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  • Dry Needling
    very painful and can refer pain to other regions of the body Trigger points can lead to a muscle switching off or reducing the strength of its contraction Dry needling can assist this Trigger points usually occur in muscles that have been overworked often through overuse or due to abnormal foot posture Dry needling is used in addition to other treatments and will not alone eliminate the problem or injury By reducing and relieving trigger points muscles are able to function and perform movements more efficiently and pain can be reduced The benefits of Dry Needling Dry needling at trigger points has been shown to result in a reaction from the central nervous system allowing the muscle to relax and producing analgesia This analgesia then allows us to appropriately assess and manage muscle conditions with reduced pain and hypertonicity The needles used in this process are incredibly fine and for this reason there is minimal to no pain to the patient There is often a local twitch response when the needles are inserted into trigger point with a rapid contraction of the muscle and sometimes a brief cramping or sensitive type sensation is felt How does dry needling work The exact mechanisms of dry needling are not known Recent studies have shown that inserting a needle into trigger points can cause complicated changes to both the tension of the muscle and the chemicals in the blood around the trigger points resulting in breaking up of the knots increased blood flow and reduced pain What type of problems can be treated with dry needling There are many conditions causing musculoskeletal pain of the lower limb ankle and foot that could potentially be treated with dry needling A common example is trigger points within the calf and foot muscles referring pain to

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with/78-dry-needling.html (2014-01-05)
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  • Blog
    St More Articles Plantar Fascitis Heel Pain Explained Dry Needling Why research can be misleading Why do many Doctors not understand Excessive Foot Pronation Start 1 2 3 4 5 6 7 8 9 10 End Call 1300 328 300 to feel better sooner than you think Call me please Call me please Enter your details and we ll call you back We can help you with Plantar Fasciitis Heel

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=2 (2014-01-05)
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  • Blog
    Osteopaths Surgeons Specialists and most importantly word of mouth by thousands of satisfied patients to help you end your Heel Pain Other types of Heel Pain Pain at the back of the heel pain is called Achilles Tendinopathy Achilles Tendonitis Children and teenagers may suffer from paediatric heel pain or Sever s Disease Heel Pain latin Plantar Fasciitis Symptoms sharp pain in the heel with first steps in the morning or after resting subsiding to dull ache Causes repetitive weightbearing tissue stress of the fascia as a result of environmental factors and foot function Treatment diagnose condition correctly Assist foot function improve tissue repair with prolotherapy assess nutritional state and supplement accordingly plan for return to weightbearing activity with reconditioning exercises How orthotics help heel pain but only if design implimented and used according to your prescription Orthotics are tools used to assist the function of different parts of the body These include spectacles hearing aids braces knee braces and foot orthotics However as with all orthotics there are very different designs for different individuals You must have any medical devices designed with the correct active ingredients with the correct dose Foot orthotics have been hijacked by retail businesses trying to use proven clinical research to sell insoles implying they are proper medical devices and cure alls That is why false claims are made and results are often poor But I have foot orthotics from someone else and they don t work Even most health professionals have a very poor understanding and little experience in prescribing medical foot orthotics properly Whether it s a surgeon a GP Physio chiropractor osteopath or a Podiatrist they must stay up to date with the latest medical research and must be clear with your requirements Out dated advice relating to heel pain is given away by using terms such as inflammation cortisone gel heel cups calf stretching arch supports realignment pronation and give clues as to the questionable quality of the advice So if you ve had the experience a being given an insole a gel heel pad stretches anti inflammatories or an orthotic and it didn t work then don t worry you just need good advice Orthotic prescription Functional Kinetic is the medical device is a specific area of podiatric musculoskeletal and sports medicine and your prescription is best determined by an experienced sports podiatrist That s why we can help we know about these things and stay up to date medically Foot orthotics work medically and clinically proven beyond doubt Tissue stress is specifically reduced and managed over the long term and you really should feel much better without waiting long If you are having problems and would like to learn how to get better then make an appointment today Remember Foot Leg pain Clinics come recommended by GP s other Podiatrists Physiotherapists Chiropractors Osteopaths Surgeons Specialists and most importantly word of mouth by thousands of satisfied patients to help you end your Heel Pain Dry Needling DRY NEEDLING Short explanation

