10 Toes Down

SmartStep Foot and Ankle

10 Toes Down is a podcast dedicated to footcare, culture, community, and fun! Hosted by Dr. Thurmond Lanier, Founder and Medical Director at SmartStep Foot and Ankle in Fort Mill, SC, and Sheena Pickett, Owner of Alpha Male Nail Care in Charlotte, NC, we're talking about everything from footwear to foot conditions. 10 Toes Down brings you interviews with insightful guests, honest conversation, news about events and culture in the Charlotte-area community, and so much more!

Episodes

  1. 3d ago

    "I Hate Shots!" So Why Does THIS Medicine Only Come in a Needle?

    Nobody likes getting a needle stuck into their foot. In fact, needle anxiety is one of the single most common reasons people put off seeing a podiatrist! Patients always ask: "Dr. Lanier, can't you just give me a pill for this?" In this episode of Ten Toes Down, co-hosts Dr. Thurmond Lanier (Podiatrist & Founder of SmartStep Foot and Ankle) and Sheena Pickett (Owner & "Petty-Curist" at Alpha Male Nail Care) break down the science of why certain lifesaving and pain-relieving medications like Cortisone, PRP, Insulin, and GLP-1s must be delivered via a needle rather than a pill. In This Episode, We Cover: Pills vs. Injections: What actually happens when you swallow a pill versus receiving a direct injection.The Journey of a Medication: How stomach acid and the liver's "first-pass effect" destroy large protein molecules before they can reach your bloodstream.Bioavailability Explained: Why an injectable dose can be as small as 2.4mg while the oral equivalent requires 30mg to achieve the same result.Emergency Medicine & Needle Gauges: Why IVs and EpiPens use direct pathways when seconds count, and what those needle gauge numbers actually mean.In the Podiatrist's Office: How targeted local injections bypass your entire digestive system to deliver direct relief for Plantar Fasciitis, nerve entrapment, and tendonitis.Subcutaneous vs. Intramuscular vs. IV: Breaking down the different injection types and why blood flow in muscles and bones helps tissue heal.Trap or Truth (Rapid-Fire!):Are shots always stronger than pills?If a medicine comes in an injection, is it because stomach acid would destroy it?Can you just ask your doctor for a pill alternative?Will you always have to take an injectable medication forever?Overcoming Needle Anxiety: Dr. Lanier’s top practical tips for home self-injections and why smaller gauge needles make foot injections far less painful than you think.Connect With Us & The Community: SmartStep Foot and Ankle (Dr. Thurmond Lanier) 📍 Location: Fort Mill, SC (Tega Cay / Lake Wylie area – Opening soon!)🌐 Website: smartstepfootandankle.com📸 Instagram: @smartstepfootandankle | @thurmondlanierAlpha Male Nail Care (Sheena Pickett) 📍 Locations: Charlotte, NC area🌐 Website: alphamalenailcare.com📸 Instagram: @alphamalenailcarecltEnjoying the show? Don't let needle anxiety keep you in chronic pain! Please like, subscribe, rate, and leave a review on Apple Podcasts, Spotify, YouTube, or wherever you listen to podcasts. Drop your questions or comments below! Until next time, stay informed, stay curious, and always stay Ten Toes Down! Produced by: Charlotte Content Marketing

  2. Sep 29

    Building Foundations: Real Estate, Community Impact, and Doing Good with Michaela Scurlock

