Author: Hanan Kane

I have flat feet – What does that mean?

Let us put your mind at ease. Just because you have flat feet, doesn’t mean anything is wrong.

Our bodies are complex and incredible. We’re all born with bones of varying lengths, with muscles of very lengths and strengths,  and with ligaments of varying flexibilities. Yet when it comes to the effective functioning of the feet and legs to allow us to walk comfortably and for very long lengths of times – we’re all able to do it! Our bones, joints, ligaments and muscles work together and our body compensates for individual variances. It’s exactly the same with flat feet. Many people (and Podiatrists themselves) have very flat feet, yet remain completely asymptomatic. They experience no pain, they can walk and run just as fast as anyone with ‘arches’ and it causes no disruption to their day to day lives. In this case, having flat feet does not mean that anything is wrong or that you need to fix something or recreate an arch.  

However, if you’re getting symptoms such as pain, then it does become problematic.

Regardless of whether you have flat feet or high arches, pain is our body’s way of letting us know that something isn’t working. If you’re getting pain, tenderness, or discomfort in your feet or legs, and you have flat feet, then it very well may be related. This is because the flatter your feet are, the harder certain muscles have to work as your feet flatten very close to the ground and then lift off again as you take your next step. The harder muscles work, the faster they tire, and the more vulnerable they are to overuse injuries and strains. In this case, having devices such as orthotics that are prescribed specifically for your feet by a Podiatrist (orthotics are not a one-size-fits-all product and never let a salesman convince you that any orthotic will do the trick) can genuinely help to support the musculature at your feet and legs. Supporting the muscles means you move optimally and will place less strain on muscles overall. Don’t get us wrong – there are orthotics you can use that are pre-made, but make sure you let your Podiatrist make that call after a thorough examination of your feet and legs. This won’t often be the case if you have a specific injury.  

So to sum up…

If you have flat feet but are happy, healthy and don’t get any symptoms or pain in your feet or legs – great! This means your body is happily compensating and working with your foot type at your current activity level. If you are getting painful symptoms, stop. Don’t put more strain on your feet, and get them checked by your Podiatrist and find out what’s really going on and if it’s being caused by your flat feet – it may not be. Also be careful – you may find that if you increase your activity level you may start to become symptomatic, so keep that in mind and get your feet checked if you start developing pain. For the best Podiatry service in Auckland, come and see our experts at Perform Podiatry here in Remuera. We’re part of the One Health building and are committed to seeing you performing at your best! We’re foot health experts and are proud to be serving our community and beyond.    

Diabetes, Your Feet and Perform Podiatry

If you or any of your family members have diabetes, you’ll likely know that it’s very important to look after your feet. What many people may not be so familiar with, is the exact reason why it’s so important and how diabetes affects the feet. Here are the two main ways diabetes poses a significant risk to your feet and why you need to look after them! Diabetes affects your ability to feel Because of the way that diabetes damages the nerves, your sensation progressively worsens over time. There are many changes to sensation that can occur with diabetes. The more common changes can include:
  • Numbness
  • Tingling
  • Pins and needles
While these are the less dangerous of the changes, they still hinder your overall ability to feet and you may find that you can no longer feel very light things brushing over the skin of your feet. Your nerves may also start sending mixed messages. They may interpret hot as cold, sharp and dull, and vice versa. This is more dangerous, and can lead to burns or breaks in the skin. Any breaks (openings) in the skin leave it vulnerable to infection, and should be avoided at all measures. Perhaps the worst change is losing the ability to feel altogether. This doesn’t occur as a numbness, but as an unnoticeable absence in sensation where there is no numbness or odd sensation but just nothing. If you don’t feel that anything is wrong or off, then the body just perceives that everything is normal, when it very much isn’t. Losing the ability to feel means you won’t detect when you’ve stood on something sharp that has broken the skin. It can then remain lodged in the foot and remain vulnerable to infection, which is likely when walking around on the ground. Changes in your circulation Diabetes also causes damage to the vessels and impairs the blood flow to the feet. The feet are already the area furthest away from the heart, so anything that impairs the blood flow makes can have a significant impact on the feet. Your feet may often be cold, appear pale, the skin may become dry and the nails, brittle. Importantly, a poorer blood supply to the feet also means a means a longer healing time for any cuts and breaks in the skin. This, when paired with an increased likelihood for cuts and wounds from the effects on sensation, is a very dangerous combination. It poses a great risk of infection and secondary infection as open wounds take longer than normal to close. Infections are harder to fight, and persist for longer. This places the feet at a great risk for ulceration, and at its worst, amputation. Diabetes is currently the leading cause of lower limb amputation, other than traumatic injuries. If you’re concerned about your feet and diabetes, the best thing you can do is come in and see our expert team here at Perform Podiatry. Because the effect of diabetes on your feet progressively worsen, we conduct a comprehensive diabetes assessment to tell you the exact risks to your feet based on your circulation and sensation findings. We’ll teach you how to best care for your feet, avoid injury, and everything you should be looking out for. We also liaise with your GP with your permission, to keep them updated on your feet, so you get the best care. Give us a call on 09 523 2333

