How To Avoid Footpain – Biomechanics
Not all foot problems require surgical intervention. Many types of leg and FOOTPAIN can be caused by biomechanical dysfunction and abnormal gait.
The cause of the dysfunction may be tight muscles, muscle imbalance or abnormal bony alignment.
An assessment may be necessary to evaluate the function of your lower limbs during gait.
Any structural abnormality or imbalance detected may be treated with in shoe supports known as Orthoses. Special flat feet running shoes can also help to avoid pain in the future.
Orthoses may be “off the shelf” or bespoke to you.
If bespoke Orthoses are recommended they will be manufactured from moulds of your feet.
Orthoses can be made from a variety of materials, chosen to suit the abnormality and amount of support required. The devices will fit into most normal shoes and will not be noticed by anyone else.
Orthoses may be used before surgery is contemplated and if the Orthoses are successful and the FOOTPAIN is resolved then the patient will not require surgery.
Heel pain is extremely common and affects about 10% of patients with FOOTPAIN.
There are numerousHeel pain causes. In order to make the correct diagnosis, a full history and physical examination will be required. X-rays and blood tests may also be taken to assist the diagnosis.
The common cause of Heel pain is plantar fasciitis, which is present when the strong ligamentous band, which runs from heel to the forefoot, becomes inflamed. Patients usually report pain, which is worse after a period of rest (Post static dyskinesia), and pain under the heel and arch of the foot.
Plantar fasciitis is often self limiting, meaning it resolves without treatment. If however the pain is severe, then intervention may be necessary.
The following regime is successful in 80% of cases:
- A programme of stretching exercises and the use of footwear with a built in arch support
- A programme of stretching exercises, anti inflammatory measures and a custom made in shoe support
- Cortisone injections or a series of injections with long acting local anaesthetic
- Surgical release of the plantar fascia
Read our crossfit shoes guide here.