Category Archives: plantar faciitis

Biomechanical or MSK (Musculo-skeletal) assessment

Bio-mechanics, Feet, Foot Care, plantar faciitis, Podiatry, Shockwave, , , , , , , , , , , , ,

There is an increasing interest in the functional structure of the foot and how it can affect the rest of the body. The feet are the foundation on which the structural integrety of the rest of the body depends, and just like a building, reliability over time depends on the foundation being level and stable.

Biomechanical/MSK podiatry focuses on the assessment and treatment of foot and lower limb issues related to structure, function, and movement patterns during locomotion, i.e. standing, walking and running.

This specialized field of podiatry is dedicated to addressing conditions that impact the biomechanics or functional structure of the feet and how they affect the rest of the body.
Individuals may seek a biomechanics/MSK podiatry assessment for various reasons, including foot pain, plantar fasciitis, bunions, flat feet, heel spurs, and sports-related injuries. These issues can affect standing, walking, running, and overall mobility and flexibility, leading to discomfort and limitations in daily activities.

During a biomechanics/MSK podiatry assessment, a podiatrist will conduct a thorough evaluation of the feet, ankles, and lower limbs. This may involve analyzing the patient’s gait, assessing foot structure and alignment, testing muscle strength and flexibility, and examining joint range of motion.

In some cases, specialized equipment such as pressure plates or 3D foot scanning may be used to gather additional data.

After the assessment, the podiatrist will discuss their findings with the patient and develop a personalized treatment plan. This plan may include orthotic therapy to support proper foot alignment, exercises to strengthen weak muscles, footwear recommendations, and advice on injury prevention strategies.
Patients can expect improvements in foot function, reduced pain, enhanced mobility, and overall better quality of life as a result of biomechanics/MSK podiatry treatment.

Regular follow-up appointments are recommended to monitor progress and make any necessary adjustments to the treatment plan. By addressing biomechanical issues in the feet, individuals can experience long-term relief and improved function in their lower limbs and beyond.

If you would like more information, to speak to one of our podiatrists or to make an appointment, give us a call on 01628 773588 or email info@maidenheadpodiatry.co.uk

(Radial) Shockwave Therapy (SWT)

Bio-mechanics, Chiropractic, Myo-Fascial Release, plantar faciitis, Podiatry, Shockwave, , , , , , , , ,

(Radial) SHOCKWAVE Therapy (SWT)

Radial Shockwave is a tried, tested, and well-researched treatment used in physiotherapy since the 1990s. It has gained popularity due to its effectiveness and application across a wide range of professions.

What would you use it for?

SWT is used by both our podiatrists and our chiropractors to treat a variety of conditions including those listed below. The list isn’t exclusive:

  • Heel pain – Plantar fasciitis
  • Shoulder pain
  • Tennis elbow – lateral epicondylitis
  • Golfer’s elbow – medial epicondylitis
  • Heel spur
  • Hip pain
  • Rotator cuff – calcifying tendonitis
  • Jumper’s knee – quadriceps tendonitis
  • Carpal tunnel syndrome
  • Chronic tendinopathy including Achilles tendonitis

How does it work?

Shockwaves are transient acoustic waves which uniquely transmit high energy peaks used to both disintegrate and heal.

Shockwave Therapy is supported by numerous clinical studies attesting to its healing and reparative effects on tissue with over 80% success in relieving symptoms and reducing or eliminating pain.

SWT is tested and approved by physicians all over the world and used from out-patient clinics to amateur sportspeople to Olympic athletes. Also is used in rehabilitation, podiatry, chiropractic, physiotherapy, orthopaedics, veterinary medicine, aesthetics, and dermatology.

Medical effects

The high energy peak acoustic waves generated by SWT interact with tissue stimulating the medical effects of accelerating tissue repair and cell growth, reducing pain, and improving range of movement.

Some of the independent and combined effects of SWT are:

  • Capillary micro-ruptures in tendon and bone trigger repair processes leading to the creation of new blood vessels reversing chronic inflammation by increasing mast cell activity
  • Collagen production is stimulated by accelerated procollagen synthesis
  • Breaking down of calcium build-up in calcific disorders
  • Dispersion of pain mediators
  • Trigger point release.

Frequently asked questions

Will Shock Wave Therapy help me?

Most people experiencing chronic pain have unsuccessfully tried other treatments. Over 80% of the same people worldwide report SWT has helped resolve their condition.

How long does it take?

The application of SWT within your appointment is normally completed in around five minutes.

Does it hurt?

Depending on the level of pain already being experienced in the area to be treated there may be some discomfort. Treatments normally last less than five minutes meaning that any discomfort is tolerable but the intensity can be varied during the session to suit patient preference.

How many treatments will I need?

This varies depending on the nature of the condition being treated and the response of the patient. Effects are cumulative, typically more than one but fewer than six visits with relief normally experienced from the first visit onwards.

Will there be any soreness afterwards?

Sometimes there may be some tenderness for a short period but nothing intolerable or limiting.

Is there anything I can’t do following treatment?

It is sensible to avoid physical exertion for a couple of days following treatment to allow healing to take place.

If you would like more information or to book an appointment with one of our podiatrists or chiropractors please call 01628 773588 or e-mail info@maidenheadpodiatry.co.uk

Your feet are amazing, don’t ignore them!

