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

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Plantar Fasciitis

    Think you have heard all that you need to hear about heel pain? Well we are here to tell you that you probably haven't!  Plantar fasciitis occurs when the fascia, extending from the inner part, and back, of the bottom the heel to the toes, becomes inflamed. This inflammation occurs when there is a strain on the fascia. This can occur due to sports, or from standing for prolonged periods of time in inadequate footwear, or even from your underlying foot shape. For example, a person with a flat foot is more likely to develop plantar fasciitis.

Signs and Symptoms

    If you know anything about plantar fasciitis, you know that the most common symptom experienced is morning pain.  This is because as you sleep your fascia becomes tight, and as you first wake up and step on the ground, this rapidly forces the fascia into a stretched position, which is what causes the pain.

Treatment

 There are so many treatment options for plantar fasciitis! We will go through them briefly: 

1. Rest-Ice-Compression-Elevation: Good old fashioned RICE. Its on the list because it works.

2. Stretches: Specific stretches for the fascia can really help lengthen it and reduce pressure. Click here for more info!

3. Low Level Laser Therapy: Stimulates production ATP (energy) in the body which can help to reduce inflammation and stimulate healing.

4. Orthotics: Provide long-term relief for the underlying biomechanical problems causing the plantar fasciitis.

5. Ultrasound: Therapeutic modality for increasing bloodflow to an area, enhancing wound healing and reducing inflammation.

6. Corticosteroid injections: Help to provide temporary relief from pain caused by plantar fasciitis

7. Footwear: Sometimes new shoes, with adequate cushioning and support are all that is needed to support plantar fasciitis.

8. Taping: Taping the foot with sports tape in a specific manner by an expert can assist with pain relief temporarily and help to promote healing.

As you can see there are many, many options when it comes to your plantar fasciitis. Call today to book an appointment to learn more about how we can help. Also, you can click here to order our free booklet on the subject and learn more about heel pain!

Happy Monday! 

    According to Statistics Canada, there are millions of Canadians living in pain. In these individuals, mobility can be an issue and can lead to missed work, school and a general inability to carry out the necessary tasks of daily living.  Indeed, patients experiencing foot pain are probably the number one kind of patient we see in our office.  And for these patients, sometimes providing pain relief is not as simple as it should be. We do have a variety of options in our toolbox, and in general, we try to act conservatively first and then move on to more extreme measures once those conservative options have not worked. For example, in the case of plantar fasciitis, one of the more common conditions we encounter, we often encourage the patient to start stretching their fascia, conduct laser therapy, and prescribe non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen. However, should all of these options be ineffective, we begin to consider injection therapy.

    Injection therapy involves the treatment of painful conditions with injectibles- usually corticosteroids. Corticosteroids are potent steroid medications that block the inflammatory pathways in the body. In general, they are used as a last resort, because while they can be effective in the treatment of inflammatory conditions, they are associated with lots of side effects (particularly systemic corticosteorids), and are often seen as a quick fix without addressing the long term problem. However, sometimes the injection of a steroid into a painful area can provide enough relief to enable the patient to start healing patient needs.  Of course, without correcting underlying biomechanical problems with orthotics, pain is likely to come back. Therefore, that is generally our best long-term treatment options for patients in pain.

To learn more, or to order our free booklet on heel pain, give us a call (519-624-4122) or go online to book an appointment! 

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!

 

 

As many of you are aware, Cambridge is lucky to be an industrial and manufacturing hub of Southwestern Ontario. While factories and plants provide a huge economic boost to our community, we tend to see a lot of factory workers and laborers in our office, and most of the time it is because they are experiencing some sort of pain.  

 

In fact, foot problems account for 15-20% of all workplace injuries.  One of the most damaging aspects of working on your feet has been shown to be standing for long periods of time in the same position. Some workplace-related afflictions we commonly see in our office include: heel pain, inflammation, hairline fractures, arthritis, blisters, callus, burns, or sprained ankles.

 

While no job is impervious to foot injury, there are specific steps we can take to prevent foot related problems at work:

 

1.       Move around.

If working on your feet, try to change positions. If you are a manager at a factory where there are assembly lines, try to have employees fulfill multiple tasks throughout the day. This will keep the feet relatively mobile rather than in a fixed position for eight hours straight.

 

2.       Wear appropriate footwear

Different job requirements necessitate different types of footwear. For example, someone working with heavy machinery such as at the Toyota plant here in town may require protective footwear. Alternatively, someone working for Loblaws may be working in a freezer and need a shoe with insulation. Talk to an expert about the best kind of shoe for you and your workplace.

 

3.       Once you find the right shoe, consider buying two pairs

While it may seem like an unnecessary expense, it could end up saving you much more money in the long run because switching out shoes regularly has been shown to prevent injury.

 

4.       Stretch before, during and after work

There are some simple stretches you can do during your shift that will help keep your foot mobile and help protect your muscles, tendons and ligaments from damage.

 

5.       Consider   orthotics.   

Orthotics are in-shoe devices that are custom-designed to alter your faulty foot mechanics and adjust foot function, which can aid in both pain-reduction and injury-prevention in the workplace.

 

These are our main tips for preventing workplace injury.  If you are concerned about how your workplace and work environment could be impacting your feet, call our office anytime to set up an appointment! Our number is 519-624-4122.

 

By Douglas C. Broad, D.Ch
August 18, 2014
Category: Heel Pain

For the last several summers Cambridge has been part of the Walk a Mile in Her Shoes fundraising event. It’s quite a sight to see men decked out in shorts or slacks, ankle socks, and red high heels, walking a few blocks through town to raise funds for building “an equal and tolerant community” for all women. We bet that there are a few sore heels out there at the end of the walk, but heel pain can have many causes other than wearing uncomfortable shoes.

Common Causes 

The most common culprit is plantar fasciitis, an injury to the tendon that supports your arch. When damaged, this tendon pulls against the heel bone where it is attached and is quite painful. Another common reason your heel hurts is Achilles tendinitis. This is an inflammation at the back of your foot where the Achilles inserts into the heel bone. A ruptured Achilles will also be very painful, as well as limiting your activity.

If you are a woman and wear high heels a lot, it is possible you have developed a bump on the back of your heel called Haglund’s deformity. This can rub against your shoe and become red, inflamed, and painful. Stress fractures, tarsal tunnel syndrome, and diseases such as gout, fibromyalgia, and rheumatoid arthritis are all possible reasons for heel pain.

What do you do when your heel hurts? You can ignore it and hope it goes away. Good luck with that! It’s a much better idea to come in to Achilles Custom Orthotics & Footcare in Cambridge, ON so that we can take a look at it. We can diagnose what’s causing your discomfort and find a way to ease your pain. Treatment may be as simple as getting rid of those red heels and wearing something with good support and cushioning. If you need a custom orthotic to give your feet what they need, we can do that, too. Call 519-624-4122 today and set up an appointment. You can also reach us through our contact information online.

 



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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