Blog Archives

Flat feet- Children’s feet | The Podiatrist and yourfeetnz

 

podiatrist-podiatry-feet-auckland-caron-orelowitz1.jpg

Children with flat feet, also called pes planus, have a flattening of the arch during standing and walking.

Flat foot is normal in infants and young children. At this age, in the absence of any associated symptoms, treatment is highly debatable.

Flat foot usually naturally corrects itself as muscles strengthen and soft tissues stiffen. The height of the arch in the foot increases with age until about 9 years. The problem is when flat foot persists, spontaneously occurs in older children or later in life, or is associated with pain and disability.

Flat feet can be flexible or rigid, painful or painless and associated with a tightness of the calf muscles (Achilles tendon). The majority of flat feet are painless, but when pain is present it is usually during weight-bearing activities such as walking and running. The pain can be in the sole of the foot, the ankle, or non-specific pain all around the foot area.

 

What causes flat feet?

A complex and sophisticated interaction of bones, ligaments, muscles and nerves within and above the foot defines its anatomy and function. Anything that interrupts the integrity of these structures leading to a collapsed arch can cause symptomatic flat feet.

Examination of the foot begins with an examination of the entire child, because the flat foot may have an underlying cause.

Flat foot can also originate from unusual anatomy such as a tarsal coalition (bones joined together), ligament or muscle damage, restricted ankle movement, outward rotated lower legs, and knock knees (where the legs bow inwards at the knee). Obesity can result in collapse of the arches by the increased load on the foot. If knock knees also develop, the middle of the foot will tend to turn out (abduct). The foot will point outwards when walking, instead of straight ahead, which is inefficient and can cause early fatigue.

Footwear in early childhood has been thought to cause flat foot. It is likely that children who wear shoes, are not physically active and have flat feet will have decreased muscle activation in their feet and thus impaired foot function and weakness.

Some older children and adolescents develop flat feet in the absence of any disorder or associated factors.

 

Does flat foot need to be treated?

Flat feet require treatment only if clearly associated with pain or decreased function. Managing the underlying cause or disease is of highest priority; just treating the symptoms should be secondary.

If flat foot is observed in a child who is overweight and has knock knees, or in a child with excess joint flexibility and poor footwear, each of these factors could be contributing to the symptoms, and each should be addressed.

If a child’s quality of life is affected by how their feet look, feel or function, then the associated issues should be addressed.

For any foot problems, contact The Podiatrist.

http://www.thepodiatrist.co.nz

http://www.kidsnmotion.co.nz

5 quick and easy tips to healthy feet and legs | The Podiatrist and yourfeetnz

one pair has to last a lifetime

There are many causes of leg pain right from muscle cramps and inflammation of tendons to arthritis, varicose veins and nerve damage. Leg pain due to muscle strain following an injury or wearing tight shoes for a long time can be prevented by following few simple tips:

  1. Stretch the leg muscle: One of the most effective ways to prevent leg pain due to a sudden muscle twist or cramp is to stretch the muscle. This not only improves blood flow to the injured muscle but it also helps in reducing muscle tension thereby relieving muscle soreness.
  2. Take a warm shower: If you suffer from leg pain, then take a warm shower to relax the muscles. If taking a bath is not feasible, then placing a heating pad on the affected areas can also help. A heat pack works best if the pain is due to a previous injury as it not only relaxes blood vessels but also improves blood circulation, alleviating leg pain.
  3. Wear a proper fitting athletic shoe: Most people fail to choose the right fitting shoe, which is one of the common causes of leg and heel pain. To get the right fit, determine the shape of your foot using the ‘wet test’. For this, step out of the shower onto a surface that will show your footprint, like a brown paper bag. If you have a flat foot, you will see an impression of your whole foot on the paper. If you have a high arch, you will only see the ball and heel of your foot. When shopping, look for athletic shoes that match your particular foot pattern.
  4. Choose the right sports shoe: Not many people are aware that different types of shoes are specially designed to meet your sports requirement. Did you know running long distances in court-style sneakers can contribute to shin splints? It is important to choose the shoes according to your sport or fitness routine.
  5. Go slow if you are a beginner at the gym: One of the common mistakes that most people commit is to overexert on the first day of the gym, which not only exerts pressure on the knee but also causes muscle soreness and leg pain. The key to preventing leg pain and sticking to your workout routine is to build your fitness level slowly. You can start off with less strenuous workouts and then gradually increase the duration, intensity, and frequency of your exercise regimen.

