Board Certified Foot Specialists

Jack A. Reingold, D.P.M.

(Senior Associate)

Office, located in Encinitas

(next to Scripps Memorial)

1011 Devonshire Dr, Suite F
Encinitas, CA 92024

Voice: (760) 942-1890 
Fax: (760) 942-1895
E-mail: [email protected]

By natalie
October 09, 2011
Category: Uncategorized
Tags: Untagged

Knee and Low Back Pain
It is estimated that one out of every two Americans will suffer from back pain in their lifetime.  The cost to society in medical care and lost productivity is in the billions of dollars every year.   Studies have shown that for a large percentage of individuals there is no benefit to undergoing surgery.  Knee pain will affect almost one in three Americans during their lifetime and it will also cost society billions of dollars every year.  The good news is that Dr. Reingold and his team at Coast Podiatry Group design custom orthotics that will provide tremendous relief of knee and low back pain.

Back pain can present itself many different ways.  For some it will be an intense ache in the lower back itself.  For others it may be a sharper radiating pain extending down into the buttock and leg.  Knee pain can usually be isolated to a specific spot or structure, either inside or outside the knee.  Initially, the pain may be unusually sharp and often becomes more generalized over time.  Any activity such as walking or standing can aggravate both knee and low back pain.

There are many causes of knee and low back pain.  Some complex, others simple.  Some of the more common causes are arthritis, trauma, muscle weakness and faulty "mechanics" when walking.  No matter what the reason for the onset of this problem an improper walk often aggravates it.  When we are seated our foot moves freely in the air and has no effect on the body.  When standing and the foot goes through motion, the leg and ultimately the whole body is forced to follow.  Our whole body pivots around a fixed point, the foot, when we walk.  If there is excessive improper motion abnormal stress are placed on all the joints of the body.  Dr. Reingold's custom orthotics will restore normal motion of your foot and ultimately your body.

Ideal Walking
As we walk (gait) our feet ideally move in different directions, supination and pronation.  Our arches rise up and lock into place (supination), when we are preparing to step off a firm platform, our foot.  When we land our arches unlock and start to lower (pronation), allowing us to absorb shock.  Ideally our foot should go through both these motions in normal walking.  Unfortunately not everyone is built perfectly and often our arches unlock excessively or fail to lock properly.  This is sometimes referred to as a "flat foot" or "fallen arches" or "collapsed arches." When the foot collapses or rolls in excessively, the leg, which is attached at the ankle, has no choice but to rotate internally.  This excessive rotation of the limb results in abnormal pressures on the knee and low back.  Also, the body absorbs shock as the foot pronates and if it cannot pronate because it is already pronated, then the shock will be transferred into the legs, knees and back.  Think of our feet like the shock absorbers on a car.  The shocks absorb shock by shortening.  But, if the shock absorber has completely shortened, then it cannot absorb any more shock.  In other words, if our foot is fully collapsed, then it cannot absorb any more shock and we feel the stresses of walking in our bodies.



Summer can be a very tempting time to want to kick of those shoes and feel that soft green grass or warm sand on your bare feet. People just can’t wait to toss their shoes aside and wiggle their toes in the cool of the grass, or the lake or ocean water.

Hold on! If you’re diabetic, doffing the shoes can be a serious mistake. According to San Diego podiatrist, Dr. Reingold, dangers to feet and ankles lurk everywhere. From unseen stones to buried glass, diabetic feet are in jeopardy without protective shoes, www.Active is a great place to find sandals and sneakers that are designed for diabetic feet. Sure, anyone can step on a nail, but for diabetics, there are special concerns attached to that type of accident.

A wound to a diabetic foot will heal more slowly because of a compromised blood supply. Peripheral neuropathy means a reduced sense of feeling in the feet. A stone could injure a heel, but because the diabetic doesn’t feel it, the wound might not even be noticed for days. By that time, infection could set in.

