I just want to get fit for summer

I just want to get fit for summer

I just want to get fit for summer

I just want to get fit for summer

"I just want to get fit for summer" could mean jumping into fitness, which can mean jumping into foot pain! Ever tried getting fit only to find your feet aren’t as ready as you are?

Foot pain isn’t something we initially think of but it can be quite a problem for many people.

Our team aren’t your usual team. Our Podiatrists spend most of their time looking after sports injuries, foot posture problems, and heel pain. Now, while any Podiatrist can many spend much of their time helping your grandma with her toenails, which is awesome, Buuuuut if you’re looking for a team that has experience helping people with foot pain not toenails .... we are for you!

Ready to get started? Our number is 96732987 or click the links below.

I hope that helps. Make sure you head to our information below and our links to look up more information about heel pain, foot types, and other sports injuries. We look forward to making you happy, healthy and active.

Have you tried our Heel Pain Calculator?

Want more information? That's fantastic. There's stacks of videos that we've made. Look down below. There's most likely a link there, or check us out on YouTube, Facebook, Instagram, etc., all the normal socials because we've got stacks of educational videos on heel pain and all the other conditions that we look after. Thanks and stay happy, healthy and active.

ABOUT DR BRENDEN BROWN

Founder of A Step Ahead Foot + Ankle Care in Sydney, and former president of the Australasian Podiatry Council, Dr Brenden Brown (A.K.A Dr Foot) is a wealth of knowledge on how to take care of your feet, including how to find the best shoes.

Follow him on social media:
 instagram.com/askdrfoot
 facebook.com/podiatristsydney
 twitter.com/AStepAheadFAC

* No medical treatment can guarantee 100% success. Registered medical and health professions in Australia are by law not allowed to guarantee success. This comes as a result of all human bodies reacting differently to treatments. Patients should thoroughly consider all treatment options available to them.

Heel Pain Dont’s

Heel Pain Dont’s

Heel Pain Don'ts

Heel Pain Don'ts

Heel Pain Don'ts - The HOT Tips!

We regularly ask our patients to;

  • stop stretching!
  • don’t hang their heels over a step (social media is wrong)
  • Boots and braces may hurt more than they help in the long term!

Need more info?

Our team would love to help. Call 96732987 for appointments and more info. Or click the links below.

I hope that helps. Make sure you head to our information below and our links to look up more information about heel pain, foot types, and other sports injuries. We look forward to making you happy, healthy and active.

Have you tried our Heel Pain Calculator?

Want more information? That's fantastic. There's stacks of videos that we've made. Look down below. There's most likely a link there, or check us out on YouTube, Facebook, Instagram, etc., all the normal socials because we've got stacks of educational videos on heel pain and all the other conditions that we look after. Thanks and stay happy, healthy and active.

ABOUT DR BRENDEN BROWN

Founder of A Step Ahead Foot + Ankle Care in Sydney, and former president of the Australasian Podiatry Council, Dr Brenden Brown (A.K.A Dr Foot) is a wealth of knowledge on how to take care of your feet, including how to find the best shoes.

Follow him on social media:
 instagram.com/askdrfoot
 facebook.com/podiatristsydney
 twitter.com/AStepAheadFAC

* No medical treatment can guarantee 100% success. Registered medical and health professions in Australia are by law not allowed to guarantee success. This comes as a result of all human bodies reacting differently to treatments. Patients should thoroughly consider all treatment options available to them.

Fasciitis – There’s more to heel pain

Fasciitis – There’s more to heel pain

Fasciitis - There's more to heel pain

Fasciitis - There's more to heel pain

Guess what there's more to heel pain than heel spurs and Fasciitis. These are the 2 most commonly diagnosed conditions but also the 2 most commonly MISdiagnosised conditions!

Our Doctors who are all super friendly board registered Podiatrists see Heel Pain EVERY DAY. Now that sounds pretty normal but did you know most other Podiatrists spend most of their days cutting toenails for people 😳

If you’re looking for experience with heel pain and happy for someone else to look after your long toenails we’d love to help!