For any foot problems, contact The Podiatrist.

http://www.thepodiatrist.co.nz

 

Shopping for School Shoes | The Podiatrist and yourfeetnz

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  1. To avoid in-store arguments, parents and children should discuss in advance the style and brand of shoes they want to look for.
  1. Remember that a good fit is more important than the size of the footwear. A good fit allows for a 1/2” of space between the end of the toes and the end of shoe. Shop at retailers who provide a fit specialist for extra assistance.
  1. Avoid hand-me-down shoes; improperly fitted shoes can support feet in unhealthy positions.

4. Avoid shopping online or estimating a child’s shoe size.

  1. Remember that not all shoes of the same size fit alike. While foot measurement is a starting point, how the shoes fit is more important.
  1. Match the shape of the shoe to the shape of the foot.
  1. Remember that while a low arch is normal in young children, in children older than age seven, the lower the arch the more important it is to have shoes with good support. Look for a firm heel counter and stiffness when trying to twist shoes lengthwise.
  2. If a child wears orthotics, select shoes with removable foot beds and try the shoes on with the orthotics in place.
  1. Remember that price is not necessarily commensurate with quality. If price is a consideration, last year’s models can offer all the features needed at a discounted price.
  1. Check the fit on your child’s shoes on a regular basis as children’s feet grow at irregular rates.

For more information, or if you have any questions, contact The Podiatrist

http://www.thepodiatrist.co.nz

Keep those feet happy | The Podiatrist and yourfeetnz

foot-care

The importance of our feet has been understood for centuries. Even the Greek philosopher Socrates is reputed to have said, “To him whose feet hurt, everything hurts.” So, what comprises foot care that promotes comfort at any age?

  • Wear shoes and socks that fit and are comfortable.
  • Be sure your toes are not cramped.
  • Change socks daily and if possible have two pairs of shoes in everyday use so that you can alternate the pairs daily.
  • Elastic laces are handy if your feet swell.

Shoes should be worn that cover, protect, provide stability for the foot and minimize the chance of falls.

Whatever your age – student or grandparent – foot care is important.

  • Remember to cut or file your nails straight across and never shorter than the end of your toe.
  • If you are older, and particularly if you are diabetic, it is helpful to get The Podiatrist to do your foot care.
  • It is best to wash feet daily and always test the water’s temperature beforehand. Pat, do not rub, your feet dry and remember to dry between and under the toes. If your feet are bothering you you’ll find that short soaks of even ten minutes are soothing.
  • Use a lanolin (ointment base) moisturizing cream for dry and cracked skin. If your feet perspire, dust lightly with talcum powder. Remember to remove excess cream of powder from between your toes to avoid skin problems. If you are diabetic it is wise to examine your feet daily.
  • Exercise each day if possible. Walking is always good but there are also special foot exercises that can be done like rolling your feet over a rolling pin several times daily or picking up a crumpled towel with your toes.

Despite reasonable care throughout life, however, the older foot is subject to problems. Heredity is a factor as are the stresses over the years and complications from systemic diseases. It has been estimated that at least 80 percent of people over 50 have at least one foot problem.

The most common are corns and calluses, ingrown toenails, bunions, hammertoes, strained arches, heel pain and arthritis including gout.

In many cases there can be improvements jus by switching shoes to the type with wider, box-type toes. Also. shoe size can actually change with added years.

Feet carry our body’s weight, help hold us erect, co-ordinate and maintain balance in walking. We need to give them tender, loving and skilled care.

The returns are high, including the joy of a walk.

