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Saturday, March 18, 2017

Nike Goadome - Podiatrist Recommended Boots for men with painful feet and ankles.

Nike Goadome

A fantastic boot for men with biomechanically challenged feet!




The Nike Goadome is a great choice for anyone with biomechanically challenged feet! This boot offers exceptional biomechanical control of the foot and ankle for many foot types, but it is not for everyone. 

What makes the Nike Goadome boot superior to most other boots is that it meets the four criteria that are needed for a shoe to be podiatry recommended:

1. It has a thick, rigid and non-flexible sole, which stops motion through any painful or compromised joints. Whether you are recovering from a foot or ankle injury or you have painful, arthritic joints - wearing shoes that do not allow motion through these joints immediately allows the foot to begin to calm down and heal. Less motion through painful foot joints translates into less pain, less inflammation, and less swelling, which allows for all-day comfort. Wearing shoes with a thick, rigid and non-flexible sole will also improve knee, hip, and lower back pain as well as slow the progression of many foot problems, including bunions and hammertoes. 

2. It has a wide toe box, which means that it will help slow or stop the progression of bunions, hammertoes, corns, and ingrown toenails (to name a few!). Shoes that are tight in the toe box and put added pressure on toenails also promotes fungal toenail infections. In my experience, the only way you can get rid of toenail fungus is to always wear proper shoe gear that meets these four criteria for proper shoes. Microtrauma on toenails caused by flimsy shoes or tight toe boxes is one of the main contributing factors to getting a fungal toenail infection. We are surrounded by fungus and, once you injure the toenail, that is how the fungus gets into the nail and sets up an active infection. For more information on toenail fungus, please refer to my article:

3. It has Rearfoot Control. The Nike Goadome has amazing rearfoot control because it not only biomechanically controls the rearfoot, but it also controls the ankle. Less motion through the rearfoot means that there is less mechanical strain on tendons, joints, and ligaments. If you are recovering from an ankle injury, PT Tendonitis, or Peroneal tendonitis - this should be a great boot choice for you. 

4. It will accommodate Arch Support. The Nike Goadome has a removable insole so that it can be replaced by your full-length custom-molded orthotic or an excellent over-the-counter insole like Powerstep, which can be purchased online. Your local Podiatrist will have excellent insole options, such as heat-molded insoles or other over-the-counter products. Our office staff checks our patient's insurance coverage to see if custom-molded inserts are covered under their plan. If they are covered, our doctors cast the patients. If they are not covered, then we advise the patient to bring in their shoes, so they can try on our over-the-counter Footstep insole, which is an excellent alternative for people on a budget. Arch support helps with knee, hip and lower back pain as well as foot and ankle issues such as over-pronation (flat feet), tendonitis and joint pain. 

The Nike Goadome boot is recommended for patients with:
*Hallux Rigidus (no motion through 1st toe joint)
*Hallux Limitus (limited motion through 1st toe joint)
*Functional Hallux Limitus (limited motion through 1st toe joint when you are functioning)
*Osteoarthritis
*Plantar Fasciitis (heel pain)
*Degenerative Joint Disease
*Metatarsalgia
*Morton's Neuroma (the toe box has to feel roomy and cannot be a tight fit on your foot)
*Mild to Moderate Bunions 
*Mild to Moderate Hammertoes
*Mild to Severe Over-Pronation
*Ankle Instability
*Posterior Tibial Tendonitis (wear with arch support)
*Peroneal Tendonitis 
*Hypermobility
*Ligament Laxity
*Ehler Danlos Syndrome
*Marfan's Syndrome
*Recovering from a Lisfranc's Injury (fracture or sprain)
*Recovering from an Ankle Injury (fracture or sprain)
*Drop Foot in someone who is under 65 years of age (maybe)
*Achilles Tendonitis (maybe)
*Mild to possibly a Moderate Haglund's Deformity (maybe)
*History of Stress Fractures
*History of Tendon Injuries  
*Any foot joints that have been surgically fused

The Nike Goadome boot is not recommended for patients with:
*Excessive swelling
*Muscle or leg weakness 
*Charcot foot
*History of Ulcerations
*Peripheral Neuropathy 
*Peripheral Arterial Disease
*Anyone who is elderly or frail
*Severe Bunions 
*Severe Hammertoes
*Drop Foot in anyone who is over 65 years old. (Talk to your podiatrist about a drop-foot plate or AFO, which is a custom-molded foot-ankle orthosis, which is covered by Medicare and can be worn with a New Balance 928 or 1540).

