519-624-4122

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

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Posts for: May, 2015

Could YOU have a Limb Length Discrepancy? 

Did you know that many of us, are walking around with one leg longer than the other without even knowing it? In fact, it is estimated that 23% of the general population are affected by a limb length discrepancy (LLD).  While you may think you would notice if your legs aren’t the same length, the truth is, this is often not the case at all. Much of the time, the difference in limb length is small, and therefore goes unnoticed in our patients.

LLD- What is it?

                Otherwise known as anisomelia, LLD refers either structural or functional limb length discrepancy. Structural limb length discrepancy is a true difference in limb length caused by shortened bones on one side of the leg (tibia or femur). While most people with a structural LLD have had it since birth, others develop structural LLD through traumatic events or joint replacement. On the other hand, a functional LLD is caused by soft tissue abnormality, such as ligamentous laxity in the hip, tight pelvic muscles, or over-pronation. With a functional LLD, there is no actual difference in the lengths of the bones, but it just seems that way because of what else is going on in the body.

When is a difference in leg length a problem?

Often many people do not experience symptoms from LLDs, and this is good. But when an individual develops pain (usually in the lower back or hips), or alters their gait due to an LLD, it can become a problem. Some people will even have to quit sporting activities or doing things they love.  That’s where we come in! We have all the tools to properly measure the limbs and to determine whether an LLD is structural or functional, how the body is compensating, and direct treatment from there. Treatment may include things like stretching (functional LLD), orthotic therapy, or lift therapy. Lift therapy can be difficult, and we tend to take a step-up approach by increasing the height of the lift every few weeks.

If you think you may be suffering from a limb length discrepancy, give us a shout at 519-624-4122!

Happy Hump Day!


Ingrown Toenails

    If you have experienced this condition, otherwise known as onychocryptosis, then you are aware of how painful it can really be. Ingrown toenails occur when there is abnormal growth of nail sideways, so that it creates friction with the skin. It can also occur from improper nail cutting, in which nail fragments, called spicules, get entrapped in the area which connects the skin to the nail ( known as the sulcus).

Who gets them?

    Anyone can get an ingrown toenail, but they tend to be more common in athletes who wear occlusive footwear, runners whose toes may be making irregular contact with the front of the shoe and in those who are improperly cutting their toenails. We tend to see them in adolescents here at Achilles as well.

What do they look like? 

Signs and symptoms include a red, painful throbbing nail, which may or may present with some fluid release. The nail can become infected and this will result in classic signs of infection such as a red, hot, swollen, and painful.  In general, by the time we see patients with these sorts of nail problems, they are in quite a lot of pain.

Treatment Options

There are a few things we can do for ingrown toenails in our office. First and most importantly, we will remove the offending spicule, and this usually results in immediate pain relief. However, the act of using our instruments in this sensitive area can be very painful, and therefore occasionally we need to anaesthetize the area in order to perform this procedure.  In cases where the patient is experiencing repetitive ingrowns over a period of time, permanent or non-permanent nail removal is also an option. Finally, as with most foot and nail conditions, underlying biomechanical causes need to be corrected for with orthotics, or else the problem will recur.

If you are interested in learning more about treatment options for your ingrown toenails, then give us a call at 519-624-4122. 

 


Cuboid Syndrome

    We see many patients that report foot pain.  Some types of pain, such as heel pain, can have fairly obvious causes, such as plantar fasciitis. Other types of pain are less obvious, such as pain along the outside of the foot, which could have many potential causes.  Runners and athletes are generally more susceptible to these sorts of injuries but they can also happen in the general population.  Let’s take a look at some of the causes of lateral heel pain.

Cuboid Subluxation

    A subluxation occurs when a bone partially dislocates from its position within a joint, and commonly occurs to the cuboid bone. The cuboid bone sits just in front of the calcaneus and this joint can become disarticulated, causing a great deal of pain.  Another name for this condition is Cuboid Syndrome.

Signs and Symptoms

    This condition tends to occur in over-pronators, or individuals with flat feet, and can be aggravated by insufficient footwear or overpull of the peroneus longus muscle.  Pain from this condition can occur over time or very suddenly. It can radiate to the front or middle of the foot and often, the first steps of the day are the worst step so the day.

Treatment

    The good news is, although this condition can be difficult to diagnose, it is very treatable. The most common and effective treatment is manipulations. Manipulations involve rapid movements of a joint beyond their range of motion. In the case of cuboid syndrome, they can be helpful for returning the cuboid bone to its normal position.  Other treatments include rest, ice, compression, elevation (RICE) therapy, hydrotherapy, stretches , exercise and orthotics to correct underlying biomechanical problems. Usually cuboid syndrome will heal with time and a break from activity.

If you think your outer foot pain could be due to Cuboid Syndrome, give us a call at 519-624-4122.  We can help!




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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