South Platte Sentinel Wednesday, March 13, 2013 Page 17Health

Come Join Us For Great Food, Awesome Door Prizes & Tons Of Fun!!

Peetz FFA Annual Oyster Fry � urs., March 21

Dinner: 5-8 p.m./Auction: 7 p.m.At � e Peetz High School

Tickets In Advance Seniors & 12 & Under... $500

Adults................$800

Tickets At � e Door Seniors & 12 & Under... $500

Adults................$1000

Menu: Rocky Mountain Oysters, Chicken Strips, Onion Rings, Rolls, Baked Beans, Coleslaw, Chips, Desserts

Seniors & 12 & Under... Adults................ Seniors & 12 & Under... Adults................

All NON-FEED

Items Must Go!30%-70% OFF

Clothing/GiftsSullivan's Show Products

Buckets, Feed Pans, Gardening Tools Chick Feeders

Horse Halters & BrushesDog Toys, Beds, Leashes, Collars,

And So Much More! Come in and see us.

Sale Ends April 22, 2013

Atwood Store 7457 Highway 63 Phone: 970-522-2236

HoursMon.-Fri., 8 a.m.-5 p.m. Sat.: 8 a.m.-Noon Closed Sund.

Main Store 20479 Riverside Drive

in Sterling Phone: 970-522-9900

HoursMon.-Fri., 8 a.m.-5 p.m.

Sat.: 8 a.m.-Noon

www.dcountrystore.com

Physically Speaking

ByDr. MarkMcDonald

We have spoken in the past about the 26 bones of the foot and how the inter-relationship between the bones, ligaments and muscles of the foot are critically and forever connected. Today I would like to talk about a few examples of this with some case studies which prove the validity point. The fi rst is a case of a patient who underwent plantar fasciotomy - the release of the plantar fascia, a broad fl at ligament on the bottom of the foot that supports the longitudinal arch. When the plantar fascia is released the patient receives signifi cant and welcome relief of the plantar fascitis symptoms that were experienced descending stairs fi rst thing in the morning and fi rst step on the foot. However, after a few weeks, the patient began developing pain just

Human foot is similar to a Rubix's Cubebehind the 5th metatarsal shaft on the outside of the foot. The release of the structurally supportive plantar fascia sub-sequently created pain in the calcaneal cuboid or CC joint. This structure was previously supported by the plantar fascia and, subsequently, developed painful arthralgia (joint pain) once the plantar fascia support was taken away. The calcaneal cuboid joint is ventrally subluxed, or fell out of position, and had to be treated with manipulative therapy of the cuboid bones to restore its normal physiologic position followed by fabrication of a cuboid pad that would support the cuboid in its anatomical position (without benefi t of the plantar fascia). This is one example where an important ligament is released for the purpose of obtaining pain relief

only to cause a chain reaction of problems that subsequently resulted in another issue. Case study #2: Ms. Doe presents to physical therapy having had joint replacements of the great toe on both feet. Doe subsequently developed pain in the sesamoid bones beneath the great toe. It seems that the hallux rigidis, or rigid toes, which were the reason for the joint replacements had stiffened such that the patient’s

toes were essentially fused. And once motion was restored with the joint replacements, the fl exor tendons and their associated sesamoid bones became irritated with the restoration of movement and stress, which under the stiff toes were not problematic. In this case something good (restoring the patient’s motion) probably improved the patient’s balance and eliminated the pain of the arthritic joints. However, restoring this motion to an otherwise fused joint created an overuse syndrome of the tendons and bone complex, which was not used to this degree of motion any more. This is another unique example of a chain reaction which then subsequently requires treatment. In this case, Ms. Doe was treated for sesamoiditis, or “turf

toe,” successfully by restoring motion, treating the pain and infl ammation and subsequently restoring strength to the foot/toe complex such that it was able to tolerate this increased motion. For more information on foot biomechanics and some of the more unusual Rubix’s cube type scenarios which occur in the foot and ankle complex, stop in for a no-cost 15 minute screening or stop by our Facebook page at McDonald and Keil Physical Therapy. (Dr. Mark McDonald, PT, DPT, OCS is a lifelong Sterling native and board certifi ed orthopedic physical therapist with 21 years practice in Sterling. He is a clinical partner with AB Fitness/Alma Blagg, Devonshire Acres, and Northeast Plains Home Health Care in Sterling.)

Heart Of Health

Sterling Regional MedCenter

One of the most important guidelines for wise food shopping is to read food labels carefully. Most food labels provide a list of ingredients, and many also give additional information about the nutritional value of the contents. The items listed often include: calories, fat, cholesterol, sodium, protein, vitamins and minerals. When looking at any list of ingredients, remember that they are in order of their relative weight. The fi rst ingredient is the one that makes up the greatest part of the product. The last ingredient on the list represents the smallest part of the product, and the others represent amounts in between. Food labels provide nutritional information for a typical single serving as well as an entire package or can.

reduce the risk of heart disease. When too much cholesterol builds up on the inside of your arteries, it forms plaque, making them less effi cient at transporting blood. This can lead to a heart attack. Too much sodium can also contribute to heart disease.

Wise shopping includes reading the label

The serving size is an important measurement, since not all people eat the same amount of food at a single sitting. Try to gauge how close the serving size is to your own eating habits in order to calculate how many nutrients you’ll be receiving at each meal.

Food labels also show the amount of certain nutrients per serving along with the “% Daily Value” (DV). The DV is based on a 2,000 calorie diet and is the percentage of each nutrient believed to meet the needs of the average person each day. For example, if a certain food provides 50% of the DV for Vitamin C, one serving gives a person half the Vitamin C needed for that day's need. Labels also list important factors like fat and cholesterol content. No more than 30% of your caloric intake should come from fat, so these help to monitor fat percentages. Also, watching cholesterol can

So remember that the little bit of time spent reading labels can yield tremendous health benefi ts. (For more information about this, or other Wellness Programs at Sterling Regional MedCenter, contact Wellness Manager Glenda Amen at 521-3260.)