Tag Archives: Brisbane Orthotics

Spotting a Plantar Plate Tear

Plantar plate tear

Plantar plate tear

One of the most common forefoot complaints that presents to my FootDr podiatry centres is a plantar plate tear.   This is seen most frequently in middle-aged women who present with constant plantar metatarsal pain and swelling extending towards the toes (mostly affecting the 2nd toe).  Often swelling and redness can also be noted across the dorsum of the forefoot along with symptoms exacerbated by extended periods of walking or running and the use of high heel shoes.  As the plantar plate tear progresses, clawing and splaying of the toes is seen.

Early diagnosis and management of a plantar plate tear can often be challenging due to the complex structure and anatomy of the foot.  If necessary, furthe

r investigations can be ordered such as plain x-ray or diagnostic ultrasound to appraise the severity of injury.  However, the early stages of a plantar plate tear are best managed when there is only acute plantar metatarsophalangeal joint synovitis and no instability or deformity (clawing and splayed toes).  Conservative treatments primarily include symptomatic relief through NSAIDs, strapping, off-loading padding, footwear and activity modification.  Subsequently treatment will then focus on the underlying cause of the problem ie pes planus, bunions, hammer toes, mechanical stress.  At myFoot Dr podiatry centres we will perform a thorough physical and biomechanical assessment to determine the best course of action to offload the forefoot and decrease mechanical stresses.  Often a customised, soft, CAD/CAM orthotic device and footwear modifications are recommended that can prevent the problem from progressing.

Occasionally in chronic cases, an orthopaedic appraisal and surgery is recommended.  Generally, most patients are able to return to activity in 1 month of treatment and pain free within 3-4 months.

EmailShare

Heel Pain in Junior Footballers

Watching a young footy player hobbling off the field is never a good sight to see. One of the most common problems often responsible for this is a type of heel pain known as Severs Disease.

Severs Disease or calcaneal apophysistis affects physically active boys aged 12 to 14 years and girls aged 10 to 12 years, which corresponds with the early growth spurts of puberty.  Symptoms usually come on gradually and can include:

• Unilateral or Bilateral heel pain
• Heel pain during physical exercise, especially activities that require running or jumping
• Increased pain level after exercise
• A tender swelling or bulge on the heel that is painful on touch
• Limping
• Calf muscle stiffness first thing in the morning

So what causes the pain?

During puberty the calcaneus or heel bone consists of two areas of bone known as ossification centres. These two areas are separated by an area of cartilage known as the calcaneal apophysis or growth plate.  This growth plate does not fully fuse together until the foot has finished growing. The strongest tendon in the body the Achilles tendon attaches to the heel bone. It is through that as the body grows and the muscles become stronger the calf muscles that attach to the achilles tendon tighten up and cause more pulling strain around the growth plate on the heel bone. This often results in pain and sometimes inflammation which is known as Severs Disease.

The good news is that in the majority of cases Severs responds very well to treatment.

Treatment typically involves a stretching and or strengthening program to help stretch out the calf muscles and Achilles tendon.  Ice is also recommended to help alleviate pain and is best placed over the painful area immediately after sport. The use of orthotics with a heel raise under both heels is also commonly prescribed and usually results in quick resolution of pain.  In very active kids playing a couple of sports and training several times per week modifying their training load may also be required.

Podiatrists encounter cases of Severs disease daily especially during the footy season and know how best to diagnose and treat the problem.  A my FootDr podiatrist will conduct a thorough assessment of the patient including a hands-on assessment of the painful area, video gait analysis of the way the patient is walking and running and an inspection of the patients shoes and footy boots. This will enable our podiatrist to accurately diagnose the problem and outline the best treatment approach for the individual.

EmailShare

Solestar Cycling Orthotics

my FootDr Podiatry Centres is proud to offer cyclists the hidden secret which many professional cyclists have in their shoes called the Solestar cycling orthotics; the leading cycling orthotic as used by the pro peloton. Solestar orthotics have become standard for the likes of Fabian Cancellara, Frank and Andy Schleck, Andre Greipel and the entire Trek Leopard and Radioshack Nissan professional teams.

Solestar orthotics are handmade in Germany to ensure each one meets their high standards and build quality. The carbon simply offers a perfect combination of stiffness and flexibility whilst remaining extremely light and thin. Solestar orthotics store energy while pushing and give it back while pulling in your pedal stroke. An independent scientific study done by the Cologne Sport University (DSHS) showed that there was an increase of 6.9 % of torque at the pedal in sprint performance by riders using Solestar orthotics compared to standard insoles.

How Solestar works:

Solestar is made from a special carbon material, which makes the insole extremely light and thin, so the foot moves close to the pedal.

The metatarsal support provided by Solestar prevents the foot from deforming and the internal rotation of the leg during the pressure phase in the pedaling cycle; this will reduce the torsion stress on the ankle and knees.

Solestar lowers the joint of the big toe while also providing raised edges for the forefoot. This results in an equal distribution of force over the whole of the metatarsal axis. This aims to optimise the foot/pedal interface allowing for enhanced power transfer and minimising overuse injuries and strain caused by an unstable foot posture.

Solestar features a heel clasp that holds the rear foot and enables direct contact with the shoe sole.

my FootDr podiatry centres are an authorized fitting specialist of Solestar cycling orthotics. Each fitter has been trained by German developer Oliver Elsenbach to ensure a perfect fit. Your feet will be accurately measured during your appointment where we will assess your shoe fitting and cleat position, so don’t forget to bring your cycling shoes and your bike to the appointment! Good fitting shoes, orthotic and cleat position will allow you to have maximum power transfer during the power phase of your pedal stroke and therefore improved performance and reduced your chance of injury.

