Seeking sore foot relief.

As a racewalker my feet take a light but steady pounding--especially during events over 5K. How might I best relieve the resulting soreness? I've heard that I should soak my feet at night in hot water; I've heard that I should soak my feet at night in cold water. Some say both. What about topical anti-inflammatory ointments? I'm 69 years old, 125 pounds, and 5' 10". I have flat feet and wear full-length orthotics.

German Muniz

Shickshinny, PA

You can use warm soaks; you can use ice baths; you can massage them with or without anti-inflammatory ointment. You may find relief with any of these strategies. However, I suggest purchasing a replacement over-the-counter insert. Spenco Polysorb will probably resolve the problem and eliminate the need to do anything.

David M. Davidson, DPM 

I also suggest you make sure your orthotic devices are not worn out. You may find that they need to be reconditioned often--many people have several pairs. An anti-inflammatory cream may help alleviate soreness in your feet, and will probably keep your skin in good condition too. I recommend ice to reduce immediate inflammation. Soaking in hot water is most likely best as a soothing measure in between races, and not immediately after them.

Matt Garoufalis, DPM

Chicago, IL