Foot Disorders

Foot Problem

Dr. Foot offers conservative and surgical solutions to many foot and ankle problems, including:

Athletic Injuries

Athletic Injuries
Athletes involved in sports that require jumping and running are typically at higher risk. Sports like running, basketball, soccer, football and dancing place considerable performance demands on the feet and are often associated with more foot and ankle injuries.

Arthritis

Arthritis
Arthritis is inflammation of one or more of your joints. It can cause pain and stiffness in any joint in the body and is common in the small joints of the foot and ankle. There are more than 100 forms of arthritis. All types can make it difficult to walk and perform activities you enjoy.

Bunions

Bunions
A bunion is a deformity of the joint connecting the big toe to the foot. The big toe often bends towards the other toes and the joint becomes red and painful. Smaller bunions (bunionettes) can develop on the joint of your little toe.
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Diabetic Foot Issues

Diabetic Foot Issues
diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or "chronic") complication of diabetes mellitus.Presence of several characteristic diabetic foot pathologies such as infection, diabetic foot ulcer and neuropathic osteoarthropathy is called diabetic foot syndrome.

Congenital Problems

Congenital Problems
Common newborn foot abnormalities include metatarsus adducts, clubfoot deformity, calcaneovalgus (flexible flatfoot), congenital vertical talus (rigid flatfoot), and multiple digital deformities—polydactyly, syndactyly, overlapping toes, and amniotic bands. 


Flat Feet

Flat Feet
is a postural deformity in which the foot collapse, with the entire sole of the foot coming into complete or near-complete contact with the ground





Heel Pain

Heel Pain
Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping.

High Arch

High Arch
is a condition in which the foot has a very high arch. Because of this high arch, an excessive amount of weight is placed on the ball and heel of the foot when walking or standing. Cavus foot can lead to a variety of signs and symptoms, such as pain and instability.





Hammer Toes

Hammer Toes
The middle joint of your toe bends downwards. This causes your toe to rise up instead of lying flat. It usually occurs in your second, third, and fourth toes.








Common Children’s Biomechanical Foot Disorders

Common Children’s Biomechanical Foot Disorders
Foot and ankle pain are common in children and adolescents. Problems are usually related to skeletal maturity and are fairly specific to the age of the child. Evaluation and management are challenging and requires a thorough history and physical exam, and understanding of the pediatric skeleton.

Plantar Fasciitis

Plantar Fasciitis
Ankle joint instabilities may be acute or chronic and are treated differently in terms of clinical care and fitting practices. Therapy therefore depends on the cause and severity of the instability. It is usually conservative, i.e. without an operation.

Instability

Instability
Ankle joint instabilities may be acute or chronic and are treated differently in terms of clinical care and fitting practices. Therapy therefore depends on the cause and severity of the instability. It is usually conservative, i.e. without an operation.

