- Skin conditions
- Dry, hard and cracked skin.
- Viral and Fungal infections (verrucae and athlete's foot)
- Other dermatological conditions such as eczema, dermatitis and psoriasis
- Nail conditions
- Thick, brittle and yellow
- Fungal infected toenails.
- Routine toenail cutting
- The feet of individuals with chronic diseases
- Low Risk
- Mild-Moderate Risk
- Severe risk.
- Paediatric foot pain from skin, nails and musculoskeletal conditions- Heel, Arch or Knee pain -Sever's, Kholer's and Osgood–Schlatter's disease.
- Several musculoskeletal conditions could lead to lower limb pain and dysfunction which is associated to poor posture of the feet and legs (biomechanical dysfunction). This may be effectively treated with the use of bespoke functional foot orthoses. Addressing the root cause of musculoskeletal conditions may facilitate the alleviation of symptoms and aid in the prompt resolution of these, as well as prevent recurrence and enable you to return to normal daily activities without delay.
- Lower limb musculoskeletal pain - heel, arch, bunions, digital deformities, flat or high arched feet, knees, hips and lower back.
- Biomechanical assessments, gait analysis and tailored rehabilitation.
Lower back Pain
- Low back pain is a common disorder which can involve muscles, nerves and bones of the back.
- Mechanical back pain can be a result of altered gait as we get older with poorer core stability. This can be identified following a biomechanical assessment and gait analysis. Re-education and use of orthoses to improve stability and function achieves good results and improves quality of life for the individual.
- Pain in the knee can result from an overuse injury which will lead to tendonitis. A sudden knee injury can cause a torn ligament or tendon.
- Arthritic changes and bursitis are common reasons for knee pain in the older adult and may be related to poor function. A biomechanical assessment and gait analysis will identify whether any structural fault is the cause of the knee pain and orthoses can be used in the treatment. These will reduce the loading and the forces going through the knee by changing your walking pattern.
- Knee pain can also be the result of patella inadequate “tracking” where the knee cap does not run smoothly in the groves on the front of the knee. Muscle strengthening exercises and orthoses to reduce the forces and loading are the treatment of choice.
- Also known as medial tibial stress syndrome, this is the term to describe pain along the inside of the shin. It is an overuse injury and can progress if left untreated.
- Poor mechanics, poor core stability and foot pronation (flat feet) are factors causing this condition.
- A full assessment and gait analysis will identify the main causes with recommended treatments including orthoses, physiotherapy and shock wave therapy.
- The Achilles tendon is a large tendon located at the back of the heel and connecting your calf muscles to the heel.
- Achilles tendonitis is inflammation of the Achilles tendon, this may be acute or chronic, this large tendon is a common site for overuse injury in runners. A full assessment and gait analysis will identify any dysfunction and the most appropriate treatment such as orthoses. Other therapies that may be recommended include physiotherapy and shock wave therapy.
- Acute ankle pain is usually caused by an injury such as a ligament strain. This may have occurred due to instability of the ankle and poor alignment of the foot and leg.
- A biomechanical assessment and gait analysis will identify any biomechanical dysfunction and orthoses may be advised to stabilise the foot and prevent future problems.
- A common cause of heel pain is Plantar Fasciitis (inflammation of the fascia that joins the heel to the ball of the foot). Symptoms will often present as a sharp pain in the heel, particularly first thing in the morning when you put your feet to the ground.
- Plantar Fasciitis may result from biomechanical dysfunction which can be diagnosed following gait analysis and assessment. Treatment may include orthoses to reduce the stress on the fascia and in more complex cases further investigations and referral for advanced technologies such as shock wave therapy may be recommended.
- However, there are many other reasons and conditions manifesting as heel pain. Thus, not all heel pain is plantar fasciitis.
The Marylebone Foot Clinic
Suite 1, 83-87 Crawford Street, W1H 2HB
T: 0207 6161 700 | 0795 7621 480 | 0777 1962 431