29: The Sports Doctor is In! — Dr. Robert Weil

0:00take back your health now episode 29
0:07you’re listening to the take back your
0:09health now podcast the show that
0:11interviews the top doctors athletes
0:13trainers and entrepreneurs to help you
0:16find the holy grail of health now here’s
0:19your host dr. dan Margolin is dr. Ghanem
0:27are going with another segment of take
0:29back your health now where we pull out
0:30all the stops in search of Health’s holy
0:33grail we’re very excited to have dr.
0:35Robert wild DPM on our show we
0:38specialize in podiatric medicine
0:40orthotics and sports medicine he’s
0:43written a column for the natural son and
0:45aurora beacon since 2007 as the sports
0:48doctor
0:49his goal is to provide sports medicine
0:51information to athletes your family’s
0:53coaches and all readers
0:55additionally dr. Wallace a weekly radio
0:57show the sports doctor unhealthy place
0:59dotnet he addresses current topics in
1:01medicine and sports and often includes
1:04guest speakers who bring a wealth of
1:05knowledge from the various professional
1:07backgrounds that while welcome to the
1:09show
1:09hey dr. dan it’s nice to be with you we
1:12traded radio shows in a diet again on
1:15the sports doctor few weeks ago i’m
1:17returning the favor it’s good to be with
1:20you congratulations are not on your
1:22podcast will thank you so much and it
1:24was really really fun having you on the
1:25show we met what we need about a year
1:27ago in New York City at that summit and
1:29we saw that yes I i have been taking
1:33part of the past three years in the
1:34National Publicity summit representing
1:38my radio show where media from all over
1:41the country comes in gives individuals
1:43at that time you were are promoting your
1:46book and I and so you one of the guys
1:50who speed dated me so it was it was
1:53great to to to have but your
1:55acquaintance and then to finally get
1:57John sports doc was great being honest
2:00so that all you are podiatrist and I
2:02just let’s just just go back a little
2:03bit what drew you into becoming a
2:05podiatrist are you know where years ago
2:08i was interested in in some aspect of
2:11the medical field of Dentistry was one
2:14of my interests was always great to tell
2:16girlfriend’s parents that I was thinking
2:18to go into dental school you know it’s
2:20really
2:20rest of mexican years ago and then
2:24podiatry came along I wasn’t that
2:26familiar with it at all but I i like the
2:29idea that it wasn’t our life and death
2:31situations there were various areas
2:35whether was pediatrics weather with
2:37geriatrics are that while you can get
2:39involved in surgically and about six
2:44seven years after i got involved in
2:47practice i met a very famous sports
2:50therapist
2:51kinesio therapist by the name of Bob
2:53gajda bob was an ex mr. America mr.
2:56universe in the sixties went on to
2:58become an individual that people from
3:02all over the country that John McEnroe’s
3:04the eighty-five super bowl bears the
3:06walter payton’s came to see to rehab or
3:10to be a step quicker back in those days
3:13high-performance most uh athletes didn’t
3:18have spell it and I was the Fox
3:20consultant the diet rest’s so with my
3:23fingers crossed I started getting an
3:25opportunity to put orthotics in the
3:27shoes of some of these superstars and it
3:30was a very exciting to get that
3:32opportunity
3:33well what’s it like working with these
3:35kind of elite athletes and what with
3:37several experiences uh well you got
3:40a-you got to be good sports
3:40psychologists who feel can imagine I
3:43which we feature there are a lot I I
3:45think it’s definitely a challenge for
3:47various reasons one being that many
3:50great athletes are surrounded by all
3:54sorts of influences you know I’ve been
3:57to this doctor that dr. have been to the
3:59team doctor I’ve been talking to this
4:01therapist so sometimes it’s difficult
4:03you know he might take your orthotics
4:06and thrown out the window if he doesn’t
4:08feel comfortable in the year the first
4:09day or two that he’s he’s using them so
4:13they definitely was at the same time are
4:16being a sports fan myself Rangers are
4:19very exciting to be around are we got a
4:23very involved in the world of um r of