    Building a healthy community takes leaders who are willing to plant roots, invest in local families, and give back. In this episode of Ten Toes Down, co-hosts Dr. Thurmond Lanier (Podiatrist & Founder of SmartStep Foot and Ankle) and Sheena Pickett (Owner & "Petty-Curist" at Alpha Male Nail Care) sit down with Michaela Scurlock, owner of Scurlock Agency. Michaela has been serving home buyers and sellers across North and South Carolina for 23 years, while also leading major community initiatives as the past corporate board chair for the YMCA of Upper Palmetto. From navigating the fast-growing Charlotte and Fort Mill real estate markets to the powerful non-profit work happening behind the scenes, we’re diving into how passion, business, and community service all connect to keep our area grounded and moving forward. In This Episode, We Cover: Meet Michaela Scurlock: How a bad experience with a real estate broker 23 years ago inspired Michaela to get her license, launch her own business, and raise a family in the Carolinas.The Reality of Real Estate: Why home transactions are equal parts psychology and finance, and how to navigate the emotional side of buying and selling.Home Improvements That Pay Off: The truth about home upgrades (kitchens, bathrooms, and pools) versus custom personal touches that can actually hurt resale value.Debunking Social Media Hooks: Why viral real estate marketing tricks and "zero commission" claims aren't always what they seem, and why real human relationships beat algorithms every time.Footwear on the Move: How Michaela balances style and comfort while walking properties all day, featuring her top shoe recommendation for professionals on their feet (Sneex!).Non-Profit Leadership & Giving Back: Michaela’s groundbreaking work with the YMCA of Upper Palmetto and Samaritan’s Feet, and how stepping into non-profit board positions opens doors for community impact.Inspiration for the Next Generation: Michaela’s advice on overcoming fear, accepting opportunities, and understanding that "nothing is too big or too small" to make a difference.What’s Keeping You 10 Toes Down?: Michaela shares her personal foundation: faith, family, and staying grounded in her purpose.Connect With Our Guest & Hosts: Michaela Scurlock (Scurlock Agency) 🌐 Website: scurlockagency.comSmartStep Foot and Ankle (Dr. Thurmond Lanier) 📍 Location: Fort Mill, SC (Tega Cay area)🌐 Website: smartstepfootandankle.com📸 Instagram: @smartstepfootandankle | @thurmondlanierAlpha Male Nail Care (Sheena Pickett) 📍 Locations: Charlotte, NC area🌐 Website: alphamalenailcare.com📸 Instagram: @alphamalenailcarecltEnjoying the show? Please like, subscribe, rate, and leave a review on Apple Podcasts, Spotify, YouTube, or wherever you listen to your favorite podcasts. Drop your comments and feedback below! Until next time, keep moving, take care of yourself, and stay Ten Toes Down! Produced by: Charlotte Content Marketing

    Building Foundations: Real Estate, Community Impact, and Doing Good with Michaela Scurlock
  3. Sep 22

    Are Your Old Shoes Silently Destroying Your Feet?

