Showing posts with label foot injuries. Show all posts
Showing posts with label foot injuries. Show all posts

Friday, December 25, 2015

Drew Brees has torn plantar fascia in right foot


Despite being in a significant amount of pain and his team being out of the playoff race, New Orleans Saints quarterback Drew Brees wants to play Sunday against the Jacksonville Jaguars.

An MRI revealed that the right foot injury Brees sustained on Monday night against the Detroit Lions is a torn plantar fascia, NFL Network's Albert Breer reported. The plantar fascia is the flat band of tissue that connects the heel bone to the base of the toes.

On Wednesday, Saints coach Sean Payton told reporters that Brees is day-to-day. However, Ian Rapoport, also of NFL Network, tweeted the following, making it sound as though it will be a long shot for Brees to suit up against the Jaguars.


As a sidenote, Payton told Jacksonville reporters on a conference call that he expects both he and Brees to be back in New Orleans next season. That would be a surprise, particularly for Payton. The Saints' defense is a mess, and unlikely to get markedly better in one offseason, and if he opted out of his deal with the team, Payton would be a hot commodity. It's not hard to imagine a marriage between Payton and the Indianapolis Colts, which would pair an offensive-minded coach with one of the best young quarterbacks in the game, Andrew Luck.

It seems unlikely that New Orleans would part ways with Brees, but the team and its franchise quarterback will have to do some major negotiating – Brees' salary cap number for 2016, the final year of his contract, is $30 million, and the Saints could use the relief.

Friday, September 14, 2012

Vince Neil The Show Must Go On ... Even With My Broken Foot!



Despite the fact he has two broken bones in his foot, Motley Crue frontman Vince Neil is REFUSING to bail on his concert tour ... insisting he'll sing through the pain.

Neil fractured two bones on his left foot while performing at the Blossom Music Center in Ohio Wednesday night ... and tweeted a pic of his swollen foot before he went to the doctor.

Neil has since had the foot put in a cast ... but tells TMZ nothing will keep him from hitting the stage in Toronto tonight ... even though he'll have to tone down the physical stuff.

Good thing he knows Dr. Feelgood.

Wednesday, December 7, 2011

How to Wear High Heels Without Pain

Discover the "healthy" way to wear heels. Plus, our favorite pairs for the holiday season.

The Best "Healthy" High Heels for the HolidaysThat pain that you feel at the end of a long night—no, it's not a hangover and it's not exhaustion. We're talking about something worse—the pain that's caused by a seemingly evil and malicious pair of high heels. But, believe it or not, not all high heels are created equal. In some cases, they can actually be healthier for your feet than flats. "Excess pronation is a condition that affects 75 percent of the population and has been related to many conditions, such as heel pain (otherwise known as plantar fasciitis), knee pain, and even lower-back pain," says podiatrist Phillip Vasyli.

In this case, doctors actually recommend wearing shoes with a slight heel, as opposed to our trusty flats. "The popular trend of ballet flats has caused us to see an increase in many of the aforementioned conditions due to a lack of overall support and flimsy shoe construction," Vasyli says.

Generally, there are a few things to look for when you're shopping for stilettos. First, make sure the heels are of moderate proportions, not the towering Lady GaGa variety. Save those for dinners out, where you'll be sitting for most of the evening.

Vasyli recommends opting for well-constructed "quality" shoes, especially those that have shock absorbing materials in the ball of the foot, and using an insert like Orthaheel, which he invented. He also suggests wearing your highest heels for only short periods at a time and giving them a little bit of closet time now and then."If you feel the need to wear higher-heeled shoes daily, then take a more comfortable shoe to get to and from work and wear the higher shoes while you're sitting at your desk," he adds.

Also, while you're having a ball, be conscious of the weight that's being distributed onto the ball of your foot. "The higher the heel, the more the shoe increases the arch height and also changes the 'arch position'," Vasyli says. He suggests looking for shoes that "contour" to your arch and distribute your weight over the entire foot, not just the ball of the foot.