4:27baseball football but one of the things
4:30that was very exciting
4:32in the late seventies i met a famous
4:34city skating coach candy brown we just
4:38did an article on candy cold she started
4:41it all
4:42are we have a great newsletter called
4:44hyper school performance figure skating
4:46I can be introduced me to the world of
4:48figure skating and I’ve been putting
4:51orthotics and see your skates dr. dan
4:53for probably three to have for decades
4:55and the highlight of that career was one
5:01of the young boys who grew up here in
5:03naperville illinois where I’ve been
5:05transplanted from New York all these
5:08years are the evan lysacek was 10 years
5:11old 18 foot orthotics and his skates 15
5:14years later he was the Olympic gold
5:16medalist his 2010 in vancouver so i had
5:20the opportunity to show a lot of the
5:24medical world the value of podiatry be
5:30included in the whole sports criteria
5:34and the value also of our proper foot
5:40leg and body positioning with your
5:43thoughts really brings to the table so
5:46it was very exciting one of my
5:48specialties is the high-performance
5:50young boy or girl whether they’re a
5:53soccer player or whether they are figure
5:55skater will they were a dancer etc and
5:58you know are in the area above the
6:02pressure on some of these young kids in
6:05the overuse injuries and all these
6:07problems that we see in podiatry is in
6:10the middle a lot of it you know all day
6:12i’m sure you sing the song girls own
6:15connected to the ankle bones connected
6:17to the knee bone right up sure
6:18absolutely nothing at all they want
6:20absolutely practice doctors you know
6:23some of the people that we may not be
6:24completely familiar with what an
6:25orthotic is so just described to them
6:27what that is an excellent great question
6:30you know because with where we’re
6:32surrounded by all sorts of myths
6:35regarding arch supports and foot support
6:38so the the properly done the job of
6:42orthotics really and it’s a insert
6:45that goes in shoes might go in our
6:48skates or skis my going grandma’s shoes
6:52but ideally orthotics are designed to
6:56are properly position the foot and ankle
6:59and lower leg so that everything works
7:02more efficiently the feet affect
7:05everything there are foundation so many
7:08times you know if you watch the doctor
7:09shows commercial on TV you see the
7:12five-minute of the policemen saying you
7:14know my back in my knees in my legs and
7:16he’s talking about orthotics
7:19ah but it usually we see course with
7:22prejudice but the profession that really
7:25is on top of the area of biomechanics
7:29the way our muscles and joints and
7:33tendons work together is to dietary and
7:37the ability again of them using
7:40orthotics for proper support our proper
7:43positioning of the foot
7:45there’s a big difference between the
7:47position of the foot and leg when we
7:48land on the heel every time you will we
7:51take a walk are when we land on our heel
7:54with generating about half our weight up
7:57our feet ankles legs hips and spine
7:58right you start running and jumping you
8:01could triple that if you want my figure
8:03skaters doing a triple jump you’re
8:05hitting the ice with 78 times you wait
8:08you better be in alignment is that how
8:11much they’re hitting it with when
8:12they’re doing those yes
8:13wow that’s it’s amazing that anybody
8:15survives and one of the big challenges
8:17of course is the you know I called The
8:20Prodigy sports where again you have
8:22young children and it’s one of the most
8:25popular articles on my website which is
8:28sports doctor radio.com dr. dan and the
8:31name of the article is young athlete one
8:35sport or many good question and it talks
8:38about the world of specialization where
8:41you might have in your office a young
8:43tennis player who might be 10 11 12
8:46years old and they’re playing 10 days a
8:48week ready right and they’re really
8:50pushing the envelope are regarding our
8:53stress on the on the growing body and I
8:56think
8:57again that the podiatrist we just wrote
9:00an article on a called kids and Clete we
9:05were talking about are you the millions
9:08of young soccer plays what’s one of the
9:09most common things we see in podiatry
9:12with children is he’ll paid that we are