Achilles Tendinopathy – The pain at the back of your heel!

Achilles Tendinopathy: Why the pain at the back of your heel needs to be treated as soon as it starts!

If you’ve ever suffered with pain at the back of your heel from your achilles tendon, you’ll know that it’s not only uncomfortable and painful but can also be very limiting to daily activities because of the massive role your achilles tendon plays in taking each step and the large amount of force it takes through every step. What you may not know,is the importance of getting any issues or pains with your achilles tendon seen to quickly and effectively – more so than other muscles and tendons of the feet and legs. This is because unlike damage to other tendons that follows a process of swelling and inflammation, achilles tendinopathy follows a more degenerative pathway where the tendon fibres will degenerate and weaken over time. This means that unlike other conditions where you just need to reduce the swelling and wait for it to heal, with achilles tendinopathy you actually need to actively work to strengthen the tendon as part of your rehabilitation. It also means that the longer the injury is left unmanaged, the worse it’ll get, and the more recovery time and rehabilitation it’ll require. So don’t put it off! If you’re unfamiliar with achilles injuries, here’s a little recap on achilles tendinopathy: What is it? Achilles tendinopathy describes damage to the achilles tendon where it inserts into the back of your heel from your calves. Overloading and high forces cause the tendon fibres to sustain micro-tears, or in worse case scenarios partial tears or even complete ruptures. What causes it? Activities that put a lot of force and strain through the tendon. This includes:
  • Increasing your training intensity – particularly up hills
  • Abnormal foot biomechanics that result in a pull at the achilles tendon
  • Tight musculature, especially the calves
  • Unsupportive footwear and low set heels like in footy boots
  • Jumping sports and running
What are the symptoms? Pain and discomfort at the back of the heel that may radiate up the back of the leg is the biggest symptom. The back of the heel and leg may feel stiff, and there may be some initial inflammation. The achilles tendon may be tender to pinch at the back of the heel. So, what’s the verdict? If you’re getting pain, discomfort or even a persistent niggle at the back of your heel that you’re worried may turn into something then come in and see us. This is particularly important if you’ve recently started exercising or increased your running or training schedule. Achilles injury can quickly stop you in your tracks if it’s not taken seriously and effectively managed so early intervention is key! Our team at Perform Podiatry specialise in sports injuries and clinical biomechanics. We pride ourselves in providing the best care to all our patients. Join our team of happy patients! Give us a call on 09 523 2333

Are you worried about your bunions?

Summer is fast approaching which means it’s time to whip out the sandals and open-toed shoes! Usually along with this seasonal change, we see an influx of particular issues and concerns flooding into our clinic. Today we thought we’d talk about a big one of these – bunions!

What is a bunion and how does it occur?

We see a fair few women (and occasionally men!) who have noticed that bump on the big toe developing and getting bigger – which for some begins to impact on the kinds of shoes they are able to fit and comfortably wear. Mostly, they’re unhappy with the way their feet are starting to look. A bunion, or as we medically call it Hallux Abducto Valgus (HAV), describes an altered alignment of the big toe joint where the long metatarsal bone points outwards and the phalanx (toe bone) points inwards towards the other toes which creates a bulge on the inside of the foot at the joint. Bunions are very much progressive, meaning they worsen over time. But once the bunion starts forming, it will likely progress unless something changes (meaning you change it!). While in the early stages a bunion may remain relatively flexible, over time the surrounding ligaments and tissues adapt, shorten and lengthen accordingly. This is why over time, the bunion can become fixed in its position.

What causes bunions?