Make an appointment with The Podiatrist today.

www.thepodiatrist.co.nz

 

Soothe Your Morning Foot Pain | The Podiatrist and yourfeetnz

summer feet

It is true that your two feet bear the entire load of your body. It is only natural that you will experience some sort of pain the body.
It is said that for those who have a constant routine of standing for long period of hours will experience aching feet. Sore feet is a common problem among elderly teachers wherein which their occupation is such that they have to stand constantly to teach their little kids.
Elderly teachers who are suffering with sore feet through the day, need to perform these foot pain treatments to help ease their pain. It is also said that the foot pain in the morning is the most severe.
These foot treatments which is listed below can help get rid of swollen and aching feet. For people with swollen feet at day’s end, walking and moving the feet and ankles up and down can help, as it circulates blood back to the heart.
The Podiatrist says that if you are standing on your feet all day long and not contracting your muscles, everything drains to the feet. The swelling in your feet which results to pain and exacerbated by shoes might not accommodate it therefore causing your feet to pain all the more. Foot pain is a common ailments found in almost every second person. In case you are suffering from terrible foot pain, there is no need to dose yourself with medications. All you have to do is follow these foot pin treatments in the morning before you start your day.

Soaking your feet- The basic way to soothe foot pain is to pamper your feet for half an hour with peppermint oil and hot water. If you do not have peppermint at home, you can use a strong cup of peppermint tea added to hot water for soaking your feet.

Feet workout- Sometimes, when you are in pain, the best alternative to ease pain is to do a small workout. To soothe foot pain try this foot workout. Scatter a few pencils on the floor, and pick them up with your toes. This little exercise will help relieve foot ache.

Foot massage -Spas and expensive massage parlours are not necessary when it comes to a foot massage. It is self taught! All you have to do is roll your bare feet over a tennis ball for several minutes till you feel relief.

Water Therapy- The use of hot and cold water is the best therapy to treat foot pain. Hot water promotes blood flow and cold treatment will reduce the inflammation in your aching feet. If you have foot pain in the morning, this is the best therapy for you. All you need to do is apply a heat pad and an ice pack alternately for ten minutes on your foot

Epsom Salts -The use of epsom salts is the best foot pain treatment. These salts will help to soothe your feet giving you instant relief. Take three tablespoons of Epsom salts and add it to a tub of warm water and soak your feet for fifteen minutes. You should know that Epsom salts can make your feet dry, so apply a dab of foot moisturiser on your feet after the treatment

Ice -The ice therapy is a good way to reduce pain and swelling on the feet. Crushed ice is good to reduce the inflammation. With the help of a plastic ice pack, move in circular motion on your foot. Make sure not to apply the ice pack for more than ten minutes at a time, as it will damage the skin and nerves.

We have an extensive range of footcare products to help keep your feet healthy and looking good.
See The Podiatrist for expert advice.
http://www.thepodiatrist.co.nz

There are right and wrong ways to use ice for injuries | The Podiatrist and yourfeetnz