9:15absolutely and prophesize are growing be
9:17exactly the big growth centre on the
9:19back of the heel so what does soccer do
9:21they put a cluster of Crete right
9:24underneath your route routinely you know
9:27it’s just part of the part of the
9:29tradition so to speak
9:31I so in many instances where again
9:34talking about you want to be in the
9:36right shoe for your particular foot type
9:40you want to be in the right shoe for
9:42particular sport you might be playing
9:44and it’s hard to be the advice of
9:47podiatry when it comes out to those
9:49aspects with dr. let’s just go back to
9:53orthotics in that same realm right so
9:55normally when we make an orthotic for
9:57Joshua that comes off the street it’s
9:59pretty straightforward ready to take a
10:01plaster caster you use a scanner book
10:03when you’re making these orthotic seas
10:05in search for these elite ice skaters
10:08and how does that how does the process
10:09differ from just making it for somebody
10:13that’s not involved in the pencil well
10:15again you know one of the big challenges
10:16of any type of insert are orthotic
10:20devices it’s got to be comfortable if
10:22it’s not comfortable in trouble now in
10:24the figure skate well we might be
10:25talking about
10:27I a orthotic that’s got to be as narrow
10:30as one might be for a dress shoe right
10:34the woman that absolutely well again
10:36with we we got to be aware of the skate
10:40that the orthotics going in so that it’s
10:42it and that it’s properly we got to make
10:45sure that the devices minimum bulk
10:48enough so that it doesn’t take up too
10:51much room and cause that individual are
10:54to be uncomfortable
10:56ironically it’s no different if we’re
10:58putting the orthotic in grandma’s shoes
11:01or in whoever are we have to be dealing
11:03with are you know many times we see
11:06construction workers or we see people
11:09who are doing physical jobs
11:11and I consider them athletic in the guys
11:13climbing a ladder is jumping down off
11:16and up and down off a platforms or in
11:19and out of a truck etc etc so the
11:21orthotics got to be comfortable but I
11:24think we need to be using i like very
11:26flexible plastics that are virtually
11:28unbreakable and that can be moved from
11:32most of the kids we put orthotics and
11:34skate will be able to take them out of
11:36this skate to put them in their shoes so
11:39that they can switch them back and forth
11:41are but the real criteria again is
11:43making sure that we’re not taking up too
11:47much room in that skate shoe or ski or
11:50whatever for that individual to be
11:52uncomfortable and that also we are not
11:56selling somebody in our own orthotic AC
11:59around our follow-up is very important I
12:03see some of these individuals for a
12:06decade or two later in one regard or
12:08another where we really are following up
12:11and making sure that they’re comfortable
12:13and that we are achieving what we want
12:18to achieve and I think what’s very
12:19interesting also dr. dan is almost all
12:23the time we’re using orthotics my
12:26experience it’s because something hurts
12:28my heel hurts my arch hurts my ankles
12:31bother me we know shin splints need
12:34problems have the females i see who were
12:37active as a podiatrist or knee problems
12:40again because of the relationship of the
12:44foot up to the lower leg i really
12:48believe that any persistent ongoing
12:52lower extremity problem back hit knees
12:57if its ongoing in persistent it’s
13:00related to foot mechanics might not be
13:02directly caused by them but in some way
13:05shape or form is related to if I’m
13:08putting others in your skate shoes or
13:10your son or daughter’s skate shoes
13:12tomorrow number one where were or making
13:16sure that we are getting used to these
13:17things kind of gradually not putting
13:19them in our are skating doing triple
13:22jump double jump the first day we’ve got
13:24them
13:25and I might be seeing that individual in
13:27a couple of weeks idea how are you
13:29comfortable that they feel good as a
13:30fitting well everything is going well
13:32but that’s exactly we might look for
13:35what’s interesting I and again I’m
13:37prejudiced but i I’ve never had a
13:40skating coach in 35 years
13:42I’m call me up and say you know dr.