By Jené Luciani

Thursday, October 27, 2011

Michael Lohan Arrested Again, Tries to Flee Cops by Jumping Off Balcony

Michael Lohan’s in trouble with the law for the second time this week.

According to ABC affiliate WFTS, Tampa, Fla. police took the father of “Mean Girls” star Lindsay Lohan into custody early Thursday for violating the terms of his release. He was arrested Tuesday on a domestic abuse complaint.

Kate Major, Michael Lohan’s girlfriend who filed the original complaint, notified Tampa police to say that he had contacted her by phone. When they showed up at Major’s home, Lohan allegedly called Major again. Upon contacting the Hillsborough County State Attorney’s office, police were given the okay to arrest him.

Then things got hairy. Cops said Lohan tried to flee the scene by jumping off of a third floor balcony. He didn’t escape and was apprehended shortly thereafter. Paramedics initially determined that Lohan was not hurt from the jump, whereupon he was transported to the Hillsborough County Jail for booking. But once he arrived at the jail, deputies suspected Lohan might have broken his foot. Early this morning he headed to Tampa General Hospital for evaluation and is expected to go back to jail for processing after.

Tuesday, October 11, 2011

Maggot Debridement Promotes Healing of Long-Standing Wounds

Maggots are an effective, low-cost salvage option to debride poorly vascularized, infected wounds in patients with diabetes, especially when vascular remediation is not possible....

Lawrence Eron, MD, infectious disease consultant at Kaiser Moanalua Medical Center and associate professor of medicine at the John A. Burns School of Medicine of the University of Hawaii in Honolulu, stated that, in addition to debriding nonviable tissue, maggots secrete bacteriostatic substances that help eradicate infections in conjunction with antibiotics. He said his talk involved a medical device, "and the device is the maggot."

Dr. Eron said that diabetic limb infections are difficult to treat with antibiotics in part because of vascular insufficiency. Maggot debridement therapy (MDT), using the larvae of the green blowfly (Lucilia sericata), not only removes necrotic tissue without affecting viable tissue but also stimulates the formation of granulation tissue.

Dr. Eron and colleagues used MDT to treat 37 patients with diabetes with complex wounds complicated by diabetic comorbidities. "In some cases, these wounds had been present for as long as 5 years and had failed multiple attempts at treatment," he said. The original wounds were abscesses, infected ulcers, and osteomyelitis with very narrow fistula tracts.

MDT consisted of applying 50 to 100 maggots to a wound, which were covered with nylon mesh fabric (similar to pantyhose) and then removed after 2 days. Clinicians then reapplied more maggots, and the cycles were repeated as necessary (median, 5 cycles; range, 1 - 30 cycles). Maggots were commercially obtained from Monarch Labs at a cost of just under $100 per treatment with 200 maggots.

The researchers defined a successful outcome as elimination of the infection, complete debridement of devitalized tissue, formation of robust granulation tissue, and greater than 50% closure of the wound. "The maggots will not totally heal the wound," Dr. Eron said. "We need other, further methods to heal the wound."

Of the 37 patients, "three quarters, roughly, achieved successful outcomes. The majority had Gram-positive infections. The Gram-positive infections seemed to do better than the Gram-negative anaerobic infections," Dr. Eron reported. The numbers were quite small, however, and a few wounds were culture-negative.

Representative Gram-positive organisms were methicillin-resistant Staphylococcus aureus, methicillin-sensitive S aureus, and group B streptococci. Patients were treated with appropriate, commonly used antibiotics, depending on the infecting organisms.

Failures occurred in patients with severe peripheral vascular disease with narrow fistulae that were not mechanically accessible after they healed after a single treatment in 3 patients with osteomyelitis, with bleeding from wounds (n = 2), or with excessive inflammation around the wound (n = 1). Pain limited treatment for 1 patient, but Dr. Eron said 5 or 6 patients responded well to acetaminophen for discomfort.

"The rest of the patients seemed to acquire, even with their peripheral neuropathy and numbness, some degree of sensation and would feel a creepy, crawly sensation, which they didn't object to," he said. "In fact, they appreciated [it] when they were dealing with anesthetic feet prior to [MDT]. It's an interesting phenomenon, and probably is worthy of investigation."

