Flip-Flopitis

This time of year, I tend to see a number of patients with a concern of foot pain. These patients come in with tenderness on the bottom or top of the feet. The problem originates from the metatarsal pads, or the tendons on the top of the foot. Either origin,  I relate this pain to fun summer shoes, Flip-flops.  After repetitive wear of these casual loose style sandals, the lack of support around the heels can lead to painful pressure points on the metatarsal pads, or the mid-foot, under the “Y” shaped thong.    I talk with my patients about their symptoms, their summer shoe selections, and become suspicious of a condition I have coined  Flip-flopitis”.  Consider alternating your shoes before this occurs. 👠 👟 👡 When I am suspicious of this condition, I advise my patients to change to a supportive shoe for two weeks, as in a tennis shoe or a flat sandal with an ankle strap.  Dr Elizabeth Rudd, owner of Well Equipt Physical Therapy, recommends daily exercises for good foot health.  These same practices can help prevent or treat Flip-flopitis.  Consider these daily exercises : 1) work the foot /toe flexors by scrunching a towel with the toes, 2)balance on one leg, and 3) work the arch with “arch lifts”.  It is also important to have proper gait mechanics. For further information, visit “Big Toe Big Deal” or “What’s the Deal With Heels” on Instagram at @wellequipt. Enjoy those fun summer shoes while the weather permits,  and prevent Flip-Flopitis! Best wishes for Happy Feet. Missy Keith...

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JNC7 vs JNC8 New Blood Pressure Guidelines

What Should My Blood Pressure Target Be? Published online in the AHA’s Hypertension journal, the new 2017 guideline covers detection, prevention, management and treatment of high blood pressure (HBP). Specifically, it calls for HBP to be treated with lifestyle changes and with medication as needed beginning at 130/80 mmHg rather than the previous commonly accepted threshold of 140/90 mmHg. The authors said they anticipate the new guideline will primarily affect younger adults — with the prevalence of HBP expected to triple among men younger than 45 and to double among women younger than 45. Even so, they noted that there should only be a small increase in the number of U.S. adults who will require antihypertensive medication.  After reviewing the data, I plan to embrace the guideline with enthusiasm.  As far as I can tell, thoughtful, measured interventions the benefits far outweigh the risk.  Even in the frail elderly with bp >110/70 numerous studies (HYVET and SPRINT) have shown lower mortality when a bp < 120/80 is achieved.  More on this later. According to the AHA, the new threshold will lead to 46 percent of the U.S. adult population being categorized as having hypertension. Using the previous threshold, that figure was 32 percent of American adults.  Similar to previous years, 30% of adults don’t know they have hypertension and about 40% are not at their goal.  In fact, an estimated 12.6% have BP> 160/100. Is Hypertension with age a normal process? Hypertension does increase with age.  According to many patients and doctors in the early 1970s, this was considered normal.  But it is certainly not healthy.  A study from...

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Kaiser HMO Exchange Plan

Starting on January 1, 2018 the providers at Family Practice Center will be accepting the Kaiser HMO Exchange Plan. With the exit of the BCBS exchange products from the metro Atlanta area, we are committed to providing excellent care to the Kaiser patients. Below are samples of the ID cards that will be accepted at Family Practice Center.   We look forward to welcoming you to the Family Practice Center family. Please call our office today to make an appointment. Start your 2018 year off right with a dedication to better health! Welcome...

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Emory Physician Preceptors

Emory Physician Preceptors

All 3 physicians at Family Practice Center are currently or have been adjunct professors of Medicine at Emory Medical School. We are honored to be asked to be teachers of Family Medicine at the top medical school in the Southeast. Our ongoing affiliation with the medical school community allows us to remain current with the latest in healthcare research and diagnostic testing to ensure our patients get the best care possible. We are proud to train the next generation of Medical Doctors in the best practices at Family Practice...

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