Shockwave for Treating Heel Pain

Shockwave for Treating Heel Pain

Shockwave for Treating Heel Pain

Shockwave therapy for heel pain - Western Sydney

Shockwave therapy for heel pain – Western Sydney

Heel pain is one of the most debilitating conditions that our doctors see every single day. Pain in the morning is common for people, first step and OUCH! Only to be relieved or Plateau and return later in the day! This is where Shockwave for Treating Heel Pain comes in.

Is Shockwave for Treating Heel Pain for Me?

Shockwave has become one of the gold standard treatments for heel pain.  As one of the first clinics to adopt shockwave, we have seen a rise in its use across other clinics and sadly not always successfully. The reason is that often well-meaning practitioners who use this, use it as a stand-alone treatment and NOT as part of a treatment plan to beat painful heels!

Plantar Fasciitis, Heel Spurs and Achilles tendinitis will all respond well to shockwave however alone as a therapy shockwave will only provide part of a solution.

Heel pain requires a treatment plan that incorporates multiple areas to be addressed from Footwear to foot posture. Then to also treat both the soft tissue pain and the tissue strength to balance its recovery and get patients back to happy, healthy and active.

Sadly treating heel pain with shockwave alone will rarely see patient recover leading to more pain and frequently frustration!

Can we help?

Our doctors are all qualified and registered Podiatrists. That’s right, foot doctors! Unlike other clinics who look after toenails and callous or dry hard skin. Our team sees sports injuries like heel pain, multiple times a day!

If you’d like to beat heel Pain, we would love to help.

Our clinic is located in Western Sydney just off the M4 in Penrith. Our Doctors are registered with all major health funds. Health fund referrals are not necessary, please contact us for details.

Appointments are NOT BULK BILLED; however, you may be able to claim some money through Medicare if your GP refers you to our team.

If you’re ready to get back to happy healthy and active, our team would love to help please call us on 96732987

Ten-things-to-know-before-choosing-a-podiatrist

Free Report “10 things to know before choosing a Podiatrist”

Choosing your Sydney foot doctor is an important decision and can mean the difference between getting mediocre results and living pain-free. Learn about the top 10 things you should know when choosing your podiatrist in St Marys or Penrith.

Shameless Plug or where to get real help!

Need help? Need another opinion? Just want to get this sorted? Great, we’d love to help you ? You can start by calling our wonderfully helpful team on 9673 2987. They are all parents and will be able to help answer questions and guide you in the right direction.

Another option is to use our call back service, pop your details in the very short form and we will call YOU back on a number and times that suits YOU best. ?

Fallen Arches or Flat Feet and what you need to know

Fallen Arches or Flat Feet and what you need to know

Fallen Arches or Flat Feet

and what you need to know

Fallen Arches or Flat Feet – what are they? What do they look like? And why should you care enough to bother reading this post at all? You’re busy after all, and there’s stuff to do right! Well, what if we told you if you’ve got this and you don’t your tendon will snap straight off the bone? Ahhhh, see now you’re interested!

“Fallen arches” is a bit of an old school term these days. Your Nan may have told you that if you didn’t wear the right shoes, you’d get “Fallen Arches”. Or an Elderly aunt told stories of arthritis and fallen arches. There were no iPhones back then, so you actually listened to people.

What do Fallen Arches or Flat Feet look like?

What do Fallen Arches or Flat Feet look like?

What do Fallen Arches or Flat Feet look like?

Fallen arches is most often the term to describe what feet look like when it develops a condition that sees your Tibialis Posterior (fancy muscle name) stop working as well as it should. It most commonly happens only on ONE foot at a time. This is the difference between fallen arches and flat feet.

Most commonly, we see the arch contour lowers, flattens or drops. You may also develop a bulge on the inside of your ankle. You may also note that the foot splays out particularly at the toes. This can happen very gradually over time. Which means it can sneak up on people on occasions.

After hearing all this, I mean who says podiatry is exciting!

What Do people with fallen arches or flat feet feel?

Most people who experience fallen arches at some stage will develop some pain. It’s most commonly aggravated by increased walking or exercise.

The pain is often in the arch of the foot or around the back of the ankle. However, this will vary in people.

Sometimes the Tibialis tendon will snap from the bone, and this tends to happen to people during activity. Interestingly when this occurs many times people commonly fall over. This leads them to think that they may have twisted an ankle in the fall, as the ankle becomes swollen and bruised. When presented to a GP and fitting the description, it’s often agreed that it’s a run-of-the-mill sprained ankle. It’s not until sometime later that the swelling resides and the lowered arch is noted that it’s realised it’s not a swollen ankle.