He warned that MDT is contraindicated in patients with coagulopathies and in patients with large blood vessels near their wounds.

Diabetic wound healing is hampered by a number of factors, not the least of which is vascular disease. Dr. Eron told the audience that MDT "allowed many of these patients -- three quarters of them -- to be ready for a second phase" of wound treatment, "and in many cases it averts amputation." He compared the median cost of about $500 for MDT to the cost of an amputation, which can be $65,000.

He noted that patients with peripheral vascular disease also have generalized vascular disease, so averting an amputation may allow a patient to live out his or her life with limbs intact. In the study, 5 patients died, usually from heart disease, during follow-up after successful MDT.

These investigators saw, as have others, an apparent antimicrobial effect from the maggot therapy. "It may stimulate defensins, which are part of our innate immune system," Dr. Eron said. "There seems also to be an angiogenesis type of effect because in many cases it converted dry wounds into moist, healthy wounds ... and finally it seemed to stimulate granulation tissue."

51st Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC): Abstract L-967. Presented on September 18, 2011

Wednesday, September 28, 2011

Reebok paying to settle charges over shoe claims

WASHINGTON (Reuters) - Reebok International Ltd has agreed to pay $25 million to settle charges that it made unsupported claims that its "toning shoes" provide extra muscle strength, the U.S. Federal Trade Commission said on Wednesday.

The money will go toward consumer refunds.

Reebok advertisements said the shoes strengthened hamstrings and calves by up to 11 percent more than regular sneakers, and toned the buttocks by up to 28 percent more, the FTC said.

"To its credit, Reebok pulled these ads sometime in the middle of our investigation," David Vladeck, head of the FTC's Consumer Protection Bureau.

Toning shoes are designed to be slightly unstable. Makers of such shoes often say the instability requires the wearer to work harder, thus strengthening muscles.

"We did get consumer complaints. We watch TV. We read the newspapers," said Vladeck. "There is no such thing as a no-work, no-sweat way to a fit and healthy body."

Adidas, which owns Reebok, said in a statement that it disagreed with the FTC and stood behind the shoes.

"The (FTC) allegations suggested that the testing we conducted did not substantiate certain claims used in the advertising of our EasyTone line of products," Adidas said. "In order to avoid a protracted legal battle, Reebok has chosen to settle with the FTC. Settling does not mean we agreed with the FTC's allegations; we do not."

The company added, "We stand behind our EasyTone technology -- the first shoe in the toning category that was inspired by balance-ball training."

A variety of companies advertise toning shoes, including New Balance, Skechers, Ryka and Avia.

Skechers acknowledged in an August filing with the Securities and Exchange Commission that the FTC was looking at its advertisements for its Shape-ups and other toning shoes.

The FTC said Reebok began making the claims about its EasyTone and RunTone shoes in early 2009, and provided statistics about the purported benefits of the shoes.

The refunds to customers will be made available either directly from the FTC or through a court-approved class-action lawsuit, the agency said.

By Diane Bartz in Washington and Nivedita Bhattacharjee in Bangalore | Reuters

Monday, August 29, 2011

Extended wear of high heels can cause foot damage

High heels make you look great, improve your figure, and are the final touch to a fashionable look, but if high heels do wonders for your appearance, they don't do a lot for foot health.

Dr. Michael Nirenberg, a podiatrist at Friendly Foot Care in Crown Point, says he doesn't discourage women from wearing high heels occasionally. "Once or twice a week is going to do minimal damage to your feet," he says. "If you wear heels over a long period of time, then you can do permanent damage to your feet and your body."

Dr. Nirenberg says that although high heels make you look taller in the short term, in the long term they cause you to become shorter as your body adapts to the shoes. He says your back will begin to curve and your buttocks expand out and you end up the same height you were without heels.

High heels also put all your weight on the front of the foot, which compresses the toes and the ball of the foot, leading to injuries such as the unlovely bunions, hammertoes or painful pinched nerves called neuromas.