Our Doctors use the latest technology to get you back to happy, healthy and most importantly ACTIVE!

Ready to get serious about getting better? Click our link below and book!

I hope that helps. Make sure you head to our information below and our links to look up more information about heel pain, foot types, and other sports injuries. We look forward to making you happy, healthy and active.

Have you tried our Heel Pain Calculator?

ABOUT DR BRENDEN BROWN

Founder of A Step Ahead Foot + Ankle Care in Sydney, and former president of the Australasian Podiatry Council, Dr Brenden Brown (A.K.A Dr Foot) is a wealth of knowledge on how to take care of your feet, including how to find the best shoes.

Follow him on social media:
 instagram.com/askdrfoot
 facebook.com/podiatristsydney
 twitter.com/AStepAheadFAC

* No medical treatment can guarantee 100% success. Registered medical and health professions in Australia are by law not allowed to guarantee success. This comes as a result of all human bodies reacting differently to treatments. Patients should thoroughly consider all treatment options available to them.

How Fiona Beat Heel Pain

How Fiona Beat Heel Pain

How Fiona Beat Heel Pain

Meet Fiona

Is it really a heel spur's that causes the pain?

Fiona is a 43-year-old lady with two teenage daughters and a busy household. In the past six months she has returned to exercise by joining a gym, which she is …. or was really enjoying.

Lately she has been waking up in the morning, placing her heels on the ground, only to get what she describes as "excruciating pain". She feels the same pain if she sits for long periods and tries to stand: the pain, while not as bad as those first few steps in the morning, can make her hobble. This is now a BIG problem as she was really enjoying her return to fitness and wants to see what she can do to rid herself of the pain.

A visit to the GP

She visited her GP who spoke to her about a heel spur, he took x-rays and indeed there was a heel spur in the picture. He explained to her that generally very few surgeons will operate on heel spurs and there is little she can do but wait out the pain which on average would go away after about 18 months! He did give her some general stretches and said he could try an injection if she really wanted, but it was painful!

 

Off to the chemist

Fiona also went to the chemist to try to buy some heel pads to take pressure of the heel. She tried these for about a month. While they worked for a short while, the pain quickly returned.  She also tried some very cushioned shoes, again while this was comfortable at first within a short period of time this very expensive pair of sneakers gave little relief.

On attending an appointment at A step Ahead Foot and Ankle care Fiona was just about to give up. A friend referred her after they had suffered a similar pain and our podiatry team had made her pain free.

A diagnosis

Did you know that there is over a dozen different diagnosis for heel pain – YUP if you don’t get that part right you’re off to a rocky start! Our Podiatrist, after a thorough assessment, diagnosed Fiona with plantar fasciitis in this case. Plantar fasciitis is a soft tissue condition of the underside of the foot starting at the heel, where much of the pain is located, however the pain can radiate out towards the toes where the fascia again ends. The pain can begin quiet subtly at first and can last on and off for many patients for many years. Now that all sounds easy but guess what?

Shock wave is a new and highly effective treatment.

Treatment

Shock wave is a new and highly effective treatment.

We discussed a treatment plan with Fiona to rid her of her heel pain, this included looking at some new more appropriate runners, a series of STRENGTH exercise NOT stretching, and soft tissue treatment options. Our Podiatrist provided Fiona with options which included:

  • New Footwear- A super important component of stopping this pain FAST is getting really specific! Our Doctors never leave this to chance! Like Fiona they will look at your foot shape and type, and your walking pattern, then recommend a shoe exactly for you!
  • Deep connective tissue massage – This is a firm to hard massage which is in this condition under taken on the base of the foot around the heel and into your calf muscle as this is almost always also tight. These sessions can range from as short as one a week for 3 weeks but up to 12 – 18 weeks long, dependent on how long your pain has been present.
  • Shockwave Therapy (Extracorporeal Shockwave Therapy (ESWT)) – While Shockwave is a relatively new treatment which we have found very successful. Our Doctors have been suing this for over 7 years with great success! The basic principles behind shockwave therapy are the high-pressure acoustic shockwaves that travel through the skin to stimulate pain relief and tissue repair. We have found this treatment very successful and sees patients recover quicker. Most patients like Fiona recover within 6 to 9 weeks. This treatment is often recommended by sport physicians and orthopaedic surgeons. (Be warned - How long has your Practitioner been using this?)
  • Progressive Muscle Loading – Much to Fiona surprise our Doctors asked Fiona to STOP stretching! Despite what you may read on DR Google and friends the most modern research says stop stretching and start working on building your tendon strength!
  • Orthotic therapy – Orthoses are designed to hold your feet in a “corrected position”. Feet that are in poorly positioned or have poor foot posture have to over work which in turn causes muscles to over work and is most often the reason why people develop foot pain. While there are varying devices that do this there is no replacing custom made orthoses. These devices are made to match your foot exactly. - HARD RIGID orthotics can cause you MORE PAIN!! Soft pliable devices are the way to go!

A choice

In this instance Fiona opted for the quicker Shockwave therapy and orthotic therapy. Her podiatrist helped her select the correct foot wear to purchase from a footwear retailer. We then also provided her with an Isometric Strength exercises - NO NOT STRETCHES! that's right NOT stretching! Our team worked with Fiona to build up her strength readying the surrounding muscles for its work ahead at the same time as repairing the damaged tissue. On each occasion of shockwave reviewed these and provided supportive sports tapping to further support her foot.

A recovery

Fiona attended for shockwave over a period of five weeks and made good progress over that time with her pain dropping slowly over the first two weeks and then quickly once combined with her orthoses and more appropriate footwear.

At week five it was decided to push her appointments out to fortnightly and then when this was found successful out again another month. In total Fiona attended a total of seven times before her pain was relieved completely.

We introduced Fiona slowly back to attending the gym, with strict instruction on stretching and appropriate footwear for her foot type.  Fiona made a full recovery and with a month had returned to three gym sessions a week and a walk with friends for exercise on weekends.

 

How Can We Help?

If you’ve read this far you most likely have Heel Pain…. good guess right! If you have heel pain and you are serious about getting better it’s time to take action.

If you need more info you can book a  phone consult with one of our Heel Pain Experts. Our Foot Doctors will revise where you are and advise you on your next steps – Book a call back here!

Want to read more?

How about the common myths around heel pain?

DOWNLOAD Dr Brenden’s FREE report on beating heel pain!

Or call our helpful team who are used to speaking to literally thousands of patients with heel pain! Our number is 02 9673 2987. We would love to help!

 

What your Podiatrist WON’T tell you about heel pain.

What your Podiatrist WON’T tell you about heel pain.

Things your Podiatrist doesn't want you to know about Fasciitis

Heel Pain can stop you from getting back to exercise!

Pain on first step out of bed, pain in the ball of your heel, gets better after time on your feet only to get painful at the end of a day! Pain often doesn’t have a reason or incident. The horrible thing is this pain is often described to me months or even years after it first appeared and frequently after seeing a number of health care practitioners GP’s, Physios and including Podiatrists!

Many treatments Podiatrist’s and Physios prescribe DON’T WORK and sadly deep down they know this but in an effort to work with you, their patient, they persist not knowing what else to try. Sadly as a patient this doesn’t assist you, and leads only to frustration.

I see literally 8 to 10 people a day, with heel pain! I have been focusing on heel pain for over a decade, honing my skills to work through this complex problem. I see people from ALL over NSW and now have begun to see people travel to see me from interstate. I’d like to share with you some points I have learn't seeing literally thousands of patients.

So in an effort to help EVERYONE, I thought I would write a few of my Top Tips (maybe secretly frustrations). So you can get a better idea of why possibly you are NOT getting any better despite you seeking help.

Orthotics probably won’t work on their own.

