At least once a week I have to explain to a customer, "I'm not a doctor, nor do I play one on TV." The role of a shoe guy is complicated. You not only have to know about shoes, but you have to know a bit about medical issues. This is the point where I flashback to my junior year in high school, where I tell my younger self, "You actually WILL use this science stuff later in life."
On a daily basis people tell me about their medical issues, as it pertains to their feet, legs, hips, and various other portions of the body. I use this information so I can make informed decisions on which running shoes to recommend. The problem is when a runner says something like, "My foot hurts between the big and second toe, what do you think the problem is?" I remind these people I'm not a doctor, and their ailment could be any number of things, perhaps they should check with their doctor. Most won't. They are looking for a Google like diagnosis from a lay person.
We shoe people also walk a fine line with what we see, and why a doctor may have sent someone to see us. The classic example is, "My doctor tells me I have flat feet, and I need to get a Brooks Beast." Before I tell you my response to that, let me detail what I do. I ask people about their running. I ask about their injuries or issues going on. I ask if they are training for anything. I look at the shape of their foot, including the arch. I go over the size of their feet. I also do a gait analysis which shows me how their biomechanics are working. That's a lot of stuff. A flat foot does not require a certain shoes. There is no ONE shoe for someone. ***The following is my personal opinion*** a doctor who tells you something like that is being lazy, or "paid" by a shoe company to give a shoe recommendation.
There are times a podiatrist sends someone to me, telling them to get a motion control shoe(which is for people who severely roll to the inside of their feet as they walk or run), and after my analysis, I see they roll to the outside. I don't get into disagreements with doctors. I tell the person I am not sure what the doctor is seeing, but this is what I see, and we take it from there. I don't want a customer to go to their doctor and say,"Shoe guy tells me you're wrong." No no no......I let the person know I'm not a doctor, but here is what I observe, and I let THEM decide what to do.
I also can't diagnose an ailment. I know what Plantar Faciitis is, and why we get it. If someone asks me if they have it, I tell them it's possible, but to be sure go to a medical professional. I also know what Achillies issues are like, but I won't tell someone they have ruptured it just based on a discussion about shoes.
The person at the running store isn't a doctor. They know a lot, but they aren't a doctor, nor should they be confused for a doctor. If they are acting like a doctor, suggest they enroll in medical school, and stop playing one on TV.
Charlie
1 comment:
If they were able to walk in, they most emphatically do NOT have a ruptured Achilles.
People like to "upmarket" their injuries sometimes. A sore calf is a "ruptured tendon".
"Ruptured" means really torn apart. In the Achilles, that means you aren't walking.
I so get where you're coming from. There's a whole subset of people who come to me (and other MTs) because they hurt, they've hurt for a while, they are getting concerned but they don't want to go to a doc.
I often have to say "here's what I can feel, here's what I can and can't do, and I think you need to see a doc." A lot of times, that's what they needed to hear -- someone who is "quasi" medical telling them to go see a doc. And they often do and I'm usually right -- it's something beyond the scope of massage therapy.
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