The Differences Between Cycling Shoes and Sneakers
Podiatrist Will Duncan presents a short video reviewing cycling shows and how they differ from running shoes (sneakers).
Please enjoy.
Podiatrist Will Duncan presents a short video reviewing cycling shows and how they differ from running shoes (sneakers).
Please enjoy.
Orthotics play an important role in podiatry and can be an effective treatment option in helping patients with different injuries, pain and foot function. Over the course of their lifespan orthotics can see a lot of wear and tear and it is important for your Podiatrist to review them in order to maintain the longevity of the devices. There are several factors, including a patients age, activity levels, occupation, biomechanics and footwear, that can affect how much an orthotic will perform and ultimately wear.
There are different components and materials that make up an orthotic and these areas may need adjusting by your Podiatrist if they have become worn. There are a few signs that a patient can look for to see if their orthotic requires adjusting.
Signs of orthotic wear;
– The covers on the top of the orthotic may be worn and become frayed or torn.
– The arch of the orthotic may start to collapse or need increased support.
– The bottom of the heel may become worn on one side depending on the patient’s foot structure and gait patterns.
– The edges may crinkle or curl depending on use and footwear.
– They may smell or be dirty.
What to expect from your orthotic review? In your orthotic review, your Podiatrist will run through several different things to ensure your orthotics still fit, look and feel good.
A review of the orthotics wear and tear and to assess any elements that may need adjusting
Review of the patient on the orthotic to ensure the devices are still fitting well and are offering the correct amount of static support
Review of any current issues and biomechanics that may be affecting the patient, and assessing how the orthotic can be adjusted to improve outcomes
Review of the patient’s current footwear as this plays a large role in the success and effectiveness of any orthotic device
Make any adjustments to orthotics such as replacing top covers, increasing support and adjusting any wear areas.
Review of muscle strength and joint range of motion and making any adjustments to the foot, ankle, knee and hip that are required.
It is important to continue with six-monthly orthotic reviews as our feet can change and so can our orthotics, so adjusting and maintaining are important for foot health just the same as you would service a car. Most patients will be able to get anywhere from 2 to 5 years from a pair of custom orthotics and there are some things a person can do themselves to maintain and increase the longevity of these devices.
Caring for your devices
Wearing orthotics with socks will reduce friction and wear
Airing devices out regularly and allowing them to dry if they get wet
If putting the orthotic into different shoes, ensure the device has ample room and fits properly into the shoe, otherwise it may get crinkled and squashed. Your podiatrist can help you with shoe fitting and your devices.
Keep them away from pets and animals
If they become damaged or worn, booking in with the podiatrist to give them a tune up
Ensuring the orthotics are clean and have no dirt or debris on them that can affect and ruin the top cover.
If you are due for an orthotic review or have any questions you can book an appointment with one of our friendly podiatrists by visiting our website or call us on: 8363 4588.
What this article tells you
With the beginning of the new sports season we often seen an influx of children between the ages of 8-15 present with painful heels after their sports games. This is often related to a condition called Sever’s Disease.
To make a booking call 08 83634588 or contact us via our contact page.
What is Sever’s Disease?
‘Sever’s’ or ‘Sever’s Disease’ is the irritation of the heel growth plate(s) and is the most common cause of heel pain in growing, active children.
Although ‘Sever’s Disease’ sounds a bit sinister, it is actually not a ‘disease’ and the prognosis is a self-limiting, benign syndrome which means it resolves when the growth spurt stops, without any long term complications. However, the symptoms during the flare up period can be quite painful and may need Podiatric management.
What is the cause?
Officially it is “A painful inflammation of the calcaneal apophysis due to repetitive trauma which aggravates the insertion of the Achilles tendon.”
I like to explain it a bit more simply as an overuse of the bone and tendons around the heel during a growth spurt. It occurs commonly in children with feet that roll in, and who are active and are growing.
How does it present, what are the symptoms?
Sever’s is commonly found in active children and it’s usually aggravated by walking, running or jumping. It is associated with pain in the back and sides of the heel over the growth plate area of the calcaneus (heel bone).
Typical history:
Some other common characteristics of Sever’s:
Expected findings:
Prognosis
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Differential diagnosis – what we want to make sure we rule out!