ice or injuries

Ice treatment is most commonly used for acute injuries. If you have a recent injury (within the last 48 hours) where swelling is a problem, you should be using ice treatment. Ice packs can help minimize swelling around the injury.
Ice packs are often used after injuries such as an ankle sprain have occurred. Applying an ice pack early and often for the first 48 hours will help minimize swelling. Decreasing swelling around an injury will help to control the pain.
Ice treatments may also be used for chronic conditions, such as overuse injuries in athletes. In this case, ice the injured area after activity to help control inflammation. Never ice a chronic injury before activity. An athlete who has chronic hip or knee pain that increases after running may want to ice the injured area after each run to reduce or prevent inflammation.
Ice is a vaso-constrictor (it causes the blood vessels to narrow) and it limits internal bleeding at the injury site. There is controversy as to whether continued application of ice results in a sudden vasodilatation of the blood vessels and if so, at what time this response begins and how often a cycle of constriction and dilation occurs.
To ice an injury, wrap ice in a thin towel and place it on the affected area for 10 minutes at a time. Allow the skin temperature to return to normal before icing a second or third time. You can ice an acute injury several times a day for up to three days.
Ice for no more than 20 minutes at a time, as too much ice can cause frostbite. More ice does not mean more relief.
Heat treatment
Heat treatments should be used for chronic conditions to help relax and loosen tissues, and to stimulate blood flow to the area. Use heat treatments for chronic conditions, such as overuse injuries, before participating in activities.
Do not use heat treatments after activity, and do not use heat after an acute injury. Heating tissues can be accomplished using a heating pad, or even a hot, wet towel. When using heat treatments, be very careful to use a moderate heat for a limited time to avoid burns. Never leave heating pads or towels on for extended periods of time, or while sleeping.
Moist heat is best, so you could try using a hot, wet towel. You can buy special athletic hot packs or heating pads if you use heat often. Never leave heating pads on for more than 20 minutes at a time or while sleeping.
More about ice
• Sometimes ice may not be ideal for certain injuries, but there are still times when it can help an athlete out.
• Drinking ice water can lower your core temperature enough during training or racing on hot days to boost endurance. And putting ice on highly vascular areas during a race can be very beneficial too.
• Cryotherapy in the form of ice baths isn’t recommended for recovery and icing an area of soreness has not been linked to reducing delayed onset muscle soreness (DOMS), but cold baths may be beneficial. Cold baths or showers can help speed recovery, but this does not mean to sit in a bucket of ice: the idea is not to try to numb your body. If you have an area of your body that is tight or sore, say your calves, then you may help the healing and recovery by standing in a cold bucket of water. Make it cold enough so the ice slowly melts in the water.
See The Podiatrist if you have any injuries.
http://www.thepodiatrist.co.nz

Heel Pain in Children: Warning Signs For Parents | The Podiatrist and yourfeetnz

heel pain in children

There’s simply no substitute for organized game play in a child’s physical, emotional and mental development. Even non-organized physical activity is important, like climbing trees, going for a swim on a hot Saturday, or riding a bicycle to a friend’s house.

But kids are notorious for not complaining about their injuries, for any number of reasons. And injuries at such a young age can literally change the development of every muscle in their body, as the uninjured parts compensate for the injured parts. As a parent, you need a sharp eye to watch for changes in behavior or body language, even though we all know how hard that is.

Signs of possible unspoken injury to a child’s feet or ankles may include changes in their gait, occasional limping, favoring one foot over another, walking on their toes, problems running, or unusual fatigue.

The most common sports injury in children is heel pain. Many times this can be simple plantar fasciitis from overuse, usually controlled with pain medicine, rest, icing and if necessary, physical therapy and foot orthoses to be worn in their shoes. But it may also be a sign of Sever’s disease, an inflammation of the heel’s growth plate due to muscle strain and repetitive stress. This is especially common in highly active children and those carrying extra weight.

Bear in mind that the symptoms of heel pain in adults are considerably different than heel pain in children. In adults, heel pain is usually worst in the morning upon rising, and subsides as the tissue warms up with light activity. But in children, heel pain usually doesn’t diminish as the child moves around – in fact it may get much worse.

If your child complains about heel pain, don’t take it lightly. Make an appointment with The Podiatrist immediately, because early intervention is key to a continued healthy development.