The Dr. Foot Approach

  • Initially what Dr. Foot aims to do is optimize the foot’s biomechanics. Any disorder or complication is directly correlated to the biomechanics of the foot. One of the primary problems that cause such problems is weight baring. Weight baring is essentially an action taken by someone as they are working or lifting heavy equipment frequently, and simultaneously causing a lot of load on their body. This load negatively impacts the lower limbs predominantly. These are basically the knee and ankle joints, as well as the foot.
  • As humans we tend to receive more problems affiliated with our feet rather than our hands, why is that the case? This is because throughout our whole lives we are using our feet to get to places. Our feet are what supports our whole upper body’s weight, and also items we may carry throughout our whole lives. Such weight-bearing activities with added pressure for a long time can give negative results to our feet. Whereas our hands don’t have to bear this type of weight for a prolonged period of time. This is why many problems that humans face biomechanically, deal with the feet.
    • Initially, this can be due to the poor biomechanics of the foot that was not assessed before and is now causing a huge burden on patient’s today. Problems related to the foot’s biomechanics primarily deal with over pronation/supination, or even uneven articulation.
    • Some problems affiliated with weight-baring can be;
  1. Over pronation or supination of the feet: this is essentially when weight bearing can take a large toll on your feet. One a person’s foot is over pronated or supinated it prevents the person from doing regular activities such as walking, running, exercising, etc. This is because the feet are shifted in such a way that regular activities seem too difficult and can lead to potential strains or sprains for an individual. Additionally, when you add weight bearing, it can cause a person’s foot to become more pronated or supinated which can possible obstruct mobility. This is because the extra weight further weakens the tendons, ligaments, and even muscles which hold the foot together.
  2. Ankle articulation: actions like weight bearing can also affect the foot in a negative fashion. When bearing weight, it can even cause ankles to snap. This is because when you try to go over your basic range of motion, it can further stretch the tendons and ligaments causing strains/sprains to them. If a person does this while holding weights, it can cause the person to possibly snap their ankle. This can also be said about articulating your ankles frequently while holding weights. Similar to over pronation and supination, the added time and pressure put on the ankles can further cause the ankle to become weaker and more susceptible to injury.
  3. Overall such problems are unfortunately only the start. As we begin to further use our legs, feet, and knees without proper realization, it can cause our feet to become even worse and start a whole array of new problems. This will cause you and the health of your feet to become more detrimental.
  4. What can be done to solve such potential problems???

Operating Hours

  • Monday-Friday 10.00 – 21.00
  • Saturday 09.30 – 18.00
  • Sunday 11.00– 18.00
Curative Counseling
Offering Timely,Low Wait Times, State-Of-The-Art,Highest-Quality Of Care, Affordable Care & Access.

Why is The Osteopath the Best Option?

  • An osteopath is someone who will focus on the joints, muscles, and spine. Treatment aims to positively affect the body's nervous, circulatory, and lymphatic systems. Manual medicine means that both diagnosis and treatment are carried out with the hands.
  • An osteopath is an expert when it comes to the biomechanics of the foot. They understand the nature and anatomy of the foot and can diagnose problems that are visible, and problems that can potentially happen in the future
  • With the knowledge they know about how other body systems correlate with the body can further extend their horizons to assess and treat problems
  • Overall, an osteopath has a thorough understanding about human movement and how the musculoskeletal system operates. This makes manipulating certain muscles, tendons, bones, etc. easier to assess and determine what the problems have occurred. An osteopath may even offer basic treatments that can carry vital significance such as the way you sit in a biomechanical perspective, and where each body part should be while you’re sitting. It can ultimately cause you to cure (or at least make better) any sort of biomechanical problem you may be having on your feet or any part of your body.
  • An osteopath would provide the most optimal treatment as they don’t only just understand how the human body moves. They know how each muscle, tendon, ligament, and bone move according to the body. Hence problems affiliated with the feet can be solved by them as they can see what other body parts may be causing such problems. Some of these issues can be directly related to weight-bearing, improper movement, bad posture, asymmetry, bad balance, improper shoes, etc.
  • They can influence the musculoskeletal system which is primarily the combination of the muscular and skeletal systems working together and includes the bones, muscles, tendons and ligaments of the body.

Prevention of Foot Disorders, such as:

Foot and ankle sprains and strains
  1. A joint sprain is the overstretching or tearing of ligaments. Ligaments are the bands of tissue that connect two bones together in a joint. The most common location for a sprain is the ankle joint.
  2. A joint strain is the overstretching or tearing of muscles or tendons. Tendons are the dense fibrous cords of tissue that connect bones to muscles. The most common locations for a muscle strain are the hamstring muscle and the lower back.
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Plantar fasciitis and heel spurs
Plantar fasciitis:  a disorder that results in pain in the heel and bottom of the foot. The pain is usually most severe with the first steps of the day or following a period of rest. Pain is also frequently brought on by bending the foot and toes up towards the shin and may be worsened by a tight Achilles tendon. The condition typically comes on slowly.
Heel spurs: occur when calcium deposits build up on the underside of the heel bone, (a process that usually occurs over a period of many months.) Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among activities that include large amounts of running and jumping.
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Excess pronation or supination in the modern world due to walking on hard pavements
  • Over-pronation/supination, or flat feet, is a common biomechanical problem that occurs in the walking process when a person’s arch collapses upon weight bearing. This motion can cause extreme stress or inflammation on the plantar fascia, potentially causing severe discomfort and leading to other foot problems.

