tipoftheday

Should I See a Podiatrist or Physiotherapist for Foot Pain?

Foot pain affects 1 in 5 people.

Whether it’s hobbling in the morning, or sharp pain in your feet, podiatrists and physiotherapists are both dedicated to helping you perform at your best.

But to answer the question of who is the best to see, perhaps we should explore what both podiatrists and physiotherapists do.

What is a Physiotherapist?

A physiotherapist is a person qualified to assess, diagnose, treat and prevent a wide range of health conditions and movement disorders by physical methods such as movement and exercise, manual therapy, education and advice.

Physiotherapy treatment helps repair damage, reduce stiffness and pain, increase mobility and improve quality of life.

What is a Podiatrist?

A Podiatrist is a person dedicated to the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions of the feet and lower limbs.

Podiatry treatment also helps repair damage, reduce stiffness and pain, increase mobility and improve quality of life.

And, while there are things a physiotherapist will do that a podiatrist won’t do (basically anything not to do with the feet), a podiatrist will also help with the following:

  • Removal of corns, callus and other painful lesions
  • Diagnosis and treatment of skin disorders
  • Administration of local anaesthetic
  • Surgical treatment of ingrown toenails
  • Gait (walking) assessment
  • Provision of customised orthotics (shoe inserts)
Scott Leslie, Podiatrist

Scott Leslie, Podiatrist, provides treatment for a patient at Posture Podiatry

Podiatrist or Physiotherapist?

Given that we walk on average 128,000km throughout our lifetime (that’s enough to go around the earth 4 times!), healthy feet are an important part of your overall well-being.

The best outcomes occur when physiotherapists and podiatrists work together for the overall benefit of the client.

Scenario 1: Physio to Podiatrist

If someone rolls their ankle it might be a one-off incident, in which case the protection, management and rehabilitation is often performed by a physiotherapist. That’s why most sports teams have a physiotherapist on their roster.

However, if the same person frequently sprains their ankle, they might be referred by the physiotherapist to a podiatrist to look further into how the foot is working, and other factors that might be contributing to frequent ankle sprains.

The client will have their foot mechanics and walking assessed, and they may be prescribed orthotics or specific foot mobilisation and strengthening to solve the problem.

Scenario 2: Podiatrist to Physio

A podiatrist who is helping a client with chronic heel pain finds that there are factors from higher up contributing to the pain, such as gluteal weakness, hip rotation issues and core stability problems.

The podiatrist will refer to the physiotherapist to help uncover the cause of the problem that may be higher up in the body, and prescribe exercises to release and strengthen the area.

Together, the client has a much better chance of a successful outcome.

So, while both physiotherapists and podiatrists will both provide taping for sports injuries, massage and mobilise feet, and assess posture and gait, it’s important that your physiotherapist and podiatrist are both working together for the best outcome.

Still unclear on who to see?

If you don’t know who to see for your foot or ankle injury, try this:

  • See your physiotherapist for an acute injury where you know the cause.
  • See your podiatrist for foot pain that doesn’t go away and you don’t know why.
See your podiatrist for foot pain that doesn't go away and you don't know why. Click To Tweet

Okay so perhaps it’s not supposed to be as simple as that (Angry health professionals alert!)

But contrary to what some might say, in a lot of cases one person cannot do it all.

It’s best when both your physio and podiatrist are working together for your benefit.

Start with who you know. If you already have a physiotherapist or podiatrist, ask them who they think you should see.

Then ask them to recommend the best treatment plan for you.

That’s how you’ll get the best outcome.

Ask your health professional to recommend the best treatment plan for you… including who else to see. Click To Tweet

At Posture Podiatry, our podiatrists work together with physiotherapists all over Adelaide to help you get the best outcome.

Book an appointment or phone us on 08 8362 5900 to talk about the best options for you.

The Best Shoes for Seniors

Preventing Falls, Improving Balance

Good shoes can give you the grounding you need to help with balance and also help prevent a fall.

Every year, more than 1 in 3 older people will have a fall, and the likelihood of a severe injury increases with age.