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=4 (2014-01-05)
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  • Blog
    dye taping techniques see below to assess how orthotic therapy may assist Whilst I have found this clinically useful I would suggest this is a fairly non scientific approach The work of Bill Vicenzino and Co is very much a watch this space idea and we will LOW DYE TAPING VIDEO REFERENCE Vicenzino B Collins N Cleland J et al A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefit from foot orthoses a preliminary determination 2010 Br J Sports Med 44 862 866 Why do many Doctors not understand Excessive Foot Pronation Why do many Doctors not understand Foot Pronation and what to do with it Introduction On a daily basis sports Podiatrists assess and diagnose in an attempt to establish contributors to injury When assessing lower limb injuries one of the most common observations is excessive dynamic pronation But why is this misinterpreted as the cause of pain Why are the treatments that many practioners and doctors suggesting not effective not desirable and not beneficial to the patient Usually this is because a lot of the reasearch has improved our understanding of the causes of musculoskeletal injury and pain and many practitiners do not have a good understanding of this complex and challanging area of medicine and do not keep up to date in this field Prevention of Lower Limb Overuse Injuries with Orthotic Therapy Treating Patellofemoral Pain With Orthotics Research Review Intrinsic Foot Muscle Strengthening A Comparison of Short Foot and Toe Curl Exercises This article will discuss the effectiveness of various external controls in preventing excessive pronation What Is Pronation Now this should not come as a surprise to anybody but foot pronation is in fact a very normal motion of the foot It is required for shock absorption during normal walking and running gait Pronation is a triplanar movement required for walking and is the combination of rearfoot eversion midfoot abduction and talocrural ankle dorsiflexion This movement is required during stance phase to allow for normal patterning Pronation is not a bad thing however where we get into trouble is when there is a excessive increase in the forces required to move the foot and leg through the necessary movements of pronation and supination Why Do We Want To Prevent Excessive Pronation There are obvious reasons why a practitioner would want to limit excessive pronation in an athlete however it is critical to understand what they are actually doing Although Excessive foot pronation has been shown to be correlated with the incidence of the following to name but a few Metatarsal stress fracture Mazrahi et al 2000 Plantar fasciitis Pascual Huerta et al 2008 Achilles tendinopathy McCrory et al 1999 Patellar tendinopathy van der Worp et al 2011 Medial tibial stress syndrome Moen et al 2009 Patellofemoral pain Cheung et al 2007 there are many other recent studies showing pronation is unfairly blamed as the main contributing factor in many injuries In fact some injuries require an increase in pronation

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  • Blog
    2 3 years Runs well and may be able to climb stairs 4 years Runs well and may be able to ascend and or descend form stairs 5 years Skips and hops Heel Growing Pains Home About Us Foot Conditions Diabetes Orthotics Children Products Payment Contact Us Ankle Sprains Bunions Corns Callus Fungal Infection Skin Fungal Infection Nail Ingrown Toenails Pain Ball of the foot Pain Fore foot Pain Heel Plantar Fasciitis Pain Heel Sever s Disease Pain Shin Shin Splints Warts Camwalkers Creams Ointments Orthotics Pressure Stockings Socks Greenvale Tullamarine Sever s Disease Heel Pain in Children What is Sever s disease Sever s Disease is the term used for heel pain in children It is the inflammation of the growth plate calcaneal apophysis of the heel bone What are the symptoms of Sever s disease Children often complain of pain in the heel area of the foot Pain initially occurs only after physical activity like playing football however if timely preventative measures are not taken over time the pain could occur during physical activity as well What causes Sever s disease When the child is growing the muscles and bones grow A stage may come when the muscles are still catching up to match the growth of the bone In case of Sever s disease the Achilles tendon that attaches to the back of the heel may exert a slight pull on the growth plate of the heel Increased physical activity and pressure on the heel area could cause pain Who can get Sever s disease Sever s disease occurs mostly in athletically active children between 8 15 years of age It is more common in boys What are the risks associated with Sever s disease and why should it be treated Sever s disease could limit performance

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=8 (2014-01-05)
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  • Blog
    more serious conditions eg malignancy infection Imaging should also be utilised if there are any doubts surrounding a diagnosis of osteochondritis dissecans slipped capital femoral epiphysis or Perthes Disease Standard radiographs can confirm Osgood Schlatters by revealing heterotropic ossification at the site of the tubercle MRI findings will vary dependant on the stage of the condition but can highlight additional soft tissue changes that can occur These include soft tissue swelling anterior to the tibial tuberosity loss of the sharp angle to the infrapatellar fat pad thickening and oedema of the patellar tendon and infrapatellar bursa 2 Management of Osgood Schlatters Disease Conservative management involves a significant amount of education of the child parents and even coaching staff as their co operation is often required during the implementation of the childs rehabilitation Poor foot posture and joint movement issues need to be addressed consider these options for controlling excessive pronation Regular icing of the knee post activity for pain relief Correcting biomechanical contributors is essential This may include tightness and weaknesses present in surrounding musculature For tightnesses consider the calf hamstring and quadriceps Regarding weaknesses assess the pelvic stabilisers medial quadriceps extrinsic and intrinsic foot musculature Painkillers NSAIDs should be avoided although may be indicated around competition periods as required Stretching of tight quadriceps however during the acute stages this may not be possible due to pain at end of range flexion in which case stretching would be delayed Activity modification is often required to allow the child to continue participating in sport and this can involve altering the number of training sessions attended or cutting down the time the child is permitted to play during matches In very severe cases total rest from physical activity may be advocated However the prescription of an appropriate exercise program is required to reduce muscle atrophy and loss of function Taping techniques bracing using Kinesiology or sports tape may provide some symptomatic relief Surgical Management of Osgood Schlatters Disease Although the majority of players with Osgood Schlatters will recover successfully using a conservative approach there may be the rare occasion less than 2 of all cases where a player will require a surgical approach to treatment It has been suggested that players who remain symptomatic even with 10 weeks of rest or whose symptoms persist after skeletal maturity would benefit from the surgical removal of the symptomatic ossicles in an attempt to produce the resolution of persistent symptoms Outcomes of Osgood Schlatters Disease Ultimately Osgood Schlatters in a self limiting condition which generally resolves when a player achieves skeletal maturity It has been suggested that greater than 90 of patients respond well to the conservative management techniques discussed above If managed carefully it should not require the child to avoid all physical activity However parents coaches and Sports Podistrists need a team approach to adjust the players activity levels to allow them to participate in sport Ball of Foot Pain Plantar Plate Dysfunction Pain Ball of the foot Why could I be having