Bio-mechanics, Feet, Foot Care, plantar faciitis, Podiatry, , , , ,

Don’t ignore your feet

When we are standing, running, walking and exercising, we take our amazing feet for granted. We use them in almost every activity, from walking to skiing, from football to rugby, from jogging to swimming.

What do you know about your feet?

For most of us, our feet are just something we walk on, just the point of contact between our body and the ground, but read on for some fascinating foot facts.

Animals are classified as plantigrade or digitigrade, depending on how much of their foot they walk on.

  • Plantigrades walk on the whole of their feet (such as people, bears, baboons, alligators and frogs).
  • Digitigrades walk on their toes (such as dogs, cats, birds and dinosaurs).

A biped is an animal with two feet (from the Latin bis, “twice”, and pes, “foot”).

Feet have many functions throughout the animal kingdom, not just locomotion.

  • Gannets use their webbed feet to incubate eggs,
  • butterflies ‘taste’ with their feet
  • elephants ‘hear’ through the soles of their feet, picking up vibrations from the ground
  • Geckos feet are sticky to allow them to ‘stick’ to surfaces
  • Ostriches only have two toes, but combined with long legs, can reach 40mph
  • Horses are the only animal with only one ‘toe’
  • mosquitos have scaled feet to allow them to land on water
  • crocodiles webbed feet take them from water to land
  • flying lemurs have toes that act like suction cups

As humans, we use Podiatrists (Chiropodists) to ensure good and continuing foot health. From a legal and registration point of view, the terms Chiropodist and Podiatrist are interchangeable and both or either require registration by the HCPC – The Health Care Professions Council.

The word Chiropodist comes from the Greek ‘cheir’ meaning hand, ‘pod’ meaning foot and ‘ist’ the person who practices.

The term originated in England around 1785 largely to describe ‘corn cutters’ in an attempt to separate the emerging profession from its perceived humble roots, but is not widely recognised internationally. Therefore, the change to ‘Podiatrist’ in the mid 1990s.

Podiatrist comes from the Greek ‘pod’ meaning foot and ‘iatreia’ meaning healing, thus, one who heals feet.

A Podiatrist will not only treat your feet and lower leg, but will advise and educate you on the best way to look after your feet.

Many people ignore their feet while pounding the treadmill or cross training, but they can be considered the very foundation of physical well-being.

  • One quarter of the bones in the body are found in the feet and ankles
  • Most movement begins in your feet and much like the foundation of a building they determine stability
  • Perhaps the most neglected yet complex structure in the body
  • A marvel of biomechanics
  • When feet are strengthened it increases and reinforces whole body balance and core stability.

Almost eight out of 10  American adults have experienced a foot problem, according to a 2014 survey by the American Podiatric Medical Association (APMA). The poll also revealed that 25% of adults were unable to exercise because of foot pain.

Many foot injuries are due to overuse, or trying to do too much with too little support.

Toes don’t need to have the dexterity of fingers but some dexterity is important and the muscles of the feet need to have strength.”

It is easy to exercise your feet.

  • Try picking up a duster, towel or marbles with your toes and strengthen the muscles that build arch strength
  • Stand on one foot for 10 seconds is a good way to build core strength. If it becomes too easy then do it with your eyes closed. This is useful in preventing falls in the elderly
  • spread, point and individually lift your toes
  • roll a tennis ball or drinks can underfoot
  • stand on tiptoe to strengthen your calves

Feet are integral to every movement and improving their fitness can only be beneficial.

many aspects of footcare can be tackled at home, but sometimes it is best to seek professional help and advice to determine the best way forwards.

If you would like more information about Podiatry or to make an appointment with one of our Podiatrists to discuss your treatment options, call 01628 773588 or e-mail info@maidenheadpodiatry.co.uk.

Need help with your feet or back – use our search bar.

Bio-mechanics, Chiropractic, Chiropractic for Children, Diabetic, Feet, Foot Care, Fungal nail, Gout, ingrowing nail, ingrown nail, plantar faciitis, Podiatry, Shockwave, Swift verruca treatment, Verruca, , , , , , , , , , , , , , , , , , , , , , , , ,

Use our search bar the find what you are looking for

Many people visit our website for help or information on Podiatry or Chiropractic.

Both Podiatrists and Chiropractors offer a range of treatments and skills to benefit their patients but sometimes all you need is to be informed.

Below we describe what Podiatry and Chiropractic are and explain many of the treatments and services we offer but if you know what you are looking for then use the search bar in the top right hand corner of the screen.

A large part of what we provide for patients is help, advice and education and this website contains information on definition, diagnosis and treatment of a wide range of conditions and all can be accessed through the search bar.

It doesn’t matter if you are looking for something specific or just curious. Give it a go. Find what you are looking for in our education pages and previous blogs. Click on the search bar.

Podiatry

Podiatry is defined as the diagnosis and treatment of foot disorders; however, we assess, diagnose and treat from the knee down. We also treat warts on hands.

Chiropractic

Chiropractic is the management consists of a wide range of manipulative techniques designed to improve the function of joints, relieve pain and ease muscle spasm.

Chiropractors don’t only treat backs and can help with any soft-tissue or structural issues.