And don't think you can wear high heels until you begin having a problem. Studies have shown that if you wear high heels and stop wearing them, later on you're more likely to have foot problems.

"Constant wearing of high heels change the feet permanently," Dr. Nirenberg says. "They also change the way all your joints in your body are aligned. Heels, even the small ones, cause you to fall forward, and the body compensates by contorting the back and changing the positioning of the shoulders and neck, making you prone to herniated discs. You also use the joints and muscles incorrectly, because you're not walking in a natural way. The Achilles tendon also shortens and you'll have pain whenever you wear a flat shoe. You can lengthen that tendon over time, but it depends upon how long you've been wearing high heels. A podiatrist can help."

When wearing heels, Dr. Nirenberg says the lower the heel the better. The platform sole is better than stilettos because they spread the weight more evenly over the ball and heel of the foot. "The high heel inserts help, too," Dr. Nirenberg says, "because they spread the weight and provide cushioning. Shoes should not hurt, even high heels. Make sure yours is the right size, and if your high heels begin to hurt your feet, you've worn them long enough."

Sunday, January 2, 2011

Wearing High Heels Can Lead to Osteoarthritis of the Foot

If you wear low heels or sturdy one- to two-inch heels or limit your wearing of high heels to evenings or special occasions, you're probably okay. However, if you wear very high heels day in and day out, you may increase your risk for developing osteoarthritis of the foot. “It’s harder to stand straight when wearing high heels, and this causes a lot of stress on the balls of your feet and your toes” says Dr. Weaver. Feet are one of the chief areas to be hit by osteoarthritis. In addition, high heels that are tight across the toes can aggravate bunions, or arthritis of the toes. You're better off wearing low heels and leaving the stilettos to the models

Thursday, December 16, 2010

High heels dangerous to women’s health

Nearly three million women suffer high-heels related injuries which need medical attention, a recent study suggests. The Sun reported that 3000 women in the age group of 18 to 65 were studied by Hot Shoes, makers of comfort footwear.

Most women twisted an ankle or tore a tendon but there were serious cases also of smashed teeth, broken bones and nasty falls. Yet, even this is not enough to dissuade 60 per cent of those interviewed for the study who said that they will continue wearing heels.

Almost 90 per cent of participants reported discomfit and ruined nights because of high heels. And 61 per cent reported sitting the night out due to the pain.

Only two per cent of those interviewed said that they did not wear high heels. Medical reports suggest that high heels could lead to foot deformities, posture problems, neck injuries and permanent damage in some cases. A 2001 Harvard study also found that high heels can set the stage for osteoarthritis of the knees.

Another study done by the shoe firm MBT claims high heel-induced injuries like twisted ankles, bunions and ingrown toenails cost the UK £29 million a year. The MBT study that included 1,000 women found that four in 10 women suffered an injury in their heels, such as falling over or twisting their ankles from wearing glamorous footwear.

A worrying trend is that women are getting cosmetic surgeries to fit into their Manolo Blahniks and Jimmy Choos. More than half of the 175 members of the American Orthopedic Foot & Ankle Society who responded to a recent survey by the group said that they had treated patients with problems resulting from cosmetic foot surgery.

The society will soon issue a statement condemning the procedures, said Rich Cantrall, its executive director.

Celebrities routinely undergo such surgeries as they more than anyone develop foot problems and ugly bunions and toes due to constant wearing of high Heels. Victoria Beckham was recently in the news for such a surgery.

High heels have been in fashion as far back as 1000 BC. They were a social status symbol. Women in the 16th and 17th century took it to great heights and teetered around in 5-8 inches high shoes. They had attendants to help them move and sometimes carried stylish canes to support them. It is only in the 20th century that demand for comfortable, fashionable shoes came from liberated women. Whatever the evidence to the contrary, it is still very difficult to separate women from their high-heels as history relates.

Monday, August 16, 2010

Popular Flip-Flop Sandals Linked to Rising Youth Heel Pain Rate

Many of us wear flip-flop sandals throughout the year; however, their popularity among teens and young adults is responsible for a growing epidemic of heel pain in this population.