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=10 (2014-01-05)
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  • Blog
    For the regular walker and runner this equates to approx 9 18 months The materials in running shoes are not overly durable After running just 500km foot pressure can increase by as much as 100 The foams used in footwear manufacture are closed cell once ruptured can never return to original form These ruptured compression lines are visible it is recommended to update the shoe once these lines are first noticed Signs of a worn out shoe include firmness under foot reduced cushioning significant wear on the upper and or wear through the outsole Some runners find it useful to alternate a second pair of running shoes which will help improve the durability Barefoot Running Shoes The Bare Essentials Since the release of the Nike Free shoe in 2006 the barefoot running shoe market has been growing A barefoot running shoe can be prescribed for the athlete wanting to improve intrinsic foot muscular strength or as an aid to assist running efficiency 17 Care has to be taken when recommending these shoes to pathological general populations The risks associated with the use of barefoot running shoes include overuse musculoskeletal conditions of the foot and ankle specifically tendonitis and tendinopathies of the achilles and tibialis posterior tendons 18 The forefoot is also susceptible to pressure type pathologies such as capsulitis bursitis and metatarsalgic symptoms An increase in forefoot load may also lead to early degenerative arthritis particularly of the 1 st metatarsal head 19 It is a matter of weighing up how susceptible your patient is to these types of injuries and working together whilst maintaining open communication to achieve the desired outcome Vibram Five Fingers Barefoot Running Technology There have been suggestions that barefoot running shoes contribute to a higher incidence of midfoot ground contact during gait midfoot ground contact as opposed to initial heel contact or forefoot contact has been shown to be the most efficient strike pattern whilst running 20 Barefoot running shoes can assist however are not necessary to achieve this In my opinion a barefoot running shoe should be prescribed for the elite running athlete with sound medical history looking to modify gait patterns to achieve a desired outcome In my opinion barefoot running shoes should only be worn for a minority 10 15 of training and monitored closely by their health professional coach Conclusion The running shoe will certainly continue to evolve We have a responsibility as health professionals to keep up with the new technology in order to achieve the most desirable outcomes for our patients However we also have a responsibility not to lose our perception in the hype and marketing surrounding running shoes References 1 Changes in running kinematics and kinetics in response to a rockered shoe intervention Boyer KA Andriacchi TP Clin Biomech Bristol Avon 2009 Dec 24 10 872 6 Epub 2009 Sep 9 2 Development and evaluation of a tool for the assessment of footwear characteristics Christian J Barton 1 2 Daniel Bonanno 2 3 and Hylton B MenzJournal

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  • Blog
    studies to keep her up to date with the very latest in medical research and treatments so she can ensure she offers her patients the very best advice and care As a partner in one of Australia s largest and most experienced Podiatry practices Foot Leg pain Clinics Marni takes a holistic approach to ensure patients overall health and healing She excels in her areas of biomechanics and musculoskeletal medicine and has a real passion for helping people stay active so they can enjoy their sport recreational activities and everyday lives She provides friendly and professional treatment of the highest quality for everyone from professional athletes to children and seniors and takes a personal interest in ensuring all her patients achieve successful outcomes Marni is recognised by the Podiatry Registration Board and Registered as a Provider by Medicare DVA and Private Health Insurers Dr Tim Madden Sports Podiatrist Dr Tim Madden Sports Podiatrist BSc Pod MAPodA Tim graduated from Charles Sturt University with a Bachelor of Health Science Podiatry A keen sportsman Tim developed an interest in biomechanics and sports injuries and excelled in this area He has a real passion for assisting people with foot and leg problems so they can keep active in their everyday lives Tim s academic excellence passion and areas of interest in the podiatric field lead him to being mentored by Paul founder of Foot Leg Pain Clinics resulting in him being offered a position in the business Tim has a friendly down to earth approach and excels in assisting people of all ages with foot and leg pain and biomechanical problems He specialises in medical prescription orthotic therapy and prolotherapy natural regenerative injection therapy and is skilled in nutrition therapy to assist the bodies natural ability to heal Tim s thirst for knowledge

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=14 (2014-01-05)
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