What is Podiatry?

Podiatry like many health care professions has general practitioners and specialists.

A general practitioner will treat anything from corns to verrucas and from plantar fasciitis or heel pain to ingrown toenails. We are all licenced to use local anaesthetic, perform minor surgeries such as ingrown nail removal and dispense antibiotics, if and where appropriate.

We provide vascular assessment and diabetic screening as a matter of course when requested or required. We have Podiatrists with special interests in areas such as diabetic care and biomechanical assessment and gait analysis. Gait analysis includes being filmed on a treadmill followed where appropriate by prescription of custom moulded orthotics together with an integrated exercise and rehabilitation program.

Seven Podiatrists and two Chiropractors trained in using the latest treatment and cutting-edge technology for a range of common conditions.

Cutting edge technology

Shockwave, which is a percussive mechanical treatment for chronic, or long-term, soft tissue pain such as heel pain, Achilles pain, hip pain and of course plantar fasciitis although it can be used anywhere in the body. It is used by both Podiatrists and Chiropractors

We were one of the first clinics in the country to use Swift, a microwave generator for the treatment of verrucas. We also offer salicylic acid, freezing and needling.

We offer all general foot care too including fungal nails, athlete’s foot, splits, fissures and infections. We also provide foot care in nursing and care homes as well as a domiciliary/home visiting service.

Contact us

Hopefully you have found what you are looking for but just in case you haven’t, give us a call on 01628 773588 and let us educate you. To find us follow the map and directions or put SL6 5FH into your sat nav.

We have our own free car park directly outside the clinic. Our premises are disabled friendly with no door thresholds and easy access throughout the ground floor. Let us know if you have any special requirements.

If you would like more information or to make an appointment give us a call on 01628 773588, and speak to one of our friendly receptionists or arrange a call back from one of our Podiatrists or Chiropractors.

And, we will of course cut your toenails too.

Feet and pregnancy

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How your feet change during pregnancy

How can you look after and care for your feet and back during pregnancy?

At Maidenhead Podiatry we find foot care during pregnancy is often overlooked with treatment only being sought towards the end of term, and frequently only because feet can no longer be reached.

Anti-natal classes provide lots of information and education about the changes to your body during pregnancy but they rarely include the changes that can take place with your feet     

Why do the feet change?

Pregnancy means many changes in a woman’s body and there are common changes that develop over the nine month term. Over the course of a pregnancy the body produces increasing amounts of the hormone relaxin.

Relaxin is a hormone produced during pregnancy by the ovaries and placenta with important effects in the female reproductive system in preparation for childbirth, including relaxing the ligaments in the pelvis to facilitate birth.

The action of relaxin on the soft tissue support structures of the feet combined with gradual weight gain can lead to foot pain as ligaments in the feet relax contributing to changes including pain and broadening of the foot.

Changes to the shape of the feet during pregnancy are often permanent.

This means that your favourite shoes may not fit your any more once you hear the pitter patter of tiny feet.

How do feet change?

A woman’s centre of gravity moves forward during pregnancy due to the natural pregnancy weight gain in the area of the pelvis and abdomen.

This leads to a new weight-bearing stance and often changes the way you walk, adding pressure in the hips, knees and feet. Often a simple set of orthotics can bring relief and make life easier but professional guidance is recommended.

Other common foot problems experienced by pregnant woman are over- pronation (rolling the foot inwards), odema (swelling), and the build up of hard skin (callous) or corns as a direct consequence of increased pressure and friction.

This can lead to pain in the heel, inner arch, or the ball-of-foot, often worse in the mornings on rising or after periods of rest such as sitting and having a coffee.

Many women may also experience leg cramping and varicose veins largely due to weight gain.

Because of this, it is important to learn more about foot health during pregnancy to help make this nine month period more comfortable.

What can you do and what can we do for you?

Some of the changes are inevitable but there are things you can do to accommodate your feet and make them more comfortable including –

  • put your feet ‘up’ when you can
  • wear shoes that allow for the changes
  • avoid heels
  • avoid flat shoes – a modest heel will be most comfortable
  • use foot cream regularly to keep the skin supple
  • visit a podiatrist for general footcare and nail cutting

A visit to a podiatrist will ensure you are doing the best to care for your feet and you will be given advice on how to continue that care before and after pregnancy.

At Maidenhead Podiatry we can treat and tidy the feet removing hard skin and callus and trimming and burring the nails. We can also give advice on bio-mechanical and gait changes and foot wear choices.

In addition, one of our Chiropractors, Lucy Steele‘s passion lies in the care of pregnant women, babies and children, and most of her post-graduate training has been in these areas. So, if back and/or pelvic pain is your problem Lucy will be pleased to help..

If you would like more information or to make an appointment with one of our Podiatrists, or Chiropractors call Maidenhead Podiatry on 01629 773588 or e-mail info@maidenheadpodiatry.co.uk.

What is a Podiatrist?

Bio-mechanics, Diabetic, Feet, Foot Care, Fungal nail, ingrowing nail, ingrown nail, plantar faciitis, Podiatry, Shockwave, Swift verruca treatment, Verruca, , , , , , , , , , ,

What is a Podiatrist and what can they do for me?