This is probably the most common mistake in treatment I see on a day in day out. Orthotics are commonly used by Podiatrists and I use them also ALL the time! However they are not the only answer. I definitely see them having a role to play. We will prescribe so to provide a support or a “balance” to a foot, but you need more! The tissue is damaged and it’s VITAL that it is rehabilitated! Orthotics cant and won’t do this alone, you must rehabilitate the tissue,  using therapies such as deep connective tissue massage and shockwave and muscular stretching exercises!

Stretching won’t help 90% of people.

“I have been stretching for months and I am not getting any better” I see endless amounts of hard working people who have been given stretching exercises and sent on their way and told “Let me know how you go” by their well-meaning therapist.  I also see patients who present to me who have never had any treatment and I test their muscle tightness, only to find they have no tightness at all! Not all heel pain is from tight muscles and not all heel pain is Plantar fasciitis, so we need to break the mold and look elsewhere to help you, our patient.

Foot pain, footwear, heel pain

Great footwear is a key to treatment Yet lots of practitioner focus on this with their patients! Make sure you review your footwear!

You can’t wear any shoes you’d like and your love of Thongs/flip flop/ Jandals is harming you.

Sorry I am going to give you a hard time about shoes! Thongs, flip flops, yes even the special ones with arches etc  etc are all footwear that maybe adding to your pain. I know they make you feel good while you are wearing them. However over years of recommending more appropriate footwear and seeing significant changes in outcomes for the time it takes you to get better we keep you out of these. You can return when the foot is better and full recovered!

Hard rigid orthotics won’t only not fix it they may actually make things worse!  

I will start by acknowledging I am not a fan of rigid orthotics, I have never prescribed them and would not wear them myself. I know many many physios feel the same and are concerned about these actually irritating the structures of the base of your foot! I am sceptical at best around these rigid, hard, harbour bridge like devices in shoes.

Again I feel orthoses work however I believe the foot needs some of its natural motion and this is why our clinic has always used soft soft pliable orthotics that are custom made to your foot. These cup the heel and support the arch only where necessary and DON’T irritate the very area we are trying to fix! We make all our orthoses in our own onsite orthotic lab, we use the latest 3D technology and computer aided design, then milling them precisely to fit you foot, a mix of comfort and cushioning.

Heel pain - Is it your Orthotics causing you more pain?

You need more than a rub!

As I mentioned above most patients need soft tissue rehab HOWEVER I also see that without supporting the tissue around the foot and correcting some of the poor walking patterns that may have contributed to the problem slowly developing, patients often DO NOT get better! Have your walking pattern assessed and see improvements develop quickly

How to get better?

I think the key is to looking at treatment as NOT having one silver bullet that will fix everything. As you will see from my extended notes, just focusing on one element seems to be where people fall short. Looking at heel pain as if it is more than just the one condition, “Plantar fasciitis”, is also necessary to ensure that you get the right treatment. Heel pain can be and often is more than “Heel spurs” or “plantar fasciitis” and so to treat it you need to identify exactly what it is.

When you have established a good idea what’s going on, its time to look at treating all the contributors that made it sore in the first place. Structure, poor foot wear and then looking at treating the soft tissue.

Can you get better?

YES I hope you can see from this that there are very obviously MANY options available. As a practitioner one of the very nice parts of my day are seeing patients who have had this for months or years get better! Patients that don’t just get better they can now kick a ball with their kids, run with the kids in the park, keep up with the grand kids!

Can we help YOU?

Yes, if you would like our help back to a healthy happy lifestyle, we most definitely can and would LOVE to help! Unlike other podiatrists who focus on treating your Nan's toenails or dry hard skin on their feet, we focus on these more complex running and walking problems! We priorities patients just like you as we understand how important it is to get you back to pain free.  Please give our very friendly front desk team a call, not only are they helpful but after having helped literally hundreds of patients each year they are really good at leading you in the right direction back to pain free.

You can contact us on 96732987 or 47322007 we look forward to helping you.

Brenden Brown

Principal Podiatrist

A Step Ahead Foot + Ankle care

BB with one of his patients

BB to the right, with out the yellow skirt