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Are you ever wondering why your flat feet causes back pain? Or how long it will take to gain foot arches and align your ankles?

And one of our most frequently asked questions… can you still wear stylish shoes whilst wearing orthotics?

Read this blog post for professional Podiatric advise for all your queries about flat feet for men, women and children.

 

Can I still wear sandals with flat feet?
We ask you to limit the use of sandals during your flatfoot treatment. The reason for this is because we measure the angle that your flat foot is leaning in and then we counter-tilt you. So, if you wear a sandal with insoles during this time you are likely to have an ankle sprain. Therefore, supportive shoes that are strong soled with strong edges are the best during your treatment, however, times that you do want to wear a sandal if you are going to the mosque or you are going to the beach, those instances are absolutely fine to wear sandals without your insoles.

 

How long does it take for my flat feet to become straight and aligned?

Initially,  we would take a gyps cast of the feet and measure how many degrees your foot is leaning in which is the underlying cause of flat feet. Once we know this angle we then counter tilt you so that the foot is aligned. We usually tilt the foot by 5° increments because any more than this will make the ankle twist. So, if you are 45° leaned in and you are an adult male, we would change the orthotic every 5° from 45° to 0°, which would be 9 pairs of orthotics at six week increments that would take approximately a year to complete this treatment.

 

 

Could my flat feet be affecting my sports performance – golf, football, etc?

Some types of flat feet are very useful for particular sports such as ice hockey but most sport involves having a stable and straight ankle. Your arch needs to engage as a spring for sports such as running and jumping so that is why some people at a certain age (usually teenagers) are not able to pursue their sporting career because there is swelling of the knees or many ankle sprains. So, if the sports person of any age starts to develop injuries from running (even if they are not in the foot) we always advise to come and have a biomechanical assessment with the Podiatrist to see if there is any underlying issue such as a leg length discrepancy or pelvic tilt that can be made better with corrective orthotics.

 

How can my flat feet cause back pain?
Flat feet are mostly due to the ankle leaning inwards, this causes internal rotation of the legs which in turn affects the hips, and the pelvis tilts forward. When this happens (particularly in men) it will put pressure on the lower part of the back and cause back pain. By tilting the ankles back to straight and lifting the arches, the legs externally rotate in to their neutral posture and the pelvis tilts back to normal alignment.

 

 

Do I need to have surgery to fix my flat feet?

It is extremely rare to need surgery to correct flat feet. The majority of flat feet actually occurs from the ankle leaning inwards and the arch of the foot then collapses. So, by tilting the heel bone straight to align the ankle and lifting the arch back up again, the flat foot should be cured. Of course, there needs to be hyperpronation in the ankle and subtalar joint present for the arch to be lifted for it to be cured, if the ankle is straight and the foot is still flat it may be due to a number of reasons such as excess of ‘fatty packaging’ on the foot that is seen in some areas of the world. It is normal or it can be a boney fusion in the foot from some various diseases so the Podiatrist needs to assess the foot to make sure that the foot can corrected.

 

 

I still want to wear high heels/stylish shoes… can I do this while wearing orthotics? Do I have to wait until my treatment is over?

Whilst orthotic therapy is occurring, the foot must be held at 90° to the leg which means flat shoes must be worn during the orthotic treatment. However, if you want to wear high heels for a special occasion or for an important meeting that is absolutely fine to wear high heels without your insoles, but most activities and daily life we need you in flat shoes to get the ankle back to a neutral position.

 

Is it too late for me to fix my flat feet?

It is NEVER too late to correct flat feet! In fact it is actually faster with adults (especially adult males) as children take longer to correct because they have human growth hormones that make the ligaments very stretchy. It is these ligaments that we need to contract and tighten in to a straight position when we are aligning and lifting the arch and ankle joints. So, adults (especially males) have the fastest results because every 5° that we tilt the foot takes six weeks, and with children the equivalent time takes 3-6 months.

 

Are my flat feet the cause of my bunions/corns?

Flat feet are usually caused from the ankle leaning inwards. The arch of the foot is actually made up of quite a number of bones and when the arch collapses the first metatarsal can end up falling out of the foot and away from the big toe joint which is what is commonly known as a bunion. Usually, if we are going to correct a bunion non surgically, or make it better, we will align the ankle straight again using an orthotic to lift the arch. Also, if we have to align the big toe we will use an electro muscle stimulator designed for the foot and some sports tape to keep the big toe straight for a number of weeks.