Check with your podiatrist to see if this boot is appropriate for you if you have:
*Diabetes
*Rheumatoid Arthritis 

*If you have someone in your life who only wears sturdy boots and refuses to wear any other type of shoes - this person has what I call 'biomechanically challenged' feet. Whenever a kid or teenager comes into my office wearing heavy boots, I know that that kid has figured out that if he/she wears only boots that allow no motion through their foot or ankle joints - then they will be comfortable. If you know someone like this - or it is you - I highly recommend that you see a podiatrist and invest in a pair of custom-molded orthotics. 

Thank you for reading the blog and I would love it if you could share it with any biomechanically challenged loved ones in your life. 

Due to time constraints, I have not been able to keep up with answering all of your comments and questions, but these articles below will most likely answer any questions that you have about proper shoe gear. 

My Feet Hurt! Top 10 things to do to alleviate foot pain today.

Shoe recommendations for patients recovering from Lisfranc's Injuries.


Shoe recommendations for broken toes and how to properly treat a broken toe.


I hope this was helpful!

Dr. Cathleen A. McCarthy

:)




Monday, February 27, 2017

Women's Comfort Dress Shoe - Podiatrist Approved.


Born Lezlie

A great choice for all day comfort!



The Born Lezlie is my new go-to all day comfort shoe for work. I use a heat-molded, thin orthotic for better arch support and I am astonished that this shoe is more comfortable than my Dansko Professional clogs. 

What makes this shoe so great is that it meets three of the four criteria that a shoe must have to be good for your feet and to be comfortable. 

The four criteria that a shoe must have to be podiatry approved are:
1. Thick, rigid, and non-flexible sole. 
2. Wide toebox.
3. Rearfoot control. 
4. Arch Support. 

The Born Lezlie has a thick, rigid, and non-flexible sole that is crucial for protecting your foot joints. If you are wearing a shoe with a flimsy sole that allows motion through painful or challenged joints, then that excessive motion will promote the formation of bunions, hammertoes, and osteoarthritic joint changes. It also can increase strain on ankles, knees, hips, and the lower back. Wearing shoes with flexible soles causes increased motion through foot joints, which can cause increased pain, inflammation, and swelling. 

The Born Lezlie has a wide(ish) toe box that will work for most people who have mild to moderate bunions and hammertoes. The rearfoot control, as well as the added benefit of midfoot strapping, is excellent for improved biomechanical control of the foot joints.  

The Born Lezlie is recommended for people with:

  • Plantar Fasciitis (heel pain)
  • Mild to Moderate Bunions
  • Mild to Moderate Hammertoes
  • Mild Morton's Neuroma
  • Mild Metatarsalgia
  • Mild to Moderate Hallux Limitus
  • Mild to Moderate Functional Hallux Limitus 
  • Possibly Hallux Rigidus (try it on in the store to ensure that it works for you)
  • Surgically fused 1st Toe Joint (because the toe is typically fused at 15 degrees of dorsiflexion - this shoe should work)
  • Capsulitis
  • Mild Osteoarthritis 
  • Mild Rheumatoid Arthritis (check with your Rheumatologist)
  • Healed Lisfranc's Injury (check with your podiatrist) 
  • Mild Tendonitis
  • Mild Achilles Tendonitis
  • Mild Over-Pronation (try to wear with a dress orthotic or heat-molded insert, which you can typically get from your podiatrist)
  • Mild Tailor's Bunions
  • Mild Corns & Calluses


The Born Lezlie is not recommended for people with: 

  • Diabetes
  • History of Ulcerations
  • Peripheral Neuropathy (nerve damage)
  • Peripheral Arterial Disease (poor circulation)
  • Charcot Foot
  • Excessive Swelling
  • Lymphedema
  • Severe Over-Pronation
  • Severe Ligament Laxity / Hypermobility
  • Drop Foot
  • Balance Issues
  • History of Falling 
  • Severe Bunions
  • Severe Hammertoes
  • Severe Tailor's Bunions


For more information on proper shoes, please check out my other articles on this blog:

Shoe recommendations for patients recovering from Lisfranc's injuries:
http://podiatryshoereview.blogspot.com/2012/04/podiatrist-shoe-recommendations-for.html

My feet hurt! Top 10 things to do to alleviate foot pain today.
http://podiatryshoereview.blogspot.com/2012/05/my-feet-hurt-top-ten-things-relieve.html



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)










Sunday, January 8, 2017

John Fleuvog Chief - Podiatry Recommended Men's Shoe.