13:44while you you made them slower you must
13:47got the salad right so enhancing
13:50performance step quicker that are
13:54balanced better alignment I better
13:59agility is one of the exciting new
14:02frontiers in again I say properly done
14:05orthotics are and i’m sure you’ve got an
14:08office filled of recreational and semi
14:12serious people they might be runners
14:14they might be golfers and probably
14:16everyone who says you know everything
14:18works better when I’ve got orthotics in
14:20my shoes and I think that’s one of the
14:22new frontiers you don’t need something
14:24wrong to benefit and that’s one of the
14:27things I tell parents or or applicable
14:29time when they look say dr. dan dr. Bob
14:33do I need is my son and daughter need
14:35orthotics and i say i have a better word
14:38for you and that’s what they benefit
14:40great right and that’s I sounded very
14:43positive and i’m now old enough
14:46it really that i have seen i have
14:49skating coaches matter of fact when I
14:51wrote the article about candy brown one
14:54mentholated seventies she we take her
14:57skate boots off the orthotics a 1979 on
15:00that
15:0190-79 Wow write these guys the plastics
15:06and no wonder I can’t make any money
15:07these things that we’re out are the same
15:10time wow I’ve watched children grow up
15:14in them in various sports and I sound
15:18arm tremendous success and again
15:22speaking of knee problems and the plague
15:25of ACL injuries that we see in sports
15:29and probably 4521 in girls and females
15:34wider hips
15:36a different mechanical alignment to the
15:38knee hormonal differences i can count on
15:42one hand how many athletes girls I’ve
15:45seen who had orthotics in issues have a
15:48non arm of physical injury ACL injury
15:52changing direction are running hard you
15:56know a non-traumatic situation I and I
15:59think that’s again another one of the
16:00secrets that many times we see which is
16:03the attacking these neat concerns with
16:06proper foot alignment and I do add
16:11absolutely arm when we’re using
16:15orthotics and these kids the importance
16:18of foot ankle strengthening your hand
16:21balance exercises you know you walk into
16:24the gym of the school or even the gym of
16:27a competitive team and everybody’s
16:30worried about how much they could bench
16:31press but whose straightening their feet
16:33and ankles
16:34you’re right had the support of
16:36structure the thing that’s really like
16:37allowing you to compete i think one of
16:39the things you said was true like we’re
16:41getting people out of thing but i think
16:42the other thing that were actually also
16:43increasing that might not be so easy to
16:45measure is the longevity of that athlete
16:48exactly and again you know on the sports
16:51doctor and again you talk about the name
16:54of your show and there’s some of the
16:56different areas regarding health and
16:58wellness and fitness and this is
17:00something that we specialize in all of
17:02these years on the sports doctor whether
17:05i have expertise we talked a lot about
17:08the mental game of the psychology
17:11whether it’s a Terrence we’re all
17:13familiar with the overzealous sideline
17:16Little League dad this you know your
17:18rating rating are we talked a lot of
17:21nutrition we talked an awful lot about
17:23some our senior our wellness again
17:27regarding activity
17:30I’ve spent the past ten twelve years
17:32talking about the experts around the
17:35world on concussions
17:36so even though the scene running through
17:41the sports doctor again involved of the
17:44role of the foot in many instances than
17:48similar
17:49to guard your attention we talked a lot
17:53about of wellness of fitness and I know
17:56that effective you do we go to my
17:58website sports doctor radio.com go to
18:01radio shows and you’ll see the last
18:03month you’ll be able to read about when
18:06dr. dan was on and we really talked
18:08about our-our your success in your
18:11practice and and your podcast but what I
18:14you know I love your show cause youyou
18:15really cover such a role wide array of
18:18subjects and it all relates to help it
18:20all relates to this area but you’re
18:22capturing it from so many different
18:24angles it’s fascinating it’s it’s
18:26actually a joy to find something that’s
18:27in the same profession you know when
18:29you’re talking and you’re saying that
18:30you were going to be a dentist suppose I
18:32was gonna be at the first and I mean
18:34it’s almost as if we had sort of had
18:36this same background growing up
18:38yeah I think I messed up the chalk test
18:40in while you’re on the East Coast aren’t
18:42you aren’t you in germany jersey yes sir
18:44yeah i still have relatives and uh in in
18:47new jersey and by doing though I’m
18:50practice my new york accent at least
18:52once a week on the radio doctors and so
18:55I don’t have not i don’t want to lose
