Foot, Heel and Ankle pain

Over 20 years of experience treating foot, heel and ankle injuries at The Physio & Yoga Clinic.

 

Is your walking limited by pain, do you love to walk?

Feet are complex with 33 joints, 26 bones and more than 100 muscles in one foot. They all work together to enable us to stand, balance, walk and run. To treat and diagnose foot problems a good knowledge of normal biomechanics, muscle and joint function are required.

Pronation and supination are normal functions of the foot. The foot pronates (flattens) as our weight is transferred over the foot and supinates (“folds”) to stiffen to propel us forward. We don’t allow normal movement of the feet when we keep our feet in tight shoes or wear heels, or walk on concrete surfaces, or even sit all day! Our feet can get stiff, detrained and painful! A Physiotherapist experienced in assessing and treating feet can determine what is normal and what is not.

Assessing the whole body as it relates to your foot is useful. The whole body is linked to your feet. Often the cause of foot pain is missed when the whole body is not looked at.

One of our primary interests here at The Physio & Yoga Clinic (Physio section) is treating foot and ankle pain or stiffness.

We have experience treating complex or persistent foot problems.

At The Physio Yoga Clinic we help you to understand your injury, and educate you how to treat yourself.

 

 

Common Foot and Ankle problems treated at Physio Body and Sole are listed below;

Plantar Fascisis

The plantar fascia is a band of thickened fibrous tissue under the foot. It gives the foot structure stability when we walk or run.

When the intrinsic foot muscles are detrained, the plantar fascia is the last line of defense. It can get inflamed or develop a small tear. The type of foot you have can predispose you to problems. Your feet can be assessed and treated by an experienced foot Physiotherapist here at The Physio & Yoga Clinic.

Treatment for plantar fasciosis may include correction of biomechanical causes (of the whole body, not just the foot), a graded strengthening program, calf stretches, taping to support the arch, and correct footwear.

For a tear a walking boot and rest may be prescribed. A tear can usually be diagnosed clinically, a scan is not always required. Once the foot is weaned out of a CAM boot it will need to be rehabilitated, it is not advised to just return to walking. At least have your foot checked by a foot physio.   Book Here 

Heel Pain

Heel pain can come from many sources;

  1. The fascia (connective tissue) that attaches into the heel (plantar fascia).
  2. Localised nerve entrapment,
  3. Referred from the lumbo-sacral spine.
  4. Trigger points in muscles.
  5. Bruised fat pad

 

There are many causes that need to be accurately assessed to treat your heel pain. Not all heel pain is due to the plantar fascia! There are nerves that end where the plantar fascia does; the tibial and medial calcaneal nerves are a couple. In addition, this area is impacted biomechanically by how you land on your foot, how much muscular tension there is higher up, what shoes you are wearing, what activities or lifestyle have contributed. All this needs to be considered to treat your heel pain quickly and effectively. Orthotics do not have to be the first treatment, be assessed thoroughly, looking at the whole of you.

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Nerves-plantar-and-dorsal-feet (1)

Nerve Pain

Compressed or irritated nerves may cause pain in the feet. Nerve pain may feel like burning, shooting, or stabbing pain, or there may be a dull ache (can also be a sign of inflammation), or paraesthesia (pins and needles) or numbness.

Early treatment ensures an early resolution of pain from nerve irritation. The longer the pressure or irritation on a nerve, the longer it may take to resolve. Read More

Mortons Neuroma

This is a nerve that gets compressed between two toes forming a swollen nodule. The pressure can be taken off the nerve using specific exercises to strengthen the intrinsic muscles of the foot and lift the transverse arch. Surgery is the last option, physio and podiatry are very successful in treating this condition..

Recurrent Ankle Sprains

Sprains occur when ligaments are over-stretched or torn. Ligaments join bone to bone providing stability to joints.

 

Initially for an acute ankle apply compression and rest it. Ice is for pain, do not overdo it or more tissue damage may occur. Start active movements as directed by your Physio, gradually walking on it as pain allows. If it does not resolve within 2 days, or pain is severe, it must be assessed by a professional.

Loose ligaments can cause long term ankle instability. The surrounding muscles must be retrained to support the ligament. Read More

Fracture Rehabilitation

After a period of prolonged immobilisation it can feel strange to walk again. Muscles are severely detrained and it is easy to pick up bad walking habits. It is always best to be guided to the correct exercises to strengthen and restore normal gait/ walking. Here at Physio Body and Sole we have years of experience with lower limb biomechanics and gait re-education.

Pes Planus – Extremely Flat Feet   OR   Pes Cavus – Extremely high arches

The occurrence of flat feet can result from a weak Tibialis Posterior muscle. It is important this is assessed, and specific strengthening exercises taught. Prevention is better than surgery. Supportive footwear and orthotics may be required.

The occurrence of high arches can predispose you to back pain or knee pain. These type of feet have little shock absorption, especially if the rest of you is stiff. Stretch your calves regularly, or join Physio-Yoga Classes.

Try my Physio foot massage here.

 

 

For Bookings
phone (02) 9099 8087 or email us aj@physiobodyandsole.com.au 

or go to our online booking system