    If your favorite pair of sneakers still looks clean on the outside, you might assume they’re perfectly fine. But here’s the truth: shoes die from the inside out. When internal foam and shock absorption collapse, your feet aren't the only things taking a beating. That impact travels straight up into your ankles, knees, hips, and lower back. In this episode of Ten Toes Down, co-hosts Dr. Thurmond Lanier (Podiatrist & Founder of SmartStep Foot and Ankle in Fort Mill, SC) and Sheena Pickett (Owner & "Petty-Curist" at Alpha Male Nail Care) expose the hidden mechanics of shoe breakdown. Whether you're a daily runner or working 10-hour shifts on your feet, learn why clingy footwear habits might be the real culprit behind your heel or back pain. In This Episode, We Cover: The "Invisible" Breakdown: Why outer tread is deceiving and how compressed internal EVA foam/gel fails long before shoes show external scuffs. The 300-to-500 Mile Rule: How many months your athletic shoes actually last (hint: 4 to 6 months for average wear) and how hard running shortens that lifespan. Uneven Wear Patterns: How worn-out heels force your foot into abnormal pronation or supination, altering your gait and loading your knees and lower back unevenly. Limb Length Discrepancies & Back Pain: How minor leg length differences interact with bad footwear to trigger chronic back stiffness. Plantar Fasciitis vs. Heel Spurs: Debunking the myth that bone spurs are what you’re "stepping on" and how poor arch support inflames the plantar fascia tissue. The "Toss or Keep?" Diagnostic Checklist: The Table Test: Setting your shoes on a flat surface to check for tilts, wobbles, and uneven heel wear. The Press & Flex Check: Testing midsole foam responsiveness vs. "pancake" compression. The Pain Tracking Rule: How to correlate specific joint or foot fatigue with a single pair of shoes. The Insole Debate: Why putting expensive custom orthotics or store-bought insoles inside a dead shoe is a waste of money. Trap or Truth (Rapid-Fire!): Do shoes really need to be "broken in"? Is softer memory foam actually more supportive? Does rotating two pairs of shoes extend their lifespan? What’s Keeping You 10 Toes Down?: Dr. Lanier and Sheena share personal check-ins on releasing comfortable habits that no longer serve your growth. Connect With Us & The Community: SmartStep Foot and Ankle (Dr. Thurmond Lanier) 📍 Location: Fort Mill, SC (Tega Cay area) 🌐 Website: smartstepfootandankle.com 📸 Instagram: @smartstepfootandankle | @thurmondlanier Alpha Male Nail Care (Sheena Pickett) 📍 Location: Charlotte, NC 🌐 Website: alphamalenailcare.com 📸 Instagram: @alphamalenailcareclt Episode Challenge for Listeners: Conduct a Closet Audit this week! Run the Table Test on your daily shoes, snap a picture of any pairs you’re retiring, and tag us on Instagram. Please like, subscribe, rate, and leave a review on Apple Podcasts, Spotify, YouTube, or wherever you listen to your favorite podcasts. Until next time, keep moving, take care of yourself, and stay Ten Toes Down! Produced by: Charlotte Content Marketing

  4. Sep 15

    Playing Hurt: Football, Toughing It Out, and Knowing When to Step Off the Field

    In sports and in life, men (and women) are conditioned from day one to "walk it off" and play through the pain. But when it comes to your feet, pushing through an injury isn't toughness—it's a fast track to long-term structural damage. With football season in full swing, co-hosts Dr. Thurmond Lanier (Podiatrist & Founder of SmartStep Foot and Ankle) and Sheena Pickett (Owner of Alpha Male Nail Care) dive into the physical toll high-impact sports and daily grind take on your feet. From fantasy football banter and Carolina Panthers energy to real clinical advice, this episode breaks down why "toughing it out" is costing you mobility. In This Episode, We Cover: Walking on a Broken Foot?: Why being able to bear weight doesn't mean you're in the clear, including the classic sign of an Achilles tendon rupture. The Injury Breakdown: What actually happens inside your cleats during Turf Toe (big toe sprains), Achilles Tendon Ruptures, and why a High Ankle Sprain takes so much longer to heal than a standard sprain.Data Drop: Why up to 70% of people with an acute ankle sprain suffer lingering physical issues, and why football accounts for the highest share of high school and college sports injuries.Proper Cleat & Shoe Fitting: Why wearing tight cleats for "speed" can backfire, and the importance of getting your feet accurately measured.Redefining Toughness: How waiting 6+ months to see a doctor turns a 2-week fix into a chronic issue, and why asking for help is actually a sign of strength. Trap or Truth: Is walking on an injured foot a reliable test?Are black toenails (subungual hematomas) always harmless? (Warning: bone infections & melanoma risk!)Do new shoes really need to be "broken in"?What’s Keeping You 10 Toes Down?: Dr. Lanier and Sheena share personal check-ins on patience, asking for help, and learning to rest. Connect With Us & The Community: SmartStep Foot and Ankle (Dr. Thurmond Lanier) 📍 Location: Fort Mill, SC (Tega Cay / Lake Wylie area – Opening soon!) 🌐 Website: smartstepfootandankle.com 📸 Instagram: @smartstepfootandankle | @thurmanlanier Alpha Male Nail Care (Sheena Pickett) 📍 Locations: Charlotte, NC area 🌐 Website: alphamalenailcare.com 📸 Instagram: @alphamalenailcare Enjoying the show? Pain is information, so don't ignore what your body is telling you! Please like, subscribe, rate, and leave a review on Apple Podcasts, Spotify, YouTube, or wherever you listen. Drop your questions or episode suggestions in the comments below! Until next time, keep moving, stop playing hurt, and stay Ten Toes Down! Produced by: Charlotte Content Marketing

