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6 Days Until Opening – Win A Computerised Foot Analysis

Posted on 13th December 2016 by

goPhysio Foot AnalysisWith 6 days to go until our opening, here’s another chance to win a free computerised foot analysis. With so much going on in your feet, and such a crucial part to play in your day to day movement – seeing what’s going on with your feet can be really insightful. You can win a 30 minute session with one of our Physio’s. They’ll take a look at your feet and carry out a computerised foot scan. They can then discuss the findings with you. You can find out more here.


goPhysio’s Daily Countdown Giveaway: Computerised Foot Scan

Posted on 1st December 2016 by

goPhysio Moving Countdown To celebrate our much anticipated clinic move, we’re giving away a prize every day to everyone who likes or follows us on social media and shoes the daily post. To kick off the advent countdown, today we are giving away a free computerised foot scan.

During this 30 minute appointment with one of our Physiotherapists, you can find out how your feet move and whether they are or have the potential to cause you any problems.

Your foot position and its biomechanics play a crucial role in the health of your entire body and skeleton. To help analyse this, we have invested in the TOG GaitScan™ system, the industry leader in dynamic foot scanning. Gaitscan computerised foot scan gives us access to a wealth of information about your foot position whilst you’re walking, that cannot be obtained with the naked eye, video analysis or traditional orthotic moulds.

The Gaitscan system measures how your foot functions as you walk across the pressure plate, identifying it’s compensations and contribution to your injuries or performance issues. Combined with a physical assessment, our Physio’s are able to integrate their findings to recommend whether you’d benefit from orthotics.

If you’d like a free foot analysis to see whether you may benefit from orthotics – like or follow us and share the post to be in with a chance of winning!

1 winner will be randomly selected tomorrow and notified via social media.

 


Foot Pain: Could It Be Plantar Fasciitis?

Posted on 8th October 2016 by

We are seeing and hearing from an increasing number of people who are suffering with quite debilitating pain on the sole of their foot. This common complaint is often the result of a condition known as Plantar Fasciitis.

Interestingly, over the last week I’ve met 8 people hobbling about with this painful foot condition and not one of these people were aware of what physio could do for plantar fasciitis.

So today’s blog is to educate you about plantar fasciitis and help you banish it for good.

What is Plantar Fasciitis?

Fascia is connective tissue which is found all over the body in various forms for different functions. It’s most common forms are sheaths surrounding muscles and ligaments to compartmentalise and  protect these tissues or thickened fascial bands or sheets in certain areas of the body.Plantat Fasciitis

The plantar fascia is a thickened sheet of fascia on the sole of the feet, running from the inside base of the heel bone and fanning out into the base of the toes. It’s elasticity gives us a spring in our step when walking or running.

Plantar fasciitis is an overuse injury to the fascial sheet on the sole of the foot.

Causes of Plantar Fasciitis

The main cause of plantar fasciitis is caused by

the plantar fascia being put under excessive stretch for prolonged periods of time. This can happen for example when your foot arches are too flat, so that as you push off when you’re walking or running the fascia excessively overloaded and stretched. Over time microtrauma, injury and pain result.

The foot can also be termed the “rubbish bin” of the body, where asymmetries further up the body can result in compensations in the foot. The body will compensate up to a point, but due to the excessive forces during the propulsion as you move that go through your feet, the foot may adapt by stiffening up and thickening of the plantar fascia. So sometimes, it can be something going on further up the body that may put too much stress on your foot, that will in turn cause this problem.

Symptoms

Plantar fasciitis is normally felt as a pain on the bottom of your foot, sometimes going into your heel.

Unfortunately plantar fasciitis is often confused with another foot problem called calcaneal bursitis heel pain). Without a thorough examination, most plantar foot problems are diagnosed as plantar fasciitis.

So a quick test you can do yourself to indicate whether your foot pain is plantar fasciitis or not is to see which is more painful; walking on your tip toes or your heels.

If it is painful to walk a few steps on your heels, you may have an element of calcanea bursitis. If it’s more painful too walk on tip toes (stretching plantar fascia), it’s likely you havre plantar fasciitis.

Why is it so painful 1st thing in the morning or after I’ve been sat for a while and then get up?

Plantar fasciitis is usually painful after a period of rest. The reason being is that when you’re sat for a while or asleep in bed, the fascia is off loaded and re-tightens. When you get back up on your feet, you are re-stretching the tight, painful fascia. It may ease a little as you start to move around as it effectively ‘warms up’ and stretches.

What can affect recovery?

There are many factors that will affect the speed of recovery. Seeing an expert Physiotherapist who has a wide range of experience treating lower limb overuse injuries is vital to identify all the factors and work towards removing or modifying the triggers unique to you.

The most common triggers for foot problems such as plantar fasciitis are:

Biomechanics It’s crucial to assess whether your foot and leg biomechanics (e.g. flattened arches, knocked knees etc.) are contributing to your injury and may need correcting. Here at goPhysio, our Physio’s can do this quite easily as part of your initial session by combining their physical assessment findings with performing a computerised foot screen using our cutting edge Gaitscan system.