 

How long does my child have to wear orthotics? Will they still be able to participate in school sports?

The child’s ankles and flat foot will be measured to see how many degrees the feet are leaning in. With the child we can get 5° every six months and with every six months it depends on the ankle alignments. So if the child is 25° leaning in we would tilt the child’s orthotic 5° every six months, so in a 25° child it would take 2 1/2 years. The maximum time is 4 1/2 years if we see the child regularly every six months.

 

What is the best school shoe/PE shoe for my child? Which brand?

For school shoes and PE shoes rather than the brand being important it is more about the structure of the shoe. We always want a strong soled shoe with strong support. Sometimes the better known brands are more expensive because there are more components and reinforcements inside the shoes, instead of very soft soled shoes. So, shoes from well-known brands that keep children’s health for their feet are the most desirable.

 

My child has ‘knock knees’ when they walk and stand. Will orthotics help fix this?

Knock knees are where the knees come together and this is what happens when both legs lean inward. If it just happens on one leg we call it a ‘K’ leg because one leg is straight and the other one leans in at the knee. There are two main reasons why the knees can knock together, it is either from the hip and pelvis, or it is coming from the ankle and feet. So, the podiatrist will assess the feet to see if the ankle can be straightened and if this sorts out the alignment of the leg then it is only coming from the foot. If the foot and ankle is normal and the knees are still knocking together then the problem is coming from the hip and the pelvis. It is easy to assess this, the podiatrist will align the feet and if the legs go straight it is only coming from the feet. Orthotics will align the ankle and are worn at six months increments. We change the angle of the orthotic 5° every six months but the whole time the child’s ankle, feet and knees is held in a straight position with an orthotic that goes inside the school shoe and sports shoe and is to be worn the majority of the time.

 

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978


Subtitles:

Welcome to Foot Talk Fridays!

Pain in the ball of the foot and sometimes the toe area, if you google it, most of the time it comes up saying ‘Morton’s Neuroma.’ Now, Morton’s Neuroma is very, very rare and it can happen in between any of the inter metatarsal spaces where the heads of the bones are. Morton’s Neuroma is a tumor of the nerve so it’s very, very rare but it’s commonly used to describe pain in this area. 

What’s very common is to have Morton’s Neuritis which is inflammation of the nerves that feed the space in between the bones, and a dropped metatarsal. If any of these metatarsals drop down, pressure on the head of the bone will send pain signals to the inter metatarsals nerve space as that’s where the nerves are. Most commonly, all we need to do is lift the second, third, and fourth metatarsal heads so that it is the same as your hand. As you see with the hand the third metacarpal is the highest. So, in the foot we also want the third metatarsal to be the highest. That’s why by lifting the metatarsals back up again (the second, third and fourth) it can make the pain underneath the foot go away almost overnight.

If it is Morton’s Neuritis sometimes the nerve can be so inflamed that it may take many months for the inflammation of the nerve to stop giving you pain or numbness even if we lift the ball of the foot.

Now, also if there is a cyst which is kind of common also in between any of the metatarsals, so if the bones are rubbing together too much the toes will begin to separate. So, if there is a cyst the toes will show that cyst up by beginning to part. Therefore, the toes show up what the metatarsals are doing.

If you have pain in the ball of the foot we call it ‘Metatarsalgia’ – it means pain in this area. But, there are lots of different reasons, we would need to investigate what was giving the Metatarsalgia which just is a general name for pain in this area of your foot.

So, we don’t know if it’s a drop metatarsal, a pinched nerve, a cyst, a neuroma tumor. That’s why we need to find out by looking and assessing your foot, finding out what the issue is and what are the best options to correct it. 

Happy Friday!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

Today we’re going to talk about warts to the feet. 

A lot of the time warts can be misdiagnosed as corns but they both look quite similar and under a microscope they look very different. For a corn, you really get under one of the heads of the bones or on one of the fifth, fourth, third to second toes. You get them from high pressure areas. 

But, a wart can be anywhere on the foot. On the heel, on the outer edge of the foot, under the arch, under the ball of the foot, on the toes, tip of the toes and other places of the body. What we do for warts is something completely different to what we do for corns.