We’re seeing more heel pain than ever in patients 15 to 25 years old, a group that usually doesn’t have this problem. A major contributor is wearing flip-flop sandals with paper-thin soles everyday to school. Flip-flops have no arch support and can accentuate any abnormal biomechanics in foot motion, and this eventually brings pain and inflammation.

Wearing sandals with reasonably strong soles and arch support is recommended. Especially for girls and young women, thicker soled sandals with supportive arches might not be considered stylish, but if you want to wear sandals most of the time, you’ll avoid heel pain if you choose sturdier, perhaps less fashionable styles.
It is estimated that 15 percent of all adult foot complaints involve plantar fasciitis, the type of heel pain caused by chronic inflammation of the connective tissue extending from the heel bone to the toes. Tight calf muscles and wearing inappropriate footwear are common contributing factors.

The pain is most noticeable after getting out of bed in the morning, and it tends to decrease after a few minutes and returns during the day as time on the feet increases. Not all heel pain, however, is caused by plantar fasciitis. It also can occur from inflammation of the Achilles tendon, bursitis, arthritis, gout, stress fractures, or irritation of one or more of the nerves in the region. Therefore, diagnosis by a foot and ankle specialist to rule out other causes is advised.
Initial treatment options for heel pain caused by plantar fasciitis should include anti-inflammatory medications, padding and strapping of the foot and physical therapy. Patients also should stretch their calf muscles regularly, avoid wearing flat shoes and walking barefoot, use over-the-counter arch supports and heel cushions, and limit the frequency of extended physical activities.

Most patients with plantar fasciitis respond to non-surgical treatment within six weeks. However, surgery is sometimes necessary to relieve severe, persistent pain. To find out what is happening with your child feet don’t wait to see your foot specialist at Central Kansas Podiatry Associates today.

Runners: Fit Feet Finish Faster

Both long-distance runners and casual joggers can improve their performance by keeping their feet in top condition and taking steps to control foot problems common in runners.

The human foot is a biological masterpiece that amazingly endures the stresses of daily activity. For runners, the feet are more vulnerable to injury than any other part of the body, and these athletes should be on the alert for signs of foot problems that can slow them down if not treated promptly.

The most common complaint from runners is heel pain caused by inflammation of the ligament that holds up the arch, a condition known as plantar fasciitis. In athletes, heel pain can result from faulty mechanics and overpronation in which pressure is unequally applied to the inside of the foot. It also can be caused by wearing running shoes that are worn out or too soft.

At the first sign of heel pain, runners are advised to do stretching exercises, wear sturdier shoes and use arch supports. In some cases, icing and anti-inflammatory drugs, such as ibuprofen, are helpful. Should heel pain continue, custom orthotics, injections and physical therapy might be required? Surgery normally isn’t considered unless heel pain persists for more than a year and conservative treatment has failed to bring relief.

Neuromas and tendonitis are other common foot problems that affect runners. A neuroma is a pinched nerve between the toes that can cause pain, numbness and a burning sensation in the ball of the foot. Overly flexible shoes often are the cause and padding, orthotics or injections usually are effective. Sometimes surgery is the answer if pain between the toes continues for more than six months.

Serious runners can be sidelined with tendonitis if they ignore the warning signs of this overuse-related condition. There are several forms of tendonitis that affect the Achilles and other areas, and all are treated with rest, icing, stretching and anti-inflammatory medications, and sometimes with orthotics and physical therapy. Over-zealous training usually causes tendonitis, especially among beginners who try to do too much too soon.

A common myth among athletes is that it’s not possible to walk or run if a bone in the foot is fractured. Surprised patients often say “It can’t be broken, I can walk on it." That’s dead wrong, especially with stress fractures when pain and swelling might not occur for a few days. If a fracture or sprain is suspected, runners should remember the word RICE as an abbreviation for Rest-Ice-Compression-Elevation. Should pain and swelling continue after following this procedure for three or four days, you should see a foot and ankle specialist for an x-ray and proper diagnosis.