  5. Sep 8

    Stepping In and Stepping Up: Foot Care, Community, and Keeping It Real

    What do high heels, running marathons, and your daily hustle have in common? They all depend on ten small things you probably take completely for granted—until something starts to hurt. Welcome to the official launch episode of Ten Toes Down! We are stepping out from behind the doctor’s desk and the nail chair to take our former Instagram Live segment to the next level. Hosts Dr. Thurmond Lanier (Podiatrist & Founder of SmartStep Foot and Ankle) and Sheena Pickett (Owner & "Petty-Curist" at Alpha Male Nail Care) are back from summer sabbatical to reintroduce themselves, share their professional journeys, and lay down the foundation for what this podcast is all about. Combined, Dr. Lanier and Sheena bring over two decades of hands-on foot care expertise to the table—blending top-tier medical authority with real, everyday lifestyle, culture, and Queen City community vibes. In This Episode, We Cover: Meet the Hosts: Dr. Lanier’s 14-year podiatry journey leading up to the opening of his brand-new physical practice in Fort Mill, SC, and Sheena’s 13-year story building a barbershop-based nail salon specifically for men in Charlotte. Wildest Foot Care Stories: From Dr. Lanier cutting melted shoes off an ER patient to Sheena managing severe lymphedema cases on the floor. The #1 DIY Mistake: Why taking a pair of bathroom clippers to an ingrown nail usually turns a minor issue into a major infection. What Does “10 Toes Down” Mean?: Unpacking the podcast philosophy and putting 100% into everything you do, maintaining total wellness, and connecting foot care to fitness, sports, fashion, aging, and culture. The 3 Pillars of the Show: Real Foot Health (Dr. Lanier vs. Dr. Google), Charlotte & Fort Mill Community Spotlights, and Unfiltered Guest Conversations. Trapper Truth (Rapid Fire!): Fast-paced takes on Crocs, socks with sandals, going barefoot at home, gym locker room athlete’s foot, and whether pedicures are actually medical care. What’s Next: Updates on SmartStep Foot and Ankle’s new Fort Mill clinic location and Alpha Male Nail Care's local Charlotte pop-ups. Connect With Us & The Community: SmartStep Foot and Ankle (Dr. Thurmond Lanier) 📍 Location: Fort Mill, SC (Tega Cay area) 🌐 Website: smartstepfootandankle.com 📸 Instagram: @smartstepfootandankle | @thurmondlanier Alpha Male Nail Care (Sheena Pickett) 📍 Locations: Charlotte, NC area 🌐 Website: alphamalenailcare.com 📸 Instagram: @alphamalenailcareclt Enjoying the show? Please like, subscribe, rate, and leave a review on Apple Podcasts, Spotify, YouTube, or wherever you listen! Have a foot health question, shoe debate, or local event you want us to highlight? Drop us a comment or reach out on socials. We love hearing from you! Keep moving, take care of yourself, and stay Ten Toes Down! Produced by: Charlotte Content Marketing

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About

10 Toes Down is a podcast dedicated to footcare, culture, community, and fun! Hosted by Dr. Thurmond Lanier, Founder and Medical Director at SmartStep Foot and Ankle in Fort Mill, SC, and Sheena Pickett, Owner of Alpha Male Nail Care in Charlotte, NC, we're talking about everything from footwear to foot conditions. 10 Toes Down brings you interviews with insightful guests, honest conversation, news about events and culture in the Charlotte-area community, and so much more!