By Timothy M. Mooney, DPM

Many of the estimated 70 million Americans classifi ed as obese are trapped in a life-threatening vicious cycle that follows this pattern:

• Obesity aggravates foot problems such as heel or ankle pain and flat feet.
• Sore feet, left untreated, make it difficult to exercise and lose meaningful weight.
• Without exercise, obesity worsens and can exacerbate the progression of diabetes, heart disease and other serious health threats.

To break this cycle and follow physician-directed exercise programs, obese adults should seek immediate treatment for chronic, activity-limiting foot and ankle problems. The first step toward ending the cycle is to have the problem evaluated.

According to the American College of Foot and Ankle Surgeons' consumer website, www.footphysicians.com, many causes of foot pain can be relieved nonsurgically through stretching exercises, orthotics and athletic shoes with good shock absorption and support.

If a bunion, heel pain or other condition requires surgery, patients can participate during recovery in non-weightbearing activities such as riding a stationary bike, swimming or weight training.

For those who are moderately to severely overweight, a thorough physical examination is mandatory before beginning an exercise program. Once cleared by your physician, don't try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity. Overweight patients, for example, may be counseled to avoid working out on treadmills or elliptical machines to minimize the pounding and stress on their joints.

Timothy M. Mooney, DPM

Although shedding excess pounds helps patients with diabetes control their disease, many of them with foot ulcerations and vascular problems mistakenly think they shouldn't exercise. With proper diabetic foot care -- including regular foot examinations to check for sore spots and assess nerve sensation -- and the right footwear, however, most patients can follow an exercise regimen that's safe and appropriate.

Timothy M. Mooney, DPM, is a podiatrist whose office is located at 15 McCabe Drive, Suite 203, off South Virginia near Bishop Manogue High School. For an appointment or more information regarding foot and ankle problems, please call 284-3668.

Northern Nevada Medical Center 2375 E. Prater Way, Sparks, NV 89434 775-331-7000