John Fluevog Chief
Podiatry Recommended Men's Shoe.

The John Fluevog Chief if a great choice for stylish all day comfort. I gave my husband these shoes and he loves them. They are surprisingly diverse as far as dressing up jeans or wearing as a casual dress shoe to work. Well, at least in Arizona, this passes for a dress shoe! 

This shoe meets the four criteria required that a shoe must have to be comfortable:
1. It has a thick, rigid and non-flexible sole so that there is more protection for the foot joints. 
2. It has a wide toebox, so there is less pressure on the toes, which helps to prevent the progression of bunions, hammertoes, ingrown toenails, and corns. 
3. It has rearfoot control, which helps decrease mechanical strain to tendons and ligaments as well as to the joints of the knees, hips, and lower back. 
4. The insole is removable so that you can put in your custom-molded orthotic for better arch support. It can also accommodate a dress orthotic or a heat-molded insert which goes on top of the insole that comes with the shoe. 

Remember, the most important feature of finding a comfortable shoe is to find shoes that have a thick, rigid and non-flexible sole. No motion through the bottom of the foot means less inflammation, less swelling and less pain, which is crucial for all day comfort. 

This shoe is recommended for patients with:
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Hallux Limitus (limited motion through the 1st toe joint)
*Hallux Rigidus (no motion through the 1st toe joint)
*Functional Hallux Limitus (limited motion through the 1st toe joint while you are functioning)
*Morton's Neuroma (make sure you have plenty of room in the toe box) 
*Metatarsalgia
*Mild to Moderate Bunions
*Mild to Moderate Hammertoes
*Capsulitis
*Sesamoiditis
*Ingrown Toenails
*Corns & Calluses
*Mild to Moderate Tailor's Bunions
*Recovering from a previous Lisfranc's Injury (check with your podiatrist) 
*Osteoarthritis 
*Mild Rheumatoid Arthritis


This shoe is not recommended for patients with:
*Diabetes (check with your Podiatrist)
*History of previous foot ulcerations
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation) 
*Charcot Foot
*Drop Foot 

I've been having trouble keeping up with answering individual questions posted on the blog, but these two articles should answer most questions that you have about proper shoes. 

For more information on proper shoes, please refer to my other articles: 
Shoe recommendations for patients recovering from Lisfranc's Injuries.

My feet hurt! Top 10 things to do to relieve foot pain today.



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)


Saturday, January 7, 2017

Eileen Fisher Chelsea Boot - Podiatrist Approved for Certain Foot Types.

Eileen Fisher Chelsea Boot
A Great Choice For Style & All Day Comfort.





Eileen Fisher is a very smart lady when it comes to designing comfortable and stylish shoes! What makes her shoes so exceptional are that they usually meet the four criteria that a shoe must have to be comfortable. 

Her Chelsea boot has a thick, rigid and non-flexible sole, which is absolutely crucial for protecting foot joints. If you are wearing shoes that have a flexible sole, then you are forcing too much motion through joints that may not be able to handle it because of previous injury, mechanical strain or arthritic changes. A shoe sole that is thick, rigid and non-flexible stops motion through foot joints, which decreases inflammation, pain, swelling and arthritic changes. Motion through foot joints promotes foot issues such as bunions, hammertoes, corns, ingrown toenails and can be the cause of everything from stress fractures, metatarsalgia, neuromas, and degenerative joint disease. Flexible-soled shoes can also cause more knee, hip, and lower back strain. It's like building a house - if you want a healthy roof, you better have a good foundation. If you want to have healthy knees, hips and less lower back strain, you need to create a solid, sturdy foundation for your skeletal frame by wearing shoes that have a thick, rigid and non-flexible sole. 