Now because I am a responsible Boring Podiatry type person, I have to make sure you understand that this is NOT super common. But is, of course, a risk!

What can you do about Fallen Arches or Flat Feet?

Fallen Arches or Flat Feet

Fallen Arches or Flat Feet: You may see a bulge on the inside of your ankle.

There are stages or grades of these conditions; often this is referred to as, Posterior Tibialis Tendon Dysfunction or PTTD. It will depend on what stage the foot is at the time.

Exercise – Building strength in the muscles and tendon is important and will give value in most stages, BUT this will not suddenly return your arch to its former high arches glory!

Good footwear – Great supportive footwear will help support the foot. It is, of course, dependent on what stage the foot is. Again all stages will gain value from good footwear

Orthotics – Orthotics will support the arch of the foot. This may help the foot from further degeneration. These on most occasions, reduce or eliminate pain. This is again, stage-dependent! Custom orthotics at this stage are most likely to give the best result. Over the counter devices, May provide limited relief however often don’t provide enough support

Surgery – typically left for the end stages of PTTD or fallen arches; the times where this is at its worst or As described above has torn from the bone – oh Ouchie Mumma!

My suggestion is if you notice any symptoms, get to a foot doctor type person quickly. Prevention is oodles better than cure. My formula for success for most cases (stage dependent) is Footwear, Orthotics and muscle rehab to build strength.

All this leads me to suggest you probably Should have listened to your great Aunt Bess! She was in the know and while at the time the stories of her rheumatism weren’t illuminating they, if you ever go through this, will become stories you well and truly recall!

Written by Dr Brenden Brown Podiatrist aka DrFoot,  Principal Podiatrist at A Step Ahead Foot and Ankle Care.

Ten-things-to-know-before-choosing-a-podiatrist

Free Report “10 things to know before choosing a Podiatrist”

Choosing your Sydney foot doctor is an important decision and can mean the difference between getting mediocre results and living pain-free. Learn about the top 10 things you should know when choosing your podiatrist in St Marys or Penrith.

Shameless Plug or where to get real help!

Need help? Need another opinion? Just want to get this sorted? Great, we’d love to help you ? You can start by calling our wonderfully helpful team on 9673 2987. They are all parents and will be able to help answer questions and guide you in the right direction.

Another option is to use our call back service, pop your details in the very short form and we will call YOU back on a number and times that suits YOU best. ?

Growing Pains and Questions Parents Should Ask

Growing Pains and Questions Parents Should Ask

Growing Pains and Questions Parents Should Ask

Growing Pains and Questions Parents Should Ask

Growing Pains and Questions Parents Should Ask. Will they grow out of it? Are Growing Pains Real?

“Growing pains” is a common description but is it really a diagnosis? Let’s talk about a few questions parents can ponder, that may help you decide

“Growing pains” is often a description used for kids who get pain in their feet ankles or legs.

Many times this pain can become so horrible that the pain can wake kids at night. Parents often describe their children waking in tears.

At other times parents report foot ankle or leg pain when their child has been active, sometimes during or shortly after the activity. But at other times it can be the next day or even the day after that! Now that can be super confusing. This leads to confusion, so you …

Head to “the Doctor”

It’s the internet age, so parents pretty soon head to Dr google and seek results. Boom you’re in an information storm. With suggestions from adding magnesium to your kid’s diet to your kid should try barefoot running while chanting positive affirmations.

Then you head to your local health professional, and many times it can be just as frustrating. You’re told by this well-meaning health practitioner that all is ok and that it’s simply “Growing Pains” hmmmm and that they will simply “Grow out of it.”

Now, most parents are pretty clever, and they leave the office of their humble health practitioner a little confused and some frustrated.

With this in mind, we thought it might be worth prepping you with some questions you can ask your health practitioner. Ask these if you’re not sure it is merely magical “Growing pains.”

Q. Is it possible that the pain is from your kid’s muscles not working well?  

Is the pain from muscles that are having to overwork to compensate for other underworking structures?

Pain mostly comes from muscles overworking. This is often a result of other muscles no longer doing their job or structures in a body, not doing what they are designed to do. Kids are no different! Look for structures that are not working and why these muscles are having to overwork.

Q. Is the pain like other muscle pain people get that occurs because something is out of alignment?

If not, why not? Why wouldn’t kids get this? This is something that has been observed in both adults and children for centuries. It’s commonly understood in medicine across the world. Why would it be any different in your child?

Q. How is it that pain from Growing is associated with my child being active?

Why is it that pain from growing happens when my child plays soccer or goes for long walks?

