Sports/Musculoskekeltal Podiatry and Orthotics
At Footcare Scotland, we specialise in Sports/Musculoskeletal Podiatry, Orthotics and rehabilitation
Your initial assessment appointment will start with a thorough history taking. This will include a full medical history, discussion of your current activity/sporting involvement and training schedules. Following this, specific information regarding the presenting problem; including mechanism of injury, aggravating/alleviating factors and treatment to date will be taken. Following the history taking, you will be taken through a series of specific functional and dynamic tests. This will highlight areas where there is either a restriction in joint motion or a lack of muscle strength.
Where appropriate, we utilise gait analysis. This can consist of a basic visual assessment of the way you walk, through to more detailed running video analysis. 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.
When you attend the clinic, we 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. We will also discuss and agree with you a treatment plan tailored for your individual needs.
How is your problem treated?
Orthotics, or foot orthoses, are specialised medical insoles which are worn in your footwear. They can be very effective at treating a wide variety of foot, ankle and lower limb problems.
Functional foot orthoses are very effective in improving foot function and reducing stress on painful structures. We generally use these as part of a wider treatment plan that may include footwear changes, activity modification and exercises.
Total contact orthoses redistribute pressure over the entire foot. This eliminates pressure points, 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 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. We utilize state of the art 3D scanning techniques in the production of our custom made devices. This reduces the time that you have to wait for your foot orthoses, and we can offer turn around times of as little as 3 days.
It is our belief that you can always improve the way you function through exercise. We will never just rely on foot orthoses to improve your pain. Your treatment plan will almost always involve some strengthening or stretching exercises to compliment the other treatments we offer.
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.
We 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.
Furthermore, we will email you your personally designed exercise program. Using our handy app, you will have access to videos of each exercise so that you know you are performing them correctly.
These are gentle, painless movements of the joints performed by the Podiatrist. There are no sudden thrusts of the joints. 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.
The injection includes a small amount of corticosteroid that has an anti inflammatory action and local anaesthetic which numbs the area temporarily.
Steroid injections are especially useful for Morton’s neuroma, bursitis and joint pain.
We believe in team work and making sure that you see the right person for your problem.
If we cannot help you, we have a close working relationship with the best local Physiotherapists, Sports Doctors, Orthopaedic Surgeons and Radiologists. This means that we can arrange a referral to the most appropriate specialist for your condition while maintaining continuity of care.