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1. You decide to go it alone and NOT get professional advice.
Of all the people we see, a large proportion of them have never had any care or professional advice. Quotes like “I just thought it would go away” or “A friend told me what they did to get rid of the pain and I just tried that”. Most times it doesn’t! You will increase your chance of beating heel pain, significantly by getting a professional opinion. Professional advice and treatment costs money. Yes some people find this expensive however others find it invaluable. It depends on how much you really want to get rid of your very sore heels?
2. You wear thongs because your feet are sore
Wearing thongs, Croc type shoes or even bare feet for many people make their feet feel better initially but all our experience tells us you are doing more damage. The pain you feel days later not necessarily at the time. You are welcome to argue this point as much as you like, while you continue to hobble …………
3. You get advice and then choose which bits you use.
Great work on getting advice now it’s time to take it ……yes ALL of it. When a care plan is developed for you, if you choose only the bits you like to hear and the easy bits, you will end up failing to get better. Your Podiatrist should work with you as a patient to establish the best way to relieve you of your pain. They should speak to you about what shoes are best for you. What treatment will get you better quickest, including stretching, therapy to relax the soft tissue and possibly orthotics. Now choosing NOT to do some of the suggested treatment universally ends up with patients not getting better. Our Podiatrists do all that and more, does yours?
4. You bought hard rigid orthotics from a Podiatrist.
Our experience tells us that rigid hard orthoses on most occasions irritate the heel and the arch region adding to your discomfort. We have over the years collected many pairs of rigid orthotic from patients who give them to us in frustration after finding they have hindered rather than help. Secondly if this is the only therapy you were given, with the exception of a couple of possible stretches then we would suggest to you that there is more to getting rid of your pain than this – ask the question “So how is this rehabilitating my damaged soft tissue” ?
5. You continue to do loads of exercise
Einstein is once said to have defined Madness as “Continuing to do things exactly the same and hoping for a different result”. As practitioners we are probably sportier than others and so we truly do understand your hopes to continuing to exercise. But in truth unless you make some form of change its unlikely you will get better. There are other options available which can help you to stay fit like rowing, weight training and alike. Let’s work together to see what we can allow you to keep up your health goals. If your practitioner is telling you there is no need to change then we would suggest the first change you make is the practitioner!
6. You choose a practitioner who does not understand heel pain.
So your GP says they will fix your heel pain? Your Physio who is treating your shoulder says the same and the Podiatrist you see, who works a day a week at your local GP clinic and cuts your toe nails, says they will fix it no problem. Who do you choose?
Your heel pain is not simple its complex and for you it’s really sore! Choose someone who see’s and treats heel pain regularly. Choose someone who is passionate about making sure that they help you on the way to getting you better. All the people above are probably very good at what they do, but they most likely won’t end up helping you beat your pain!
How can we help
At A Step Ahead foot + Ankle care we see approximately 8 to 12 heel pain patients a day. We have patients that travel literally hundreds of kilometres to seek our help – Which is really lovely! Our clinics are set up quite specifically to treat patients with heel pain. We have invested hundreds of thousands of dollars into equipment and the latest technology to help us, help you- beat heel pain.
Our principal Podiatrist Brenden Brown is recognised as an expert in Podiatry. A past President of the Australasian Podiatry council he is considered an expert in the area of Foot health, appearing regularly on television shows like the Today Show and Magazines like Men’s Health.
It would be a pleasure to help you beat your heel pain.
We are located in Penrith and St Marys in Sydney’s Western suburbs. You can contact us on 47322007 or 96732987 we hope you will.
A Step Ahead Foot and Ankle care
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Our principal Podiatrist Brenden Brown has been practising for over 15 years and has a wealth of experience. Brenden has a passion for Podiatry while other people do it for a job BB does it because he gets a kick out if it. He will tell all that ask “I love it, I help people all day, I chat I make people feel better, what’s not to love”
This maybe why Brenden is considered one of Australia’s most experienced Podiatrist and possibly Australia’s best known. If you have ever seen an episode of TV which features a Podiatrist as a medical expert chances are it was Brenden. Brenden is a regular on Channel 9 and 7 and has appeared on all Australian network TV stations. You will also find him in the pages of magazines like Men’s Health, Women’s health, New Idea, Prevention magazine and Good Medicine ….he has also appeared in Girlfriend magazine!
Brenden Brown Podiatrist
This week BB was featured on ABC 702 radio in an interview with Linda Mottram. The interview went longer than expected with stacks of people calling in and covers topics from heel pain to bunions. If you are looking for a serious and in depth interview than you’d be best not to listen to one of BB’s interviews. Interviews with BB tend to be interlaced with humour and light heartedness, all the while he seems to have an ability to create complex medical problems and make them accessible and understood by just about anyone.
The link is below, we hope you enjoy.
http://www.abc.net.au/local/audio/2014/04/04/3978445.htm?site=sydney
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Sydney’s Macquarie Street is difficult to get to, has no parking and is full of toffs! Guess what ? 
Western Sydney is taking its place for quality health care!
For years we have all heard of people heading into Sydney’s Macquarie Street for a specialist appointment. It was reported to be where all the good specialists practised and somehow by word of mouth and myth became the centre of Sydney’s health specialist community. But is it true?
While Macquarie Street has that reputation it also has NO parking and very poor public transport as well! Specialists aren’t chosen to practice in Macquarie Street they simply pay more rent and guess what that means – YOU PAY HIGHER FEES!
We have noted a change in peoples thinking of late, as we have become more popular and sought after by the Sydney community. Despite the fact that the Podiatrist at A Step Ahead are regulars experts on TV shows like the Today Show and have appeared as experts in Men’s Health Magazine, New Idea, Prevention magazine and Women’s Health to name but a few we practice quite happily in Penrith in Sydney’s western Suburbs!
