What to expect at your appointment
At Sports Podiatry Scotland, I take a fresh approach to the assessment of lower limb function. I have moved away from the traditional, static and outdated methods of assessment and pride myself in providing up to date, evidenced based, dynamic assessment. This enables me to accurately diagnose any deficit in strength or restriction in movement that may be causing your lower limb injury. I work very closely with Physiotherapists, Sports Doctors, Orthopaedic Surgeons, Sports Masseuses, Running Coaches and Personal Trainers to ensure that you are seen by the right specialist at the right time in your rehabilitation and can return to your chosen activity quickly, safely and pain free.
Your initial assessment appointment will start with a thorough history taking, including a full medical history, discussion of your current activity/sporting involvement, training schedules and then specific information regarding the presenting problem; including mechanism of injury, aggravating/alleviating factors and treatment to date.
Following the history taking you will be taken through a series of specific functional and dynamic tests to highlight areas where there is either a restriction in joint motion or a lack of muscle strength.
Gait analysis can consist of a basic visual assessment of the way you walk or run through to more detailed video analysis. There is a normal posture for the feet, knees, hips and back at any point in a walking or running cycle and video gait analysis enables us to study any abnormal movements of both muscles and joints as the body moves. You will be able to see for yourself how you walk or run, helping you to understand your particular problems, why they exist and how they can be treated and prevented. **Please be aware that treadmill analysis is only available in the Perth and Physis practices**
When you attend the clinic, I feel that it is important that you leave with a clear understanding of your problem. As such we use up to date technology to aid your understanding of your diagnosis; this includes the use of video analysis and detailed anatomy programs. We will also discuss and agree with you a treatment plan tailored for your problem.
How is your problem treated?
Foot orthoses are specialised medical insoles which are accommodated in your footwear. Functional foot orthoses are very effective in improving foot function and reducing stress on painful structures. ‘Total contact’ orthoses redistribute pressure over the entire foot, eliminating pressure points and reducing the possibility of tissue breakdown, thereby increasing comfort and mobility. ‘Total contact’ insoles are used extensively in patients with Diabetes, Rheumatoid Arthritis and are very effective in treating painful corns and callus. We offer both a range of pre-made orthoses, that can be modified to your specific needs, and custom made orthoses that are made specifically to the exact requirements of your condition.
It is important to understand that even if you are ‘in good shape’ you may have weak or tight muscles or restriction in joint mobility. When you have an injury, you should perform specific exercises that specifically strengthen and stretch the muscles around your injury and the adjacent joints. I will assess your muscle function and prescribe the right exercises specific for your needs. The exercises prescribed will usually be relatively simple, and do not require any special weights equipment, and can be performed safely at home.
These are gentle, painless movements of the joints performed by the Podiatrist, there are no sudden thrusts of the joints. As this movement occurs so tension in the muscles and ligaments around the joint eases and the quality of movement is restored. Restoration of movement leads to reduction in pain and improved mobility whether for everyday life or for high energy activity
Steroid injections are often used when first line treatments i.e. footwear advice, stretching, mobilisation or custom made orthotics have only reduced the pain and the problem still persists to a degree. Steroid injections are especially useful for Morton’s neuroma, joint or heel pain. The injection includes a small amount of corticosteroid that has an anti inflammatory action and local anaesthetic which numbs the area temporarily.
I have a wide network of Orthopaedic surgeons, Physiotherapists and Sports and Exercise Doctors that I work with regularly. Where Podiatric intervention is not appropriate, you will be referred to the most appropriate specialist for your condition. I also have a close working relationship with shoe makers and the technical footwear retailers allowing us to recommend the best type of footwear for your problem.