Falls can happen to everyone, but one of the easiest and most effective ways to prevent a fall is to change the type of shoes you wear.

Seniors are often not wearing the right shoes which can cause problems with balance. Click To Tweet

Your feet are like reference points on a map, and without good mobility, strength and grounding you may find yourself heading in the wrong direction.

Good shoes can help keep older people grounded. 

 

two seniors sitting on bench

Good shoes can help keep you active

What to look for in a good shoe:

Active seniors need to choose the right shoe for the job. They should be  lightweight, secure on the feet, and comfortable.

If you’re of mature age, here are some questions you can ask yourself to check if shoes are right for you:

  1. Do the shoes fit well? Your shoes should be secure around your heels, and have space at the end of your toes
  2. Are they enclosed and comfortable? Purchase shoes when your feet are feeling their worst – late in the afternoon. Make sure they’re enclosed and comfortable.
  3. Do they bend at the ball of the foot? They need to be flexible at the ball of your foot, but rigid under your arch
  4. Do the shoes have a flat sole? Heel blocks, hard edges and high heels increase your risk of falling
  5. Do the shoes have a bit of bounce? The sole should be low and soft, giving you good feel for the ground

You should avoid shoes that are heavy, rigid, or hard. Shoes shouldn’t have a slippery sole, and shouldn’t be able to be kicked off without untying laces or straps.

You should also avoid shoes with leather soles, or shoes with high heels.

Fashionable Shoes

Good shoes don’t have to be boring.

You can find good shoes that look good as well.

Podiatrists are dedicated to helping people choose the right shoes, and will often work with shoe companies and specialist shoe stores to make sure they’re happy.

Are your shoes safe?

If you’re unsure if your shoes are safe, speak with your podiatrist.

The podiatrists at Posture Podiatry can assess your balance, your current footwear, and help connect you with specialist shoe stores to make sure you choose the right shoes for you.

Easy DIY Foot Bath to Treat Your Feet

Treat Your Feet with a DIY Foot Bath

There’s nothing like a foot bath at home to pamper your feet. It’s not difficult or expensive to do either.

In this post, you’ll learn how to create a relaxing and yummy foot bath for your feet from the comfort of your own home.

Just mix all the ingredients below and you’re relaxing mineral salt foot bath with essential oils will be ready for you!

Enjoying a Foot Bath at Posture Podiatry

Clients at Posture Podiatry enjoy Mineral Salt Foot Baths with Essential Oils on Arrival. Image © Posture Podiatry

Here’s what you need

  1. A large bowl or plastic tub – something that’s just right for you to place your feet inside without feeling squashed.
  2. Warm water – Not too hot, not too cold, but just right.
  3. Epsom Salts – Adding 1 Tbs Epsom salts to your foot bath can benefit your feet greatly. It can soothe dry skin, relieve aching feet, and help to remove foot odour.
  4. Bicarb soda – 1 tsp Bicarb soda helps exfoliate the skin, has antibacterial properties and also removes foot odour.
  5. Marbles – A few marbles in the base of the bowl give you something to gently roll your feet over for a luxurious massaging touch. 
  6. Pure Essential oil – Just a couple of drops of lemon myrtle oil can add to the experience, as well as the health benefits.

The scent of the oil, the soothing mineral salts, the exfoliating baking soda, and the gentle massage from the marbles all work together to soothe your senses and relax your nerves.

 

Pampering Foot Bath

A Pampering Mineral Salt Foot Bath you can try at home.
Image © Posture Podiatry

Easy Foot Bath Recipe

So, you’ve got the ingredients, now here’s the recipe for an easy do-it-yourself foot bath at home:

In a large bowl, add:

  • 1Tbs Epsom salts
  • 1tsp Bicarb Soda
  • 3 drops of pure Lemon Myrtle Essential Oil.
  • Then add marbles and fill with warm water.

Relax and enjoy!

The ideal DIY footbath - Essential oil, mineral salts, exfoliating baking soda, and gentle massage from marbles Click To Tweet

And if you want to see what it looks like in real life, check out this video below:

 

Will you be trying out this easy DIY footbath? We’d love to hear your experience!