So, for corns we would redistribute the pressure from the corn area or you would wear wider shoes. For warts, we would do something called ‘Dermojet’ which is what we’re really known for at Dubai Podiatry Centre. Dermojet is a micro jet of liquid that goes into the skin. With warts, they grow really deep into the tissue area of the body. For the rest of the body, they grow outwards on top of the skin. But, on the sole of the foot they get drawn into the skin so they go very deep and that’s why traditional methods of cryotherapy, of salicylic acid and superficial treatments are quite difficult to get rid of a wart. Sometimes, these traditional methods can anger the virus and make it spread, so Dermojet penetrates the skin and subdermal tissue layer to rectify the situation and get rid of your wart for you. 

Enjoy the rest of your Fiday!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

Today we’re going to be talking about ankle pain.

So, there are some ligaments on the outside of the ankle and most people know about these when they’re walking and they suddenly go over on the ankle and the ankle ligaments can hurt a lot. There can be bruising, blood and swelling. There’s also ligaments on the inside of the ankle but it’s more difficult to roll your foot this way, so this is the easiest way to roll your ankle instead of this way. In any event, when you have a bad ankle sprain it is always advisable to wear a very supportive ankle brace and normally ankle braces have a stirrup that comes here made of something hard, and another stirrup of something here, and then something underneath the foot here so it helps to keep the ankle straight. In severe cases, a plaster cast may be put on the ankle to keep the ankle straight, or ‘moon boots’, or an air cast and that’s something that keeps the ankle straight – maybe for two weeks and sometimes even up to six weeks when the ligament is sprained.

Now, if you have had a bad ankle sprain on the outside of your foot, sometimes after a few months or even a couple of years the ankle can start to drift inwards because if you over stretch these ligaments (it is like a piece of elastic that has been stretched out too much) and the anchors of the ankle begin to drift allowing the foot to lean in. Then, the plantar fascia begins to hurt as well as the muscle belly here. So, ankle sprains should be taken seriously! Either a very supportive ankle boot, an air cast or strong reinforcements at the side can normally be bought from the pharmacy and should be worn for about two to six weeks to make sure the integrity of the ankle stays straight. 

For example, if you have had a problem with the ankle a few years ago and are noticing that your ankles are beginning to lean in and the arch is beginning to hurt, and the fascia on the heel is beginning to pull. We can always make an insole underneath your foot that lift the arches but more importantly tilt the ankle back to straight again. So, if you have had a previous ankle injury that you think is giving yourself a problem, then come and see us and we will align the ankle back to straight again.

I hope that helps and enjoy the rest of your Friday!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

Today we are going to talk about ‘hot’ feet. So, hot feet is something that cyclist can get when they do a lot of cycling and the ball of the foot here begins to burn after cycling. Sometimes it can start to burn only after 25km, other times 50km or 75km. This part of the foot begins to burn and what I’m going to do is explain what the anatomy of the foot occurs that makes the problem happen.

So, what I’m going to do is show you why you can get burning on the ball of the foot here while cycling. There are three arches in the foot – there’s one arch here, then there is the biggest one that everybody knows about on the inside of the foot, and then there is another transverse arch here. Now, most people lose this transverse arch and when that happens these metatarsal bones through here drop down and the nerves in between here get pinched. This can make the foot become numb and makes the foot ‘burn’ during exercise in this area here.

So, we do something to keep these three bones positioned upwards and pushed in to the skin.

Say, this is the foot and we’re going to get some tape and put this on to the foot to squeeze and lift the transverse arch back up again. We put this across the foot, and the best time to do this is actually outside of cycling. You want to do this every day for about 2-4 weeks. When you put this on you must make sure that you squeeze the foot together to form the transverse arch. For the last one, you put this one up underneath the toes to pull the fat pad back down that has migrated up under the toes. 

So, you would wear this every day for about 2-4 weeks and you change it every morning, wear it all day, and that would lift the transverse arch back up again so that you do not get burning, numbness or pain in the ball of the foot.

This product has a two week supply so if you would need to use it for both feet, you need to get two packs. 

Enjoy the rest of your Friday and thank you for watching Foot Talk Friday! 