Other common foot ailments runners should watch for are:
Athlete’s Foot: This fungal skin disorder causes dry, cracking skin between the toes, itching, inflammation and blisters. It can be prevented and controlled by washing the feet regularly and carefully drying between the toes; switching running shoes every other day to allow them to dry; wearing socks made with synthetic material instead of cotton; and applying over-the-counter ointments.

Toenail Problems: Ingrown nails can cause inflammation and possible infection and usually are treated by cutting the corner of the nail with sterile clippers. Black toenails happen when a blood blister forms under the nail from trauma, and it’s best to let the nail fall off by itself. Fungal toenails are yellow, brown or black and sometimes are irregularly shaped and thick. They are best treated with oral anti-fungal medications.

Foot Odor: There are more than 250,000 sweat glands in the foot and daily hygiene plus regular changing of shoes and socks are best for controlling sweat and odor. Runners should avoid wearing cotton socks and running without socks. Foot powders, aerosols antiperspirants and vinegar soaks also are helpful.

Blisters, corns and calluses: Never pop blisters unless they are larger than a quarter or are painful or swollen. Use a sterile instrument to lance the corner, leave the top as a biological dressing, wash, apply antibiotic ointment, and cover with a Band-aid. Corns and calluses are caused by repeated friction, and should be treated by aseptically trimming the dead skin and eliminating the underlying cause.

Wednesday, August 11, 2010

High Heeled Summer Shoes and Boots Are Dangerous Year Round

Year round women wear fashionable high-heeled shoes. These 3-6 inch heels put women at risk for slips, falls, and injuries. These high heels are popular shoes they typically feature tall, spiked heels and narrow, pointed toes. Wearing high-heels makes you more unstable when walking or standing on dry surfaces. A stylish low-heeled summer shoe is a lot more fashionable than a cast and crutches. It is recommended that women scuff-up the soles of any new shoes or boots, or purchase adhesive rubber soles, to provide greater traction.

Falls from high-heeled shoes can lead to a number of injuries, depending on how the woman loses her balance. If her ankle rolls inward or outward, she can break her ankle. If her ankle twists, ligaments can be stretched or torn, causing ankle sprain.

Women injured from slips and falls in high-heeled shoes or boots should contact Central Kansas Podiatry Associates for prompt evaluation and treatment. In the meantime, immediately use the “R.I.C.E.” method – rest, ice, compression and elevation – to help reduce swelling, pain and further injury.

Delaying treatment can result in long-term complications such as chronic ankle instability and pain, arthritis, or deformity. Even if one is able to walk on the injured foot, pain, swelling, or bruising indicates a serious injury.

Monday, July 19, 2010

A revolutionary sneaker, or overhyped gimmick?

By Michael McCarthy, USA TODAY

They are, advertisements say, a game-changer in athletic footwear: sneakers that are supposed to tone muscles, promote healthy weight loss and improve the posture of those who walk, work or shop in them.

The makers of "toning shoes" say the shoes can help give wearers more shapely butts, legs and abs, often without the need for gym workouts. That's partly why toning shoes — which often have a rounded sole like a rocking chair, to stretch the wearer's leg muscles with each stride — represent the fastest-growing segment of the $17 billion-a-year athletic footwear industry. It's a market driven by a customer base that is 90% women, according to sneaker analyst Matt Powell of SportsOneSource.

YOUR HEALTH: 'Rocker' shoe put to the test

Busy moms and working women who spend much of the day on their feet — such as teachers, nurses, hairstylists and restaurant servers — are among the most devoted buyers of toning shoes, which typically sell for $100 to $250.

Skechers, the market leader, now has Pro Football Hall of Fame quarterback Joe Montana touting the shoes in an effort to attract men. Powell predicts that sales will explode 400% this year, to more than $1.5 billion.

"We've never seen a category grow this fast," he says.

But now a growing number of doctors are warning that toning shoes don't deliver on their marketing promises and could cause injuries by, among other things, changing a person's gait, or way of walking.