This article will guide you through the many and varied aspects of Podiatry and help you find the foot care that suits you best. To assist in stopping the development of preventable foot problems and advise you in self care.

To offer a better understanding of the foot care options available to an individual we have split this blog into sections starting with the simplest or self care and escalating to the most complex or podiatric surgery as an end point.

  • Self care and footwear

 

Not everyone needs to become a patient. Many foot conditions can be safely and appropriately managed with the right equipment, skills and confidence.

Many foot health advice leaflets are available through the NHS and the Society of Chiropodists and Podiatrists and your Podiatrist will be happy to give you advice and guidance.

Poor choices in footwear can cause significant foot problems and seeking and following advice to make good choices of appropriate footwear can prevent development of new conditions, aggravation of existing ones and prevention of falls. Again, your Podiatrist will be happy to give you advice and guidance.

  • Footcare

Simple footcare is defined as nail cutting and skin care including the tasks that healthy adults would normally carry out as part of their daily personal hygiene routine.

Of course this doesn’t apply to everyone but it is an important aspect of footcare that ensures many individuals check their feet regularly while still mobile and pain free.

For those who do attend clinic regularly for simple footcare, examination of the feet during a routine appointment acts as an early detection system ensuring prompt intervention and prevention of developing more serious foot health problems.

PODIATRY

  • Core Podiatry
  • Nail surgery
  • Warts and verrucas
  • Fungal nails
  • Long term and neurological conditions

 

Core Podiatry is defined as ‘the assessment, diagnosis and treatment of common and more complex lower limb pathologies associated with toe nails, soft tissues and the musculo-skeletal system with the purpose of sustaining and improving foot health. (Farndon 2006).

The main foot conditions affecting older people (as opposed to children) requiring core podiatry are -nail problems, corns, callus, toe deformities, and falls prevention.

These conditions can be managed successfully by Podiatrists in the NHS and Private practice using a range of treatments including sharp debridement (scalpel), pharmacology (creams, tablets, steroid injection) and therapies (often in conjunction with footwear advice and and prescription of orthoses where appropriate0.

Although the call for Nail surgery is small – approximately 8 per 1000 GP patients – there is certainly a need for an effective, non-recurring treatment.

Since the 1970s partial or total nail avulsion has become a standard Podiatry procedure where part (the sides) or all of the nail are removed painlessly to the nail bed under local anaesthetic to resolve recurring problems with ingrown nails.

The likelihood of regrowth is reduced to almost zero (0.5%) with the application of  phenol to the nail bed.

Warts and verrucas are small skin growths caused by the human papilloma virus. Verrucas are warts on the feet, common in children and although harmless they can be painful.

Most verrucas will clear up without treatment within two years but there are numerous treatments available through your Podiatrist including

Fungal nails are very difficult to treat successfully. There are numerous topical applications available as well as GP only prescribed oral medication. Your Podiatrist will discuss your best options and agree a treatment plan.

Long term and neurological conditions include conditions such as Diabetes, rheumatoid arthritis, stroke and Parkinson’s and a Podiatrist’s management often involves management and prevention of potential escalation of foot problems.

Core podiatry is essential in maintaining the integrity of the feet of people whose medical condition places them at risk of developing complex problems.

Falls prevention. Foot problems in older people are often associated with impaired balance and mobility and where there is a history of multiple falls there are usually more foot issues.

The existence of a corn, bunion or poor footwear choices are often at play and podiatry intervention can moderate the risks.

ORTHOTICS

  • Orthotics, footwear and Musculo-skeletal provision
  • Podopaediatrics
  • Sports injuries
  • Footwear

Orthotics, footwear and Musculo-skeletal provision. Bio-mechanics and bio-mechanical assessment are an essential part of podiatry provision and the discussion of findings and correction of underlying issues with orthoses can have positive implications across the breath of podiatry services.

Many patients present with musculo-skeletal pain caused by bio-mechanical problems which can involve foot, knee, hip and lower back affecting gait (the way they walk).

Often the most cost effective and appropriate treatment is the provision of orthoses (specialist insoles) which modify and correct the bio-mechanical problem.

There are a number of different orthoses that can be prescribed by your Podiatrist depending on presenting condition and patient need. Orthoses range from a simple heel raise or cushioned insole to specific complex custom devices.

Podopaediatrics focuses on provision of Podiatry for children. This ranges from treatment of warts and verrucas to early identification of foot deformities. From gait assessment to prescription of orthoses.

Sports injuries often occur due to abnormal rotation and deformation of joints and/or muscles. Podiatrists target improvement and resolution through bio-mechanical assessment and prescription of orthoses combined with strengthening exercises and footwear.

Footwear choices can directly affect foot conditions. Podiatrists offer advice from correct choices when buying shoes to measuring for custom made footwear depending on requirement.

SPECIALIST PODIATRY

– relates mainly to long term conditions and may or may not be provided within a general podiatry clinic.

  • Diabetes
  • Systemic musculo-skeletal disorders
  • Dermatology
  • Advanced technology

Diabetes care is one of the basic provisions of any Podiatry practice and your podiatrist can offer regular foot health assessment as part of good diabetic control and patient education.

Early detection of foot problems can ensure correct management and reduce the likelihood of critical long term changes.