The key characteristics of a differential diagnosis is having a negative squeeze test of the heel.
This then requires further investigation for other possible problems.
Traumatic events causing heel pain have key differentiating characteristics and good history taking is essential.
Further investigation with imaging such as x-ray, ultra sound and MRI is warranted to rule out more serious problems if deemed necessary.
Infective and internal causes of heel pain usually involve other key characteristics such as systemic symptoms including malaise (tiredness/ fatigue), a raise in core temperature, night pain, or generalised aches.
Treatment of Sever’s Disease
Stage 1 – Rest and recovery
Stage 2 – Increasing strength and biomechanical correction
Some examples:
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With the oncoming summer weather it is time to unveil our feet for all to see (and often judge) as we leave our closed-in winter shoes for sandals and thongs. Our feet are a good indicator of our general health and reflect our vascular, neurological and immunological status, providing your Podiatrist with early warning signs of poor health. The feet are the last part of the body to be reached by the blood vessels and nerves and therefore will be one of the first areas to show signs of neurovascular diseases such as diabetes. Our skin is the largest organ in the body and relies on good health to maintain its integrity. Adelaide’s hot, dry weather and water quality are very harsh for our skin and if not cared for properly, the skin can dry out and crack, creating an opportunity for infection.
Caring for your feet and preventing unsightly callus and fissuring is simple if your feet are well maintained. At PodSquared Podiatry we assess our clients individual needs and health status before recommending the most suitable programme of care to maintain good skin integrity through the summer months.
Callus will naturally build up around the heels as you wear open heeled shoes or sandals through summer. If the callus is allowed to become too thick it will split right down to the delicate skin underneath. These deep cracks (fissures) are painful, often bleed and can be the site of infection.
Simple home care should involve daily inspection of your feet, regular, gentle exfoliation and daily application of a suitable moisturiser. Your Podiatrist can advise you on the best combination of treatment and type of moisturising cream to provide the best results for your feet and overall foot health.
If your feet need some attention or just some simple professional advice to be “summer ready”, contact us for an appointment.
Plantar fasciitis & Plantar Heel Pain Syndrome – What’s the difference?
Plantar fasciitis, or Plantar Heel Pain Syndrome (PHPS) is one of the most common conditions that presents to our clinic and is one of the most common causes of chronic heel pain in the adult population. Plantar Heel Pain Syndrome is a musculo-skeletal disorder affecting the insertion of the plantar fascia into the heel bone. Although this condition is commonly referred to as plantar fasciitis, recent research indicates that inflammation is rarely observed and therefore the “itis” should be dropped. Plantar Heel Pain Syndrome also acknowledges the complexity of this condition as it develops over time, involving more muscles and structures as people try to adapt to the pain. It is thought to be linked to an increased BMI and poor biomechanics, but there are generally a wide range of contributing factors. These factors can be changes in activity and footwear or problems in other parts of the kinetic chain such as knee, hip or back injury.
Plantar Heel Pain Syndrome is often seen in patients that are trying to improve their fitness, lose weight or preparing for that long awaited overseas holiday. It is marked by pain on rising, as people get out of bed, or after prolonged sitting. This pain will often resolve within the first few steps of walking and the patient will usually forget about it until the next morning. As this pattern continues and develops, it takes longer and longer for the pain to disappear until eventually it stays all morning or all day. The inside edge of the heel itself is painful to pressure and can extend into the arch of the foot.
Treatment of Plantar Heel Pain Syndrome
It is important to seek professional help as soon as possible. Early intervention leads to early resolution of this condition. Your Podiatrist will often use a combination of treatments depending on specific diagnosis and the severity of the heel pain, these may include;
For further information or advice, contact us for an appointment.
Foot pain is very common during pregnancy as an inevitable consequence of weight gain (mostly the weight of the baby) and ligament softening hormones, but that doesn’t mean you have to just grin and bear it. We have compiled a list of ten tips that are simple to follow and should help to keep to feet feeling as comfortable as possible.
If you would like more information or assistance from one our trained Podiatrists, please contact us to make an appointment
This information is based on materials supplied by the Australian Podiatry Association (SA).