Secondly, your shoes should have a wide toebox. Shoes with tight toe boxes promote hammertoes, bunions, corns, Morton's Neuromas, and can make it impossible to get rid of fungal toenails. In fact, the only way I am able to get rid of fungal nail infections is getting the patient to wear better shoegear. Pressure on the toenails from tight shoes causes microtrauma to the toenail, which allows fungus to enter the toenail and spread the infection to other nails. 

A shoe also must have rearfoot control. If there is no rearfoot control or no strap around the back of the heel, then your tendons, muscles and joints have to work harder to stay in the shoe, which causes mechanical strain, tired leg syndrome and can make you more prone to injuries, particularly in the rearfoot and ankle. Not having rearfoot control can also cause more strain on the knees, hips, and lower back. 

The fourth component, which is arch support, is actually the least important factor. It is more important to have an excellent shoe with a thick, rigid and non-flexible sole, wide toebox, and rearfoot control. Of course, it is optimal to wear excellent arch support, but it is better to have an excellent shoe with no arch support or an excellent shoe with a decent over-the-counter arch support than to be wearing a flexible-soled shoe with custom-molded orthotics. I am probably one of the few Podiatrists who believes this, but in my experience - the sole of the shoe is controlling 100% of the foot joints while the orthotic is only controlling the rearfoot and the midfoot (because the front of the orthotic is only a topcover that is flexible). The forefoot area must be controlled by the sole of the shoe. Custom molded orthotics generally cost $400, so I tell my patients to spend that money on excellent shoes and we can put them in an excellent over-the-counter insert for $50 or a heat-molded insert for dress shoes for $75. In my opinion, the power is in the shoe!

The Eileen Fisher Chelsea Boot is recommended for patients with:
*Mild Bunions
*Mild Hammertoes
*Metatarsalgia
*Mild Morton's Neuroma 
*Hallux Limitus
*Functional Hallux Limitus 
*Hallux Rigidus
*Previous Lisfranc's Joint Injury 
*Plantar Fasciitis (Heel Pain)
*Mild Achilles Tendonitis
*Mild Posterior Tibial Tendonitis (wear with a heat molded or dress orthotic if possible)
*Mild Peroneal Tendonitis 
*Mild Arthritis
*Mild Rheumatoid Arthritis
*Mild to Moderate Over-Pronation (wear with orthotic if possible)

The Eileen Fischer Chelesa Boot is not recommended for patients with:
*Charcot Foot
*History of Foot Ulcerations
*Excessive Swelling
*Severe Bunions
*Severe Hammertoes
*High Insteps
*Bone Spurs on the top of the mid-foot area

If you have any of these conditions, check with your Podiatrist to see if the Chelsea boot is appropriate for you:
*Peripheral Neuropathy (Nerve Damage)
*Diabetes 
*Peripheral Arterial Disease (Poor Circulation)
*Mild Foot Drop


For more information on proper shoes, check out these articles from my blog:

Shoe recommendations for patients recovering from Lisfranc's Injuries. 

My Feet Hurt! Top 10 things to relieve foot pain today.


I hope this was helpful!

Sincerely,

Dr. Cathleen A. McCarthy

:)




Monday, November 7, 2016

Podiatrist Recommended Trail Running Shoe - Salomon XA Pro.

Salomon XA PRO 3D CS WP 

Trail-Running Shoes



The Salomon XA Pro is an excellent trail running shoe. I'm not a trail runner, so I have been wearing this shoe for hiking, exercising at the gym and as a general walking shoe. I also like the fact that it is waterproof and has excellent gripping action on the bottom of the sole, which helps with hiking and running on rocky trails. 

What makes this shoe so good is that it meets the four criteria that a shoe must have to be comfortable:

1. A thick, rigid, non-flexible sole. It is crucial that shoes have a thick, rigid and non-flexible sole because less motion and flexing through foot joints allows for less inflammation, less damage, and less pain. If you are recovering from a foot fracture or injury, it is important that you protect those bones and joints with a thick, rigid and non-flexible sole, so that you don't reinjure your foot. 