Systemic musculo-skeletal disorders such as rheumatoid arthritis (RA) increase the need for a range of basic foot care services. Up to 90% of people with RA have some kind of foot involvement sometimes leading to the formation of callus corns and occasionally ulceration.

Early Podiatric intervention can improve long term outcomes.

Dermatology can be considered part of core Podiatry as many of the common skin problems seen on the feet are amenable to Podiatric treatment. From tinea pedis (athlete’s foot) to melanoma.

From verrucas to cellulitis you can ask your Podiatrist for advice.

Advanced technology is becoming more a part of day to day Podiatry provision. At Maidenhead Podiatry we use Swift – a microwave treatment – for verrucas, Shockwave for chronic soft tissue pain and Cryopen for freezing warts and verrucas.

EXTENDED SCOPE PRACTICE

Podiatrists who work in extended scope practice usually work in the NHS although they can be available in larger private practices and have undertaken additional training in their clinical areas  and may actively engage in the following –

  • non-medical prescribing
  • requesting blood tests
  • requesting scans
  • interpretations of test results
  • injection therapy
  • advanced vascular investigations

PODIATRIC SURGERY

Podiatric surgery is surgical treatment of the foot and associated structures carried out by a Podiatric Surgeon often as a day case and under a local anaesthetic.

In Conclusion good foot health has a fundamental link to health and well being. Poor foot health can have a significant impact on mobility, independence, and quality of life.

If you would like more information or to make an appointment with one of our experienced Podiatrists then give us a call today and make an appointment on 01628 773588 or email info@maidenheadpodiatry.co.uk and help lay the foundations of a healthy lifestyle.

 

 

 

Why do I have localised foot pain?

Bio-mechanics, Diabetic, Feet, Foot Care, plantar faciitis, Podiatry, Shockwave, , , , , , , , ,

Why do I have pain in specific parts of my foot?

This is where the pain is usually sharp or persistent and is often focused on a single point or area.

Toes

Our nails tend to grow more slowly and more thickly as we get older. This is often a result of reduced circulation and years of bashing them against the inside of the end of shoes which make them thicken.

Nails

Nails are protection for the end of a toe. Trauma or repeat stress stimulates the body’s protective mechanism making the nails thicker so they offer more protection. This increases the pressure on the end of the toe and makes the sore and the nails harder to cut. One person in 50 will develop a condition called onychogryphosis. A thickened nail that looks like a ram’s horn – unsightly and painful when pressing against shoes.

This can occur at any age but is more likely as we get older.

What’s the best technique for nail cutting?

Use a file and a good pair of nail clippers on thick nails. Clippers are sharper and have a different cutting action to scissors which can split the nail. Have a bath first and, if you have a partner, and good eyesight, you can always cut each other’s toe nails.

What can we do for you?

People with onychogryphosis benefit from visiting a Podiatrist.

Thickened nails often need to be reduced and shaped with an electric file before they can be cut. This reduces discomfort, pressure and maintains the foot in better condition and prevents it from getting worse.

Why do I suffer joint pain?

One person in six over 50 will develop osteoarthritis in the mid-foot. According to a recent study at Keele University’s Arthritis Research UK Primary Care Centre. Osteoarthritis is characterised by inflammation around the joints, damage to cartilage and swelling, which causes pain, stiffness and restricts movement. Sometimes it causes bony bumps on the top of the foot. It is possible to develop osteoarthritis just in the feet.

What can I do about osteoarthritis pain?

The foot comprises 26 bones, 12 of which are in the mid-section. A big hip joint is well designed to take the whole body weight but that same weight has to go through each individual bone and small joint in the mid-foot. Risk factors include genetic predisposition, injury to the area and overuse.

Runners and people who stand for a living are more likely to develop problems. Good trainer-type shoes will help to minimise stress to the feet.

Losing weight can ease pressure on joints as well as judicious use of orthotic insoles.

What can your Podiatrist do for foot pain?

If you have pain in the mid-foot or the arch, see one of our Podiatrists for assessment and treatment plan. Advice will usually consist of management and guidance on footwear, padding and exercise but may include onward referral to an orthopedic consultant.

Is my pain due to corns or verrucas?

Commonly found over a joint surface, between the toes or on the sole of the foot, corns are a common cause of pain. They are usually caused by pressure and friction. Corns are areas of callous with a hard central portion that focuses pressure on the underlying structure and can cause momentary, eye-watering pain when compressed. They are formed of dead skin and have no blood supply.

A verruca is different because it is a viral infection of the skin and has a blood supply. Verrucas can also cause pain because they are also rich in nerve tissue. This means that when they are compressed – they hurt!

What is the treatment for corns?

Your Podiatrist can remove your corn completely but if the pressure and friction remain, they will grow back in time. Shoes are a common cause of corns and a change of footwear type can bring relief. Appropriate padding can also help.

Verrucas present a different problem and some treatment options can be found here.

What else could be causing my foot pain?

There are other possibilities including trauma, bruising, Morton’s neuroma, or a foreign body such as a piece of glass or an embedded hair.

If you would like more information, or to make an appointment with one of our Podiatrists, call Maidenhead Podiatry on 01628 773588 or e-mail info@maidenheadpodiatry.co.uk.

Foot in vice

Why do I have pain in the arch and big toe?