Think of anything that squeezes the toes or puts greater pressure and force through the big toe joint – that could be a cause! Generally, bunions are thought of as having some genetic predisposition, meaning the run in the family, are more common in women than men (probably because of the tight narrow shoes), and are thought to be linked with a mechanical instability at the big toe joint. Other contributing factors include:
  • Poorly fitting footwear – especially when it’s too tight across the front of the foot!
  • Regularly wearing high heels
  • Flat feet
  • Increasing age
  • History of injury to the big toe joint
  • Arthritic conditions

What are the signs and symptoms?

Aside from the obvious change in appearance (protrusion) of the big toe joint, you may also experience:
  • Pain at the big toe joint
  • Redness
  • Swelling
  • Thickened skin around the big toe joint
  • Pain on bending the toe
  • The bigger toe pushing into the lesser toes (which may begin to overlap the lesser toes)

 How can we help treat bunions?

Because bunions get progressively worse over time, starting to work on bunions early is key! In order to know what we can do to help you with your bunions and the best course of action, we start by a thorough assessment of the joints, the surrounding structures and importantly how much motion and flexibility there is through the joint. After this assessment, we’ll be able to thoroughly explain your options and how you can get the best results. Part of the assessment will be identifying factors contributing to the progressional of your bunions, including any foot biomechanics that causes increased loading through your big toe joint, and correcting those biomechanics. We’ll also go over all your footwear and foot care needs. Just because you may currently have a bunion doesn’t mean that there aren’t shoes out there that can still make your feet look and feel great! Come in and have a chat with our friendly team today! 09 523 2333

Medical Pedicures

Medical Pedicures – Feel great and stay safe on your feet with Perform Podiatry

If you’ve ever been to a chain nail salon, there’s a good chance you’ll have asked yourself things along the lines of:

  • Has this chair been cleaned following the person before me?
  • Do they sterilise their instruments?
  • How do they stop the spread of infection?
  • What are the chances I’m going to pick up something nasty?

And you’d be absolutely right to wonder one or all of those things. Unfortunately, it doesn’t come as a surprise to us to hear patients describe picking up fungal infections of the skin and nails from salons before they start seeing us. Warts can also be readily transmitted through contact in various places ranging from public swimming pools to gym showers and the like. Hygiene is important! Direct contact is one of the easiest ways to spread infections and nail salons that have hundreds of feet a day pass through them. It can definitely be a risk when you can’t be certain of their infection control and hygiene protocols.

Safety and Hygiene First

What you CAN be certain of is our hygiene, infection control protocols and standard of care. At Perform Podiatry, we’re committed to providing clinical excellence in all areas of Podiatry – and this very much includes General Nail Care appointments!

Every set of instruments is steam-sterilised at least the day before you see us to meet all of the health board regulations and protocols. We document and track each instrument set and cycle to ensure this and for our clinical records. We use all of the recommended personal protective equipment (and even extra!) to protect both yourself and us from any potential contaminants. We take continued professional development courses to learn and keep updated on the latest standards and techniques in infection control at least every 2 years.

More than hygiene, we have a large variety of tools and instruments to make sure your feet get the best care. We follow clinical guidelines throughout all of our treatment to ensure that nothing may pose a risk to your foot health. We care for elongated toenails, thickened nails, fungal nails, discoloured nails, ingrown nails and whatever nail condition you have. We remove unwanted callus, reduce cracked heels, remove corns, treat warts and fungal infections and much more! We then help you understand what caused the problem you’re having and how to stop it from coming back.

You are much more than just another pair of feet to us – your feet are what keep you going throughout the day and throughout life and we value that! It’s why we do what we do in Podiatry. To get the best in care for your feet, give us a call and book in with our awesome team! 09 523 2333