 

 

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

For orthotics, what we do here in the clinic is examine the foot first. For example, say you come in here with a foot problem and the original issue is your foot leaning and its collapsing the arch. Well, everybody’s feet lean in different angles and that is why we want to know what the degree of every patient is between the left and right foot. 

 So, this cast is zero, it is absolutely straight. What I’ve done is I’ve made lots of little angles from 45 degrees (40, 35, 30, 25, 20, 15, 10, 5, and 0) just to show you the angles that we use to determine the amount that the foot leans in.

Now, why it is important to discover how much the foot leans in is because someone’s foot leans in only about 10 degrees the arch will collapse. The arch will also collapse if someone’s foot leans in 45 degrees. We want to determine how many degrees your foot leans in because usually, for example, if you are an adult male your foot will align 5 degrees every 6 weeks. Or, if you are a growing child about the age of six or seven it will take 5 degrees in 6 months to get the ankle straighter. So, there’s a big difference between children, adult males, adult females and the angle so that’s why it’s important to determine how much your foot leans in.

Say for example, does your foot lean in 45 degrees or does it lean in only 15 degrees? Of course, a straight foot doesn’t lean at all so that’s a zero degree angle. We have to be scientific about it and instead of just making you an insole exactly the shape of your foot (that won’t correct the angle of your ankle if it leans in which is normally the underlying problem of a collapsed arch). That’s why we like to find out why the arch is flat – is it because you truly have a flat foot which is extremely rare, we might only see a couple of cases a year, or is it because your foot leans in. If your foot leans in then we make something exactly the shape of your foot and we use the angle measurers to determine how many degrees it takes to get the ankle straight. Then, we would divide it by 5 as well as considering your age and if you are male or female. It does make a big difference between a male and female. 

Male ligaments are stronger and less flexible so they will take about 6 weeks to get 5 degrees. Adult females take 6 to 12 weeks to get 5 degrees straight. A young growing child with growth hormones will take about 6 months. Older children (17 and 18 years old) that’s a little different – we treat them as adults because their growth hormone depletes around those ages significantly. That’s why it’s very important to measure the angle of the ankle. We call this hyper pronation, we hear a lot of the time when somebody had hyper pronation of their feet or of their ankle – what that means is that their foot leans in.

Now, we have hyper supination which is where the feet leans out, if your feet leans out you’ll get a very high arch and almost like bow legs and easy sprained ankles but most of the time we see flat feet and feet that lean in.

Every 5 degrees determines a new orthotic, so the arch changes, the foot changes phenomenally with the difference in the ankle alignment. As you straighten the ankle, the arches develop and you don’t have just one arch in the foot there are three (the medial, lateral, and the forefoot arch).

The forefoot arch is a little curve underneath the front of your foot here. The lateral arch is on the outside of the foot, and then the medial foot arch is along the medial aspect. The inside aspect of the foot is normally stronger, so that’s why we also address all three arches of the foot because if you were like a little ant underneath the foot and you were standing here, when you look up the ceiling should be dome-shaped across the way, it’s not just one arch here. That’s why when we start to tilt and align the foot, the whole foot (muscular wise and bone structure wise) changes. 

Now, we get a lot of questions about “can flat feet be fixed?” 

We have to determine what type of flat feet you have, so if you have a hyper pronated flat foot, of course it can be corrected and that’s the most common one that we see. 

So, as we tilt the foot back to straight and engage all the arches and get the alignment of the ankle back to straight. Perfect! No more flat feet, so it’ a myth that flat feet cannot be fixed and actually in adults it’s faster to fix flat feet than it is for children. It is a misconception that flat feet can’t be fixed. 

It’s just like braces for your teeth, your teeth have already formed but it doesn’t mean you cannot get braces to align your teeth. It’s the same with feet, just because your bones have grown and stopped growing, it doesn’t mean you cannot manipulate the position of the bones. The bones are held together by ligaments and the ligaments are the things that determine where you bones sit.

The muscles can hold and move your foot but you can’t actually hold your foot in a position for more than 20 minutes because the muscle will fatigue and you’ll start to vibrate and shake and then you will have to relax your feet. But, the ligaments can’t hold your feet in place, like you cannot push your teeth in to position – you need an orthodontic brace for that. That’s why we make the orthotics to tilt the foot and keep it position for 6 weeks – 6 months, then we change it again to get another 5 degrees corrected.

