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EXPERIENCING PAIN IN YOUR ANKLES, KNEES OR HIPS? 

EXPERIENCING PAIN IN YOUR ANKLES, KNEES OR HIPS?

At Total Care Podiatry the podiatrist will ascertain what dysfunction is occurring in your feet, how this is interacting with the muscles in your back, pelvis and legs and will see what areas in your lifestyle may be placing you at risk of continuing the injury. We will also work together with other health professionals involved in your care to achieve a long term solution.

Your knees and hips are the largest joints in your body. They are responsible for supporting your weight as you stand and walk. If you are experiencing chronic pain in your hips, knees, or even in your lower back, shoulders and neck, there may be a connection between this pain and the way your feet function.

Walking is good for you, right? Absolutely. But beware of poor walking habits that can cause or exacerbate knee and hip problems. On the positive side, however, a safe and smart walking regime can help improve joint problems, not to mention how good it is for your overall health.

KNEE PAIN

Watch your feet. If you are prone to foot problems, such as hypermobile feet (when the joints in and around the feet move more than they should) or  fallen arches caused by over pronation, your gait may be compromised. And this change can cause unnecessary stress on the knees, resulting in painful injuries.

The knee is made to bend only in one direction—facing straight forward.  When the foot over-pronates, the leg rotates inward toward the opposite leg. This causes the knee to flex and extend while pointing inward and not in the normal direction, which puts stress on the knee.

People who suffer from osteoarthritis pain have worn cartilage on the inside (medial) area of their knee joint. Research is being done to determine how walking differently can help manage this pain. According to the Arthritis Foundation, studies are finding that pointing your toes slightly outwards (about 7°) when you walk will shift pressure to the outside (lateral) part of the knee, relieving the pain radiating from the inside of your knee joint.

RUNNER’S KNEE (which is not exclusive to runners!) is identified by a throbbing pain on your kneecap. The impact of your foot hitting the ground causes your kneecap to rub against the femur bone. If you have a misaligned kneecap or previous injury, your knees are more vulnerable. Other causes are weak thigh muscles, soft knee cartilage, or flat feet.

HIP PAIN

Pain from bursitis is felt on the outside of your hip, whereas arthritis is felt on the inner hip near your groin. Relief from each requires different walking treatments.

Repetitive stress (including excess walking or running) can cause the bursa that cushions your hip to become inflamed. Another cause of bursitis is exercising without proper warm-ups and cool downs, which are a vital part of any program. You need to follow a very slow walking regime when recovering from a bout of bursitis. This involves gradually increasing the frequency and length of your walks.

As with osteoarthritis in general, the cause of hip arthritis can be genetic. It can be a hereditary or a congenital problem with an improperly formed hip joint. Hip arthritis can also develop from an injury or trauma to the hip area, or stress from excess weight or activity.

The problems caused by over pronation, which were discussed for knee pain, are also true for the hip joint. When the foot pronates, the leg rotates inward and the hip can become unaligned. This condition puts stress on the hip and on the entire leg muscles.

HOW TO HELP YOUR ANKLES, KNEES AND HIPS

Any problem with the foot or ankle resulting in a compromised posture or gait can lead to knee and hip pain. Examples of common foot problems that can lead to poor posture and irregular walking patterns include:

  • Plantar fasciitis, which can lead to chronic heel pain and/or arch pain
  • Nerve pain or numbness in the foot (such as neuromas and tarsal tunnel syndrome)
  • Bunions and bunionettes (big-toe versus little-toe side, respectively)
  • Excessive foot  pronation (rolling in) or  supination (rolling out)

When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it may be possible to reduce the knee and hip pain by improving foot function, using proper footwear and orthotic insoles.

A Harvard medical school health publication advises that exercise is an important treatment for arthritis. It improves the strength and function of the afflicted area(s).

In many cases, a moderate walking plan is recommended to alleviate such pain. It is considered a low impact activity that strengthens the supporting muscles, relieving the pressure on the joint. Be sure to walk on a smooth, soft surface such as a track or treadmill. Your doctor or physical therapist can advise how much walking is best for you. An extra bonus is walking will help with weight loss, which takes some stress off your joints.

When you compensate for pain by limping or walking with an abnormal gait, other joints can suffer wear and tear. Your rheumatologist, orthopedic doctor or physical therapist can help determine if changing your walking gait could help reduce pain. Many PTs will video patients as they walk on a treadmill and then review their walking habits to determine what pain reduction improvements can be made. You can make a conscience effort to minimize limping by holding your body straight without swaying and maintaining and even stride.

THE RIGHT SHOE REGIME

Healthy shoes play a significant role in knee and hip pain management. Here are a few tips on the importance of wearing good shoes.