18:56the twine you know what I mean I didn’t
18:59I did city that’s a fact but you know
19:01just going to your point before I think
19:03I I had a patient come in and he had it
19:06was a young guy in his early forties
19:08that had a hip replacement and was going
19:10for another hip replacement and when I
19:12looked at his history he had plantar
19:14fasciitis about 15 years prior
19:17ok and I said well how did you have it
19:18treated he had cortisone injections and
19:21I said what about orthotics he had gone
19:23to three different diets and I really
19:25analyze and I said what did they offer
19:27you orthotics he did not even know what
19:30orthotics were doesn’t shock me again
19:34you know our profession is really turned
19:36to reconstructive surgery and
19:38everybody’s a surgeon and everybody’s
19:39looking to do surgery on but one of the
19:42questions I would ask of course if we’ve
19:46got some uh whether people are in their
19:4840 50 60 or older and they’ve got
19:51arthritis in the knees or the hips have
19:53worn out and we’ve got replacement of
19:55joints on what do you think caused that
19:58kind of wear and tear on the joint over
20:02the ears and almost always the
20:05malalignment kinds of factors that we’re
20:07talking about are involved so are the I
20:12i hope those kinds of incidences where
20:15podiatry again biomechanics has always
20:17been a real big topic into dietary in
20:21the role of orthotics but it’s been
20:23overshadowed in some regard over the
20:26past few decades with the explosion of
20:29the podiatric surgeon are and this is a
20:32tremendous expertise and in podiatric
20:35surgery there’s no doubt about it but I
20:38think a little bit into the background
20:40has been either the reluctance of
20:43podiatry to get up front and personal
20:46whether it’s with physical therapy with
20:48the orthopedic community with all the
20:52chiropractic community and be able to
20:55get them to understand that if properly
20:58done are orthotic therapy is elected
21:01cause it i’ll call it rather is almost
21:05without exception to step up even if you
21:07talking about on preventing problems and
21:11even though we don’t have a time machine
21:12to be able to say well you know let’s
21:15take a look at this guy 10-15 years ago
21:18and see how his knees would have been if
21:21we never interceded but clinically I’m
21:25sure your experiences the same that
21:27there aren’t many people of any if an
21:30orthotic is comfortable that don’t find
21:33the jhino doc my back feels a lot better
21:35and see my knees feel better and uh and
21:39and one of the challenges we have in
21:42sports medicine is that if the feet
21:45don’t hurt then often medicine will miss
21:50it
21:50I’ve had people had knee surgery when a
21:53ball of yarn put under the arch might
21:55have been helpful ridiculous
21:58so uh but I think there’s been
22:00tremendous our improvement and progress
22:03made you know it’s not a team around
22:06professionally in any sport where you
22:10don’t see the dietary involved in some
22:12way shape or form and I think that’s
22:14great to see
22:15and I I definitely think you had a big
22:17hand in that but you know you know what
22:19I when I look at patients and I trained
22:20doctors always say listen I look at my
22:22job is to jobs wanted to get you the
22:24pain and choose to keep you out of pain
22:25and the get a pain might be quarters on
22:27it might be some kind of a cute thing
22:28but almost always they keep you out of
22:31pain is the orthotic is that realignment
22:33of the joints is that recognition of
22:35using a real shock absorber so that the
22:38foot is actually like that the pressure
22:40is taking off so it doesn’t affect me in
22:42the back and all these other things yeah
22:44i think you make a great point again
22:45again do you know the foot Michaels we
22:47know is a complicated ball and socket
22:50type mechanism there are few areas of
22:52the body the more sophisticated we might
22:54think our wrists and shoulders i can
22:58compare in complexity for yet walking on
23:02your hands or your shoulders
23:04although our another amending that once
23:05i was speaking to a large group of young
23:07gymnast in their parents and excuse
23:10raise their hand they said we walk on
23:11our hands all the time dr. actually no i
23:14said i stick
23:14I stand corrected but other times will
23:18see even the the suggestion of the
23:22proper shoe and the proper shoot type of
23:26many times can make a tremendous
23:28difference again because the first major
23:32shock absorber that you just mentioned
23:34of our whole body are our feet ankles
23:38and once you start running and jumping
23:40once you start changing direction I then
23:45all of a sudden we start to see how
23:48important are the foot Michael isn’t
23:50some three years it’s been out of sight
23:52out of mind are you know we want to be a