Plantar Fasciitis, Your Questions Answered

What is Plantar Fasciitis?

The term plantar fasciitis means inflammation of your plantar fascia. The plantar fascia runs along the bottom of your foot from your heel to your toes. It’s a very strong ligament, so problems usually occur at the attachment to the heel bone. That’s why people with plantar fasciitis complain of heel pain, and it’s usually worse in the morning or after resting for a while.

You can easily feel your own plantar fascia. Just run your finger along the arch of your foot. Go on, try it – feel that rope-like connective tissue that pops out when you pull your toes back? That’s your plantar fascia… and it’s really important.

When you’re walking, your plantar fascia stabilises your arch to enable you to push off properly. It’s the longest ligament in the body – and the strongest as well, able to withstand up to 30 times your body weight.

Technically, the problem is actually more to do with degeneration of the plantar fascia. That’s why podiatrists usually refer to it as plantar fasciosis. However, I’ll use the more popular term, plantar fasciitis here.

People with plantar fasciitis usually complain of heel pain in the morning or after rest. Click To Tweet

Plantar Fasciitis is a common diagnosis for anything heel pain-related, but can be mis-diagnosed in up to 80% of cases. It’s important to get the right diagnosis for the most effective treatment for you.

 

What are the symptoms?

You can feel a sharp pain when you are on your feet, and a dull ache when you’re resting, but usually it is worse in the morning when you are hobbling, or after you’ve been sitting down for a while.

Usually it will hurt mostly directly underneath the heel bone right in the centre of the pad of your heel.

Plantar fasciitis causes heel pain

Plantar fasciitis usually hurts directly underneath the heel bone right in the centre of the pad of your heel. Image credit: CanStock Photo

What causes it?

New shoes, doing more activity than normal, or perhaps just standing for longer periods of time can cause micro-tearing of the plantar fascia. The extra load pulls the plantar fascia from the heel bone and causes inflammation.

Usually this damage will heal if you are off your feet for a while, for example, while sleeping overnight. However if your foot isn’t getting a chance to rest properly the new tissue can be damaged again and you start the cycle of pain again. That’s why plantar fasciitis often hurts most after you’ve been resting for a while.

Over time the tissue starts to thicken and inflamed, which can be painful to stand on. The body is clever, though, and if you let it go too long it will grow extra bone. This is the beginning of a heel spur.

If you let plantar fasciitis go, you can develop a heel spur. Click To Tweet

 

Are some people more likely to get Plantar Fasciitis?

People who have recently changed jobs or started on a health kick can be more likely to get plantar fasciitis, and it’s not limited by age. More often, though, it’s middle-aged women and men that get it.

Some people who have injured themselves in the past can be more likely to get plantar fasciitis as the body tries to compensate for the injury.

It’s actually amazing how our feet put up with what we put them through. In a lifetime we will walk the equivalent distance to walking around the earth 3 times. There will be natural degeneration and weakening depending on your activity levels and injury history that might also contribute to getting plantar fasciitis.

In a lifetime we will walk the equivalient distance to walking around the earth 3 times Click To Tweet

 

If you have it, are there forms of exercise you should avoid?

If you have plantar fasciitis, make sure you are giving it a chance to heal. Long runs on hard ground, beach sprints that require bursts of power, jumping and lunging can all make it worse. You want to give it a chance to heal without damaging things further.

You need to find a balance between giving it enough rest to heal, and enough work to stay strong. That’s the tricky part, but if you get it right you can recover well.

You’ll feel better with cushioning or padding under your heels. But again you need to have a balance between something soft, and having enough support. So, wear comfortable, supportive shoes, and make sure you stretch every day. 

It can also help to massage the area by rolling your foot over a tennis ball or golf ball.

What can a Podiatrist do for Plantar Fasciitis?

Podiatrists are the health professionals dedicated to problems involving the feet, and have expert knowledge and training for helping people with plantar fasciitis.