Morton’s Neuroma: The pebble at the bottom of your foot

Does it feel like you’ve been walking around on an uncomfortable small stone beneath your foot for some time now?  Have you been feeling pain at the forefoot that seems unusual? And that while Google tells you this pain should be located beneath the big toe joint or at one of the other toes along the ball of your foot, you’re actually feeling it up from there, through the long bones of the foot? Perhaps around your 3rd and 4th long toe bones? And maybe instead of the usual pain, redness and swelling, the pain and discomfort comes with a twinge every so often that may tingle or feel numb? If this sounds familiar then you, my friend, may have a Morton’s Neuroma.   What is a Morton’s Neuroma? A neuroma describes a thickened or inflamed nerve in a space between the toes (interdigital space). Just like rubbing and irritating a muscle, the same can happen to your nerves! It often occurs between the 3rd and 4th toes, though can occur in between the 2nd and 3rd toes , and may be a palpable round mass. The cause of a neuroma is often repetitive compression of the nerve which may occur from:
  • Faulty foot biomechanics that overload and increase pressure to the area of the nerve
  • Ill-fitting footwear that squeezes the forefoot such as high heels
  • Trauma/Injury
  The symptoms The sensation of a neuroma is often described by our patients as the feeling of walking on a pebble. Symptoms are often experienced when weight-bearing on the feet and may include:
  • A sharp or burning pain at the ball of the foot
  • Numbness/tingling at the foot that can spread to the toes
  • Feeling a ‘click’ when walking or moving the metatarsal bones
  What should you do? Pain can initially be alleviated by removing footwear and resting the feet. Unfortunately that won’t make the irritated nerve bundle disappear. To get you on the best course for treatment as quickly as possible, we highly recommend coming in to see your Podiatrist. At Perform Podiatry we:
  • Assess the foot and neuroma (if present)
  • Examine the biomechanics of your feet and legs that may have contributed to the development and progression of the neuroma
  • Identify any other causes or contributing factors
  • Address contributing factors to relieve current pain and minimise the risk of growth in size of the neuroma and future recurrence
  • Look after you and your foot health!
If you’re worried you may have developed a neuroma or you have any aches and pains through your feet and legs that you’re sick of putting up with then give us a call! Our friendly team at Perform Podiatry will help you perform at your best and get back to feeling great!

Run into summer – not into pain!

We’re almost one month into spring – not that you can tell here in Auckland – which means that summer is fast approaching! For a lot of us (and the patients we’ve been seeing), this means dusting off that workout gear and getting ready to hit the gym or the road or wherever you like to work out! Unfortunately, there are always those of us whose bodies don’t initially respond too well to going from bear-like hibernation to regular, and at times challenging (pump class, anyone?), exercise. So we’ve put together some tips to help you get back into exercise safely and effectively and minimise the risk of getting injured in the process!
  1. Start off slow
We know the temptation to go all out on your first day back at the gym until you feel it whenever you sit down the next day – we’ve been there! The very real risk is that if you push yourself too hard initially, then your muscles, tendons and joints which aren’t used to such a load over the winter months have a real risk of being strained and damage – which can see you delaying your exercise for at least a few weeks while you recover! Instead, try starting off with a distance you can manage without too much strain as a baseline and then gradually increase that. Your body will also feel much better the next day!
  1. Check your shoes
We know, sounds cliché right? But there’s a reason for that. Your shoes hold and support your feet (and hence legs and upper body) with every step you take. This means they can either help stabilise and control your movements, or allow your foot to roll unsteadily from side to side, placing excess strain on various muscles and bones and see you tire much faster from all this extra energy you’ve used up trying to support and stabilise your feet. If you’ve had your regular joggers for over a year, just take the time to feel around the heel counter and make sure it’s not to flexible, check the shank through the middle of the shoe so that it’s still quite firm and not too flexible and check the wear pattern on the bottom of the shoe to make sure you haven’t massively worn the shoes down on one side and they’re now going to be tipping you out of balance.
  1. Be mindful of previous injuries
If you’ve injured your feet or legs previously, there’s a chance that area will be a bit weaker, even if it’s all healed up. This makes the area vulnerable to re-injury. Focus on doing exercises that help strengthen that area as part of your daily routine or warm up. For example, if you’ve  previously had a knee injury (like your patellar tendon or your ACL ligament), then include exercises that will strengthen the musculature that surround, support and stabilise the knee.
  1. Warm up and cool down!
Jumping straight into an exercise session without warming up your muscles and expecting them to be as flexible as ever is one of the quickest ways to get injured. Take the time to have a good stretch and warm up for a couple of minutes before you start. After you finish, equally take the time to cool down and give those hardworking muscles a good final stretch. It can save you “feeling the burn” and the soreness the next day and decreases your recovery time.
  1. Variety is the spice of life
We’re not sure about the spice of life, but having variety in your activities and exercises is a great way to work many muscle groups that may be neglected if you stick to just a few activities. Because muscles support one another so much, having good general strength will overall reduce your likelihood of injury and improve your overall function and mobility. So GOOD LUCK to those that are back on the exercise bandwagon! If you have any concerns, need advice or develop any niggles or injuries, come in and see our expert team here at Perform Podiatry. Sports injuries and biomechanics is one of our specialities and we love seeing people back on track and achieving their goals! Give us a call today on 09 523 2333

‘W’ Sitting Position in Children

  Are your kids ‘W’ sitting? Keep an eye out these school holidays! School holidays are almost here so for many of us, life is about to get just that little bit more hectic! It also gives us that little more time to see our kids in action – laughing, playing… and sitting! And sitting can be a biggie, because there’s a type of sitting that is actually detrimental to your children’s posture and can affect their development! It’s called ‘W’ sitting.  