23:55good looking shoe with nice colors but
23:57whether or not it’s got the proper
23:59support etc sometimes a different story
24:02and usually that’s the best combination
24:04which is having somebody who’s fit
24:08properly and you know I had two experts
24:11one of my sponsors dr. dan locally is
24:14some new balance one of the popular
24:17brands of um of walking and running
24:19shoes and sports shoes with with sizing
24:24and I their expertise many had said to
24:27me they said that even with serious
24:29it’s a fleet over seventy-five percent
24:32of us aren’t even fit properly when it
24:36comes to shoes and i found that amazing
24:40that that did that was even close
24:43yeah no it isn’t like and the question
24:45asks you after this is also like how
24:47have you seen over the years shoes
24:49change in terms of you know their style
24:51their construction the support i think
24:54they come a long way baby I although i’m
24:58not a fan of less is better you know
25:01we’ve seen by calling the hula-hoop
25:03hula-hoop trends over the years were all
25:05of a sudden you had barefoot running and
25:07you had minimal shoes lighter lighter
25:10writer let them less unless we saw that
25:12challenge even in figure skating because
25:14the Russians were using these light
25:17light light light boots and all of a
25:19sudden here this is something that hate
25:22the Russians are doing it you know we
25:23want to copy it
25:24the question was whether you had the
25:26same structural integrity I and I
25:29remember 25 years ago roughly one of our
25:32colleagues Peter Kavanaugh and Penn
25:34State University wrote a book choosing
25:36the best shoe and the front cover with
25:38the Coolidge of about fifty brains or
25:41something like that
25:42yeah point was you know there is no
25:44exact up the shoe but for the most part
25:47I think they made great improvements in
25:50materials are in structure and stability
25:54but what’s interesting is all those
25:56years ago when you would ask individuals
25:59you know how long are with my running
26:02shoes for example be good for before I
26:04should change them though is a popular
26:06question that’s a grand one of the
26:08common answers was that you know for 500
26:11miles maybe something like that and then
26:13depending on the climate you know if you
26:15in Chicago or New Jersey and you’re
26:17running outside the winter whatever are
26:20the wear-and-tear I is is going to make
26:23a difference but even today if you ask
26:25how about how many miles does the top
26:29shoes really last
26:31and the answer is that you know for 500
26:33mile so durability
26:35I don’t think it’s changed very much
26:37over the years is that been your
26:39impression almost exactly the same thing
26:42yeah
26:42i mean iíve seen what I’ve seen with
26:44shoes and I think it is related to
26:46potential that they become much more
26:47supportive at least for a time period i
26:50just want to say I started I had
26:52Achilles tendinitis so I wear orthotics
26:54myself and you know when we met at that
26:57summit I lift my orthotics in my shoes
27:00in my hotel room in New York City and
27:02contacts i actually did and i forgot
27:05about him and three weeks later I’m
27:06walking around the office and my
27:07Achilles tendon eyes flared up again so
27:10i’m actually like a living testimony to
27:12orthotics but I spoke with some athletes
27:15over the years some of them that are the
27:16minimalist runners are they basically
27:18run in know in stocks and I i decided to
27:22try it you know I actually did decide to
27:25try and for me you know it didn’t work
27:27it really was i needed the orthotic I
27:29needed to support and yes a lot of times
27:32we’ll see that you know the if an
27:34individual 4runner says you know I’ve
27:36never had problems are you know we’ve
27:39always recommended athletes whatever
27:41this sport was if you want to do a
27:43little bit running on the beach he
27:45wanted to work on sand where you could
27:46really work those seat and exercise
27:48those seat you wanted to run on a golf
27:51course where you could really be
27:52confident that the surface was safe
27:55I didn’t make a big deal i thought it
27:57was a good mixture right far as jogging
27:59was concerned with the sameness of the
28:01same kind of pounding you know 4runner
28:04with hey listen I’ve never had problems
28:06and i’m doing well in the real light she
28:08would make a big deal out of it
28:10ah but a lot of its been height like new
28:12cars where the shoe industry is
28:15constantly changing
28:16I you know that book came out you know
28:19the natural runner or whatever the name
28:20of was and all of a sudden this new
28:23trend started but i think many of our
28:25colleagues in podiatry in sports
28:27medicine the scene that things like
28:29stress fractures and plantar fasciitis
28:32and achilles tendonitis if anything have