A podiatrist will:

  1. Order an X-ray and ultrasound to find out exactly what’s wrong
  2. Help you find the right shoes to wear
  3. Give you exercises to strengthen your feet
  4. Help the muscles and joints work together with foot mobilisation to encourage healing 
  5.  Make orthotics for your shoes to give you padding and support
  6. Work with you to make sure the problem doesn’t return

Everything is focused on treating the cause of the problem, and reducing the load on the plantar fascia. That’s how you can speed up healing and prevent the problem returning.

 

What other treatments are available?

Podiatrists can also help you by checking your posture or walking style. They will also ask lots of questions about your injuries, and also check every muscle and joint in the area. This gives clues about other treatments that can help.

  • Massage and stretching
  • Making your feet stronger 
  • Shock Wave Therapy
  • Ultrasound-guided Cortisone injection
  • Platelet-rich plasma injections (PRP)
  • Surgery
Shockwave therapy at Posture Podiatry

Posture Podiatry uses Shockwave Therapy for heel pain relief. Image © Posture Podiatry

Some football players have gone to drastic measures, with stories of jumping off tables to tear the fascia completely so they can get back out and play with less pain.

It’s important to find the true cause of your plantar fasciitis, otherwise the problem will return later.

 

How long does it last?

Left untreated, plantar fasciitis will take 12 months to develop the right amount of spurring and thickening to be pain free. However this isn’t the most ideal outcome because the extra thickening can lead to further problems later.

You can reduce pain in much less time with the right treatment.

 

Conclusion

People with plantar fasciitis experience heel pain in the morning or after rest. It’s common, and podiatrists are the experts dedicated to helping people with plantar fasciitis. 

There are things you can do to help, but it won’t go away by itself for at least 12 months, so have it checked properly by a podiatrist. 

One Foot Exercise for Happy Feet

Healthy, Happy Feet

There’s one foot exercise you can do that can really help to reveal problems with your feet. Many people will neglect their feet. But in general, athletes, sports enthusiasts and active people everywhere understand the importance of well-functioning feet. Some, because a simple foot injury sidelined them in the past, and others because they recognise the benefits of good foot exercises for better performance. 

Consisting of one quarter of the bones in your body, your feet are an engineering marvel designed to withstand huge forces, which for an athlete on the track can be up to a staggering 30 times your bodyweight. Just let that sink in for a moment – you times 30. Yep, the feet deserve some attention.

Your feet are designed to be able to withstand up to 30 times your body weight! Click To Tweet

There are 20 muscles inside each foot, and another 20 muscles that act on each foot from the lower leg. These muscles need to be work together in synergy to enable you to perform at your best.

Problems arise when one muscle is being over or underused leading to imbalance, compensation and loss of efficiency.

That’s why at Posture Podiatry we’re big on helping athlete’s feet to function well by themselves. And there’s one exercise that can determine whether your feet are fit for competition or not…

Foot Exercise to help problem feet

Foot exercises can help problem feet

One Simple Foot Exercise

The exercise is so simple, you can even do it right now while reading this.

  • While seated, stretch one leg out in front of you and make a big, slow circles with your foot – moving only your foot and ankle. Now, the temptation is to rush this, but it’s really important to make SLOW deliberate circles with your foot (it should take more than 10 seconds to complete one revolution).
  • The key is to be able to balance your muscle action to be able to complete a full circle smoothly and deliberately. Take note of any small jolts, pauses and twitches as you move your foot in a circle.

Just make a full, slow circle with your feet. Any interruption to smooth circle movements could mean you have a problem with muscles working together, and that could mean problems down the track.

Practice this until the slow circles are smooth and consistent, and you’ll be training your muscles to communicate better with each other. Repeat before and after your training sessions to ensure they’re still working well together.

Not being able to make slow circles with your feet can reveal bigger foot problems Click To Tweet

Revealing Other Foot Problems

If you’re having problems doing this foot exercise, or if you find it hard to make smooth circular movements it could be an indicator of a bigger problem, and that’s why this exercise is so important. From the perspective of a sports podiatrist, it’s exercises like these that help to identify the best treatment approach to address the true cause of your foot problem.

If you’re having trouble getting the movements right, book an appointment to see a podiatrist who uses foot mobilisation and manual therapy in their approach to improving foot function and mobility.