What is ‘W’ sitting?

‘W’ sitting gets its name because the legs make a shape of a ‘W’ when your kids sit like this. It’s when their bottom is on the floor with the knees flat out in front and the legs are tucked back and out to the sides. Now at this point you may be thinking that you’ve seen your kids do this quite a few times. If you have – don’t panic! Kids do this because they feel stable in this position as their muscles don’t have to work so hard to keep them upright and balanced as they sit, especially when they’ve got more important things to worry about like playing with their toys!  

Won’t they just grow out of it?

Unfortunately, the reality is that if this sitting position isn’t addressed and corrected, it can lead do a serious of postural and developmental issues that can affect the hips, legs, knees, feet, core and back muscles and the ability to co-ordinate all of these together! ‘W’ sitting is a big cause and contributing factor to in-toed walking and knock-kneed walking.  

So it affects their bones and muscles?

Yes. If you visualise that position and the way the thigh rotates inwards (internally rotates), think about how that position is affecting the growing hip joint and the surrounding muscles and tissues. It’s the same issue with the legs internally rotating and often the foot turning outwards (externally rotating). The affected muscles of the lower limbs can then tighten or weaken accordingly and create further issues. The core muscles also suffer. Because it is the position of the legs providing stability when ‘W’ sitting and not the core muscles of their abs and pelvis, these muscles don’t get engaged or strengthen at a normal developmental rate and may remain weaker than you’d expect.  

So how should they sit instead?

The best way to discourage ‘W’ sitting is to encourage cross-legged sitting, and continuing to do so consistently until the habit is broken! At Perform Podiatry, we’re parents too so we know it can be tricky! But also very important so they can keep reaching their developmental milestones at a normal and healthy rate. If you’re worried about this or anything else to do with your kids then don’t hesitate to bring them in! We are proud to be experts in kids lower limb health (as well as proud parents!) and would love to see your kids happy, healthy and playing at their best! We’re part of the OneHealth building in Remuera – give us a call on 09 523 2333

Curling Second Toe – Plantar Plate Injury

Does your second toe seem to be looking out of place? Moving away from another toe like a ‘V’ shape? You might have a plantar plate tear!   If you can feel pain and swelling particularly beneath the second toe joint at the ball of your foot (also known as your second metatarsophalangeal joint), then there’s a fair chance you could have done some damage to your plantar plate. After all, it is thought of as being the most common cause of pain beneath this joint – though a plantar plate injury can affect any of the toes! So what is a plantar plate? A plantar plate is a thickened ligament band/structure that runs across the bottom of the toe joints at the ball of the foot, connecting the toes together. Because of this connection, it works to:
  • Stabilise these joints (called the metatarsophalangeal joints)
  • Resist abnormal spreading of the toes
  • Resist hyperextending the joints
  • Take on the loads we bear when walking so there is less pressure on the ends of the metatarsal bones themselves
  And what causes the plantar plate to get injured? The cause of a plantar plate injury can vary but is often associated with increased pressure that overloads the joints at the ball of the foot. This causes the plantar plate to be disrupted at that joint, leaving the toe to ‘pop up’ or move away from the others. Causes can include increased pressure from abnormal foot biomechanics such as flat feet, bunions or a long 2nd metatarsal bone, among others. Non-biomechanical causes may include pressure from ill-fitting footwear or high heels and as a result of trauma. So what are the symptoms? Symptoms of a plantar plate tear may include:
  • A ‘V’ shape between two toes (often the 2nd and 3rd toes)
  • Pain at the affected toe joint
  • Swelling
  • The feeling that you’re walking on the bone
  • Clawing of the toes
And the treatment? Treatment is specific to the degree of injury and begins by reducing the initial painful symptoms (pain, swelling). The focus is then on effectively healing and repairing the injury, stopping it from progressing to a tear of the plantar plate and minimising the risk of the injury happening again in the future! At Perform Podiatry, we are expert in foot biomechanics and sports medicine. We conduct a thorough biomechanical analysis to get a complete picture of what’s going on with your feet and the best solution going forward to ensure this doesn’t happen again! We understand that in this fast paced world we can’t stop everything when we get injured so tailor all treatments to meet your life. Give us a call and chat to our friendly team today!