It seems quite strange that active kids suddenly have growth spurts really close to their activity. These growth spurts somehow caused pain? Does it seem Logical to you? No, it doesn’t seem logical to us either.

Q. If pain from simply “growing” why don’t all kids get it?

All kids grow, right? Yup, we are pretty confident that they do! So it stands to reason that If the pain is simply from your kid’s body “Growing” all kids should get the same pain as a result. But hang on, not all kids do. Do you see a pattern yet?

Q. If the pain is from “growing”, why is the pain almost universally only localised in feet ankles and legs?

Do kids shoulders, arms, spines, heads not grow? Of course they do yet no pain there!

Q.How much does a kid have to “grow” for the pain to develop as a result?

When bones grow, they grow less than a millimetre a day. Try grabbing your finger and pulling it outwards. Are you in excruciating pain? NO! Hang on?? You’ve just stretched your tendon far more than 1 mm! How is it that you’re not in pain? If growing less than a millimetre causes children to wake in unbearable pain?

Answers we all need answers!

These are all questions we encourage parents to ask themselves when considering or being told by well-meaning health practitioners that the pain their child is suffering is simply from them growing.

Hey, parents a quick tip. When your practitioner tells you “they’ll grow out of it” It’s ok to ask that practitioner for their mobile phone number so you can call them and then they can comfort and calm your child when they are complaining or worse crying late in the evening or waking you around 1:30 am due to pain. Kids at 1:30 am get way better when you tell them that “they will just grow out of it.”  

However, if this doesn’t work and you’d like some more practical information on this Dr Brenden our principal Podiatrist has written a short ebook on kids growing pains. We will provide a link below if you would like to download this. (Yes this is a shameless plug)

Here is the link to the ebook! 

In our belief, kids should not have pain! Pain in the kids after activity –  IS NOT NORMAL!

Part of growing up should be running jumping, scrapping your knee once or twice and at times getting ridiculously dirty! But the most crucial part is that kids should be able to be active without pain!

FREE Growing Pain Report by Dr Brenden Brown

Is it really growing pains?

 

7 simple signs every parent should know!

Are you worried about pain in your child feet? Not sure whats normal and whats not? Try accessing Dr Brenden’s helpful report on the “Growing pains – 7 simple signs every parent should know!” As a recognised expert in lower limb health with over 20 years’ experience, A past advisor for Clarks Kids footwear and lecturer on growing pains. Dr Brenden outlines what every Parent should know about Growing Pains and gives you fast ways to identify the “what and when” you need to know!

Shameless Plug or where to get real help!

Need help? Need another opinion? Just want to get this sorted? Great, we’d love to help you ? You can start by calling our wonderfully helpful team on 9673 2987. They are all parents and will be able to help answer questions and guide you in the right direction.

Another option is to use our call back service, pop your details in the very short form and we will call YOU back on a number and times that suits YOU best. ?

Isolation Foot Pain: Why your feet suddenly hurt

Isolation Foot Pain: Why your feet suddenly hurt

Isolation Foot Pain: Why your feet suddenly hurt

Isolation Foot Pain: Why your feet suddenly hurt

Isolation has done some very strange things to people; one of the stranger occurrences has been the dramatic increase Isolation Foot Pain from the increase in exercise that is being undertaken by those seeking relief from the four walls of their humble abode.

This sudden rush of energy is not only driving your pet beagle Bentley barmy, but there seems to be an increase in associated foot pain! In this article, we will give you some handy tips to get you pain-free, dispel a few Myths as to why your pain may be occurring and lead you in the right direction to keep you happy and Bentley the beagle tired!

Walking not only breaks up the Monotony of the day, but it has been shown over many studies to be the most significant difference to health outcomes. A video created by Dr Mike Evans, a preventative medicine doctor in Toronto Canada outlines the many benefits of being active for 20 to 30 minutes per day. The benefits are numerous, but if you’re not prepared to take my word for it, we run through the health benefits discussed in the video in my article attached HERE.

As many of you have discovered the downside of significantly increasing your walking can, on many occasions, be a corresponding increase in foot pain or discomfort. To change this let’s run through some common mistakes and some easy fixes to what’s happening

But I’m only walking!

But I’m only walking!

But I’m only walking!

“I’m only walking” is the most common statement made to me in the clinic. Some people think there is little difference between walking between the couch and the fridge and walking for an hour and a half 5 times a week. “Say whaaaaaaat!”

The term from ”Zero to Hero” is used in amazement,  not expectation! Sudden changes in the amount of walking you do will dramatically increase the load on the musculature in and around your feet and legs! It seems simple, but I often see people develop conditions like plantar fasciitis from doing this.

