World-class cyclist Mandy Marquardt’s journey to foot health and peak performance

Mandy Marquardt is a powerhouse on two wheels.

As a community ambassador for St. Luke’s University Health Network and a world-class cyclist, Mandy Marquardt’s determination inspires others. But behind the medals and accolades lies a deeper story—one of resilience in the face of health challenges. Mandy lives with Type 1 Diabetes, a condition that adds complexity to her life as an elite athlete.

Years of intense training began to take a toll on Mandy’s feet, prompting her to seek help from Casey Gerety, DPM, of St. Luke’s Podiatry. She was diagnosed with hammertoes and hallux valgus—a painful bunion condition. These issues not only caused discomfort but also affected her cycling performance.

Recognizing the need for specialized care, Dr. Gerety referred Mandy to Elizabeth Scifers, DPT, a Board-Certified Clinical Specialist in Orthopedic & Sports Physical Therapy. As the program manager for foot and ankle care at Physical Therapy at St. Luke’s, Elizabeth understood the added risks diabetes posed. She designed a custom rehabilitation plan for Mandy, starting with orthotics—specialized shoe inserts tailored to her needs. “The orthotics are a super-thin design, custom-molded to Mandy’s feet,” Elizabeth said. She crafted orthotics tailored to every part of Mandy’s routine—from walking to sprint cycling.

We also analyzed Mandy’s gait and foot posture and recommended conservative therapies such as taping and bracing to address the hammertoe and hallux valgus,” Elizabeth said.

The goal was to reduce pain and prevent complications, especially given the importance of foot health for those with diabetes. Mandy’s progress was evident.

“The orthotics in her cycling shoes have already made an impact on her hip impingement. She is able to activate her hip flexor and feels more centered on the bike,” Elizabeth noted. Exercises to improve ankle mobility and biomechanics were added.

Jill Eisenberg, DPT, observed changes in Mandy’s leg alignment, which led to muscle soreness as her body adapted. Her treatment included hands-on techniques, shockwave therapy, and targeted exercises.

With continued care and support, Mandy pushes her limits and advocates for foot health, especially for those managing diabetes. Her story is a testament to teamwork, perseverance, and the power of expert care.

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