Bio-mechanics, Feet, Foot Care, plantar faciitis, Podiatry, Shockwave, , , , , , , , , , ,

What is the cause of my arch and big toe pain?

At Maidenhead Podiatry and Chiropractic Clinic, our Podiatrists are often asked about foot pain located in the inner long arch or inside of the foot. The pain often associated with pain in the large/big toe joint. It can also radiate up the leg.

When do I get the pain?

When exercising, the pain often doesn’t come on straight away, but can develop some time after starting. What can be happening, halfway through a round of golf or some miles into a walk, is that the small supporting muscles of the foot become fatigued. It may come on more rapidly with high impact exercise such as running. Inflammation may be involved meaning that the pain worsens the day following exertion.

Where do I get the pain?

Pain or discomfort can manifest along the inside of the foot or the inner longitudinal arch. It can also be associated with pain the base of the big toe and into the joint.

Because the discomfort of the foot is usually due to mechanical changes this can refer to compensation pain up the leg and into the knee, hip, or back.

Why do I get the pain?

If you ‘overpronate’ it causes medial or inward rotation of the lower leg, which can cause stress at the knee, misalignment of the hips, and resultant lower back pain. The degree of ‘pronation’ can vary from person to person and used to be known as ‘flat feet’ although the actual cause is more complex. As the muscle fatigue, this allows the arch to over-extend further stressing the support tissues and increasing discomfort.

Think of your feet as the ‘foundation’ for the rest of the body. Ensuring your feet are correctly aligned allows the rest of the kinetic chain or biomechanical relationship between the feet and the rest of the body to function efficiently. Big toe joint pain can be due to a number of reasons including inflammation, arthritis, and poorly fitting shoes.

What can I do about it?

What is most important with any foot pain is to ensure a correct diagnosis. This ensures targeted and appropriate treatment. This starts with a bio-mechanical assessment.

The assessment focuses on structure, alignment, strength, and starts with the foot. This includes pelvis, hips, knees, feet and their relationship, as pain in one area can result in or cause weakness or a structural problem somewhere else.

A biomechanical assessment is essential where there is a pain in the feet or lower limbs but no cause has so far been established. Sometimes simple recommendations on footwear can make a huge difference especially sports shoes. Simply tying shoelaces properly can dramatically increase the support offered to the foot by a shoe. There are many different ways to lace a shoe. For ideas and a bit of fun, click here for lacing ideas.

Pain in the large toe can be associated with this but can also be due to shoe pressure on the inner edge of the apex of the toe.

Buy shoes that have a square toe box to reduce this pressure.

What can we do about it?

There are numerous choices following a biomechanical assessment. The outcome of the assessment determines the appropriate treatment. If the mechanics of the foot are contributing to injury or pain, orthotics or custom made insoles are prescribed, moulded from a foam impression of the feet.

The orthotics are prescribed in conjunction with exercises and a carefully constructed rehabilitation plan. Footwear is also considered and recommendations made.

Topical treatments such as Shockwave can be very effective in the treatment of foot and lower limb pain.

If you would like more information or to make an appointment, call 01628 773588 or e-mail  info@maidenheadpodiatry.co.uk.

Why do I have heel pain?

Bio-mechanics, Chiropractic, Feet, Foot Care, plantar faciitis, Podiatry, Shockwave, , , , , ,

What is causing my heel pain?

At Maidenhead Podiatry our Podiatrists are regularly asked about heel pain which is often at its worst first thing in the morning or when walking after a period of rest.

The first part of the gait cycle, where your foot has its first contact with the ground, is called ‘heel strike’.

During walking and running your heels repeatedly hit, or strike, the ground with considerable force.

For correct function they need be able to absorb the impact and provide a firm support for the weight of the body through the gait cycle.

There are various types of heel pain.

Some of the most common are heel spurs, plantar fasciitis, heel bursitis and heel bumps (Haglund’s)

As heel pain is often associated with inflammation it means that the pain can worsen with rest.

This is why can can be at its most painful when we first get out of bed or when we have been sitting having a coffee and stand to walk.

“Pain is a warning – don’t ignore it!”

Heel spurs

These can generate pain but they are the most commonly misdiagnosed form of heel pain.

You can have heel spurs with no pain and pain with no heel spurs.

Even when pain is caused by heel spurs the pain may not persist even though the spurs do.

If you do have heel spur pain it is usually felt on standing, particularly first thing in the morning when you first put your feet on the floor from bed.

It is not uncommon, though tends to occur more in the over forty age group.

There is nothing to be seen on the heel but a deep localised painful spot can be found in or around the middle of the heel pad.

It is often associated with a spur of bone sticking out of the heel bone (heel spur syndrome), however approximately ten per cent of the population have heel spurs without any pain.

A clear diagnosis requires imaging, usually either X-ray or ultra-sound.

Plantar Fasciitis

Often similar in symptom to heel spurs, pain is usually experienced more to the inside of the heel around the insertion of a muscle called Anterior Tibialis towards the back of the inner arch.

This condition is often associated with over-pronation (rolling the foot inwards) during standing, walking and running.

Pain can also be due to inflexible calf muscles and repeat stress injury.

It can also be due poor footwear choices, old unsupportive shoes and injury, among other causes.