Answer: First head down to the part about making sure you have the right kicks! Then let’s ease into things. Start at a slow pace, Combine this with a short distance. You’re better to take 3 short walks down to the end of the street and back than heading off and tackling many km’s in one hit.

I have a patient who started by simply walking around his clothesline and built up from there.

Super cushioning is good for me, right!?

There is a bit of a Secret footwear people don’t talk about. It’s called the 10-second rule! You see they know that when you slip your feet into those shoes at the shoe shop and start walking around, the first 10 seconds are what really matters. The more cushioned or soft shoes feel underfoot in those first 10 seconds, the more likely you will buy them!

We associate SOFT with comfort. But that feeling doesn’t always last long! (Queue ominous music)

Footwear companies will do all sorts of things that will to trick you into thinking their shoes are Uber soft. Super Gels, magnificent memory foams. (who knew Airbags weren’t only for cars?)

Here is the thing, soft shoes tend to break down quicker and many times when your foot needs support it just ain’t there! As I’ve said to patients before, memory foam remembers every shitty position your foot was in and keeps it there! For patients, this seems to end in heel Pain or shin splints, so please be careful.

Answer: Look for shoes that are comfortable when you try them on but not so soft you feel like you’ve just stepped into a feather bed.

Airbags break down, or leak and foams tend not to last long.

Talk to friends who walk or run a lot. Don’t ask them what they wear now. Ask them what they’d start with.

It was only a 10 km jog

It was only a 10 km jog

It was only a 10 km jog

When we were kids, the preparation for the school cross country consisted of maybe the high school PE teacher taking us through the course the week before the event. Times were good. We played soccer, footy or handball every lunch. Then backed up with a game with friends after school. For many of us, that was at least ten years ago, and I’m generous.

As we get a little (cough) older, we tend to lose the ability to bound into a new activity suddenly. This is one of the most common causes of Achilles pain, (Achilles tendinitis) I see!

Answer: Consider gradually Getting back into activity. There is no problem with you deciding you’d like to get back into running. However, consider running and walking intervals for the first week or two. For example, run 400 m walk 400 m and repeat, as you Improve you may be able to increase the run section and decrease the walk section. This will build your cardio capacity and also reduce your risk of injury!

What you did as a kid, was when you were super fit ..... you’ll get there, but give it time

You will get pain as muscles change and get stronger - Expect pain from building muscle

No Pain, No Gain” if you haven’t heard this cliche, you perhaps have been living under a large rock or in a cave. This is a breakdown of a famous philosophical principle, but put in the hands of Gym junkies!

Anyone that has been serious about exercise, and in particular building muscular strength, will tell you that it is very common to have sore muscles after your activity. On occasions, this, in fact, is not a problem; it is simply Your muscles breaking down and re-growing. The caveat to this is if you are getting repeated pain over multiple occasions.

Answer: Expect a little muscle soreness from time to time. It’s normal to be a little uncomfortable. However, this is NOT to be mistaken with repeated and ongoing foot and leg pain. It should only occur in the first few occasions you begin a new walking or running program. After this, your pain is not just your muscles building strength, and it’s time to see a professional

You Choose the wrong shoe for you

Are you an under pronating (technical term), tennis playing, size 9 triple E or are you a cavoid (another technical term), court sport playing, size 9 extra wide? Those in the know will recognise I just described the same thing! Yup, it can be confusing! There is a plethora of options and even more opinions.

Answers: If you are walking Yes, you can walk in a running shoe. Try established brands like Asics and New Balance that are making shoes for athletes rather than companies that are making fashion shoes and sponsoring Athletes to wear them! Understand shoe sizes vary between brands.

For patients I see this develop again into heel pain type problems, sometimes called heel spurs, but this is almost always not the actual condition.

Tips here: If you can be measured up in a sporting footwear retailer do so! Don’t Be fixed on “your” size. Every brand has a different idea of how long a size 9 men’s is! Width is essential; if it feels too tight, it probably won’t stretch and get better in time.

Final suggestion: Stay away from gimmicks, the footwear industry is full of them! If your shoe has a connection for your Fitbit, the shoe’s athletic capacity wasn’t the focus of that shoe!

Getting the Right fit is an entire article in itself, so I wrote on here.

Change is good but...

Overall the messages are:

  • Make changes to activity level gradual.
  • Choose your shoes carefully and not based on colour trends or gimmicks.

Follow some of these simple suggestions, and you’ll be on your way!

Walking is a fantastic form of exercise, and it’s really delightful to see so many people out on the streets, away from screens. Talking and walking! Who knew a Pandemic could have such a positive effect!

