mmmmmm
General Foot Pain

These are just some of the wide range of issues we can suffer from with our legs and feet. A visual and physical assessment in clinic is necessary to accurately diagnoses the issue.

Conditions


Hallux Limiutus/Rigidus - This is the loss of motion in the big toe joint caused by arthritic changes in the joint. Depending on how much motion is available the condition will be referred to as hallux limutus or hallux rigidus. In order to push our body forward when we walk we need about 60 degree dorsiflexion in the big toe joint, with hallux limutus/rigidus there is a loss of this motion which can then effect the way we walk and cause pain.

Treatment


Depending on the degree of this condition an appropriate treatment plan will be given. In some cases some simple exercises can improve the mobility in the joint, however with more severe cases of this condition a medical orthotic device may be necessary.

Conditions


Heel Pain – A number of conditions can cause pain in the heel. It is very important you make an appointment to have heel pain accurately diagnosed. Plantar fasciopathy, achilles tendinopathy, heel spurs, retrocalcanul bursitis, tarsal tunnel syndrome,haglunds deformity, bone tumour and ostteomyelitis are just some of the conditions that may be causing pain in this area of the foot. Heel pain needs to be assessed first to determine what is causing the pain and then an appropriate treatment plan will be made.

Treatment


This will all depend on what is actually causing the heel pain. Once this is determined then we can continue with the appropriate treatment plan on how to manage this pain.

Conditions


Achilles Tendinopathy – The Achilles tendon is the strongest, largest and thickest fibrous band of cartilaginous tissue in the human body. Inflammation can present but the cause of inflammation is due to repetitive heavy tensile loads placed on the Achilles tendon particularly during running and jumping activities resulting in micro-tears along the Achilles tendon. Clinically this presents as pain and swelling along the Achilles tendon and depending on the localization of pain, Achilles tendinopathy can be classified as either insertional or non-insertional.

Treatment


There is a wide range of treatment options available for Achilles tendinopathy including eccentric exercises and orthotic prescription. Achilles tendionapthy may require surgery in more severe cases.

Conditions


Mortons Neuroma - A painful condition which causes one of the nerves between the toes to become irritated. If this occurs pain, numbness, burning and tingling can occur between two of the toes. . A neuroma can be aggravated by external factors such as poorly fitting footwear.

Treatment


A neuroma can be treated by changing some of these external factors which are exarcebating it. For example wearing adequate footwear. There is also different padding methods to relieve the pain which I can discuss and show you in clinic.

Conditions


Limb length Difference - This is where there is a difference in the length of one limb and another. This can occur for a number of reasons and it is important to determine if this difference in length is structural; there is a difference in limb length as a result of inequalities in bony structure or functional; there is a difference in limb length without any osseous component.

Treatment


The general population will have a limb length discrepancy of between 1-2mm. It is not considered necessary to intervene unless there is a greater than 3mm difference between the limbs. If this discrepancy is greater than 3mm ,depending on the nature of the limb length-if it is functional or structural manual physical therapy or an orthotic device will be advised.

Conditions

Bursiitis – Bursa are small fluid filled sacs that act as a cushion and provide shock absorption between bone and soft tissues of the body. If inflammation occurs in these bursa, it is termed ‘bursiitis’ and makes movement or pressure is painful.

Treatment

There are different padding and strapping methods available for bursitis. Ultimately the treatment of the bursitis will depend on its anatomical location and what phase of inflammation the bursiitis is at.

Conditions

Gout – This is a form of an inflammatory arthritis that develops in people with high levels of uric acid in their bloodstream. Uric acid is a breakdown product of purine which is found in many foods we eat. Although gout can occur in any joint over 70% are found in the big toe joint. The deposition of crystals of mono sodium urate monohydrate in tissues can lead to an inflammatory reaction. The joint will become painful and is accompanied by warmth, redness and swelling.

Treatment

Once gout is accurately diagnosed, information regarding treatment options will be discussed.

Regular Check Ups

During these consultations Aisling will also check your medical history and medication and offer advice on how systemic complications maybe affect your foot and leg health. The above issues are ones which reoccur and require a regular visit to a Podiatrist. 

After your first visit we will be able to tell you when it may be necessary to make a return appointment.