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  • Blog
    age Paul was an exceptional junior athlete and won silver at the Australian track and field championships He later gained a scholarship to the Australian Institute of Sport as a member of the Australian Taekwondo Team and Australian Olympic Squad He was a multiple Australian champion and represented his country internationally on many occasions A severe competition injury ended his career prior to competing in the Sydney Olympics so Paul now concentrates on helping others with their injuries Paul completed an honours degree in Science Exercise Physiology before studying Podiatry at Latrobe University He has vast clinical experience treating and teaching all facets of Podiatry from Sports musculoskeletal Medicine to Children s needs and balance falls risk in Aged Care He has specialised in prescription orthotic therapy for the past 15 years and has helped developed a clinically proven system to assist with Falls Risk for seniors As one of Australia s foremost Sports Podiatrists and with extensive experience in private practice and aged care Paul is well placed to care for you and your family Paul is a member of the Australian Podiatry Association and is recognised by the Podiatry Registration Board Paul is renowned for successful patient outcomes and has extended his ability to assist and treat many more people in his very skilled and unique way by hand picking and mentoring three very passionate sports podiatry practitioners Dr Tim Madden Dr Christina Pulvirenti and Dr Marni Gray With Paul s many years of broad experience the teams unique approach commitment to keeping up to date with the latest medical research and knowledge and their passion and dedication to assisting people of all ages with their individual health and mobility concerns its no wonder Foot Leg Pain Clinics are so successful in achieving positive results for their patients

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=16 (2014-01-05)
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  • Blog
    part of the leg above the knee is the thigh There are many different types of anatomical structures which can be damaged or irritated in many different ways Nerves blood vessels bones muscles tendons ligamants connective tissues are all prone to injury Some injuries or conditions are easily managed some may be life threatening How do you know what your pain is Im sure you ll agree it s is fairly important to find out We will determine exactly what the nature of your shin injury is and the exact extent of the injury to be able to treat and manage your shin back to full health as soon as possible We will accurately diagnose your condition provide a specific treatment plan and a prognosis or time frame in which you can expect to be healed Diagnostic scans such as MSU XR MRI CT Bone Scan are all options when confirming an accurate diagnosis You will need to answer questions relating to when your shin pain occurs such as what makes it worse what makes it better specifically how does it feel what words describe the type of pain how long it takes to come and then go Consultation with our Sports muscoluskeletal Podiatrists will provide you with the best most cost effective way to return to pain free activity and forget it ever happened Within the leg the most common conerns are Shin Pain Shin Splints Calf Pain or Strain Peroneal Strain DVT Deep Vein Thrombosus Blood Clot Shin Pain or Shin Splints Shin splints and shin pain are interchangable layman terms used to describe pain or discomfort around the shin region They are not a diagnosis just a description of the location of symptoms More specifically your shin pain could be medically described as Medial tibial stress syndrome

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=18 (2014-01-05)
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  • Blog
    waiting lists Depending on the location you can usually get same day appointments You will learn how to look after your feet legs forever We teach you what is best for you with footwear exercise nutrition and other strategies to stayinjury free We feel proud and privileged to have been the chosen podiatrists for people from regional areas interstate locations as well as overseas Paitents have sought our services from far and wide because we get results Foot Leg Pain Clinics are one of Australia s largest and most experienced sports and musculoskeletal podiatry practices We are trusted experts providing proven solutions to help end your foot and leg pain heal and treat your injuries and assist degenerative issues We keep up to date with the very latest in medical research and treatments and are love successful patient outcomes At Foot Leg Pain Clinics we take a holistic approach to healing looking past your surface symptoms to find the cause of your foot and leg problems this will achieve the best possible outcome for your overall health and healing Contact us if you have any questions or to make an appointment and we look forward to helping you soon Start