Most people are aware that a sedentary lifestyle, smoking and eating fatty foods leads to the narrowing of the arteries and blood vessels of the heart. Over time, this creates a build up of fatty deposits that can reduce and eventually block the flow of blood in those vessels, which can lead to heart attack and stroke. This process is not restricted to the arteries and vessels of the heart, but affects the entire vascular system. Considering that the circulation of the feet and legs is the furthest from the heart, a common side effect and often a precursor to heart attack and stroke is an identical narrowing of the arteries in the feet and legs, known as peripheral arterial disease (PAD). More than one in ten adults suffer from peripheral arterial disease and left untreated, the condition can have serious effects on the feet including increased risk of amputation as well as increased risk of death.
Early diagnosis and treatment of problems with the feet can prevent heart disease and the risk of serious problems to the feet, yet peripheral arterial disease is often undiagnosed and often asymptomatic. People in high-risk categories for developing peripheral arterial disease include smokers; diabetics; people suffering from obesity; a family history of peripheral arterial disease, heart disease and stroke; high blood pressure; high cholesterol; and being older than 50 years of age. If you are at an increased risk of peripheral arterial disease it is important to see a Podiatrist for a check up, as catching the the problem early can be both limb and life-saving.
Leading a healthy lifestyle and taking care of your feet is the best way to avoid disease and limit complications. Eat a varied diet low in saturated fats, exercise regularly and avoid tobacco. These steps alone will lower the the build up of fatty deposits in the arteries , increase the flow of blood and oxygen to your feet, and reduce the risks from narrowed arteries caused by smoking. Take care of your feet by washing them daily in warm soapy water, and check for any sores or symptoms of disease.
Symptoms of Heart-Related Foot Problems
Diagnosis of problems with the feet can prevent heart disease and the risk of serious problems to the feet, including amputation. Yet peripheral arterial disease is often undiagnosed. If you have any of the symptoms of peripheral arterial disease it is important to make an appointment with a Podiatrist or medical professional as soon as possible. The main symptoms are described below:
Top Five Tips to Avoid Heart- Related Foot Problems
Most diseases are avoidable by leading a healthy lifestyle, and in the case of peripheral arterial disease, lifestyle changes can be the key to saving a leg or escaping premature death. Listed below are the five main points that can be controlled without medical intervention to prevent serious foot problems including painful cramps, wounds that fail to heal and amputation, as well the prevention of heart attack and stroke.
If you or a family member suffers from any of these symptoms, it is advisable to contact your Podiatrist or doctor to discuss and assess your situation. Please contact us for an appointment.
This information is based on materials supplied by the Australian Podiatry Association (SA).
People often present complaining of pain in the front of the foot around the third and fourth toes. One common condition responsible for this pain is a neuroma or Morton’s neuroma. The following information should help to explain the how and why of a neuroma and what you can do to prevent and resolve this condition.
Signs and Symptoms
Causes
Risk Factors
Treatment
If you suffer from these symptoms and require an assessment or opinion from one of our trained Podiatrists, please contact us for an appointment.
This information has been provided by the Australasian Podiatry Association for it’s members.
Foot pain affects most people at some time or another and Podiatrists are specifically trained to assess and treat foot and leg problems using safe effective and painless techniques.
At PodSquared Podiatry we have structured our practice to care for your whole family. It doesn’t matter if you are just starting to walk, or have been walking and playing sport for decades, we are here to keep you and your family on your feet. We are passionate about foot health and continually update our education and techniques to provide our clients with the best possible advice and treatments.
We believe that your feet are the foundation of your body and that a strong postural foundation is essential to your health and wellbeing. As Podiatrists, we understand the underlying causes of foot pain and how chronic foot pain and injuries can prevent you from leading a full and active life.
At PodSquared, we look beyond the obvious symptoms of your foot condition to identify the structures and processes involved to treat the cause of your foot problems. Foot pain affects the function of the entire body, through a process of compensation that can lead to knee, hip and back pain.
Our experienced team of Podiatrists can work with you and your health care team to achieve the best possible outcomes.
Put your feet in our hands and experience the difference our service can make to your feet, health and mobility.
Appointments can be made by phoning 08 8363 4588.