  • Never wear heels over two inches high. Heels increase the risk of knee joint degeneration.
  • However, not all flat shoes are good for your feet. Flats that do not provide any arch support can lead to knee, hip, and back pain.
  • Get the right fit. Tight shoes can cause limping from foot pain. Oversized shoes can also impair your gait. Either way, you’ll be putting unnecessary stress on your knees and hips.
  • Stability sneakers provide cushioning and help control over pronation. They also relieve the ball of the foot, which helps arthritic pain in the hip, knee, foot or ankle.
  • Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful.
  • If knee or hip pain is due to your foot function, the proper footwear along with orthotic insoles can be a very effective way to relieve symptoms.
  • Invest in quality shoes that are specifically made for your condition. Total Care Podiatry provides the ability to browse shoe selections that meet your needs.

At Total Care Podiatry the podiatrist will ascertain what dysfunction is occurring in your feet, how this is interacting with the muscles in your back, pelvis and legs and will see what areas in your lifestyle may be placing you at risk of continuing the injury. We will also work together with other health professionals involved in your care to achieve a long term solution.

WARNING
THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

WALKING/RUNNING MORE THAN EVER SINCE YOUR GYM CLOSED? We Can Help You Move While You Wait!

HIP & LEG ASSESSMENTS NOW AVAILABLE 

IN CLINIC OR VIA TELEHEALTH

When you see a heath professional for back pain, do they remark how your ‘pelvis is rotated’ or ‘out’?

Does the treatment only give short term relief before the pain is back again?

It may be that you have a difference in leg length or the alignment of your pelvis is abnormal.

Maybe you’ve had an injury which has resulted in one leg bone being shorter than the other. Alternatively, if the pelvic misalignment is more than mild, it may be caused by a structural back condition called scolosis.

Also, a total hip or knee replacement can result in a shortening of one leg. This can be significant when combined with how your body adapted before the surgery and how it then adapts again after surgery.

Walking should be a fluid motion from the time the heel hits the ground to the point where we step forward and off the foot. Sometimes, if the forefoot and especially the big toe joint becomes jammed, the forward movement is momentarily blocked, forcing other joints to compensate.

The repetition of every step you take is enough to place strain and stress on the muscles and joints leading to inflammation and increased risk of injury.

If you experience back pain and/or pain and fatigue it is important that you have the alignment of your lower limbs and feet analysed to ensure there are no abnormalities that could be contributing to this pain.

HOW DOES THIS TREATMENT WORK?

If your pelvis is misaligned or you have a difference in leg length, each step is going to place a little more pressure on one side than the other, forcing the joints and muscles to compensate, 4,000 times a day for each leg!

At Total Care Podiatry, we analyse these misalignments to make sure you are as straight as possible.

We then measure any misalignments with:

  • Plantar Pressure analysis to measure the amount and timing of pressure underneath your feet in walking and standing. We use our pressure plate to note asymmetry between the pressure on one side to the pressure on the other
  • A digital pelvic inclinometer (DPI). This equipment has only been available in Australia since early 2015 and the research has shown it to be very accurate. Using the DPI we can better understand why the difference is there and how much is from your pelvis, leg and foot and the compensations and adaptations that have occurred over time.
  • Treadmill analysis. To see how your body functions with in-shoe corrections we have you comfortably walking on our state of the art treadmill, that has an inbuilt plantar pressure plate. This allows us to examine how your pelvis functions dynamically. We also note symmetry in your stride, and as your body moves up and down with each step, by assessing the differences using the plantar pressure data.

WHAT ARE THE BENEFITS OF THIS TREATMENT?

A hip and leg assessment provides objective information which can be compared to results after we implement a treatment plan. We also advise your back health professional on our treatment and ask them to monitor it at your next treatments. Working closely with them, we aim to give you the very best chance of having a long lasting solution to greater mobility.

TELEHEALTH

Total Care Podiatry now has a ‘TELEHEALTH’ option if you are unable to leave your home.

As a community service at this time we have made available three FREE TeleHealth consultations per week.

Call 5223 1531 to book

Using the secure Physitrack software our podiatrists will be able to provide online:

  • a video conference for you to explain your concerns and receive clinical advice,  and, if required
  • an exercise and rehabilitation program of video demonstrations within the Physitrack App.

This will enable us to begin or adjust your treatment plan from the comfort of your own home with subsequent face to face appointments occurring as required.

The billing for these will be the same as usual for NDIS and Veterans. For patients with a Chronic Diseases Management plan (for Medicare rebates) we are able to bulk bill with a new Item number provided by Medicare. For private patients the Fee is $30. Please give us a call  on 5223 1531 to discuss your situation.

If you have any questions,  concerns or special requirements please give us a call on 5223 1531 and we’ll do our best to help you.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

MEET RACHEL VALE – TOTAL CARE PODIATRY’S NEWEST TEAM MEMBER

We’re excited to welcome Rachel Vale to our team at Total Care Podiatry.

Rachel has had a lifelong passion for podiatry with interest in biomechanics, general foot care and nail surgeries. She enjoys working in paediatrics and strives to create tailored treatment plans for her patients.

Growing up in Geelong, Rachel has always had an interest in sports, particularly volleyball and basketball. Her interest in sports has helped her treat both acute and chronic musculoskeletal conditions. Outside of work she enjoys spending time with family, going to the gym and watching movies.