28:36probably increased as individuals who
28:40should not be without the proper support
28:43of the very least the good shoe are I
28:45wouldn’t do well and there they
28:47definitely is a an area of over the
28:51counter in search whether it’s your
28:54doctor shows or super
28:56Fedor spent go many times are helpful
29:00and where an art support
29:02over-the-counter somebody could try can
29:04be helpful but that is not it is not a
29:08custom orthotic which is really about
29:11putting the joint of your feet ankles
29:14and lower leg in the best position to
29:17different animal
29:18you know I might have to play this in my
29:19office because that’s one of the most
29:21romantic idea patients say i’ll let me
29:24ask here’s a little bit uncomfortable
29:25question for patient surgery and I’m
29:28just wondering it wonder what you see
29:30with your own patients but how does
29:31weight and maybe recent games and wait
29:34plane to plantar fasciitis footing
29:37well you know it’s interesting I’ve i
29:39spent about 12 years on the radio and
29:43the world of childhood obesity
29:45I have a feature article from an IT
29:48management people go to my website
29:50sports doctor radio.com they could read
29:52it’s called childhood obesity and
29:54podiatry are extra weight doesn’t help
29:58anything
29:59I and sometimes we’ll see especially if
30:03it’s a lot of weight that extra are
30:06whether it’s a child or an adult is
30:08going to put extra stress it’s just
30:11common sense on our feet ankles and
30:15lower legs are and one of the challenges
30:18with children especially has been if a
30:22young boy or girl is overweight and
30:24their feet are bothering them but
30:27they’re being pushed you gotta lose
30:29weight let’s get you out doing exercise
30:31you like the biggest loser that kind of
30:33insanity right rushing these individuals
30:36are and you get this catch-22 which is
30:39you know the the type of physical
30:42activity to have that boy or girl lose
30:45weight hurts them because they’ve got
30:47foot and balances so there’s no doubt
30:49about it that extra weight puts extra
30:53stress on these areas and you know the
30:56so-called typical steel arch plantar
31:00fasciitis patients over the years has
31:03been the overweight individuals no doubt
31:06it’s related you know I find about 20
31:08pounds with someone
31:09he has been used to being a certain way
31:11and they jump up about 20 pounds that to
31:14me is about that area where they start
31:16to really want to have yes and I’ll tell
31:18you what I found effective dan regarding
31:20dealing with these kinds of people are
31:23instead of making a big deal out of the
31:26weight i like to included in the overall
31:30approach that we’re talking about with
31:34that wellness or fitness side of things
31:36which is you know you know dr. dan the
31:39actuator and helping you either and to
31:41not use it as the main focus
31:45I where we might be paying as much
31:46attention to your flat seat as much
31:49attention to the fact that you’ve got a
31:51horrible diet right much attention to
31:53the fact that your shoes a worn-out to
31:57attention regarding the extra weight and
32:00i found that that seems to take some of
32:03the intense pressure off our because
32:06people already so self-conscious
32:08regarding are some of those things and
32:11make no mistake about it the results and
32:16consequences of obesity are nightmare
32:21we’re dealing with an explosion as you
32:23know in diabetes
32:25yeah are where podiatry with the wound
32:28care whoever heard of wound care now
32:3010-15 years ago now it’s the biggest
32:33deal and and the trying to prevent arm
32:37amputation
32:38I mean heck we have in medicine change
32:42the title of thought are the type 2
32:46diabetes from childhood diabetes because
32:49all the sudden we were seeing these kids
32:51I show our recent study which showed
32:55that the overweight child besides the
32:58bullying he stopped the self-esteem and
33:01the foot ankle pain are is about three
33:04to five times more expensive to take
33:07care of because of the developing high
33:10blood pressure the cardiovascular stuff
33:13the diabetes and I believe this is why
33:17we’ll were in this mess and it will
33:20financially will break us
33:22yes I think we
33:23I cannot afford to deal with this we
33:25gotta are trying to prevent it and we
33:28talked a lot about what’s called pull
33:30your own weight
33:32r which is the idea of a young child who
33:35could develop the capability of being
33:37able to do an unassisted pull up even if
33:40it takes months and months to learn how
33:42to do it they can’t be obese
33:45no matter how they’re measured and for
33:47all these years we’ve been trying to get
33:48this stuff to be included are in schools
33:51routinely or to get a walking program
33:54immigrants who used to be a president’s
33:56fitness award when I was a kid