Training Patterns and Intensity If a runner or keen walker has the condition, it’s vital to look at the historical loading of the fascia and modify their training schedule to a level that allows the condition to heal. Without breaking the cycle, the tissues won’t be able to recover. However, we like to keep people doing what they love, so rather than advise complete rest, we try wherever possible, to modify your activity or suggest alternatives in the short term that will promote recovery.

Lower Limb Stability Often muscle imbalances further up your body in your knee, hip or pelvis, will have an impact on the foot. As part of your recovery we will always address these elements too to help prevent re-occurrences.

Age Research suggests that older people experience more severe and more prolonged episodes of inflammation and pain. So, if you’re 40 years plus and enjoy an active lifestyle, your pain is unlikely to settle with just rest. It will be easily aggravated when you resume normal activities, as the cause and actual injury hasn’t been addressed.

Footwear Unsupportive, flat, old, worn out shoes or trainers can both contribute to causing plantar fasciitis and will inevitably prolong the condition.

Physiotherapy

At goPhysio, with a condition like plantar fasciitis, we always treat the condition as part of the bigger picture. Not only will we treat your foot itself, but we will look from the foot upwards and from the hip downwards, ensuring we leave you with no issues that will contribute to a re-occurrence.

Having identified all the factors unique to your condition, we will then address and correct them in parallel with hands-on physiotherapy treatments and education. It’s crucial to manually release the tight thickened plantar fascia with a variety of release techniques. You will also be provided with a bespoke home exercise programme for you to self treat at home and speed up your recovery in-between physio sessions.

We can also asses you to find out if you’d benefit from orthotics. In most cases of plantar fasciitis there is a biomechanics component that needs addressing. This can be achieved with orthotics. As outlined above, fattened arches will lower your body’s ability to cope with loading either from day-to-day actives or sport. At goPhysio we use a technologically advanced system called Gaitscan, which uses computer scanning to analyse your moving foot Combined with a physical assessment, the physio can identify if you’d benefit from wearing orthotics and subsequently discuss the range of options available to you to get you back on your feet a quickly.

What next?

If you think you may be suffering with plantar fasciitis or you have foot pain and aren’t sure what exactly it is, just give us a call on 023 8025 3317 or book an initial physiotherapy appointment online.

We can also offer you a free computerised foot analysis to see whether you’d benefit from orthotics. These analyses are completely free with no obligation. Call and quote Free Gaitscan to take advantage of this offer and find out whether orthotics could help you.


How might orthotics help me?

Posted on 30th August 2016 by

Orthotics are prescribed and worn for a variety of reasons.

The most common reasons are:

  • Arch and heel pain (Plantar Fasciitis)
  • Lower leg tendonitis (Achilles tendonitis and posterior tibial tendon dysfunction)
  • Shin splints
  • Knee pain, such as chondromalacia patellae, iliotibial band syndrome and runner’s knee
  • Leg length discrepancy
  • Low back pain

Orthotics work by improving foot efficiency, lower limb alignment, therefore reducing stress on the problem area resulting in pain relief.

Although some people adapt to orthotics very quickly, you should gradually adjust to them by wearing them for a few hours more each day. You should avoid using them for extended activity, including sports, until you feel fully comfortable.

They should be comfortable and used whenever you are doing the activity that would normally aggravate your condition. If you need orthotics, they can improve your overall comfort in your lower limbs and feet.


What are orthotics?

Posted on 30th August 2016 by

What are orthotics?

Orthotics, orthoses, shoe inserts, insoles……whatever name they are known by, are foot supports which fit in your shoes to help your feet move more efficiently. They are made of moulded pieces of rubber, leather, plastic, or other synthetic material that are inserted into a shoe. The aim of orthotics is to balance the foot in a neutral position and cushion the foot from too much pounding.

There are 2 types of orthoses, over the counter (OTC) orthotics and custom orthotics.

OTC or ‘Off the Shelf’ Orthotics

These give arch support to your foot. However, they are made in a generic shape and may not be suited to all. They may match some people’s arches, but for others the arch support may be too high, too low, or too far back or too far forward. OTC orthotics can work really well in some people, particularly if they already fit your foot well and any issues you may have are very minor. Prices of OTC orthotics can vary massively. Like most things, you get what you pay for. A very cheap orthotic will wear down very quickly and not provide support for any length of time, rendering it pointless! At goPhysio, if you’re not sure about whether orthotics are for you, we can often recommend OTC orthotics to give it a try. We also advise certain OTC orthotics for more minor issues. Our OTC orthotics are priced at around £65.

Custom Orthotics

These orthotics on the other hand are designed to specifically fit your feet and work more efficiently than OTC supports. They are designed specifically for an individual to balance the biomechanical inadequacies of your feet and legs. Here at goPhysio we use a Gaitscan system to measure and analyse how your foot works alongside the skill of your Physiotherapist. They will look at your feet and legs, analyse your movement, measure your foot position and put all this together in the bigger picture with your symptoms & lifestyle. This hug amount of information will enable them to prescribe the best custom orthotic for you and your lifestyle.

