Orthotics – how do they really work?

If you’re not currently wearing orthotics then it’s likely you know someone who is. But what do they do for your feet and can they really help you? Our experts at Perform Podiatry answer your questions!

So, what are orthotics?

Orthotics are ‘inserts’ or ‘inner soles’ that go into your shoes. However, they are so much more than the ‘cushioning arch supports’ that they are often thought of being. They serve a functional purpose to alter the alignment of your feet and change the way your bones, joints and muscles function each time you take a step. When feet are paired with the right orthotics for them, they can make a significant difference to your pain levels, rate of recovery from an injury and your overall quality of life.

What do you mean by the right orthotic?

For an orthotic to be able to function correctly and be of benefit to the wearer, the orthotic needs to be right for that person’s foot type, their injury if they have one, the motion they have available through the joints of their feet and many more factors. Because foot posture and function varies so significantly from person to person, there is no ‘one type fits all’ orthotic and you can’t expect an orthotic that worked so well to relieve your foot pain to do exactly the same for someone else. This is why it’s so important to get your orthotics from a Podiatrist that completes a comprehensive biomechanical assessment of your feet prior to prescribing the best orthotic for you – and why some people that buy a ‘one type fits all’ orthotic from K-Mart wonder why their foot pain didn’t disappear overnight.

What can orthotics help with?

Orthotics can be a great adjunct to helping treat a variety of conditions and ailments, including helping to:
  • Facilitate healing of damaged muscles and tissues – g. plantar fasciitis
  • Relieve pressure from painful areas of the feet – g. corns, callous, ulcers
  • Improve walking and running techniques
  • Stabilise and support the feet and body
  • Support foot and leg abnormalities – g. limb length difference
  • Reduce pain from systemic conditions – g. arthritis
  • And so many more!
It is important to remember that in order for orthotics to help specific conditions and ailments, they will have the right features to address the issue – including the most suitable materials, additions and pads, and the right positioning with regard to the anatomy of your foot. This is where it’s critical that you see a practitioner that is highly experienced with prescribing the best orthotic to help you and address all of your foot health needs.

Perform Podiatry specialises in orthotics

Perform Podiatry are specialists in orthotic prescription and clinical biomechanics and our team have been doing it for years. We’re proud to be leaders in this field and are committed to bringing you the best podiatric care so you can enjoy doing the things you love without being limited by pain or injury. If you have an issue with your feet or legs, or would like to know how orthotics can help you, we welcome you to join our team of healthy and happy patients! Give us a call on 09 523 2333 to speak with one of our friendly team.

Children’s Heel Pain – Sever’s Disease

– Heel pain in kids during sport – what’s causing it? – If your child is getting heel pain during sport – this is for you! – What’s causing your kids heel pain during sport? If you’re a parent of a healthy and active child, you’ll know their frustration and disappointment when developing pain in their feet and legs. As specialists in kids Podiatry, we see it all too often. We hate seeing pain stopping kids from running around with their friends and playing the sports they love and have been looking forward to for months. So if they haven’t injured their feet, why are they getting pain their heels? If your child is aged between 8 -14, it’s likely that they have developed Severs Disease. Don’t be alarmed – despite its name, Sever’s is a condition as opposed to disease and will resolve over time. Timely and appropriate management can help it resolve much faster and get your child back on the field, feeling great. Here’s what you need to know:  

What is Severs Disease?

Sever’s has often been referred to as ‘growing pains’, though this does not describe how and why the pain occurs. Sever’s is actually the abnormal tension (pull) on the heel bone and its growth plate in kids. Growth plates are located on the ends of growing bones and will eventually turn into solid bone when we reach full maturity. As we grow, our bones, muscles and tissues all grow and lengthen too. In Sever’s, the achilles (which also connects to the calves) hasn’t elongated at the same rate that the heel bone has been growing, the resulting tension and pull on the back of the heel becomes very painful.  

What are the symptoms?

Symptoms typically occur during a period of growth, particularly between 8-14 years and include:
  • Pain at the back of the heel that can be sharp or aching
  • Pain occurs during (or after) sports or physical activity
  • Abnormal tightness through the back of the legs down to the heel
  • Swelling at the back of the heel
  • Pain that is reduced with rest and ice, but comes back with activity
 

What can trigger Severs pain?

Any additional factors that cause increased strain on the achilles/calves/heels can exacerbate this pain, including:
  • Running sports
  • Increased physical activity
  • Soccer boots and low-heeled shoes
  • Tight calf muscles
  • Hard surfaces

How do you treat Severs?

