Pain and discomfort in the younger population is often times associated with body changes and development. A lot of this pain is often dismissed by parents and guardians as ‘growing pains’ that passes as the child develops. Heel pain is particularly common in active kids. Sever’s disease (also known as calcaneal apophysitis) is a commonly occurring condition in the young and active portion of the population. Males are often more prone to developing the condition than females and the symptoms usually arise prior to puberty. Sever’s is often characterised by ongoing episodes of heel pain which are alleviated by rest and exacerbated by periods of weight bearing activity such as school attendance or participating in sports or social activities. Read more
Metatarsalgia is a broad term to generally describe inflammation and pain of the metatarsal bones in the foot. This is a common problem occurring with overuse injuries often seen in people who participate in high impact sports or people who spend extended period of time performing weight bearing tasks with unsuitable footwear.
Pain, whether localised or diffuse, is the primary symptom of this condition. The pain is often isolated to the ‘head’ of the metatarsal bones and can be aggravated with weight bearing or direct palpation. The fact that the pain can be debilitating, it can result in the sufferer altering their walking patterns which can trigger other overuse issues including bursitis or stress fractures. The ‘overuse’ nature of the condition means that symptoms may not arise immediately rather they build up over a period of weeks to months before becoming noticed. Read more
Did you know that there are a number of different shoe lace techniques appropriate for each foot type. Here at The Podiatry Centre, we are aware that feet are as unique as the patients we see. So above is a lacing chart from our good friends at the Athletes Foot showing a number of ways in which your laces can help your shoes better accommodate your foot type.
For patients with a generally high arched foot. They may feel pressure through their instep due to the traditional lacing technique. The Volume Lacing technique aims to reduce pressure from above the top of the instep. Read more
What are calluses and corns?
Calluses and corns are areas of thick skin caused by pressure or friction. It is a normal reaction by the body to produce thick skin when pressure is applied, in order to prevent itself from breaking down. However, this thickness can cause secondary pain by applying pressure on the soft skin around it. Corns and callouses are made of keratin, just like our hair and nails, so they dont actually have feeling. There is no nerve or blood supply to these lesions. The pain is caused by the pressure they apply to the soft skin.
Callouses are usually a patch of thickened skin which will be yellow in colour. They are caused by sheer forces on the skin.
Corns can be soft (between the toes) or hard (top of toes or sole of foot). A corn will usually appear as small seed size patch of hard skin. It occurs when there is torsional forces on the skin, which is why it becomes like cone shaped lesion. It hurts when direct pressure is applied. Read more
Part of my job when dispensing orthotics to patients, is to educate them on the type of shoes that fit orthotics as is can be often confusing as to what to buy and what to avoid. Fitting orthotics in sport shoes, or lace-up shoes is often a straight forward process with no difficulty. However, orthotics that have to be used in work or casual footwear is often confusing as they vary so much. I have written this article as a guide to assist those who use orthotics, and need professional advise and guidance on what features to look for in a casual or work shoe to comfortably fit orthotics.
What are bunions?
Medically referred to as “hallux abducto valgus”, bunions are a relatively common deformity found in the fore foot area which is usually characterised by a prominent ‘bump’ and deviation of the big toe from its original position. The condition can lead to painful motion of the joint when walking or difficulty when wearing or fitting shoes. The condition can occur at any point of life but research does show an increased incidence rate in people over 45 with females also being more likely to develop a bunion. A patient may present to a clinic with or without pain. Those who have discomfort, generally describe a pain centralised to the big toe joint. Aching pain may also be described with irritation from footwear on the prominent bump. Patients may report that physical activity may make the bunions feel worse and thus may limit their physical activity levels. Read more
CrossFit is a fitness phenomenon that has taken the athletic community by storm. It is a regimen of constantly varied, functional movements performed at high intensities within a communal environment.1 CrossFit incorporates a variety of exercises into daily workout routines. These exercises include biking, swimming, rowing, gymnastics and plyometrics to name a few. Read more
What is Plantar Fasciitis?
In the running community, plantar fasciitis is the primary cause of pain in the heel and affects as much as 10% of runners.
As you run, the Achilles tendon works with plantar fascia (a thick band at the bottom of your feet) to help store energy. Due to its strong attachment with the base of the toe, the fascia stabilizes the forefoot and helps while push off. Unfortunately, stress on the heel causes tear of the fascia, inflammation and pain while running or walking.