Plantar Fasciitis, Heel Pain, Big Toe Joint pain.

Metatarsalgia, Moreton’s Neuroma and other digital Neuritis.

Achilles Tendonitis, Chronic and acute ankle pain, ankle and knee instability.

Pain associated with Hammer, Claw, Retracted, mallet and missing toes.

Shin Splints, Knee pain.

Tibialis syndromes (anterior and posterior).

Post-fracture pain, post-cast pain, post-infection pain, restless leg syndrome.

Intermittent- claudication, cramps, scars.

Arthritis and sometimes rheumatoid & aching feet with no other symptoms.

For further details on treating these conditions, please contact Martin on 020 8387 9910

 A condition affecting the achilles tendon and

 characterised by progressive pain and swelling of the same.This condition left untreated carries the risk of achilles tendon rupture. Most cases are caused by poor foot and lower limb mechanics, tight and or poor muscle balance.

Mechanical therapy plays an important role in the management of this condition if surgery is to be avoided.

Treatment of Achilles Tendonitis.

This involves the use of orthoses to address any poor foot function and posterior leg night splints. This combined with appropriate exercises and physiotherapy will provide impressive results.

Painful in the morning usually or more so if the
day before involved increased activity or participation in sports. May improve following a short period of activity or a warm up with stretching.

Arch Pain (often referred to as Arch Strain) is an inflammation and/or burning sensation at the arch of the foot. 

There are many different factors that can cause Arch Pain. A structural imbalance or an injury to the foot can often be the direct cause. However, most frequently the cause is a condition called Plantar Fascitis.

The Plantar Fascia is a broad band of fibrous tissue located along the bottom surface of the foot that runs from the heel to the forefoot. Plantar Fascitis is caused by excessive stretching of the Plantar Fascia usually due to overpronation (flat feet).

The inflammation caused by the Plantar Fascia being stretched away from the heel leads to pain in the heel and arch areas. The pain is often extreme in the morning when an individual first gets out of bed or after a prolonged period of rest.

If this condition is left untreated and strain on the longitudinal arch continues a bony protrusion may develop known as a Heel Spur. It is important to treat the condition promptly before it worsens.

Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort. Foot mechanics play an important role in how the condition develops or improves.

There are three different categories of heel pain, the first is caused by an over-use repetitive stress which refers to a soreness resulting from too much impact on a specific area of the foot.

This condition often referred to as ‘bruised heel syndrome’ can be caused from shoes with heels that are too low, a thinned out fat pad in the heel area, or from a sudden increase in activity, or bruising. Rest is often the best form of treatment for this.

PLANTAR FASCITIS

A more common diagnosis of heel pain, is usually caused from a biomechanical problem such as over-pronation (flat feet). The Plantar Fascia is a broad band of fibrous tissue that runs along the bottom surface of the foot, from the heel through the mid foot and into the forefoot.

Over-pronation can cause the Plantar Fascia to be excessively stretched and inflamed resulting in pain in the heel and arch areas of the foot. Often the pain will be most intense first thing in the morning or after a prolonged period of rest, the pain will gradually subside as the day progresses.

Conservative treatment using triple therapy is very succesfully.

This involves orthoses to support and rest the plantar fascia, posterior leg splints to be worn at night to apply a gentle stretch and stimulate healing.

In difficult cases an injection to reduce inflamation will form the third part of the triple therapy. In rare cases surgery may be considered.

Heel pain in children under the age of approximately 13 may be due to Plantar Fascitis. However it may also be due to a condition known as Sever’s Disease. This occurs in children who are very active in sports and who have regular and large growth spurts. Pain is usually present at all time from the outset and is evident all around the heel. The heel may also show signs of redness, some swelling and warmth. This condition is caused by an inflammation of the bone and cartilage. The use of orthoses and leg splints helps considerably and in severe cases applying a below knee plaster cast has been advocated.