Claims that toning shoes can significantly contribute to a person's fitness are "utter nonsense," says Barbara de Lateur, distinguished service professor of physical medicine and rehabilitation at Johns Hopkins University's School of Medicine in Baltimore.

De Lateur and other doctors warn that toning shoes create their advertised benefit by destabilizing how a person walks and say that wearing the shoes can result in strained Achilles tendons. De Lateur also says the shoes can be a particular problem for older consumers or those who have difficulty keeping their balance.

Alison Drury of Louisville can attest to that.

She says she broke her right ankle after awkwardly rolling over the outside of her foot during her first mile-long walk in Skechers Shape-ups shoes.

"I'm afraid to ever put them on again," Drury says.

Montana said in an interview that his Shape-ups walking, cross-training and running shoes helped relieve pain in his knees and back and enabled him to start jogging for the first time in 15 years.

As for people getting hurt or doctors' warnings, the four-time Super Bowl champion says he can only talk from personal experience.

"I haven't fallen off one yet. And I've been jogging and walking for a long time in them," he says. "I can understand people's thoughts. But once you get in, and get yourself comfortable and used to the feel and the shape of the shoe, you don't even notice it."

A bright spot in the market

Toning shoes try to replicate the gentle, heel-to-toe motion of walking on a soft, sandy beach.

The instability built into them makes a wearer work harder to maintain his or her balance — effectively giving muscles a more rigorous workout, shoe companies say. This notion is explained in the instructional booklet and DVD that accompany Skechers Shape-ups.

The basic concept of shoes that result in the wearer's heels being lower than their toes is not new. Remember the Earth Shoe phenomenon in the 1970s?

But the sales and marketing by toning shoemakers such as Skechers, Reebok, MBT (Masai Barefoot Technology), Avia and New Balance are thoroughly 2010.

A growing number of companies, such as Skechers and Reebok, are moving beyond clunky-looking walking shoes and rolling out sleeker-looking toning sneakers for running, training and hiking that look more like athletic than orthopedic shoes.

Other companies, such as FitFlop, are rolling out toning sandals and clogs.

Toning shoes typically sell for more than basketball, running or cross-training shoes. That has made toning shoes a bright spot for manufacturers and retailers in the otherwise flat athletic footwear market, in which overall sales slid 1.4% in 2009, according to the NPD Group.

The only thing bigger than toning shoes' sales growth might be the claims their marketers make about them. The Skechers website says Shape-ups will help you "Shape Up While You Walk" by toning your butt, leg and abdominal muscles, burning calories, fighting cellulite, improving your posture and circulation and reducing knee joint stress.

"Get in Shape Without Setting Foot in a Gym," Skechers claims.

Reebok, on its website, says the balance-ball-inspired technology used in its EasyTone shoes generates 28% more muscle activity in the gluteus maximus muscles of test subjects and 11% more in their hamstrings and calves.

"EasyTone shoes help tone your butt and legs with every step," Reebok says.

MBT says its "Anti-Shoe" will "tone muscles your trainer never knew you had." In the movie The Joneses, Demi Moore plays a sexy suburban mom who makes the other housewives desperate for her MBTs.

'Sorry, I don't see it'

There are elements of truth to the ads, according to doctors who have questioned the effectiveness and safety of toning shoes. But many of the doctors want more independent studies on the shoes, rather than industry-financed research. Other doctors, such as de Lateur, say they have seen enough to conclude that the shoes mostly represent hype.

Her colleague at Johns Hopkins, Wendy Shore, says consumers would get the supposed health benefits of toning shoes and save money if they skipped buying the shoes, then "bought one less bagel a day — and walked an extra block."

David Davidson, national president of the American Academy of Podiatric Sports Medicine, says the shoes basically make adults learn to walk, or run, all over again by changing their gait. That's a "scary" prospect for someone with a "borderline problem" they might not know about.

Davidson says he's suspicious of any shoes that come with an instructional booklet and DVD.

"Nothing about these shoes has any redeeming value to me," he says. "Sorry, I don't see it."

