Orthotics

Skeleton foot on an orthotic

If you are suffering chronic or acute pain in your legs or feet, at Woodlands Podiatry we will gladly assess your complaint, discuss your options and effectively manage your pain. We will only prescribe functional orthotics if we think there is a real benefit.

This will involve a biomechanical analysis of your lower limb function, correction of poor footwear, and a muscle stretching and strengthening program when indicated.

At Woodlands Podiatry, in addition to state-of-the-art custom orthotics, we also provide a range of pre-formed orthotics onsite. In many cases pre-formed orthotics are very effective, and where necessary can be modified to your individual needs to produce a semi custom foot orthoses.

For comfortable and effective orthotics we offer experienced diagnosis and treatment, coupled with cutting edge equipment.

The use of orthotics, therapeutic insoles and inserts for shoes has come a long way. The latest equipment and processes together with careful and expert analysis and prescription can foster excellent results.

Using cutting edge 3D laser scanners, we scan the foot accurately to within one tenth of a millimetre. We then write a prescription based on your needs. A local Perth laboratory, with the aid of a 3D computer aided design and manufacturing process, then accurately and reliably produce your customised orthotics.

Customised functional foot orthoses can effectively manage a range of lower leg issues, relating to poor skeletal alignment and gait anomalies including:

  • Patella tracking problems
  • Knee pain
  • Shin pain
  • Poor stability
  • Leg pain
  • Foot pain

Footwear Assessments

A pair of white running shoes

In making footwear assessments we look at your life style factors and goals, as well as looking closely at the biomechanics of your foot, which affects your shoe selection.The correct footwear keeps the foot secure and helps avoid injury. This is an important factor for all age groups.

Runners need to ensure their shoes are replaced regularly, sometimes as often as every few months. Depending on distances run and shoe type, important shock absorbing padding can wear thin and become ineffective.

In the aged patient, we ensure your footwear is supportive, secure and comfortable, prevents falls and avoids foot injury.

Correctly fitting footwear is essential in a diabetic to prevent pressure sores and infections.


Severs Disease

X-ray of heel displaying servers disease

In children the most common complaint is Severs Disease, an inflammatory condition arising from the growth plate.
Please be assured, this is not a disease but rather a common heel complaint which occurs in children and adolescents. It may also be called Calcaneal Apophysitis, which is a better description, meaning inflammation (swelling) of the growth plate in the heel.

 

A growth plate, also called an epiphyseal plate, is an area at the end of a developing bone where cartilage cells change over time into bone cells. It is sensitive to overuse. It usually occurs during the growth spurt of adolescence. While the problem is common, you should have your children properly assessed and diagnosed to ensure there is not another problem causing the heel pain and allow your podiatrist a provide some simple treatment options to allow your child to continue to participate in their sporting activities with no pain.


Diagnostic Imaging

Toshiba laptop displaying 3D scan of a foot

To understand and manage your complaint effectively, you may be referred for further diagnostic studies, which may include Magnetic Resonance Imaging (MRI), Ultrasound and Plain X-ray.
These diagnostic modalities are requested only when necessary and can greatly assist in obtaining a clear diagnosis to facilitate an effective management plan.

 

Your management plan may include a referral to a radiologist for a therapeutic injection such as an ultrasound guided cortisone (steroid) injection. This is useful in the management of a number of common foot and ankle pathologies including:

 
  • Morton’s neuroma – nerve pain, characterised by pain and/or numbness, sometimes relieved by removing footwear.
  • Bursitis – the inflammation of one or more bursae (small sacs) of synovial fluid in the body resting on areas of muscle, tendon, or bone.
  • Tendonitis – Tendonitis is inflammation of a tendon. Tendons are bands of strong connective tissue that attach muscle to bone.
  • Plantar fasciitis – (also known as jogger’s heel) is a common painful disorder affecting the heel and underside of the foot, caused or aggravated by increases in exercise, weight or age.
  • Capsulitus/Joint inflammation -Capsulitis is inflammation of a joint capsule (made up of ligaments)
  • Posterior tendon dysfunction – A tendon pathology on the inside of the ankle often accompanied by swelling and pain leading to the foot to collapse, often referred to as adult acquired flat foot.
  • Osteoarthritis – a degenerative joint disease; a very common form of arthritis
  • Ganglion cysts – a benign (non-cancerous) lump; a ball of fluid that grows under the membrane of a tendon or joint.

The information on this page is of a general nature only and should not replace the advice of a qualified health professional.