So I hope that is more useful information in determining what a flat foot is – what a hyper pronated foot is, what do the angles mean, what the foot leaning in means, how does that interrupt the arches of the foot and how it can be corrected. 

Enjoy your Friday!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

Today we are going to talk about children, growing, and intoeing. 

So when children grow, the legs grow (one leg grows then the other, then the other, etc.). The legs don’t grow at the exact same rate. It is particularly common for fast-growing children to suddenly look like one of the legs is a little bit longer than the other and they like to bend the longer one when they stand and lean on the shorter one. Sometimes when one leg becomes a little too long the pelvis can tilt slightly so one foot can start to intoe.

What we do for children is we normally don’t like to correct the leg length discrepancy when it is minor. When it is minor it is normal. When you have a shorter leg and the child is running it impacts the ground a bit harder and forces the muscles to work a bit more and becomes stronger. They attach to the end of the bone and that’s what makes that side of the bone catch up. So, it’s normal for children to have leg length discrepancy.

Now when it’s too much of discrepancy (one is much longer that the other) then it can actually cause spinal and bone growth problems. So, there is a time where we would then interfere with the child’s foot and leg length alignment. It depends on the range of normal and the range of abnormal. 

But, if you are ever worried about a child’s leg length discrepancy always go and visit your pediatrician. They will check the leg lengths, then they might refer you to a chiropractor or they might refer you to us to check the leg lengths and the foot alignment as well. 

So, we check the leg lengths when there is some intoeing only on one side. Other problems that can cause intoeing on one side is muscular imbalance but that is quite rare. Leg length is the main issue with a child where one foot intoes. 

Now, intoeing with both feet is a completely different issue and has nothing to do with leg lengths. That’s more to do with the pelvic tilt or the curvature of the leg or foot. So we would just need to find out which one that is. Any child that has intoeing, particularly on one side, should have an examination by a podiatrist, pediatrician, or the orthopedic just to make sure that everything is okay.

Thank you for watching Foot Talk Fridays and I hope you have a lovely weekend!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978

 



Subtitles:

Welcome to Foot Talk Fridays!

Today we are going to discuss options for bunions. 

A bunion is where the toe and this area go across like this. What we want to do is straighten the toe and we want to help bolster the big toe straight. So, we’re going to do two things. 

 

  1. We’re going to put some tape on to the toe. If we are going to straighten the toe we would use something called Beauty and the Bunion tape. We just remove the tape like this and we are going to put it on the side of the toe. So, we would put it here and pull it straight down the side of the toe like this. Stick it down, and now you see this tape straightens the toes. 
  2. Now what we are going to do is give the tape some help if the toe is very bent over. We do that by making some silicone in between the toe. Now I’m going to show you how to make some silicone. We are going to use some silicone putty and a catalyst. We are going to make a little disc like this, now we’re going to use some catalyst on to it and we are going to mix it all together. The silicone is very oily and the reason it’s oily is so that when it goes in between your toes it doesn’t give you a blister or anything like that. Then what we do is we fashion it into a shape that goes in between the toes. The silicone works by straightening the first toe by borrowing the second toe and then we wait a few minutes until the silicone sets.

And now this is what the silicone putty looks like. When you remove it, it holds its shape but it will always feel like an eraser or silicone rubber and it’s very oily so it doesn’t hurt your skin. Then you just slot it back into place between the toes. 

You normally wear something like this for about two to four weeks and sometimes up to six weeks. You can sometimes change them every two weeks depending on how much the toe tilts across your foot, so you can make a few of these in stages and the toes straighten up. A Podiatrist would make this for you. So there’s the silicone toe prop and when you remove it it looks something like this.

You can wear this while you are walking around and this helps to push the big toe across and straight and the tapes help to keep the toe straight. 

So, we use two things to keep the big toe straight. If you have hallux valgus or bunion formation this helps as well. You can wear this walking around during the day time because with some other bunion splints you can only wear at night time. I hope that’s useful for using silicone patty and Footerella beauty and the bunion tapes. 

I hope you enjoy your Friday and thank you for watching Foot Talk Fridays.

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978



Subtitles:

Welcome to Foot Talk Fridays!

So, Tri-Step is a system for flat feet.