http://www.thepodiatrist.co.nz
http://www.kidsnmotion.co.nz

Foot-Strengthening Exercises to Fight Pain: The Podiatrist and YourFeet

foot exercises are important especailly if you wear high heels

Every time you take a step, your foot is hit with unforgiving vibrations that can cause tendinitis, plantar fasciitis, stress fractures, and more — particularly if you wear high heels or participate in foot-stressing activities, like running.
The muscles in your foot play a huge role in how your body absorbs shock.
To start an at-home foot health routine to reduce pain, try these four moves:
• For strength: Short foot. This is a movement so small, To perform the short foot exercise, stand barefoot and contract the arch of your foot by driving your big toes into the ground. It makes the bottom of the foot contract, it pulls your arch up, and fires your hips and abs — just from that one little movement. “Short footing” a few times a day while you’re doing another activity like brushing your teeth, cooking dinner, or waiting for the bus.
• For strength: Stand on one leg. Now that you know the benefits of single-leg training, try it at home by simply standing barefoot on one foot while standing in line or doing chores around the house. For an extra balance challenge that will really fire your feet, close your eyes — it throws off your centre of gravity and makes balancing more challenging.
• For recovery: Stand on golf balls. Golf balls under your feet work the same as foam roller and massage for other parts of your body-hey break up lactic acid to help muscles relax and recover from stress. If standing on the balls is too intense for you, sit in a chair and roll the golf balls under your feet for a light massage. This exercise can be helpful for arch pain, cramps, and foot pain from plantar fasciitis.
• For recovery: Calf stretches. Tight calves put a lot of strain on your feet, which is why The Podiatrist recommends stretching your calves daily. For a simple stretch, face a wall from two to three feet away. Lean into the wall, keeping your heels on the floor and your knees extended, and hold. For a deeper stretch, stand on one leg on a stair, holding a railing for support. Drop your heel, so that it hangs off the step, and push it down with your weight until you feel a stretch in your calf.

Contact The Podiatrist for any of your foot problems.

http://www.thepodiatrist.co.nz

Heel Pain: It may not be Plantar Fasciitis

structure if the heel- calcaneus

Heel pain affects a large portion of the population, often resulting in visits to The Podiatrist. Plantar fasciitis is typically the diagnosis the patient receives during the visit; however, plantar fasciitis is only one potential cause of heel pain. The plantar fascia is a strong, dense strip of tissue that runs from the heel to the ball of the foot. Its sole job is to support the arch of the foot. .
It is easy to see how the plantar fascia may be causing all this pain as the foot impacts the ground when you think about how often the full weight of the body is concentrated on the plantar fascia. This forces it to stretch as the arch of the foot flattens from the full weight of the body, possibly leading to stress where the plantar fascia attaches at the heel bone. If this keeps up, the result can be pain caused by small tears of the fascia.
If it is not the plantar fascia then what else could be causing my heel pain?
Calf muscle weakness (muscles on the back of the lower leg) can result in referred pain directly to the heel.This is seen after someone has changed/added a workout program or modified the type of shoes they wear. This adds additional stress to the calf muscles that they may not have been ready for and lead small areas of irritation in the muscles.>
Calf muscle tightness – this causes the connective tissue surrounding the muscle to pull harder on the Achilles tendon leading to tightness at the heel, possibly resulting in the pain you’re feeling.
Sciatic nerve irritation – the nerve that runs from the low back through the hip and down the leg to the foot can get tight or pinched not allowing the nerve to move easily as you walk. This can lead to irritation of the nerve causing pain that is located at the heel. This is very common for anyone with any history of low back pain or hip pain.
Poor Posture – if you sit slumped forward most of the day the muscles and structures from the back of your neck, upper back, lower back, and hips can get tight and shortened, consequently pulling on the heel.>
Weakness of the muscles around the hip can cause muscles in the leg to shorten to help stabilize, consequently pulling on the heel.>
Why is this so confusing?
It may be hard for you to pinpoint the cause of heel pain yourself because the symptoms are the same for all of the above listed causes. No matter what the cause, you will experience pain on or around the heel when weight is placed on the foot. This is usually worse in the morning, especially with the first few steps after getting out of bed. In most cases, there is no pain at night, but this is not a rule as many of our patients report increased pain at night. Pain of typical plantar fasciitis is typically believed to decrease over the course of the day as the tissue warms up; however, patients have also reported increased discomfort as the day progresses, leading on to investigate other areas as the source or cause. Additionally, prolonged standing, walking, or getting up after long periods of sitting are commonly reported with all of the above causes. Again, the reports can be as varied as the potential causes.
Activities that make the pain worse:
Excessive running or jumping
Changing physical activity (especially for athletes)
High arches, flat feet, abnormal gait
Wearing improper shoes while walking or running
The Steps to Relieve Heel Pain
In most cases, heel pain does not require surgery and can be treated conservatively, but the first step is to obtain an evaluation by The Podiatrist who can help pin point the actual cause of the pain that’s specific to you. It is important to not treat the symptom of heel pain, but to isolate and treat the cause.
The Podiatrist may then recommend treatment , depending on the needs of your particular condition. In extremely painful conditions, your doctor may prescribe anti-inflammatory medications, and in severe cases give you a cortisone shot to address excessive inflammation.
Most people with heel pain get better with the help of The Podiatrist, but don’t wait. The longer you “live” with the pain the longer it may take to get rid of it as your body adapts. Most acute cases (less than 30 days) can get better within 6-8 weeks. Additionally, treatment should include activities that directly address the cause of your heel pain and are designed to include you in the healing process, so your participation is critical.
The Podiatrist specializes in the treatment and management of all foot related problems and will assess what is the cause of your foot/heel pain, not the symptom.
For more information or to find out if you are a good candidate for our services contact The Podiatrist
http://www.thepodiatrist.co.nz