Diagnosis is often achieved with bio-mechanical assessment, with treatment through prescription of specialist custom insoles (orthotics) and the implementation of a rehabilitation and exercise programme.

Shockwave is also very effective treatment for plantar fasciitis.

Heel Bursitis

A bursa is a fluid filled sack the body uses for cushioning or padding, often under tendons.

When a bursa experiences trauma of repeat stress it can swell, leading to bursitis.

Pain can be felt at the back of the heel during ankle movement and there might be a swelling either side of the Achilles tendon.

Pain may also be felt deep inside the heel when it makes contact with the ground and can feel like a deep bruise.

Treatments can include rest, stretching exercises and orthotics.

Heel Bumps

These bumps are also known as Haglund’s Deformity.

This is recognised as a firm bump or enlargement of the bone on the back of the heel where the Achilles Tendon attaches.

Haglund’s are often associated with bursitis.

They are often caused by rubbing of the shoe heel counter and can be quite painful especially during exercise.

Treatments include changing or modifying footwear, stretching and ultimately, surgery.

What can you do for yourself?

Stretching can help with heel pain but it is dependant on knowing the cause so that your self-help is appropriate.

If pain persists consult a Podiatrist for assessment and a treatment plan.

Alternatively, you can speak to your GP who can arrange imaging, physiotherapy and if the pain persists, steroid injections.

Remember – pain is a warning – don’t ignore it!

What can we do for you?

Successful treatment is always based on accurate assessment.

We offer bio-mechanical assessment, gait analysis, custom orthotics and Shockwave – where appropriate.

More information is available on our website.

To make an appointment with one of our Podiatrists please call 01628 773588.

 

Why do I have foot pain?

Chiropractic, Diabetic, Feet, Foot Care, plantar faciitis, Podiatry, , , , , , , ,

Why do my feet hurt?

In a series of blogs this month we will look at the causes of foot pain. There are many reasons why anyone can experience different levels and types of foot pain.

Sharp or dull, bruised, or persistent, pain is a warning – don’t ignore it!

This list is not exhaustive but deals with some of the main reasons for calls to Maidenhead Podiatry and Chiropractic Clinic.

Ankle/heel pain

This is a very common condition and is often worse in the mornings getting out of bed, or after brief periods of sitting such as having a coffee. Plantar Fasciitis is widely known and there are numerous treatments available from stretching to insoles, from steroid injections to Shockwave Pain can also be caused by heels spurs, heel bursitis, Haglund’s deformity, and Achilles tendinopathy among others.

Arch and large toe pain

Pain is also often experienced along the inner arch of the foot and into the large toe joint although it can be in either of both. Arch pain can be due to changes in the strength and position of the foot and custom insoles following biomechanical assessment may be the best solution. This is common in runners and can be linked to over-pronation. Large toe joint pain can be due to ill-fitting footwear in the past and is often associated with enlargement of the joint and bunions. It can also be due to arthritic changes.

Localised, specific pain

This is where the pain is usually sharp and persistent, focused on a single point. Commonly found over a joint surface, between the toes or on the sole of the foot, the most common cause is corns. Corns are areas of callous with a hard central portion that focuses pressure on the underlying structures and can cause momentary eye-watering pain. Verrucas can also cause pain because they are rich in nerve tissue. This means that when they are compressed – they hurt! There are other possibilities including trauma, bruising, Morton’s neuroma, or a foreign body such as a piece of glass or an embedded hair.

Referred pain

Often pain in the foot or feet doesn’t have a local origin. Pain can often be referred from higher up a nerve but be experienced in the extremity. A common origin of referred pain in the lower back. Damage, degeneration, or repeat stress in the back can lead to the impingement or compressing of a nerve root leading to a reaction in the foot or lower leg.

Our Chiropractors or our Podiatrists will include this in their initial assessment as they form a treatment plan.

Ingrown nails

Anyone who has had an ingrown nail will know how painful they can be. This is where the nail grows painfully into the side of the toe, often made worse by shoes pressing. This can be caused by picking and tearing the nail, poor cutting – usually down the side, or simply be due to bad luck. Some toes are shaped in such a way as to make ingrown nails almost inevitable where others will never experience it. Ingrown nails vary in severity from constant soreness to infected and weeping.

Maidenhead Podiatry and Chiropractic Clinic offer a comprehensive ingrown nail treatment service, no matter the condition.

Compensation pain

Pain in the foot causes a person to walk differently or limp to take the load off the painful area. This is the body’s autonomic response to pain. This response is designed to protect the painful area. However, this in turn places increased stress on other structures that have to compensate for the change. In this way, a pain in the foot can cause pain elsewhere such as in the lower back, hip, and knee.

Other causes of pain

This list is not comprehensive and there are many other causes of foot pain. These include:

  • fracture
  • stress fracture-dislocation
  • soft tissue injuries
  • infection
  • skin infection
  • neuropathic changes

Remember, pain is a warning don’t ignore it!

Give us a call!

If you are experiencing foot pain and you would like more information give us a call on 01628 773588.

To make an appointment with one of our Podiatrists or Chiropractors, please give us a call on 01628 773588.

If you would like a comprehensive biomechanical assessment do give us a call on 01628 773588.