The foot has three arches and what we want to do is squeeze the transverse arch back up again and raise the arch and the lateral arch so that we can get the arch engaged. First of all, we want to get the forefoot contracted first, so we are going to use a couple of tapes on the feet (four pieces to be precise).

This is to get the fore to the mid foot corrected. We start by putting these neuromuscular tapes on to the foot. They adhere to the skin with hypoallergenic glue and the glue also does not cover the tape completely to allow the foot to breathe. When we squeeze the foot we’re making the foot stronger and tighter, bringing the transverse arch together. And then we can anchor it in place like this.

This tape can be used on the toe if there is a bunion, or it can be used underneath the ball of the foot to help pull the fat pad back down underneath the bones. This is particularly good when somebody has pain underneath the ball of their foot here. Now, that is the forefoot held in place so that the metatarsals through here can come together.

Now what we want to do though, is to engage the medial arch and the middle of the foot arch here. So, how do we do that?  We’re going to use one of these shaped pads called ‘Foot Arch Formation.’ First of all, we are going to apply it by peeling back the paper on to just the forefoot. Over the top of these pads here right up under the toes. Then we’re going to remove the rest of the paper and we ask the patient to point their toes down like this. Then, we stick it to the outside of the foot and bring each tab up the back of the foot like this. 

Now, we have the arch pointed at its highest position and the last thing we do is really lift and pull. As you can this person has a fantastic transverse arch, excellent lateral arch and magnificent medial arch when before the foot was flat. So this holds the foot in the place to help the ligaments contract.

The next step we would do when the patients wearing this every day for 2-6 weeks, is they would also wear an orthotic or insole that helps to lift the foot, keep the arch up, and keep the transverse arch up as well to give structural support and this addresses the bones, this addresses the ligaments. 

I’ll just show you one more time on the other angle of the foot. We anchor it to the first metatarsal, squeeze the foot laterally like this to make the transverse arch pick up, and then we’re going to use the other twin pad on to the side of the foot and squeeze the foot to hold it together. Then, we’re going to use the anchor tape to help those two like this on to the side of the foot – this engages the transverse arch which is really important, especially for cyclists. And now we’re going to use another anchor pad to bring that fat pad back down to where we want it to be. There we go, perfect! Now what we’re going to do is just use the next pad as I showed you before, up underneath here to engage the medial and middle arch as well. So one more time we peel the paper away and stick it underneath the toes like this. Then we can take the rest of the paper away. We stick it to the outside first like this and then we bring all the other tapes around the back of the foot. And then from the top here you can see the arch now is already beginning to form and now we’re really going to pull this arch right up like this. So, this flat foot has quite an incredibly high arch now and is very powerful when it is all held together. They would wear this all day every day from morning until evening. At night time, remove it so that they have no sweat buildup on the foot and let the fresh air get to the foot. 

To use the EMS devices, we just peel off the backing here and you can put it along the inside of the foot to work the arch or you can put that across the foot here to work this part of the foot. So for now, we’re going to put it across the mid foot, then switch the device on. We can increase the intensity of the electro-muscle stimulator by pressing the plus (+) button. We’re going to keep on increasing it until the foot starts to move. You can see the foot beginning to contract. So, the foot is contracting and pulling downwards because it is making this muscle here contract. That will hold it like this for 20-30 seconds and then it will release then contract again. 

So, you can see that this simple sticky patch is more than strong enough. It is not even at its maximum effect on this area here. If we want to switch the machine off, we press the minus (-) button. Now the machine goes off and the toes goes back to being relaxed. Therefore, no electro-muscle stimulation happening. 

If we want it to use on the inside of the foot, we remove the sticky gel and put it on the inside of the arch muscle here, then switch it on. Now, we’re going to increase the intensity. Here, we have level 9, and we can make it go to 10 to contract the big toe. This really works on the muscles of the feet and send signals to the brain to tell the foot to wake these muscles up as well. You can also help by contracting your foot as well and helping to scrunch the arch muscle to get even more out of this. I am going to switch it off now just to relax the foot again. 

Now, we’re going to move to a stronger machine because some extreme flat feet do not have enough muscle for this level to work on. So, we would use a much stronger electro-muscle stimulator device, but we would check that in the clinic which one you would need, and we stick it on the insides of the foot on the arch. This is to make the arch muscle work. Then, we switch the machine on. We already have it entered at a specific program that we want to use at channel 1, and we’re going to increase the intensity on channel 1 until we see the toe beginning to move.