Foot Pain Arch – Everything You Need To Know

It is a fact that we misuse our feet every day. We rarely notice their importance until we develop pain or complications. The complications that are related to the feet are due to prolonged standing and waking. Cramming them into shoes that do not properly fit is a major issue associated with foot pain.

It is a fact that most of the pains we experience on our feet are due to overworking of the hind limbs. The movement of feet is controlled by a group of four muscles. These muscles are not only active when we are walking but even when we are standing still. Just like any other muscle except the heart muscles, they often become fatigued. After getting fatigued, they become unable to properly support the feet thus resulting in discomfort. As a result of prolonged standing, blood circulation might be more towards the feet thus increasing the chances of feet swelling.

The term arch pain is generally used to point at the symptoms which occur under the foot’s arch. If you are suffering from foot pain arch, you will probably experience excess inflammation of tissues that are within the mid foot area. You might be wondering what really this foot arch is. Yes, the foot arch is a result of the connection between the heel bone and the toes through a tight band tissue.

The band of tissue is particularly important in the event of transferring body weight from the heel onto the toes. In situations where the arch tissues become too inflamed and irritated, even simple movements can be very painful.

Plantar fasciitis is the major cause of foot pain. It refers to the inflammation of the tissues which help connect the heel to the toes. Some of the most pronounced symptoms of this condition are morning pains on the joints. Even when you walk long distances, you tend to experience much pains.

The pain is usually worse in the mornings when you first get out of bed and is mainly as a result of the contraction of the plantar fascia during sleep. When you wake up in the morning, the tissues in the fascia are still tight and thus much prone to irritations resulting from touch. With prolonged standing and activity the affected area becomes painful and inflamed.

The treatment of this condition is accomplished through the use of stretches and inserts placed inside the shoes that you wear. In case you are suffering from a painful arch, it might be important to avoid the whole high-heel business. Flat or moderately heeled shoes would really work well for you.

The most ideal way to cure the pain is prevention of the condition. Through wearing appropriate shoes, involving yourself in strengthening workouts, and stretching among others are most ideal in protecting yourself against any cases of discomfort. The relief techniques for foot arch pain are abbreviated as RICE i.e., Rest, Ice, compression, and elevation.

Resting the affected area allows the tissues to recover as well as preventing any much strain to the arch muscles. Icing helps to reduce the chances of swelling after a tedious activity. On the other hand, compression helps to avert any chances of swelling while also ensuring that the affected area is stabilized. Lastly, the aspect of elevation can control the swelling even further.

The arch, which is the mid-foot is used for shifting weight to the heels. Therefore in the event that this strap is infected it becomes almost impossible to carry on the daily tasks. The plantar is the major culprit when it comes to the pain of the arch. Why this? This is because the plantar and fascia is the muscle which helps the arch perform its function properly. It is what links the arch to the knee and hence the toes. No matter the degree of pains, the main cause of arch pains is as a result of prolonged activity such as walking or standing.

Please see The Podiatrist if you are experiencing any problems. This information is merely a guide and should not replace expert attention.