Patients are now wising up to the hectic and unfriendly Sydney central with one of our patients recently telling us “I am tired of travelling to Sydney for specialist when we have great health practitioners here in Western Sydney”
With wide streets, hassle free motoring and easy parking, on most occasions right out the front of the door of your doctors rooms why battle the city? 
Public transport to Western Sydney is regular and reliable, so you have to ask yourself why others haven’t cottoned onto this? Well our experience says that they are!
In the past month A Step Ahead has seen patients themselves coming from Sydney’s Eastern suburbs making appointments to see us. We have also had patients travelling from Lithgow and Sutherland and from as far away as Tasmania within just the last week of the date of writing this. We must be doing something right?
So if you haven’t, is it time you made a change?
Blog, Western Weekender
Mary decided to visit us at A Step Ahead Foot + Ankle Care because after starting walking in an effort to lose weight and get fit again, she was getting quite a lot of pain in her right foot. Mary explained that she’d been walking for about 3 weeks, 3 to 4 times a week for about an hour at a time.
Mary is a 49 year old mum of three children she leads a busy life; she works full-time, still runs the family home, volunteers at her husband’s footy club and is trying to get fit!
Mary noticed that she started to get a little bit of pain after each of her walks but put it down to just ‘getting used to walking’. After another week she noticed the pain became more intense and noticed it started very quickly after she began to walk. The week following she noticed the pain began to increase over time it went from hurting when on her walks to eventually hurting when she was not walking at all and all through the day. Mary swears she also has noticed that the arch of her right foot was falling.
After taking a detailed history we began to palpate (push and prod in non-doctor talk) around Mary’s ankle to find the area under the inside of her ankle bone (Her medial malleolus in doctor talk) was very swollen and painful to touch. Using our specialised digital video walk and run analysis equipment we discover that Mary had quite rolled in (over pronated) feet and she was correct, her right foot was more rolled in than her left. We sent Mary off to a radiologist with a referral for an ultrasound to confirm our suspicion that Mary was suffering Posterior Tibialis tendon Dysfunction. She returned that afternoon with exactly that!
Custom made orthoses from a 3d model of your foot
Having confirmed our diagnosis, we began looking after Mary with the best quality care available. Firstly before leaving we strapped Mary’s foot to take pressure off the overused tendon, we ordered her a specialised brace for the short term again an immediate relief in pain and after a discussion we also prescribed a pair of custom made orthoses. These will stop the overuse of the tendon by reducing the excessive pronation.
Mary’s results have shown that unlike some people who wait too long, Mary came in quickly and has avoided the need for surgery, which can be necessary if this is left too long and not caught quickly. Her orthotics were manufactured in A Step Ahead’s own orthoses laboratory using our custom made milling system and hand finished by our technicians. After a fitting and wearing her orthoses for several weeks we also began a series soft tissue therapy sessions with our team to help rehabilitate the damaged muscle.
New 3d scanners create perfect models of your foot
The good news – Mary’s ankle and foot is now back to normal and she has started back to walking slowly! After we designed a ‘return to exercise’ program for her to follow, she has reduced the chance of re-injuring her foot. Rehab took quite some time but was made easier by Mary’s compliance and her willingness to work hard at getting better.
Its always rewarding for our team to meet people like this who are striving to get back to health!
Blog, Western Weekender
Sam is 10 and loves his footy! He plays once a week, trains twice a week and you can’t stop him from playing at school and in the backyard with his brothers. He plays cricket in the summer he is a typical Australian boy – loves his sport, and loves getting in and getting dirty.
Of late something has stopped Sam being as active as he would like to be. He has recently developed a pain around the back of his heel that occurs after he has been active, particularly such as after playing or training for football. Sam’s dad is worried because it means Sam sometimes starts to limp during a game and has had to come off the field once because it became too painful. This worries his parents more now because Sam would like to play reps this year and his dad thinks if this wasn’t a problem he may have a chance.
So how did A Step Ahead Foot +Ankle Care get to meet Sam?
Sam’s dad found us through the internet after reading one of the articles Brenden had written, talking about dealing with foot pain. We checked Sam’s walking and posture using our Dartfish gait analysis equipment. We also undertook a series of muscle tests and palpated the muscles and tendons around his heel and ankle. After some more questioning we diagnosed Sam with Severs Disease – which sounds rather horrible, however, while painful this should really be called a condition rather than a disease.
Heel pain in children
In very basic terms Severs Disease is an irritation of the growth plate. During growth spurts, the heel bone sometimes grows faster than the leg muscles and tendons. This can cause the muscles and tendons to become very tight and overstretched, making the heel less flexible and putting pressure on the growth plate. This is more common than people realise and often parents are told that their child needs to rest or that there is nothing that can be done. Worse still, parents can sometimes be told this is simply growing pains.
There are many things that can relieve pain in children affected by Severs Disease. In Sam’s case we designed some stretching for him to undertake, started on a series of deep massages to help stretch out Sam’s very tight muscles. We also gave some heel raises to Sam to take the load of the growth plates. We contacted Sam’s football coach and gave him some details of the condition and went through a warm up program with the coach so Sam would be able to play at his best.
The good news is Sam made the rep side!
After a couple of sessions of massage and Sam being very good at warming up as we had instructed him, things began to improve. Sam had 5 sessions of massage and we continued with his stretching at home and before sport for the whole season. Sam is now pain free and still loves sport and getting dirty! (Apologies to Sam’s mum, the getting dirty bit we can’t fix!)