Foot Care is Critical in Systemic Diseases like Diabetes

Diabetes can become very detrimental to your feet. Something minor such as a small cut can generate serious consequences.
  • Some complications include;
    1. Nerve damage that takes away the feeling in your feet.
    2. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection.
    3. Due of these issues, you may not feel a foreign object in your shoes. Hence, you may develop a blister or even a sore. This could potential lead to further infections or a nonhealing wound that could put you at risk for 
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  • Self-care treatments that can help
    1. Inspect your feet daily.Check for cuts, blisters, swelling or even nail problems.
    2. Wear clean, dry socks. Change them daily. You may also want to Consider socks made specifically for patients living with diabetes.(These socks contain extra cushioning, longer, and don’t have tight elastic tops.)
    3. Moisturize your feet but not between your toesUse a moisturizer daily to prevent dry skin from itching or cracking. (Don't moisturize between the toes as it could aggravate a fungal infection.)
    4. Bathe feet in lukewarm water. Keep your feet clean by washing them daily.
    5. Take care of your diabetes.Maintain your blood sugar levels.

Orthotics, Therapy and Advice Regarding Healthy Shoes

A custom orthotic is a device designed to align the foot and ankle in the most anatomically efficient position. They look like insoles but are biomechanical medical appliances that are custom made to correct your specific foot imbalance. Custom orthotics work on your feet much like glasses work on your eyes - they reduce stress and strain on your body by bringing your feet back into proper alignment. The plastic body of the custom orthotic helps to re-align the foot by redirecting and reducing certain motion that takes place during the gait cycle. Custom orthotics fit into your shoes as comfortably as an insole - and they have the advantage of having been made from precise imprints of your feet.
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Shockwave Therapy (ESWT)

i.    High energy shockwave therapy under guide of ultrasound for heel spur treatment

ii.    Low energy shockwave therapy for pain relief

iii.    Primarily used in the treatment of several musculoskeletal conditions, especially those involving issues with connective tissues such as ligaments and tendons. 

 

  • Extracorporeal shock wave therapy (ESWT) has emerged as a possible non-invasivetreatment option for patients with chronic tendon problems. ESWT delivers focused shock waves to the body, and has been used for treatment of a variety of conditions including:
  • Plantar fasciitis
  • Calcific tendonitis
  • Tennis elbow
  • There is both a high-energy and low-energy form of shock wave treatment, and both forms of therapy can be used in the treatment of these conditions.
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  • Low-energy shock wave treatments are given as a series of three or more treatments. The low-energy shock waves are not painful, or mildly painful. On the other hand, the high-energy shock wave treatments are given at one session. High-energy shock wave treatments are quite painful, and often some type ofanesthesia is needed. Either a regional block or general anesthesia can be administered for the high-energy treatments.

 

  • Shock wave therapy is thought to work by inducing microtrauma to the tissue that is affected by these problems. This microtrauma initiates a healing response by the body. The healing response causes blood vessel formation and increased delivery of nutrients to the affected area. The microtrauma is thought to stimulate a repair process and relieve the symptoms of pain.

