new foot-healthy shoe available from SOM. SOM shoes are constructed right here in the USA by a small and dedicated team of shoemakers.

Read more about the SOM story here.

 
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2014 Foot Health Goals
#FootHealth2015 

2015 is is here, and now is a great time to set your foot health goals for the coming year.

Win a free pair of Correct Toes!

We want you to post your active foot health goals for 2015 for a chance to win a free pair of Correct Toes!

Simply state your foot health goals on Twitter or Facebook along with the hashtag #FootHealth2015 and we'll enter you into a drawing to win a free pair of Correct Toes. The winner of this competition will be announced on January 20, 2015.

Happy posting, and good luck!

Correct Toes January Newsletter

Welcome to the Correct Toes January 2015 Newsletter! We'd like to wish you, our valued reader, a very happy new year. This month our newsletter contains a great video featuring Dr. Ray that discusses the invention of Correct Toes, info about tarsal tunnel syndrome, and details about a new shoe that accommodates Correct Toes.

This newsletter also contains info about a drawing to win a free pair of Correct Toes, offers details about our current promo, and discusses a new book authored by a friend of Correct Toes and Northwest Foot & Ankle. Finally, we share with you the newest Correct Toes retailers.

Best wishes to you for optimal natural foot health this January and beyond!

—The Correct Toes Team
#AskCorrectToes: The Invention

Why Were Correct Toes Invented
 
In this month's #AskCorrectToes video response, Dr. Ray McClanahan answers the following question:

Why Did You Invent Correct Toes?

In his response, Dr. Ray states that he created Correct Toes as a sort of experiment to see if he could naturally correct his own hammertoes and overlapping toes (overlapping toe occurs when the second toe rides up over the big toe). At the time Dr. Ray was creating Correct Toes, he was performing a lot of surgical corrections of overlapping toes on his patients. Although Dr. Ray got quite good at performing toe surgeries, he wondered if it might be possible to rehabilitate the foot slowly over time without the use of surgery. One of the driving forces behind the invention of Correct Toes was to give patients a nonsurgical option for reversing hammertoes, bunions, and overlapping toes.

Click the image above or the button below to view this informative video.
 
WATCH VIDEO
Submit A Question!

Facebook and Twitter users can submit a question to Dr. Ray by using the hashtag #AskCorrectToes. Dr. Ray will select one question each month and provide an in-depth video response like the one above.
Upcoming Portland Running Clinic
 
Sanatan Golden, DPTSanatan Golden, DPT is teaching a running clinic in Portland, OR on 1/24 called: There Is No Off-Season: Targeted Mobility, Strength, and Balance for Runners.

A short note from Dr. Sanatan:
How do we know what we need? We can all work on being stronger, more mobile, and more balanced, but what we really want to know is "What should I focus my time on to avoid injury and increase performance?" What we want to know is "How strong is strong enough for me? And strong where? How mobile is mobile enough? How balanced is balanced enough? What's the best way to work on it?" I hear these questions almost every day in my clinic, so I decided to put together a clinic to help runners find these answers. 

All participants at the running clinic will be tested for balance, mobility, and functional running strength and will receive an exercise sheet with their top 2-3 priorities to focus on to have a strong and healthy running year in 2015. 

Reserve your spot here! (just click the "Workshops" tab to find the signup button for this clinic)

Dr. Sanatan is also doing a Spine Health Workshop in February. Some details:

Your One and Only Spine: Is Your Spine Care Program Up to Snuff?

Date: Saturday, Feb 7, 2015,10:00 a.m. to 12:00 p.m.
Registration Fee: $25

Click here to reserve your spot! (just click the "Workshops" tab to find the signup button for this clinic)

Spine Course Takeaways:
 
  1. Mobility exercises for specific tight areas
  2. Strength/stability standards and progressions
  3. Postural alignment concepts, cues, and corrections
  4. Spinal 'Snacks' : simple, during-day, exercises for busy people
  5. Mobility testing to ensure normal mobility of the Lumbar, Thoracic, and Cervical spine
Recommended Book: Jaya Nepal!
 
Jaya Nepal! by Martin David Hughes

Martin David HughesWe often recommend nonfiction books in our newsletter, but this month (for a change of pace) we're going fiction! We're pleased to announce that Martin David Hughes, friend of Correct Toes and Northwest Foot & Ankle, and co-founder of NaturalFootgear.com, has written and published a great new novel called Jaya Nepal!

Jaya Nepal! is the story of a Peace Corps volunteer in Nepal. The story largely takes place in Kathmandu, with some additional adventures in India. Lovers of natural foot health will particularly enjoy the part devoted to Nepali mountain porters and their affinity for barefooting:
They had strong, sturdy arches; broad, flat forefeet; and incredible natural toe splay. Their toes were straight and had plenty of space between them, which was very different from the toes of a typical shoe-wearing Westerner, whose phalanges were daily mashed and mangled in one way or another. And their toenails—smooth, pink specimens worthy of the public eye—were fungus-free and fully intact.
Described by readers as “impressively earnest and honest,” â€œa beautifully told story,” and “a great read, cover to cover,” Jaya Nepal! is the perfect book for travel junkies or those interested in working or volunteering overseas.

Note: A portion of the proceeds from the sale of the novel through Martin's website go to support educational microloans to young women through Kiva.org.
 
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Now Offering Correct Toes ...

Northwest Foot & Ankle wishes to thank all the practitioners, coaches, and stores who are carrying Correct Toes. The following businesses began offering Correct Toes in the month of December 2014:
Healing Laughter Center (Oakland, CA)
Body Wisdom Studio (Richmond, CA)
Martine Rolfing (Longmont, CO)
Back in Balance Therapies (Eugene, OR)
NW AcuHealth (Portland, OR)
Ryde Natural Health Clinic (North Ryde, NSW, Australia)
Fit Chiropractic (Courtenay, BC, Canada)
Medcan Clinic (Toronto, ON, Canada)
For a complete list of Correct Toes providers around the US and world, please click the buttons below:
 
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