Bryan Markinson, chief of podiatric medicine at Mount Sinai School of Medicine in New York, says some of his patients who are "not in the greatest of shape" have inflamed their Achilles tendons while wearing toning shoes. People thinking of buying them, he says, should begin an "active stretching program" or else risk injury.

Jonathan Deland, chief of foot and ankle service at the Hospital for Special Surgery in New York, warns the shoes can be "dangerous" for people with balance problems.

On the other hand, Deland acknowledges that he has worn Shape-ups and likes the way they make wearers use their muscles more to maintain balance.

"I don't want people to think these toning shoes are like going to the gym and feeling like you did a really great workout," Deland says.

"Can they help a bit? Yes."

Limits encouraged

Manufacturers point to thousands of unsolicited testimonials they say they've received from customers who report their shoes toned their legs and buttocks, reduced their waist or dress sizes and helped alleviate foot injuries such as heel spurs and plantar fasciitis.

Jennifer Weiderman, vice president of Skechers' Fitness Group, says she doesn't know of any customers who've injured themselves. To get used to them, people should wear them 25 to 45 minutes a day for the first couple of weeks, she says.

"It's like any new exercise program or eating plan," she says. "You don't want to go into it like gangbusters."

As for toning shoes' critics, she suggests they try a pair before making up their minds.

"We've had a lot of podiatrists, also chiropractors and medical professionals, who think they're great," she says. As with any new category, she adds, "There's always people who will have opinions."

Regarding Skechers' claim that consumers can get in shape without setting foot in the gym, she says that's meant more for people who don't have the time or money for often-pricey gym memberships.

"So if you can't get to the gym, you still can incorporate fitness into your lifestyle. I believe that's the premise behind that line," she says.

Robert Forster, a physical therapist in Santa Monica, Calif., was hired by Skechers to research the effect of Shape-ups. His conclusion: The shoes are a good way to "increase calorie burn and activate more muscles" while walking or doing daily errands.

All shoes change a person's gait, Forster says, adding that Shape-ups can improve a wearer's gait.

However, people with balance problems or tight Achilles tendons should take a "cautious approach," he says.

With air-filled pods on the bottom that sink into the shoes as the wearer walks, Reebok's EasyTone shoes look more like regular sneakers than the rounded-bottom Skechers Shape-ups.

Katrin Ley, Reebok's head of brand strategy, predicts the company will sell more than 5 million pairs in the USA this year — and a total of 10 million globally, because the brand is making strong inroads in Europe and Asia.

"It's something that is relevant around the world," Ley says.

Bill McInnis, head of Reebok's Advanced Innovation division, says the company sees EasyTones as "part of an active lifestyle," not a substitute for one. "We're not trying to say, 'Hey, this is a magic bullet. You don't have to work out again.' "

Not every athletic footwear maker is sold on toning shoes, however. Industry leader Nike has no plans to sell such shoes and is scornful of the products on the market.

"Our focus is on creating performance products that really work," Nike spokesman Derek Kent said in a statement.

"Unlike today's toning products, we won't ask the consumer to compromise on stability, flexibility or any other key performance characteristics as they train."

Mixed reactions

Such criticism might slow, but won't stop, toning shoes' popularity and sales growth, sneaker industry analyst Powell says.

Despite the reluctance of many men to buy a product that some see as "women's shoes," he expects sales of toning shoes to men to eventually become 25% of the market.

The reaction of consumers who've worn the shoes runs the gamut.

Lisa Nosseir of Monroe Township, N.J., loves the "support and comfort" she gets from Shape-ups, although she thinks the toning claims are "far-fetched."

Barb Likos of Denver says she considers her toning shoes a "cute gimmick."

Her Shape-ups help to strengthen her calf muscles, she says, but did nothing to tone her butt and thighs. Even though they are her "most comfortable pair of shoes," she says she regrets spending $120 on them.

As for Skechers trying to persuade men to buy them, well, good luck with that.

"My husband would not be caught dead in these things," Likos says.

If anyone's looking for a slightly used pair of Shape-ups, they can contact Drury in Louisville