For more information visit www.maidenheadpodiatry.co.uk.

If you would like to know more about how we are risk assessing and managing our Covid-19 click here.

What is plantar fasciitis?

Bio-mechanics, Feet, Foot Care, plantar faciitis, Podiatry, , , , , , , , ,

Plantar fasciitis is inflammation of the plantar fascia, a thin layer of tough connective tissue supporting the arch of the foot.

Repeated microscopic tears of the plantar fascia cause pain, usually in the heel and is one of the most common foot disorders encountered by Podiatrists.

It has been estimated that over two million people each year receive treatment for heel pain, which affects as much as 10% of the population during the course of a lifetime and is present in both the athletic and non-athletic.

Heel pain can affect anyone from the age of 8 to 80, but generally affects those over 40 years of age and does not seem to be gender specific and affects both feet in up to a third of cases.

How do I know if I have plantar fasciitis?

To be sure, visit a Podiatrist and discuss your symptoms for an accurate assessment.

However the following is a guide to the classic symptoms of plantar fasciitis and gives an idea what your Podiatrist will ask about.

A careful description of the pain is essential including time of day when pain occurs, current footwear, activity level both at work and at leisure, and any history of injury.

The most commonly stated complaints are pain on getting out of bed, after a long period of sitting, and at the beginning of weight-bearing activities such as walking.

The most severe pain in the morning occurs within the first 50–100 steps and then decreases for ordinary walking.

As the day progresses, pain gradually increases continuing even after physical activities have ceased.

Pain frequently originates in the underside of the heel, sometimes slightly towards the inner side, but may not have a clear focus.

Frequently there is no clear ‘event’ which started the pain.

The pain may be worse when the area is cold or contracted.

The nature of the pain has been described as burning, aching, and occasionally stabbing.

Runners may experience pain at the beginning of the run going off during the activity, and increasing afterwards at rest.

What causes it?

There are a number of possible causes for plantar fasciitis and they often work in combination.

Tightness of the foot and calf, improper athletic training, stress on the arch, weakness of the foot, flat foot, and inappropriate shoes that don’t fit and don’t offer good support are potential causes.

Certain play or work actions or overuse (running too fast, too far, too soon) may hurt the plantar fascia.

People with low arches, flat feet or high arches are at increased risk of developing plantar fasciitis.

What do I need to do to treat it?

Symptoms usually resolve more quickly when the time between the onset of symptoms and the beginning of treatment is as short as possible.

If treatment is delayed, the complete resolution of symptoms may take 6-18 months or more.

Typically treatment begins by correcting training errors, rest, use of ice after activity, shoe evaluation, a stretching (see bottom of page) and strengthening program and orthotics.

Shockwave can bring rapid relief when recovery is delayed.

(Radial) Shockwave is a tried, tested and well-researched treatment used in physiotherapy since the 1990s.

It has gained popularity in podiatry due to its effectiveness.

Of all these stretching and increase in flexibility of the calf or calves is the most important and is key to a successful resolution.

What is an orthotic?

An orthotic is a specialised insole designed to make the foot operate in a neutral position.

For people suffering with plantar fasciitis the insole will correct the pronation which is commonly associated with the condition.

Pronation is the rolling inwards of the foot during walking or standing which can exacerbate the condition.

Depending on the degree of correction required, there are a number of options available, from off the peg – one size fits all, heat mould-able to cast orthotics.

Your Podiatrist will discuss with you the best option to suite your condition.

How long will it take for it to go?

There is no set time for this condition to be corrected. Some people make surprisingly quick recoveries, while others notice a slower but steady progress.

Shockwave can bring rapid relief when recovery is delayed.

As a guide, between one and three months, but if you are unsure whether your progress is sufficient, speak to your Podiatrist to see if your treatment plan can be adjusted to help.

Which stretches will help?

Stretching is an essential part of the recovery process. Here are some ideas –

Stair stretch –
  • Stand on the bottom riser of your stairs and hold on to the banister for balance.
  • Move your foot backwards until only the balls of your feet are on the stair & your heels are in fresh air.
  • Slowly lower your heels until you feel the stretch in your calves.
  • Hold this position for a slow count of six.
  • Do not bounce at the bottom of the stretch as this will not improve flexibility.
  • Return to your original position and repeat ten times.
  • For best results this exercise is best performed slowly and carefully.
Standing stretch
  • Stand an arms-length from a wall.
  • Place your right foot half a metre behind your left.
  • Slowly and gently bend your left leg forward.
  • Keep your right knee straight and your right heel on the ground.
  • Hold the stretch for 15 to 30 seconds and release. Repeat three times.
  • Reverse the position of your legs, and repeat.
  • Do not bounce at the top of the stretch as this will not improve flexibility
Seated Towel Stretch
  • Fold a towel lengthwise to make an exercise strap.
  • Sitting, place the folded towel across and around the arch of each foot in turn.
  • Grab the ends of the towel with both hands.
  • Gently pull the tops of your feet toward you at the same time trying to straighten your leg.
  • Hold for 15 to 30 seconds.
  • Repeat three times.

If you would like to make an appointment for a bio-mechanical assessment call one of our receptions on 01628 773588 or if you would like more information or further explanation please call to speak to one of our Podiatrists.