They key is to not only settle the symptoms but treat the cause, that is, reduce the abnormal pull on the heel from the achilles. After using rest and ice to reduce the pain if it arises, treatment to eliminate Sever’s pain long-term may include the combination of:
  • Orthotics – to keep the foot in its optimal position so that it minimises the tension placed on the achilles where it connects to the heel
  • Stretching/strengthening – this will lengthen tight muscles so they can functionally normally with the other bones, joints and tissues. This also reduces the risk of further injury down the track
  • Footwear check – this ensures that footwear isn’t worsening the foot pain. Even good, supportive shoes may have a low set heel which will place more tension on the achilles/heel
While Sever’s is a frustrating, painful and upsetting condition, you don’t need to put up with it or wait months hoping that it will resolve.

Perform Podiatry are kids foot health experts

Perform Podiatry is proud to be not only one of Auckland’s top Podiatry clinics but also one of the only clinics that specialises in kids feet. We go above and beyond to ensure that all of our patients receive the best care and outcomes that exceed their expectations. There’s nothing we love more than seeing kids healthy, happy and doing the things they love without the fear of pain or injury. If you’re worried about your little ones feet or they’ve developed pain at their heels or anywhere through their feet or legs, give us a call on 09 523 2333 and see our expert, friendly team!

Your kids feet – signs you should have them checked by a Podiatrist!

There’s nothing better than watching our kids growing bigger and stronger every day – and it seems to happen in the blink of an eye! As they grow and change, their feet do too. Bones get bigger, muscles and tendons lengthen and strengthen, the feet and legs function optimally as one stable unit, foot posture changes and develops – all to keep them walking, running and playing at their best! With all these changes it becomes difficult to differentiate between what’s normal and what can be a sign of an underlying problem.

To help you know what to look out for, we’ve put a list together a list of signs that your kids feet should be checked by a Podiatrist:

Pain and growing pains

Pain is our bodies response that something isn’t quite right and that something is triggering a pain response. Pain is not a normal part of kids’ growth and development and should not have to be put up with or waited out. Thankfully, when we find the cause of the pain – which may or may not be attributed to bone and muscle growth – we are able to address this cause and thereby alleviate the pain.

Cant keep up with their classmates

If your kids can’t seem to be keeping up with their peers in the same age group then it may be due to the biomechanics of their feet, that is, how effectively their bones, joints and muscles work together to keep them running and playing all day. Often this comes down to poor foot posture causing the supporting muscles of the feet and legs to work much harder than they otherwise would which means legs get tired and ache much faster than they should be. This is not uncommon in kids with flat feet among other foot postures. Addressing these biomechanical abnormalities can get muscles working as they should and keep your little ones going!

Regular tripping or falling

If your child is tripping or falling over noticeably often, it could be an abnormality in the position of the feet or the way the feet/legs move during gait. In-toeing (pigeon-toeing) is an example of this as kids are more likely to trip up over their feet when they are rotated inwards in this position. It may also be due to a neuromuscular condition where the muscles are lacking the strength needed to clear the ground or function regularly. Through an assessment of the feet and legs, we are able to identify and address the cause to correct the issue and help stop abnormal falls.

Hesitation to show you their feet

If kids are hesitant to show you their feet, it could be because there’s something wrong but they’re afraid or having to go to the doctor or getting in trouble. This could be a muscular or structural foot pain, or damage to the skin like in rubbing against the shoe. If you don’t notice any obvious grazes, scratches, blisters or other superficial issues, it’s best to have them checked to see if there are underlying issues. Plus once they come in to see us here at Perform Podiatry, they’ll see we LOVE seeing kids and there’s nothing scary in our clinic!

Reluctant to participate in physical activity

If your child goes from being very active and loving to run and play to losing interest in participating in physical activities overnight, they may have foot or leg pain. It’s not uncommon for kids to not want to admit that they have painful feet or legs and instead insist that they simply ‘don’t want to do it’. If you notice this behaviour to an abnormal extent, bring your kids in to see us so we can identify what’s going on and how we can help.

Incoordination and odd walking patterns

Incoordination and odd movements can mean that structural or functional abnormalities of the feet and legs are affecting their ability to walk smoothly and effective. Underlying causes can include restrictions in motion of the joints, muscular tightness, neuromuscular conditions and weakness, among others. It may also be a case of a learnt walking pattern, such as toe walking, where a fun habit leads to chronic shortening of the achilles tendon to the point that the heel can no longer touch the ground. Bring them in for a check and we will diagnose the problem and get them on their way to walking, running and playing at their best! Overall, our golden rule is that if something is genuinely worrying you about your kids lower limbs and development, trust your instincts and don’t hesitate to bring them in. The sooner we identify and treat the cause, the sooner they can get back to skipping, hopping, running, playing and doing what kids do best!   Here at Perform Podiatry we are proud to be experts in the field of kids podiatry and treat a large variety of kids foot conditions ranging from biomechanical and alignment issues to ingrown toenails, warts and skin conditions. We’re committed to keeping kids happy, healthy, active so they can do the things they love!