90% of the riders we equip with the insoles today are already trouble-free when they come to us and only look for added power. Be proactive not reactive about your cycling and cycling related injuries.

Solestar Cycling Orthotics - my FootDr podiatry

If you demand top performance from yourself, you must not waste power.
The new SOLESTAR cycling insole made from carbon optimizes the transfer
of power, increases comfort and reduces overuse.

EmailShare

Sore feet and legs after the Bridge to Brisbane?

my FootDr podiatry Bridge to Brisbane Team

my FootDr podiatry Bridge to Brisbane Team

Were you one of the 40 000 plus Queenslanders who braved the early morning chill to climb the Sir Leo Hielscher bridge and walk or run your way to the RNA showgrounds? This was the 4th time my 11 year old daughter and I have participated, and we love the exercise and carnival atmosphere of one of the Australia’s largest fun runs. We walk and jog the course, enjoy the scenery and make a mad dash for the line to try and improve on last year’s time!

Being a podiatrist, it’s an occupational hazard walking alongside such a large pack of people; I can’t help but to observe the variety or different walking and running styles, choice of footwear to participate in and how people cope with the gradual fatigue that can set in. I suppose in many ways this is a perfect cross section of our community, with elite runners up the front slogging it out for a podium finish, recreational runners just behind and then the weekend hackers (me included) making up the pack.

It amazes me that so many people may not be aware of how their foot and leg biomechanics affect their body’s overall function. So common amongst the participants was some characteristics, that after pointing out to my daughter a few cases of quite profound excessive pronation (the most common form of foot dysfunction, where the ankle leans inwards and the arch of the foot flattens when standing and walking) she started to point them out to me!

my FootDr podiatry Bridge to Brisbane

my FootDr podiatry Bridge to Brisbane

Every day in clinic I assist people recover from biomechanical related foot, leg and hip/back – sometime it can take months to return to normal activities following an overuse injury such as:

  • Plantar fasciitis (pain on the heel or arch)
  • Shin splints (pain typically on the inner shin, but this term encompasses all shin pain)
  • Achilles tendonitis (either at the back of the heel bone or just above)
  • Stress fractures (bone fatigue that leads to a partial break – commonly metatarsal of the forefoot)
  • Anterior knee pain (around or to the side of the knee cap)

Almost all of these conditions can be avoided with awareness of the biomechanical dysfunction and appropriate advice and treatment if necessary. Even being recommended the right type of shoe may be beneficial in some cases.

For those that would like to see what excessive foot pronation looks like check out the following link http://www.youtube.com/watch?v=aQ83QrPKKMU

If you’re feeling more than just muscle fatigue today, or suffer from one of the conditions above you should have your lower limb biomechanics investigated with video gait analysis. A podiatrist competent in assessing and managing sports injuries will then be able to provide you with the advice you need to ensure you run faster next year!

Darren Stewart – Podiatrist (my FootDr podiatry centres)

EmailShare

my FootDr podiatry and the Steady Steps Program

Podiatrists Darren Stewart recently presented to a group of south side locals on the importance of good foot health and footwear as part of the Steady Steps Program. Margaret Coates, Physiotherapist and Tai Chi instructor runs the Steady Steps program to improve the awareness of people of that factors that influence balance and provide advice which can reduce the incidence of falls.

Falls prevention is a critical issue for our aging population, as one incident of a fall can lead to a loss of confidence and independence, or even a serious fracture or head trauma resulting in hospitalisation. General factors include reduced muscle strength, slowed reflexes, vision impairment, altered cognitive function as well as pain associated with arthritis and other medical conditions.

my FootDr podiatry centres - Steady Steps Program

Darren Stewart with Margaret Coates, drawing the winner the my FootDr podiatry prize from attendees of the seminar (prize includes a 1 hours comprehensive consultation and free New Balance shoes)

“The feet also play a huge role in balance and therefore falls prevention. Foot pain of any type has been identified as a key factor in falls – so that includes everything from a painful corn or callus, right through to tendonitis, heel spurs and bunions. Furthermore, inadequate, inappropriate or ill fitting footwear can greatly decrease an individual’s ability to balance. If you’re not sure if your shoes are right, or you have suffered for foot and leg pain lasting more than a week, get yourself off to a podiatrist ASAP” said Stewart.

For more information on the Steady Steps Program or foot related issues please contact any of the my FootDr podiatry centres.

EmailShare

my FootDr supports Movember

We are currently supporting and raising money for Movember, so dont be suprised to see some really dodgy looking mo’s gracing the faces of our staff.

To support our Mo Bros, please go to the Movember website and my FootDr will match all contributions dollar for dollar.

http://au.movember.com/donate/your-details/team_id/245156

EmailShare

Podiatry and the NRL

It was great to see an article last week on Warriors Toyota Cup fullback Omar Slaimankhel being named as fullback in the Toyota Cup Team of the Year.  Omar, whose family fled war-torn Afghanistan to New Zealand has combined his Bachelor of Health Science (Podiatry) studies with an amazing strike-rate of 38 tries in just 35 Toyota Cup matches.

Omar, if you are ever interested in a career in podiatry with Australia’s Best podiatrists, come and see us here at my FootDr podiatry centres Brisbane !

EmailShare