33:58Presidential Fitness awards I remember
34:00we were always kids were all fighting to
34:02get that presidential yes and part of it
34:05was doing a pull-up
34:07well yes but it was always was always
34:09very hard to do
34:10hardly anybody if you take the average
34:13first a second-grader you’ll find maybe
34:15one kid out of 20 is either lighten up
34:18his or strong enough armed yet if they
34:23do what’s called leg assisted pullups
34:25imagine a swing set with straps thrown
34:29over the top and imagine those straps
34:31came down to the eye height of that
34:35young boy a girl and imagine them maybe
34:38twice a we doing eight repetitions the
34:41first week 9 the 2nd to 3rd where they
34:44would be jumping and pulling at the same
34:46time called leg assisted pullups and
34:50eventually is at the same time they’re
34:52paying attention to diet same time that
34:55they’re being more active are the they
34:58might do eight repetitions twice a week
35:019 repetitions when they would get to 12
35:03repetitions they would go back to eight
35:05they would move the straps up an inch
35:07and people want to read about this they
35:10could go to pull your own weight
35:14weei ght dot org and they could take a
35:18look because this is about preventing
35:21childhood obesity
35:23once it starts once we’re dealing with
35:26it it’s a nightmare are regarding these
35:30children and the you know that over
35:33fifty percent of bullying with growing
35:36chill
35:37and is overweight related and didn’t
35:39know it’s pretty astounding and again we
35:42take a look at our the whole area of
35:46health and wellness and we’re talking
35:48about Jesus man you fifty percent of the
35:51country is still deal with obesity
35:53one-third of the kids was still dealing
35:56with obesity and diabetes is is a
36:01routine part of what we’re dealing with
36:05then we’re in trouble and we’ve got to
36:08really be paying attention so childhood
36:10obesity is a is a big-time pet peeve of
36:13mine we talk about a lot of the
36:15shortstop
36:16well thank you for bringing that’s like
36:17that well as we wind down after the the
36:20final question here is what you know or
36:22in search of the holy grail of health if
36:24you would what from your viewpoint would
36:26you consider to be the holy grail of
36:28health
36:29I keep it simple salesman the Holy Grail
36:33really is
36:35keep moving and eat smarter
36:39well you know I think if you could
36:42include here you could talk to three
36:44hours and what each smarter means we all
36:46know what that means i think dr. dan you
36:50know we we always knew and we still know
36:52that junk food and fast food wasn’t good
36:55for us
36:55I think that’s not news i think what is
36:58news
36:59what is news is that the so-called
37:02standard American diet is poison
37:05I think issue that is one that is news
37:07you are not know so and and really is it
37:10really you know low-fat no fat sugar no
37:13sugar
37:14so if you could find an activity the
37:17Holy Grail if you could find an activity
37:19that you enjoy whether it’s walking but
37:21you enjoy jogging with you like going to
37:23the gym where you want to place whatever
37:25it is something you could stick with
37:28that you could be consistent and you
37:30could pay attention to our eating
37:33smarter then you might get your hands on
37:36that Holy Grail t trihard i love it i
37:39love dr. Howard people find I want more
37:41information on how they find out about
37:42you sir are going to go to my website
37:45sports doctor radio written out sports
37:48doctor a.com
37:50my shows is against called a sports
37:53doctor it’s live every wednesday on
37:56healthy life dotnet at 324 p.m. central
38:00standard time and uh we’re hot on
38:03twitter we just passed 30,000 Twitter
38:05followers i get a lot of guests on
38:07Twitter and all sorts of areas and they
38:10can follow me
38:11uh hopefully we’ll also at sports doc do
38:15see radio and it said it’s been fun to
38:18be our with he didn’t radio shows your
38:20congratulations
38:21alright well thank you so much for an
38:23awesome guest and thank you for your
38:24contribution to helping people is great
38:27okay say hello to jersey for me thanks a
38:29lot dr. dan my friend I will thank you
38:31this episode is sponsored by New Jersey
38:34Foot and Ankle Center in Oradell New
38:36Jersey remember when you have a foot
38:39problem you’ve got a foot doctor in the
38:41family weekend and evening appointments
38:43are available call us at 2012 619 445
38:48once again that’s 2012 619 445 thanks
38:54for listening
38:55check out the show notes over at dr.
38:56dance piece com
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39:00and leaving the review and we’ll catch
39:02you next time
39:07voice-overs for this episode were
39:09provided by Randy Ramos jr. to see and
39:12hear more of his work visit Randy Ramos
39:15jr. dot-com