Heel Pain – Plantar Fasciitis

  If you wake up dreading putting your feet on the ground and taking those first few steps because of an intense pain in your heels, then it sounds like you could have Plantar Fasciitis. Don’t worry! While this condition can be extremely limiting and painful, you’re in the perfect place as heel pain is one of our specialities here at Perform Podiatry. Here’s what you need to know about Plantar Fasciitis. What is Plantar Fasciitis? Your plantar fascia is a thick connective tissue band that runs from the bottom of your heel (where you’ll be feeling your pain) and spans out like a fan to connect into your toes. It works to help support your arch and foot and you engage it and put pressure on it every single time you take a step. Plantar fasciitis describes the condition where your plantar fascia has become damaged, and as a result is painful and often inflamed. Damage occurs when the fascia is overloaded to a point that it can’t tolerate, and so it gets small tears through its fibres. If the damage is bad, the plantar fascia can be partially torn or may completely rupture. Factors that contribute to overloading and subsequent damage can include (among many more):
  • Sudden increase in physical activity or training
  • Faulty foot biomechanics
  • Unsupportive footwear
  • High-impact activities
  • Activities that strain the arch (and hence fascia) such as stair climbing
  • Increased weight
  • Trauma/injury to the heel – such as standing on a sharp rock or jumping down from a high surface
While the above factors are more common, Plantar Fasciitis can result from any activity or action that places great tension on the fascia beyond normal limits. How do I know if I have Plantar Fasciitis? Because there are other tissues and structures around your heels and arch, the first step is to see your Podiatrist so they can confirm a diagnosis and rule out the pain being caused by anything else. Typical signs of Plantar Fasciitis include:
  • Pain located on the bottom and/or inner heel that can radiate up into the arch
  • First step pain in the morning that may ease as you continue to walk
  • Pain on standing after sitting/rest
  • Pain can range from a mild discomfort to an intense stabbing pain
How is Plantar Fasciitis treated? Your Podiatrist will prescribe a thorough treatment plan for you based on your level of injury, symptoms, the initial cause, as well as your lifestyle and goals. It’s important to address all causative factors or there may be a significant chance of your Plantar Fasciitis recurring. Here at Perform Podiatry, we don’t want you wasting time (and money) trying methods that aren’t effective and instead focus on getting you the best clinical outcomes as fast as possible, and with the best long-term result. We work with you so you can continue to enjoy the activities you love while recovering from injury. Your treatment may include:
  • Orthotics – to support the arch and reduce tension off the Plantar Fascia so it can begin to heal instead of being constantly strained on walking
  • Footwear check – to ensure your footwear didn’t contribute to the development of your Plantar Fasciitis and isn’t prolonging recovery
  • Stretching exercises – not only to help stretch the fascia to reduce pain (where appropriate) but to also stretch other muscle groups that may have contributed to the development of Plantar Fasciitis, such as tight calf muscles
  • Trigger point dry needling –  to release or inactivate trigger points to relieve pain or improve range of motion. This is usually done in the calf region
  • Strapping – to temporarily help keep your foot in a position that places minimal strain on the fascia
  • Managing acute symptoms – to help reduce pain and the initial inflammation so that healing can begin
Your podiatrist will also provide helpful tips to get the best and fastest recovery, as well as referring you for an ultrasound or x-ray where necessary. Perform Podiatry specialises in managing Plantar Fasciitis and heel pain If you’re struggling with heel pain and suspect it may be Plantar Fasciitis, our expert team will get you on the road to recovery in no time! We understand that Plantar Fasciitis is frustrating and often limits our patients ability to conduct regular daily tasks when they’re on their feet and hence have a significant negative impact on their quality of life. At Perform Podiatry, we’re proud to be leaders in the field of clinical biomechanics and specialise in the various causes of heel pain – and of course how to effectively treat them! We maintain a high level of clinical excellence in everything we do – come in, experience it for yourself, and stop putting up with your heel pain!