Laser Therapy Unit, Low Level and High Power

-When you have heel pain from plantar fasciitis, Achilles tendon problems, or an ankle sprain, there are many things you can do to help the healing process along. We will likely start you out with RICE therapy, shoe modifications to reduce irritation, or custom orthotics to correct faulty foot movements or foot structures. These, along with any anti-inflammatory medications we prescribe, can go a long way toward relieving your symptoms.
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-However, when you need pain relief from a chronic problem that these remedies haven’t fully addressed, laser therapy can be a next step before trying injections or invasive surgery to solve your foot issues. Our advance laser therapy unit cold laser treatment is approved by Health Canada and works on three levels: it energizes the cells and promotes cell metabolism, it eliminates inflammation, and it reduces or removes pain. Best of all, it does this without incisions or drugs, and studies have shown it to have few side effects when used correctly by a competent, trained medical professional.
-The therapy itself involves focusing a concentrated light beam in the red wavelengths on the damaged tissue. We follow protocols for intensity, duration, and number of treatments needed for the condition being treated. The light passes through the skin into the inflamed and painful tissue underneath. Once there it stimulates the natural healing process in the cell, makes the cell membranes more permeable so nutrients are absorbed and used more quickly, and increases blood circulation to deliver oxygen for cell growth and repair. All these actions help speed up your recovery from soft-tissue injuries.

Lower Limb Hydrotherapy

Hydrotherapy increases blood circulation, including circulation of the immune system’s white blood cells. Hydrotherapy also increases the body’s production of endogenous opioid peptides, particularly endorphins. Enhanced circulation and increased endorphins strengthen the immune system, reduce inflammation, heal injured tissue, improve well-being and energize the body. Hydrotherapy also supplies fresh nutrients and oxygen to injured tissue and helps with the removal of waste products. In injuries alternate applications of heat and cold accelerate healing by improving blood vessel integrity and muscle tone. Heat causes peripheral (surface) blood vessels to dilate or expand. Cold causes peripheral blood vessels to constrict and drives blood back to the organs.
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General Physiotherapy

i.    Physiotherapists study the science of movement. They learn how to pinpoint an injury’s root causes.
ii.    Treatment usually consists of the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise 

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Electrotherapy

i.    This treatment uses electrical energy that can be applied to assess problems relating to neurological diseases
ii.    This treatment may also be used for physiotherapy in order to relax the muscles. This would further enable to increase local blood circulation, and decrease any sort of muscle spasms or muscle atrophy
iii.    Electrotherapy is also known for its positive effect for post-surgery treatment. Anyone experiencing post traumatic acute pain, or post-surgical acute pain can be given this type of therapy to alleviate its symptoms

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Foot massage and Reflexology

  • Our feet do a lot for us. They carry us around all day, bear the brunt of our morning jog and endure countless evenings in uncomfortable and restrictive shoes.
  • Despite all this, they are usually sorely neglected! A healing foot massage is one way we can treat our feet (or if we are lucky, get someone else to treat our feet!) while benefiting our whole body.
  • A foot massage is a non-invasive treatment. Many complications can be cured solely through massages without the need for any external medicine.
 
  • A foot massage can also be positive in the mental aspect. It works to calm your body and mind, ultimately making you feel less stress and more energy after this type of massage.
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  • Reflexology is utilized to prevent and cure many health problems.
  • Reflexology involves applying pressure to the feet in order to affect a physical change in the body. Foot reflexology is based on the belief that each reflex zone begins at the feet, and then travels all the way to the head via the vital organs.
  • Reflex zones are pressure points located on the tips of hands and feet, and they are believed to be directly connected to a person’s nervous system. Thus, by applying pressure on various parts of the feet (the soles and sides), various muscles and vital organs can be manipulated.
  • Placement of the pressure is based on a complex system of zones and reflex areas that correspond to other parts of the body.

Spine scan and Chiropractic

  • Chiropractic is an evidence-based, non-invasive, hand-on health care discipline that focuses on the musculoskeletal system, with the goal of relieving pain, and restoring normal function and movement to the spine, joints and supporting structures of the body.
  • Some conditions frequently treated include; back pain, neck pain, headaches, osteoarthritis, spinal stenosis, sprains and strains, and repetitive strain injuries (i.e. tennis elbow, carpal tunnel syndrome)
  • Treatment options include; spinal manipulative therapy, myofascial release therapy, laser therapy, ultrasound therapy, electrotherapy, and rehabilitative exercise programs
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EMERGENCY INFORMATION

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