Infections can lead to gangrene and even amputation. It’s estimated that 75,000 diabetics lose limbs each year to gangrene from unchecked infections. To avoid this, protect feet and ankles by keeping shoes on. In addition, take a good look at your feet each day. Use a mirror to be sure to check all areas, and inspect feet carefully for cuts, swelling, or red
spots that could be precursors to blisters.

 Foot-care tips:

-       Don’t go bare foot on the beach or in the grass, wear tennis shoes

-       Wear socks with closed toe shoes

-       Clean your shoes, flip flops and feet regularly

-       When in the sun, don’t forget to apply sunscreen to your feet

-       When using nail polish, remember to use the 2 weeks on 2 weeks off rule, do not wear nail polish all the time


For more free foot health tips visit or Don’t let summer’s temptations endanger your feet. Protect them everyday, and if you detect any problems, promptly notify your podiatrist. Your foot doctor can give you more tips to keep your diabetic feet and ankles safe and healthy.

Article from:


Structured Exercise Training Associated With Improved Glycemic Control for Patients With Diabetes

ScienceDaily (May 4, 2011) — Implementing structured exercise training, including aerobic, resistance or both, was associated with a greater reduction in hemoglobin A1c levels (a marker of glucose control) for patients with diabetes compared to patients in the control group, and longer weekly exercise duration was also associated with a greater decrease in these levels, according to results of an analysis of previous studies, published in the May 4 issue of JAMA.

"Exercise is a cornerstone of diabetes management, along with dietary and pharmacological interventions. Current guidelines recommend that patients with type 2 diabetes should perform at least 150 minutes per week of moderate-intensity aerobic exercise and should perform resistance exercise 3 times per week," according to background information in the article. "Regular exercise improves glucose control in diabetes, but the association of different exercise training interventions on glucose control is unclear."

Daniel Umpierre, M.Sc., of the Hospital de Clinicas de Porto Alegre, Brazil, and colleagues performed a systematic review and meta-analysis of previously conducted randomized controlled clinical trials (RCTs) of at least 12 weeks' duration that evaluated the ability of structured exercise training or physical activity advice to lower hemoglobin A1c (HbA1c) levels as compared with a control group in patients with type 2 diabetes. The researchers identified 47 RCTs (8,538 patients) that met criteria for inclusion.

The researchers found that overall, structured exercise training (23 studies) was associated with a decline in HbA1c level (-0.67 percent) compared with control participants. In addition, structured aerobic exercise (-0.73 percent), structured resistance training (-0.57 percent), and both combined (-0.51 percent) were each associated with declines in HbA1c levels compared with control participants.

"Structured exercise durations of more than 150 minutes per week were associated with HbA1c reductions of 0.89 percent, while structured exercise durations of 150 minutes or less per week were associated with HbA1c reductions of 0.36 percent. Overall, interventions of physical activity advice (24 studies) were associated with lower HbA1c levels (-0.43 percent) compared with control participants. Combined physical activity advice and dietary advice was associated with decreased HbA1c (-0.58 percent) as compared with control participants. Physical activity advice alone was not associated with HbA1c changes," the authors write.

"This systematic review and meta-analysis of RCTs demonstrates important findings regarding the prescription of structured exercise training. First, aerobic, resistance, and combined training are each associated with HbA1c decreases, and the magnitude of this reduction is similar across the 3 exercise modalities. … Second, our findings demonstrate that structured exercise of more than 150 minutes per week is associated with greater declines in HbA1c than structured exercise of 150 minutes or less per week in patients with type 2 diabetes. This finding is important because the current guideline-recommended exercise duration is at least 150 minutes per week. Although high-intensity exercise has been previously shown to have an association with HbA1c reduction, our findings did not demonstrate that more intensive exercise was associated with greater declines in HbA1c."

The researchers add that the finding that physical activity advice is only associated with HbA1c reduction when accompanied by a dietary cointervention highlights the need for a combined recommendation of these lifestyle interventions.