2. Wide toebox. It's important to wear a shoe with a wide and preferably soft toe box so that there is less pressure on toes, which will stop or slow the progression of bunions, hammertoes, corns, and calluses.

3. Rearfoot control. Rearfoot control is important because it helps to biomechanically control the rearfoot, which means that there is less mechanical strain to tendons, ligaments, and joints. It also helps to decrease tired leg syndrome as well as decrease knee, hip and lower back strain. 

4. Arch support. Not everyone needs arch support. In fact, about ten percent of patients cannot tolerate arch support. The other ninety percent of patients do benefit from arch support, which helps to place the foot in a biomechanically, neutral position. Doing this helps to stop or slow the progression of forefoot issues such as bunions and hammertoes. It also is important if you are recovering from any foot or ankle injuries, particularly a Lisfranc joint injury. Arch support also helps with knee, hip and lower back pain.  

This shoe is recommended for people with:
*Plantar Fasciitis (heel pain)
*Metatarsalgia
*Morton's Neuroma
*Capsulitis
*Hallux Rigidus (no motion through the 1st toe joint)
*Hallux Limitus (limited range of motion through the 1st toe joint with no weight bearing)
*Functional Hallux Limitus (limited range of motion through the 1st toe joint while weight bearing)
*Bunions
*Hammertoes
*Achilles Tendonitis 
*Peroneal & Posterior Tibial Tendonitis
*Previous Lisfranc's Injury (check with your podiatrist if needed)
*Corns & Calluses
*Sesamoiditis
*Ingrown toenails
*History of Ankle Sprains
*Hypermobility
*Ligament Laxity
*Over-Pronation
*Pes Cavus (high arches)
*Pes Planus (flat feet)


Check with your podiatrist to see if this shoe is right for you if you have:
*Diabetes
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation)
*Drop Foot
*Charcot-Marie Tooth Disease


This shoe is not recommended for people with:
*Charcot Foot
*History of Ulcerations
*Lymphedema (excessive swelling) 


For more information on proper shoes, check out these articles from my blog:

Shoe recommendations for patients recovering from Lisfranc's Injuries.


My feet hurt! Top 10 things to relieve foot pain today.



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)
 

Monday, October 24, 2016

Anywhere shoes - podiatrist recommended for many foot types.


ANYWEAR Shoes

Excellent choice for a bedroom slipper
or a casual dress shoe for many foot types.





The Anywhere shoe is an excellent choice for many foot types. If you have tried the Rx Crocs and they were not a good fit or they simply did not work for your foot type, this might be a good option for you to use as a bedroom slipper. 

What makes this Anywhere shoe so good is that the sole is thick and has minimal flexibility, which allows for more protection of painful joints. Less motion through painful joints means less inflammation, less swelling, less pain, and less arthritic joint changes. 

The wide toe box works well for accommodating mild to moderate hammertoes and bunions. The medical grade Crocs Specialist (with no vents) is my first choice as a bedroom slipper because it has an extra-depth toebox, which is better for people with severe hammertoes and bunions. The Anywheres do not have an extra-depth toebox, so if you do have significantly large bunions and hammertoes, the Crocs unvented Specialist would be a better choice for you to use as a bedroom slipper.  

Although this Anywhere shoe doesn't have a rearfoot strap, it does have partial rearfoot control, which helps to limit biomechanical strain. Rearfoot control is important for decreasing strain on the knees, hips and lower back. Rearfoot control also helps to decrease foot pain as well as slow the progression of foot deformities such as bunions and hammertoes. The partial rearfoot control does make it an easy shoe to slip into if you use it as a bedroom slipper, which is great for when you get out of bed in the middle of the night or first thing in the morning. 