It’s making the muscle (tick, tick, tick, tick) and move almost like doing sit ups on this muscle here. You can even see the muscle moving along the inside of the skin here as it really contracts the muscle and helps to build arch. This is at level 23, it depends on the level the intensity that the patient needs. Everybody’s different, the weaker the muscle, the higher the intensity needs to be. And you would leave this for 30 minutes to let the muscle stimulation program work. And then we switch it off by pressing that button.

If we want to use it in a different position, we just remove the little bit of gel sticker that’s on the foot and place it on a different area on the foot. This gel sticks well to the foot and can be tickly when we remove it. 

So, say we want to work on the transverse arch across the foot we can use it in this position as well. It is already set to everything that we want it to be, and we’re going to increase and see how fast these muscles will start to contract and work. Now, we see the toes begin to twitch. We increase the intensity and now we’re really beginning to see these two toe twitch. The first one is beginning to twitch as well. So that’s the intensity, now all the muscles are beginning to work and that works the muscles across the foot here. You can increase the intensity depending on what feels comfortable for you and what doesn’t feel comfortable. For this person, this is a nice and strong pulse.

[Showing the Tri-Step System box]. So, the Tri-Step System lifts arches. But just like braces for the teeth and adjusting the braces, we also adjust the height of these orthotics as we go along with it. So we start off minimal, then medium-strong, finally very strong, and then go back to medium-strong again. These are the collection of tapes that are all in here, there’s a full batch in here that last 2 weeks for both feet. And these are the electro-muscle stimulators that I have been talking about. 

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978

 



Subtitles:

Welcome to Foot Talk Fridays!

Today we’re going to be talking about swelling in the feet and how to make it better using things that look like this which is what we call a foot bath shoes.So, I want to show you today how to use foot bath shoes. These are about 10 dirhams from Daiso and these are absolutely fantastic. You don’t wear them like shoes, what you do is you fill them with water and then you have a little bath with your foot. The reason I like these is because they save on water and they save on medication. What I mean by that is, say you have a foot injury or you have swollen feet, or something like that and you want to soak your feet.

When we ask you to use Epsom salts for example, they are absolutely fantastic with warm water to use for your feet, but you would have to use this much water (5 litres). Then you would need to use five hundred grams of Epsom salts which is quite a lot just for one foot bath and that’s a lot of wastage in my opinion. So this is to save your Epsom salts (not that it is expensive – about 40 dirhams for 1 bag of Epsom salts) and conserve all of this water and medicine. These little 10 dirham shoes from Daiso, if you fill them with water (fill to this mark here with 500 milliliters = 1 small bottle of water). Also, you would only need to use this much Epsom salts instead of this much Epsom salts.

So, if you have a foot injury such as a bruise to your foot or swelling or something like that, you would put warm water in to these and you would use your Epsom salts.

Now, if you only have one foot with the foot injury you would fill up one of these with the warm water with Epsom salts, and you would soak your foot in it for 30 seconds. After 30 seconds you would remove your foot from the warm water and then you would put your foot in to cold water for 30 seconds. The warm water brings oxygenated blood from your heart and lungs straight down to your feet. The cold water then shrinks the blood away from your feet.

Then, we want to bring it back again. Now you’re going to put it back into the warm water with the Epsom salts for 30 seconds and again back into the cold. So you’re going to repeat the cycle (warm-cold, warm-cold, warm-cold, warm-cold). You are going to repeat it 30 seconds for each time for five repeats. And that really helps foot injuries to get better faster and is relatively cheap to do – just take some water, some Epsom salts, (only use the Epsom salts in the warm water, you don’t need to use it for the cold water).

So, that’s a great way to help your foot repair from any swelling, damage, trauma or ankle sprains, in your own house. If  you did it every evening and (it only takes 5 minutes to do it 30 seconds twice) that can really take the swelling down and help injuries in the foot repair. Obviously, if you have a cut, laceration or open wound, you can’t do this. You can only do this on skin that is intact, so that’s something to do at home yourself and one of the best ways to help injuries repair faster.

Enjoy your Friday!

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978

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