Editorial: Consideration of Insurance Reimbursement for Physical Activity and Exercise Programs for Patients With Diabetes

Commenting on the findings of this study in an accompanying editorial, Marco Pahor, M.D., of the University of Florida, Gainesville, writes that "additional information regarding the potential benefits of structured exercise is needed, including data from rigorously conducted clinical trials that provide information concerning the efficacy and cost-effectiveness of a structured physical exercise program across a broad spectrum of important health outcomes."

"In summary, the meta-analysis by Umpierre et al in this issue of JAMA and cumulative evidence from a large number of randomized controlled trials conducted over the past few decades in the area of physical activity and exercise provide solid evidence for public policy makers to consider structured exercise and physical activity programs as worthy of insurance reimbursement to promote health, especially in high-risk populations."

*Article is from

Bethesda, MD – If every American at risk for developing a diabetic foot ulcer visited a podiatrist once before complications set in, the US health-care system could save $3.5 billion in one year. Closing this gap in podiatric care would reduce health-care waste on preventable conditions, which reportedly starts at $25 billion, by 14 percent.

This estimation is a projection based on findings from a Thomson Reuters study published in the March/April 2011 issue of the Journal of the American Podiatric Medical Association (JAPMA).

The study’s numbers were based upon the American population that has either commercial insurance (116 million) or Medicare (46 million) in the Thomson Reuters MarketScan Research Database. Sponsored by APMA and independently conducted by Thomson Reuters, the study measured the health-care records of nearly 500,000 patients with commercial insurance and/or Medicare.

"The study’s findings are astounding. If just one individual at risk for a foot ulcer sees a podiatrist once before a foot ulcer becomes apparent, they will have singlehandedly saved our country nearly $20,000 over three years," said Kathleen Stone, DPM, president of APMA. "This data does not even include the 47 million uninsured Americans or the 58 million currently on Medicaid, who have a higher incidence of diabetes and complications. The bottom line is that seeing a podiatrist saves limbs and lives, and equates to billions of needed dollars saved for America’s health-care system."

After comparing health and risk factors for those who had seen a podiatrist for care to those who did not, the commercial insurance group saved $19,686 per patient over a three-year period. The Medicare group saved $4,271 per patient over the same three years. Conservatively projected, these per-patient numbers support an estimated $10.5 billion in savings over three years ($3.5 billion a year).

Including today’s podiatrist in the diabetes management team is a vital step to preventing ulcers and amputation. Recent Centers for Disease Control and Prevention statistics show that in 2006, more than 65,000 lower limb amputations were performed in the US due to diabetes-related complications.

Diabetes currently affects nearly 26 million people in the US, seven million of whom are undiagnosed.

For additional information on the study, visit

By natalie
April 08, 2011
Category: Uncategorized
Tags: Untagged

Burning sensations in the feet can have a variety of causes.
Fungal infections, such as athlete’s foot, can sometimes result in a feeling of itching and burning. Allergic reactions to the fabrics or dyes used to make shoes or socks can be another cause. Sometimes the problem is systemic. When the burning feeling doesn’t go away, it may be the result of a type of nerve damage called peripheral neuropathy. This can be caused by something that’s easily remedied, such as a nutritional deficiency, or by a much more complicated problem, such as diabetes.

It’s important to treat the root problem to help relieve the burning sensation. People who suffer with this symptom can temporarily relieve the discomfort by literally “cooling” their heels in cool water and using pain relievers. To help avoid this problem, choose cotton socks and don’t spend long hours on your feet. It’s important to seek diagnosis for this problem so that the underlying ailment can be treated. Don’t ignore burning sensations in your feet. See us to find the true cause.

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Call Today (760) 942-1890

1011 Encinitas Dr., Suite F
Encinitas, CA 92024

Board Certified Foot and Ankle Surgeons, Coast Podiatry Group of Solana Beach, Inc.
Serving patients in the Carmel Valley, Encinitas, Del Mar area