Happy trails - safe steps!
Dr Brenden - Podiatrist Penrith based

PS Bentley says, "Thanks!" He’s been enjoying the newfound attention!

Bentley - The almost beagle

Bentley - The almost beagle

 

How long do your shoes last?

How long do your shoes last?

How long do your shoes last?

How long do your shoes last

How long do your shoes last?
Yellow Arrow shows the nasty creasing or frown lines – Remember there is no Botox for Footwear! That red line should really be straight up and down

How long do your shoes last? When do you know they need replacing? What are some of the less obvious signs your shoe is kaput!

So, we all want things to last forever; however, like the TV show Seinfeld or Cheers or Buffy the vampire slayer or even the Tiger King, all things must come to an end! So too a well-loved, well-worn pair of kicks (we are watching you, Carole Baskin ??)

What’s the life or average life of a running shoe?

About 6-9 months for the average punter, if you are wearing them 2-4 days a week. Closer to 6 months if they are your daily footwear. This seems to blow people’s minds, that shoes don’t last forever ?

Running footwear is designed to be a mixture of high performing and comfortable. Think more European fancy car and less Smelly ford falcon taxi with stains and aroma of regurgitated pizza! ?

What signs can you look for, apart from the normal wear?

Look at the rear of your shoe. Place it on a flat surface. The centre of the heel counter (fancy name for the part that cups the back of your heel), the centre should be straight NOT leaning over to one side or the other.

If you look at these fabulous kicks Donna brought in (Donna is a cook), you can see that left shoe looks more like the leaning tower of Pisa and less like the Centrepoint tower. This dear friends is nooooot a good thing!

Donna was getting pain along the outside of her foot, making hours in a busy kitchen pretty crumby. (There’s a joke there)

Now, look at the sole of the shoe. Yup, right where those big bright red arrows have been strategically placed. See that the Creasing down the side of the shoe. They look like enormous frown lines that need filler or a shot of Botox if they were in a forehead. Sadly filler and Botox is only for Instagram models. Donna’s shoes are, yes you guessed it, bound for footwear heaven!

 

What about the shoes upper?  ?

There is more to look out for than holes where your big toe has installed its own “Air conditioning” into your shoe for you.

Look at the image with the green arrow. You’ll see that the foot has started to protrude past the outside of the sole of the shoe. “This little piggy” as the kids’ nursery rhyme says has definitely “gone to market”.

If the upper of your shoes start to malform (leaning or protrude over the soul of the shoe) on either side of the shoe, then this is another great indicator that your shoe has reached its 11th hour.

What other shoe wear and tear stuff should I look out for?

So, we’ve assumed a basic primary school level of education for our readers. And we’d like to think that you are more Jerry than you are Kramer from Seinfeld.

So, the assumption is you understand that when your shoes get holes in them, or when you see the tread wear off the base, or your shoe wearing down you understand and appreciate that your shoes have lived a life well worth living yada yada yada …..

Can worn shoes affect your Orthotics?

Yes, they can! We realise not everyone that not everyone who reads our posts has orthotics, nor does everyone require them. But many of you do and so a quick note to say that Footwear that has worn such as the ones in this image can yes significantly have effects on the capacity of your orthotics to perform as they should. New orthotics are almost always better in brand-new shoes. When your shoes begin to wear and create unusual angles such as those in the photos you begin to find your orthotics don’t perform the way they were designed to.

So, that’s it! These are really simple things that you can look for that aren’t always as obvious, but will have a detrimental effect on your comfort if not addressed. Being in the whole foot comfort business thing as we are, we thought it was a good idea to bring it to your attention!

After reading this, do you need our help? Do you need more advice? Awesome! We really love helping people with foot ankle or lower leg pain! You can call our super helpful team on 9673 2987 and we will start being super helpful ?

PS Yes, we were serious. There is no filler nor Botox available for your kicks—apologies to any Instagram models who may have taken offence.

 

Have you had your orthoses check recently?

We recommend you check your orthotics every 8-12 months!  Your custom orthotics are made with your biomechanics in mind.  They cater for your many differences in length, width, foot pronation and injury.  Over time, these specially made devices start to wear out.  The plates that sit under your arch start to loose integrity after a period of time and that will impact the prescription of your orthotics.  Kids’ foot orthotics will more often than not need changing in relation to the growth of your child.  As the foot grows, the plates become less effective. Remember to get your orthotics checked by your podiatrist on a regular basis to avoid any potential injuries!

For all your Foot and Lower Limb Care needs, come and see us at:
A Step Ahead Foot & Ankle Care
24 Phillip Street, St Marys; or
Suite 4, 36 Woodriff Street, Penrith
www.astepahead.com.au