To make your next appointment with Rachel please contact our friendly reception team on 5223 1531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

TELEHEALTH – WHO IS IT FOR?

TeleHealth

Total Care Podiatry now has two ‘TELEHEALTH’ options if you are unable to leave your home:

  1. As a community service at this time we have made available three Complimentary TeleHealth Advice sessions per week. This service is about 10 minutes to answer general questions and provide you with advice. It is particularly good if you are a New Patient who needs some help to manage until you’re able to attend the clinic.
  2. TeleHealth Consultation. For existing patients who are unable to attend the clinic. Using secure  software our podiatrists will be able to provide online:
  • a video conference for you to explain your concerns and receive clinical advice,  and, if required
  • an exercise and rehabilitation program of video demonstrations within the Physitrack App.

This will enable us to adjust your treatment plan from the comfort of your own home.

The billing for these will be the same as usual for NDIS and Veterans. For patients with a Chronic Diseases Management plan (for Medicare rebates) we are able to bulk bill with a new Item number provided by Medicare. For private patients the Fee is $30. Some health funds are providing a rebate for TeleHealth consultations. Check with your Health Fund.

If you’re not sure about whether TeleHealth is right for you please give us a call  on 5223 1531 to discuss your situation.

If you have any questions,  concerns or special requirements please give us a call on 5223 1531 and we’ll do our best to help you.

Call 5223 1531 to book

TeleHealth at Total Care Podiatry

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

DID YOU KNOW WE PROVIDE SAME DAY ORTHOTICS?

Is exercise ⛹️‍♀️ hurting your feet?

Walking is great exercise but sometimes your feet don’t appreciate it.

If you need orthotics, prescription is everything. A pair of off the shelf insoles are just not going to cut it.

Total Care Custom Orthotics are designed and prescribed specifically for you to improve the function of your feet and your body’s ability to compensate biomechanical misalignment.

Our In-House milling machine ensures the Same Day Orthotics service will reduce your visits out and about during the COVID-19 crisis.

For no extra charge our Same Day Orthotics offer includes:
👣Comprehensive Initial Musculoskeletal consultation
👣Plantar pressure and video gait analysis
👣3D and 2D scanning of feet
👣Custom prescribed orthotics CADCam designed and milled
All on the same day!

Mention this offer when you call ☎️ 5223 1531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

DANCE ASSESSMENTS

The Dance Assessment at Total Care Podiatry is designed to help prevent injuries and solve any issues which may be limiting your success in reaching your dance goals.
With her in depth knowledge of structure and function of the foot, our Podiatrist Esther Francavilla ensures she creates the best possible plan for each dancers’ individual needs.

Esther started classical ballet at 5 years of age in Melbourne. She learned the methods of Vaganova, Borovansky and R.A.D. She also learnt other styles such as contemporary, jazz and character to name a few. Esther went on to study for one year at the Victorian College of the Arts. During this time Esther wanted to further her studies and realised how important feet are to dancers! This is what inspired her to study Podiatry.

Since graduating, Esther has combined her passion for podiatry with her knowledge of dance to help young dancers achieve their goals. She prides herself on teaching dancers correct technique to help enhance their capabilities and reduce the risk of injuries.

The Dance Assessment of Foot Function has three steps to success:
1. A thorough Initial consultation to assess and address the dancer’s needs.
2. A tailored treatment plan, that combines the condition, treatment, and prevention as well as educating the dancer along the way.
3. A review plan depending on progress.

Conditions this service treats

• Prevention of injuries
• Understanding the individual’s dancing mindset
• Treating dance injury in accordance with the dancer’s goals
• Ensure the dancer is informed and understands the process so that not only current issues are taken care of, but future injuries will be prevented

How does the treatment work?

Initial assessments can help determine a dancer’s structure as well as current mobility and strength.
Each dancer is different and therefore will be provided with unique feedback and tips to help achieve their goals.
Depending on the style of dance, Esther will customise full injury and rehabilitation programs as part of the return to dance and injury prevention.

What are the benefits of this treatment

There are many contributors to dance injury, including poor technique anatomical anomalies, footwear, and surfaces. Our personalised treatment goals will benefit with assisting in preventing these injuries and provide you with tips and tricks to prevent them from occurring in the future.

Pre-Pointe Assessment

A specific pre-pointe assessment is recommended before a dancer progresses to pointe work.

The screening will help develop an awareness about correct and incorrect positions which will help the dancer on her pathway to going en pointe.

During a pre-pointe assessment, Esther will take the following into consideration

  • Basic Ballet Technique
  • Foot, ankle and leg strength
  • Joint range
  • Posture and core control
  • Anatomical structure of the foot and compensations
  • Growth and maturity

Once a pre-pointe dancer can correctly perform the assessments, she is strong enough to commence pointe work with the guidance of her ballet teacher.
The follow up review helps the dancer improve her strength and mobility for pointe work.

A review every six months is recommended if there are no concerns along the way.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.