Here’s a little bit more about the custom made orthotics we prescribe.


Both types of inserts aim to improve foot efficiency, helping improve lower limb alignment and reduce stress on the problem area, resulting in pain relief. If you think you could benefit from orthotics or would just like a no obligation consultation to fine out more, we offer free foot assessments at our clinic in Chandlers Ford.

Just give us a call to book your free consultation on 023 8025 3317.


Running Injuries: The Basic Principles

Posted on 8th July 2016 by

There are 2 main types of running injuries that we commonly see at goPhysio:

  1. Traumatic injuries
  2. Overuse injuries

Traumatic injuries are caused by an accident or ‘traumatic event’ for example tripping over when you’re running or having a fall.

These type of injuries usually happen unexpectedly and are therefore difficult to prevent, however there are a few things you can do to help reduce the risk of these types of injuries.

  • Invest in good quality running shoes that are suitable for the type of running (trail, road etc.).
  • Wear the correct shoes and clothing for the weather conditions.
  • Warm up well to help prevent injuries that may be caused by sudden movements.
  • Listen to your body – if you’re not feeling 100%, are overly tired or recovering from an injury, you’ll be more at risk of having an accident.

If you suffer a mild to moderate traumatic injury, the best course of action is to follow the P.O.L.I.C.E. acute injury management programme. This will give you the best chance of a speedy recovery and return to running.

It’s important to remember that even if you need to rest from running, try and stay as active as you can and find alternative forms of exercise like swimming or cycling, where you can maintain your fitness, strength and flexibility but still allow your injury to recover.

It’s also very important to do specific exercises to work your injured are to recover strength and flexibility. This is particularly important to help prevent any re-injury once you’re back to running.

Overuse injuries are caused by repetitive movements that build up over time, that eventually your body can’t cope with. Given the repetitive and high impact nature of running, overuse injuries in runners are extremely common.

There are 2 main causes of overuse injuries:

Extrinsic Causes

These relate to external factors such as:

  • Footwear – wearing the wrong type of shoe for you or a shoe that’s worn out.
  • Running surfaces – repeated running on overly hard surfaces or on a certain camber.
  • Your training programme – normally overtraining, so increasing speed or distances too quickly and not allowing adequate recovery time.

Intrinsic Causes

These are related to your physical build and design. These include:

  • Muscle imbalances
  • Lack of flexibility or even over flexibility
  • Running technique
  • Biomechanics
  • Your own skeletal design

It can often be a cumulative combination of extrinsic and intrinsic factors that lead to an injury. You can read more about overuse injuries on another one of our blogs.

 


How come my feet have grown after I’ve had a baby?

Posted on 19th March 2014 by

Why, after being a size 4 all of my adult life do I now have to buy size 5 shoes?!

All pregnant women expect to get bigger with pregnancy, but it’s not just your bump that can grow! Research has found that Relaxin, the hormone responsible for relaxing the joints, ligaments and muscles surrounding the pelvis and low back in preparation for child birth, will also act on other ligaments in the body.

A study at the University of Iowa found that on average during pregnancy, arch height decreased by between 1-5mm and foot length increased by 2-10mm, with these changes remaining at 19 weeks post-delivery.

During pregnancy, as your feet take the load of your increasing body weight (plus a growing bump), combined with gravity and the effects of Relaxin, can cause your feet to ‘grow’ in size, either in length or width. Many women find they will need to wear a larger shoe size during their pregnancy to accommodate their larger feet. This is often due to water retention and swelling in the feet and legs, causing them to look and feel bigger than they are!

Most women will find that once they have had their baby as the Relaxin levels in their body lower, their feet will return to their ‘normal’ pre-pregnancy size. However, in some cases there can be a permanent increase in shoe size. This can be due to a variety of factors – number of pregnancies, hyper-mobility (natural flexibility) of the foot and weight gain.

Foot archesThis permanent change in foot size is more common than we think! The permanent change is caused by the plantar ligaments that support the longitudinal arch of the foot becoming stretched and permanently lengthened. This in turn leads to flattened or collapsed arches, which can potentially lead to foot, ankle, knee and hip pain over time.

feet growth baby

The actress, Denise van Outen, mentioned after the birth of her daughter a few years ago, that her feet grew from a size five to six while she was pregnant, and have stayed that size since – she had to give away most of her designer shoes as they no longer fitted!

If you have noticed that your feet have permanently increased in size after you’ve had your baby, with your middle arch starting to flatten out, goPhysio could help. With our GaitScan system, we can assess your new foot position and if it would help you, provide you with a pair of custom made orthotics which will help support the arches of your foot and relieve the pressure on other structures higher up in your leg. In the future this will help prevent long-term adaptations being made by your body which can result in other problems, such as back, pelvic & hip pain. As a new Mum, with little time to rest, you’ll certainly be on your feet a lot more and this isn’t likely to change for many years to come. Looking after your body and being pro-active in preventing issues is key. If you’ve already noticed aches & pains, custom made orthotics will help reduce these.

If you have any questions about how we can help with foot pain during pregnancy, pop in to see us or give us a call!