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Pregnancy and Your Feet: Survival Tips from the Trenches
Home :: Family :: Pregnancy
By: Dr Marybeth Crane Email Article
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As a mother of three, I can attest that every pregnancy was unique in its own way, but one constant through them all was "Oh! My aching feet!" and this is from a podiatrist. Let me share with you some of the tricks of the trenches and recommendation from the American Podiatric Medical Association that I learned which helped me survive the pregnancy trauma to my feet. I don't care if you are a size 2 or 12 when you get pregnant, by the sixth month most woman are complaining of some kind of foot and ankle pain.

As your waistline expands, that weight gain alters your center of gravity and causes lordosis, also known as a sway back posture. This change in posture puts abnormal stress on your knees, legs and feet. The most common ailments seen in pregnant woman are swollen feet (more like feeling like they will explode), over pronation (flattening of your arches), arch fatigue, ingrown toenails, and cramps in your feet. Let's look at all of these a little closer and discuss the causes and the remedies.

1. Swollen feet: Excess fluid accumulates in your feet due to the weight and position of the baby in the womb. This usually occurs in the third trimester. Tips for prevention of swollen feet include: putting your feet up whenever possible, uncross your legs when sitting, stretch your legs frequently while sitting, wear wide comfortable shoes (Crocs were my favorite), and measure your feet every month and wear the appropriate size shoes. Foot size usually increases at least a half a size per pregnancy and is usually permanent after the first two. When edema is a problem, try waist high maternity pantyhose. These saved my life while I was still working and pregnant. Put them on first thing in the morning so blood doesn't have a chance to pool around your ankles.

2. Over Pronation: Your arch is flattening and rolling inward while walking due to increased body weight and hormonal ligament laxity. This can cause back, knee and ankle pain as well as chronic arch fatigue. Tips for prevention of excessive pronation include: avoid high heels especially stilettos, and make your running shoes your best friend. Choose comfortable and supportive shoe gear that provide extra support and shock absorption. If this doesn't cure your pronation, over-the-counter arch supports like Aetrex Lyncos can help support your arch and get you through your pregnancy.

3. Arch Fatigue: Extreme stress or inflammation on the plantar fascia, the ligament that holds up your arch occurs due to excessive pronation and a pre-pregnancy flexible flat foot. Ouch! Whe you get up in the morning, your arch is on fire and it feels like someone is stabbing you in the heel when you step down. Tips for prevention of plantar fasciitis: stretch before and after any exercise, stretch daily when you get up in the morning, do not go barefoot, and wear supportive low heeled shoes. If this doesn't alleviate your arch pain, roll a frozen water bottle in your arch twice a day and wear arch supports mentioned above. If this does not do it, you may need physical therapy to decrease your ligament inflammation.

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Dr Marybeth Crane is a board certified podiatric foot and ankle surgeon. Your feet should last a lifetime! For more foot health tips, a copy of her FREE BOOK and doctor-approved foot care products, visit http://www.faant.com or read her blog at http://www.myrundoc.com

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