519-624-4122

Chiropodist - Cambridge
366 Hespeler Road Unit #12
Cambridge, Ontario N1R 6J6
519-624-4122

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Posts for: November, 2014

What is CMT? 

Have you ever heard of Charcot Marie Tooth disease? CMT is a common inherited neuromuscular disorder that results in demyelination of the peripheral neurons. The major manifestation of this in the lower limb is a combination of muscle weaknessand spasticity.  What this means is that some muscles are overly active and other muscles do not fire or act the way that they should. The overall result of this debilitating condition is difficulty walking because of the muscle weakness, along with several signs and symptoms. Some of these include: numbness parasthesia and general loss of sensation, a very high arched- foot with limited motion, and muscle wasting and atrophy. In some rare cases, an individual will present with deformity in their hands as well.

So what can we do for someone with CMT? Some of our short term management options include debridement or reduction of callous that has become painful because of the foot deformity, padding to provide arch support and then pharmacological intervention as needed. Unfortunately, there is no effective medical management of this disease. Though intervention can be somewhat helpful, nothing will deter the progression of this condition.

Rarely, advanced cases may require surgical intervention to achieve joint mobilization. In the long term we can help the patient with orthotic management of their feet and investigate more complex in shoe devices such as ankle braces. 

If you have CMT and are stuggling with foot pain, give us a call at 519-624-4122! We can help get you on your feet again! 

 

 


Is Bursitis Causing your Heel Pain?

Heel pain is by far the most common pain complaint we deal with in our office. And much of the time, our physical assessment and the patient’s clinical presentation leads us to a diagnosis of plantar fasciitis. However, it is important to note that there are several other conditions which cause heel pain. Today we are going to discuss bursitis, a secondary potential cause of heel pain.

What are “bursa?”

Bursa have a normal function in the body, and are small fluid-filled sacs that are located between the bone and the muscle, skin or a tendon. Bursa function to prevent abnormal friction between these structures and help to enable smooth gliding.  

Bursitis

Burisits occurs when the normally occurring bursa within various areas of the body become abnormally inflamed. This inflammation results in significant pain and discomfort. There are two common kinds of bursitis of the heel. The first is retrocalcaneal bursitis, which occurs at the back of the heel, near the Achilles tendon. The second is calcaneal bursitis, which occurs in the bursa on the bottom of the foot in the heel. Bursitis is often linked to Achilles tendonitis, and these conditions often occur with overuse injuries. Some signs and symptoms of bursitis include heel pain while bearing weight, walking and running or when the area is touched. The area could be red, hot and swollen as well.  Often individuals with a rigorous workout schedule or runners are more at risk for developing bursitis.Bursitis is conservatively treated with stretching, rest, ice, elevation and NSAIDS, like ibuprofen. However, sometimes bursitis becomes more chronic in nature and requires orthotics or laser therapy.

To know for sure whether your heel pain is caused by bursitis or something like plantar fasciitis, you need to see an expert. Give us a call at 519-624-4122 to book your appointment. We can get you back on your feet and active as soon as possible!

 

 


November 03, 2014
Category: General Foot Care
Tags: Gout   Toe pain   Foot pain   metatarsalgia  

Hi Friends,

Well, its safe to say summer is really, really over. With winter, for whatever reason, we seem to see more patients with Gout. Lots of people have heard of gout, but many people do not know what it is.  

Simply speaking, gout is an inflammatory condition caused by the deposition of uric acid crystals within a joint.  Uric acid is the byproduct of purine metabolism, and purines are found in various foods, and necessary for a healthy body. However, sometimes individuals either trouble excreting uric acid, or they are getting too many purines, overwhelming their natural control mechanisms. 

Gout often affects the big toe, and is rarely found elsewhere. A gouty attack starts as an acute, painful, red, hot and swollen joint and can lead to loss of function. Men are significantly more likely to develop gout than women, particularly those over fifty years of age.  Once someone has an initial attack they are highly likely to have a recurrence. Eventually gout can even become chronic and lead to the development of deformities and secondary osteoarthritis.

Because it can become chronic, gout needs to be managed early on.  Some research shows that gout can be prevented through changing nutrition and reducing alcohol intake. Purines are found in meat sources and therefore reducing the amount of meat one consumes may help prevent gouty attacks and increase the length of time between attacks. Further, maintaining an adequate level of hydration (at least eight glasses of water per day) and reducing alcohol intake can also help with prolonging the onset of an attack. Once an attack is starting, taking ibuprofen immediately can terminate it and also help to manage pain.

Finally, orthotics and appropriate footwear advice will really help manage pain associated with gout, and can be of assistance during an attack as well. If you think you have gout, give us a call at 519-624-4122. We can help develop a management plan to prevent future attacks and keep you mobile and healthy!




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366 Hespeler Road
Cambridge, Ontario N1R 6J6

Chiropodist - Cambridge, Douglas C. Broad, D.Ch, 366 Hespeler Road, Cambridge Ontario, N1R 6J6 519-624-4122