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?start=40 (2014-01-05)
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  • Why research can be misleading
    Australia PARTICIPANTS 42 participants mean age 27 9 years with a clinical diagnosis of PFP median duration 36 months INTERVENTIONS Orthotic Therapy The study participants were fitted and provided with foot orthoses the brand used was Vasyli The treating physiotherapists then selected from a range of densities and modificationtechniques heat moulding wedge and heel raise additions to suit the patient Vasyli Orthotics The fitting and modification of the orthotic was done via following a standard protocol which first optimised comfort The orthotic was then modified over subsequent treatments to improve pain free function I would suggest that this would be similar to clinical practice OUTCOME MEASURES Patients were dichotomised into success or failure Success was if the patient described the outcome as a marked success on a 5 point Likert Scale and failure was anything less This was done at the 12 week mark a point in which physiotherapy would likely have concluded RESULTS Data was available for 42 participants Overall a successful outcome was recorded in 17 40 participants with the remainder 25 60 rated as non success After analysis of the predictor variables four variables were retained in the final regression model 1 Age Over 25 years 2 Height Less than 165 cm 3 Worst Pain Less than 53 25 mm on the V A S 4 Mid foot Width Difference between WB and NWB greater than 10 96 mm The four variables identified formed the best predictors of a successful outcome marked improvement for the PFP patients when treated with orthotic therapy As stated above overall the orthotic therapy was useful in 40 of cases which suggests this is the pre test odds Yet if the patient was positive on three of four variables the positive likelihood ratio PLR was 8 8 95 CI 1 2 to 66 9 This would suggest post test odds of success would be 86 an almost two fold improvement STUDY LIMITATIONS The authors have identified a few limitations in their study They have identified the small sample size in the study as a potential source of bias Keen observers would also note the broad confidence intervals stated above Another limitation is the obvious inability of the clinician to directly and confidently incorporate the CPR into clinical practice as it has not been validated CLINICAL IMPLICATIONS This study has suggested that in patients that present with PFP a combination of three of the following age height pain severity and foot width mobility increases the probability of success from 40 to 86 How fantastic would it be to say to a patient you have an 86 chance that you will have a successful outcome you just have fork out the cash for new orthotics This study serves mostly as a basis for further studies which will likely involve validation of the rule Also it may be used by practitioners as a guide to assist clinical decisions in managing PFP with foot orthoses However this should be done with great care as the CPR

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with/77-bad-research-treating-patellofemoral-pain-with-orthotics.html (2014-01-05)
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  • Blog
    Plantar Fascitis Heel Pain Explained Dry Needling 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 Spurs Heel Pain Bunions Ball of Foot Forefoot Pain Knee Pain Shin Pain Shin Splints Growing Pains Hip

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with.html?limitstart=0 (2014-01-05)
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  • Heel "Growing Pains"
    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 and participation in sports If not attended to in a timely manner it may limit daily activities as well Treatment Modification to the child s physical activities to reduce pressure on the affected area Use of cushioned heel raises to absorb pressure Use of foot orthotics in case of flat feet 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

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with/74-sever-s-disease.html (2014-01-05)
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  • Which Running Shoe is Best?
    the 1980s running shoes were marketed with suggestions that the primary goal was to reduce initial peak force 11 Research over a decade later revealed that shoes to not reduce the initial peak force 12 Cushioning materials are marketed very heavily in today s running shoes Whilst we cannot affect the initial peak force with cushioning material alone we can however slow down the rate at which force is applied to the body and reduce pressure on the sole of the foot by 17 33 14 important variables to consider when prescribing shoes for our patients When Should You Replace Footwear Generally a running shoe will last between 800 1200km 15 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

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with/71-which-running-shoe-is-best.html (2014-01-05)
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  • Dr Christina Pulvirenti - Sports Podiatrist
    Charles Sturt University She is well versed in the latest up to the minute research and knowledge of the podiatric field and enjoys assisting people of all ages to live full active and pain free lives Christina caught Paul s attention not only with her knowledge of the Podiatry field but also with her ability enthusiasm and commitment to assisting people achieve optimum physical mobility to enjoy and get the most out of their lives This lead to Paul mentoring Christina resulting in her being offered her a place in The Foot Leg Pain Clinic business Christina has a highly professional and caring approach achieving incredibly positive outcomes with her patients She also specialises in medical prescription orthotic therapy and prolotherapy natural regenerative injection therapy Christina also finds nutrition therapy of great assistance in assisting patients to heal injuries when a deficiency is detected Christina is a member of the Australian Podiatry Association and is recognised by the Podiatry Registration Board 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 Spurs Heel Pain Bunions Ball

    Original URL path: http://www.footlegpainclinics.com.au/we-can-help-you-with/65-dr-christina-pulvirenti-sports-podiatrist.html (2014-01-05)
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