This shoe is recommended for people with:
*Mild bunions
*Mild hammertoes
*Hallux Limitus (limited range of motion through the 1st toe joint)
*Functional Hallux Limitus 
*Hallux Rigidus (no range of motion through the 1st toe joint)
*Surgically fused toe joints
*Morton's Neuroma
*Mild to moderate Tailor's Bunions
*Metatarsalgia
*Capsulitis
*Sesamoiditis
*History of previous Lisfranc's Injury (check with your podiatrist)
*Osteoarthritis
*RA
*Corns & Calluses
*Mild to Moderate Overpronation 
*Mild Hypermobility & Ligament Laxity
*Mild to moderate Plantar Fasciitis (heel pain) 

You need approval from your podiatrist before you wear this shoe if you have: 
*Diabetes 
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation)
*Ankle Instability
*History of Ankle Injuries
*Hypermobility & Ligament Laxity
*Severe Overpronation
*Peroneal Tendonitis
*Posterior Tibial Tendonitis 
*Severe Plantar Fasciitis (heel pain) 
*History of stress fractures 

This shoe is not recommended for patient with:
*Excessive swelling 
*Charcot Foot 
*Lymphedema
*Drop Foot (because it will not accommodate an AFO or drop foot plate)
*History of ulcerations or open sores 
*History of Rearfoot Reconstruction (or any rearfoot surgical fusions of joints)
*Achilles tendonitis (because you need more heel elevation to decrease strain on the achilles (try the Crocs Specialist with no vents) 

Other ANYWHERE shoes:


The things you need to know about this Anywhere shoe is that it is not recommended for people with a history of Achilles tendonitis. Because it has a rocker-bottom soled shoe, it can potentially rock you backwards, which would cause strain on the achilles that could lead to a partial tear or even a rupture. Other than this one exception, the recommendations above also work for this shoe style.


I hope that this was helpful & thank you for reading the blog!

Sincerely,

Dr. Cathleen A. McCarthy

:)



For more information, please check out these articles:

Top 15 shoes for foot pain!

Shoe recommendations for people recovering from Lisfranc's injuries.


* * *

*Due to increased volume on the blog, I have been unable to answer questions in a timely manner. The above links will take you to articles that will most likely answer your questions! 




Sunday, October 2, 2016

Donald J Pliner - Podiatrist approved women's dress shoe.

Donald J Pliner
Lilie 


Donald J. Pliner's Lilie is a classic women's dress shoe that is stylish and comfortable. What makes this shoe so comfortable is that the sole is thick, rigid and non-flexible, which is crucial for good foot health. There's a lot of bad information in the media about what makes a good shoe and the truth is that a shoe must have a thick, rigid and non-flexible sole. A flimsy sole which allows motion through foot joints significantly speeds up the progression of arthritic joint changes, bunions, hammertoes and increases the risk of injury and stress fractures as well as knee, hip and lower back pain. 

The four criteria that a shoe must have to be comfortable are:
1. Thick, rigid and non-flexible sole
2. Wide, soft toebox
3. Rearfoot control
4. Arch support

The Donald J. Pliner Lilie is recommended for people with:
*Mild Bunions
*Mild Hammertoes
*Mild Metatarsalgia
*Mild Functional Hallux Limitus (limited range of motion through the 1st toe joint while functioning)
*Mild Hallux Limitus (limited range of motion through the 1st toe joint)
*Mild Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Mild Osteoarthritis 
*Mild Rheumatoid Arthritis (check with your podiatrist) 
*History of a resolved Lisfranc's fracture (check with your podiatrist)
*Mild Over-Pronation (wear with a dress orthotic or a heat-molded insert if possible)
*Mild Hypermobility (wear with orthotic if possible) 
*Mild Morton's Neuroma
*Mild Capsulitis
*Mild Plantar Plate Issues


The Donald J. Pliner Lilie is not recommended for people with: 
*Diabetes with history of ulcerations
*History of ulcerations
*Peripheral Arterial Disease (poor circulation)
*Peripheral Neuropathy (nerve damage) 
*Drop Foot 
*Ankle Instability 
*Charcot Foot 
*Hallux Rigidus (no motion through the 1st toe joint) 
*Severe Bunions and Hammertoes


For more information, please check out these articles on my blog:

Top 15 Shoes for Foot Pain! Podiatrist recommends shoes to help with foot, knee, hip and lower back pain. 

Shoe recommendations for patients recovering from foot fractures or injuries. 


Hope this has been helpful!

Sincerely,

Dr. Cathleen A. McCarthy

:)

**Sorry to everyone that I have been unable to respond to the online questions in a timely manner! It's getting harder to keep up with the questions because of the increasing volume. The good news is that if you follow the links that I leave at the end of the articles, it will typically get you to an article that should give you enough information to answer many extra questions.