Patricia Lavelle MAR FHP CNHC Foot Care. Health & Happiness
Focus.Direction.Freedom



Achilles Tendonitis

What is Achilles Tendonitis?
Achilles Tendonitis is a term that commonly refers to an inflammation of the Achilles tendon or its covering. It is an overuse injury that is common especially to joggers and jumpers, due to the repetitive action and so may occur in other activities that requires the same repetitive action.
What Causes Achilles Tendonitis?
Achilles tendonitis is an overuse injury that is common especially to joggers and jumpers, due to the repetitive action and so may occur in other activities that requires the same repetitive action.

Common Causes of Achilles Tendonitis include:

  • Sudden change in training surface – e.g. grass to bitumen
  • Flat (over-pronated) feet
  • High foot arch with tight Achilles tendon
  • Tight hamstring (back of thigh) and calf muscles
  • Toe walking (or constantly wearing high heels)
  • Poorly supportive footwear
  • Hill running

    What Results Should You Expect?
    There is no specific time frame. Your Achilles tendonitis rehabilitation status will be determined by many factors during clinical assessment.

    The severity of your tendon injury, your compliance with treatment and the workload that you need to return to will ultimately determine how long your injury takes to successfully rehabilitate.



  • Common Injuries We Treat. HAMMER TOES..................................

    Hammer Toes

    Hammertoe is a deformity of the toe in which the toe bends downward at the middle joint, causing it to resemble a hammer. Hammertoes usually begin as mild problems, but over time they can develop into severe cases.

    Hammertoes are often flexible during the initial stages, and if treatment is administered promptly, symptoms can be managed with non-surgical methods. But if time passes and you do not seek treatment, your hammertoe will become more rigid, and surgical treatment may be required!
    Symptoms hammertoe can cause:

  • Hammer-like or claw-like appearance of the toe
  • Pain when walking or moving the foot
  • Difficulty moving the toe
  • Corns may form on top of the toe
  • Callus may form on the sole of the foot



  • Lower Back Pain

    What Can Cause Lower Back Pain?
    Lower back pain (LBP) or lumbago is a condition involving the muscles and bones of the sore lower back can occur suddenly, in many cases the cause relates to ‘untrained’ muscles or unfamiliar movements.

    Pain in the lower back can be caused by a variety of problems within the complex, back. A interconnected network of spinal muscles, nerves, bones, discs or tendons in the lumbar spine.

    Pain, tension or stiffness in the lower back is something that most of us experience at some stage, and in many cases, it settles down after a few days.

    Typical sources of lower back pain may include:

  • Irritation of the large nerve roots that connect the lower back with the legs
  • Inflammation of the smaller nerves that supply the lower back
  • Straining of the large paired lower back muscles
  • Damaged bones, ligaments or joints

    Lower back pain treatment
    With accurate assessment and early treatment, most lower back pain injuries will respond extremely quickly to foot therapy allowing you to quickly resume pain-free and normal activities of daily living.



  • Morton's Neuroma

    What is a Morton’s Neuroma?
    A Morton’s Neuroma is a perineural fibrosis, which means that over time the sheath surrounding the nerve between the toes becomes irritated, inflamed, and forms a thickened scar tissue.

    Morton’s Neuroma is a very painful condition at the ball of the foot. The good thing is that it is completely benign. In essence, the neuroma affects the nerves found between your metatarsal bones.

    In the majority of cases, it occurs in middle-aged people, primarily women. The pain is caused by the thickening tissue around the nerve.



    Common Injuries We Treat. BUNION

    Bunion Treatment

    What is a Bunion?
    A bunion is a deformity of the big toe. A bunion is a toe that points at a sideways angle towards your second toe. There is also a characteristic bump on the inner side of the foot.
    Bunion Treatment
    Pain is the main reason that you seek treatment for bunion.

    During your rehabilitation is aimed at returning you to your desired activities. Everyone has different demands for their feet that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon or return to a labour-intensive activity.



    Heel Pain Treatment - Plantar Fasciitis

    Heel pain is a very common foot complaint and may involve injury to the bone, fat pad, ligaments, tendons or muscles.

    The most common cause of heel pain is plantar fasciitis. This is a condition where your main arch ligament (fascia) becomes inflamed and causes pain.
    Common Causes of Heel Pain?
    Some of the many causes of heel pain can include:

  • Abnormal walking style (such as rolling the feet inwards)
  • Obesity
  • Ill-fitting shoes eg narrow toe, worn out shoes
  • Standing, running or jumping on hard surfaces
  • Recent changes in exercise programme
  • Heel trauma eg. stress fractures
  • Bursitis (inflammation of a bursa)
  • Health disorders, including diabetes and arthritis.

    Heel pain and injury are extremely common. With accurate assessment and early treatment, most heel pain injuries respond extremely quickly to therapy allowing you to quickly resume pain-free and normal activities of daily living.



  • Common Injuries We Treat. HIP

    Sacroiliac Joint Treatment

    What is Sacroiliac Joint Dysfunction?
    The sacroiliac joint connects the sacrum (triangular bone at the bottom of the spine) with the pelvis (iliac bone that is part of the hip joint) on each side of the lower spine. It transmits all the forces of the upper body to the pelvis and legs. There is not a lot of motion in the joint and it is very strong and stable.

    It is not clearly understood why sacroiliac joint dysfunction occurs, although some believe it is due to a limitation in its normal motion patterns and/or misalignment of the joint. Sacroiliac joint (SI joint) pain typically results in pain on one side very low in the back or in the buttocks. Another term for sacroiliac joint pain is sacroiliitis, a term that describes inflammation in the joint.
    Treatments
    The first step is to stop any activity that induces pain. SJD can be managed conservatively with a combination of adjustments, therapeutic exercise, and supportive shoes when necessary - helping to treat underlying biomechanical abnormalities by stabilizing the joint, allowing patients to more comfortable.



    Piriformis Syndrome Treatment - Sciatic Nerve

    Piriformis syndrome causes pain in the buttock which may radiate down the leg. It is due to the sciatic nerve being impinged by a tight piriformis muscle deep in the buttocks.
    Symptoms
    Piriformis syndrome symptoms consist of tenderness or pain in the buttock muscle which may radiate down the back of the leg into the hamstring muscles and sometimes even the calf muscles.

    It is common for pain to initially be confused with a hamstring strain or hamstring origin tendinopathy. However, there will be no area in the hamstrings which is tender to touch. Other signs include reduced range of motion of the hip joint, especially into internal hip rotation is often seen.
    The sciatic nerve runs very close to this muscle and in around 10% of the population it passes straight through the muscles fibers. If the piriformis muscle becomes tight it can compress the sciatic nerve and cause pain which can radiate down the leg, commonly known as sciatic pain.

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