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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


Subtitles:

Welcome to Foot Talk Fridays!

Today we’re going to talk about hard skin on feet and why you get to it, especially if you’re quite active and you exercise.

So, most of the time you get hard skin along the side of your toe (along this area) and around the heel area here. The reason why you get that is because imagine weight lifting calluses if you’re always weight lifting and you get hard skin on your hands, that is in reaction to friction. The reason that you get calluses along these areas (these are the areas that push off) when you’re really exerting yourself. The more active you are, the more hard skin you have around your foot. If you have it in unusual areas like in the middle of your foot or just off to the inside here, that has to do with this arch collapsing, that’s a

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http://dubaipodiatry.com/wp-content/uploads/2019/10/Exercise-1.jpg
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different type of hard skin. If you ever have painful hard skin, that’s not good news but hard skin is an advantage, it’s your body working properly.

So if you have good sensation – then your body with friction feels a slight burn or twist of the skin and it will grow up thicker skin here and around the edge here to protect your skin. If  you have no sensation to your feet (neuropathy), that’s why we say where memory soled shoes, because with memory soled shoes it absorbs the foot. The reason for that is when you have no sensation and you have high pressure you can get an ulcer into the foot because the body doesn’t know how to defend itself with hard skin. So, whenever you have hard skin I always say to everybody “why are we removing? It will literally grow back tomorrow or the next day because it’s there for a good reason”. It’s there as you push-off on your foot. So (just like cleaning your teeth) you can file your foot slightly just a little bit to take off the excess, but we always want that stronger layer.

Now, there are times when we are not that active, for example, if you go on a summer holiday and you are not fitting in your exercise regime like you would normally do, you might end up with softer feet because you’re not doing as much activity. Or, it could be that you are doing more activity in summer, so you end up with thicker, harder skin during the summer holidays. It just depends when you’re active – expect to get hard skin. Don’t be disappointed if you go for a pedicure and it literally comes back the next day or so, that’s good, it’s an advantage – it is supposed to be like that.

Also, for example, if you’re not very active at all and you have hard skin. If you’re overweight, the extra pressure and exertion of your foot will cause hard skin around the ball of the foot and hard skin around the heel just because you’re heavier. So, if you’re not active and have hard skin, look at your weight, if your weight is on the high side you will get hard skin with that as well. I hope this was all useful.

Enjoy you Friday!

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



  Subtitles: Welcome to Foot Talk Fridays! Today we will be discussing Plantar Fasciitis which is a very painful heel condition.  So, with plantar fasciitis the heel bone becomes inflamed and it’s because it’s a strong band of fascia that attaches from the heel to the forefoot. It keeps the integrity of the arch of the foot up, but if your arch is relaxing or dropping or your foot is beginning to lean in a little bit, then the plantar fascia will engage and pull taut. Where it engages into the heel bone becomes inflamed and it is actually the heel bone outer casing that becomes very painful, especially if you are sleeping or sitting for a long time you go to stand up then the heel bone is at its’ most painful. Then when you walk for maybe twenty steps it begins to feel a lot better. Unfortunately, during the walking and standing that you’re doing (while it feels better) the plantar fascia band is pulling on that part of the injured heel bone and it inflames it so that when you rest or sleep for a while the inflammation shows up. So, what we do to reduce plantar fasciitis is we lift the arch back up again and we tilt the foot a little bit until the ankle straight so the plantar fascia can go back to being relaxed and only engage when there’s an emergency (e.g. if you jump off of a wall, or jump off and landed with your feet quite strongly) the plantar fascia engages in those instances and soon engages all the time. All we do is put it back to its’ rested position so that the bones that attaches into gets better. Enjoy your Friday! For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978


Subtitle: Welcome to Foot Talk Fridays! Today we’re going to be talking about the Metatarsal area (pain in the ball of the foot, the forefoot). Metatarsalgia of the feet happens in the forefoot or the ball of the foot and metatarsalgia means anything that gives you pain along this metatarsal region. So, in the hand we have metacarpals that are quite short, and in the foot we have metatarsals which are quite long.  Now, these metatarsals are supposed to be arch-shaped in this kind of position here. The second, third and fourth should be raised a bit like a little rainbow, but commonly they fall forward. When they fall forward the peak of the arch can also drop, and this is what we call Metatarsalgia – it’s an umbrella term for pain anywhere in this area. So, it can give problems with heel pain if the metatarsal has dropped down, it can cause problems with any of these muscles which can be stretched. It can also cause problems with the metatarsal arch here. Like I said these bones should be in that position up and raised, they shouldn’t be flat like this, or dropped down negatively. If that does happen, in my opinion, (there are three metatarsal arches: the transverse metatarsal arch, the longitudinal arch and the lateral arch) this arch here is the most important that runs across from left to right behind the toes. If this arch drops it makes up this peak of this arch all the way underneath, so for me I always look for this arch to save the foot from any structural damage later on, so it is better to address this arch soon as soon as we see it dropping, or as soon as you get pain in the ball of your foot. If that happens, firstly, we can take a gypsy cast of your foot. This area here (if you look at the side profile) looks like a little half an egg, and it depends how much your arches are dropped to see how much we lift that part of the arch of your foot so it can be small like this one, or it can be quite large. If it’s larger we can push it further back to lift the dome of your foot as well. Also, sometimes we need to do some structural binding of the foot and that’s what we have all of these neuromuscular tapes or K-tape. These all have different strengths and different sizes and these are placed, for example, across the foot in a web position and that lifts and compresses the forefoot and lifts the middle portion up here, so that the metatarsals can all be aligned. Also, something interesting with the nerves. The nerves  have a double branch between the third and fourth toe, and this double branch of nerve can sometimes form a neuroma, or if all the metatarsals dropped down flat it can create neuritis which is inflammation of the nerves. Inflammation of the nerves is what we call Morton’s Neuritis and if you have a bundle of nerves (it is quite rare but it can happen) it is called Morton’s Neuroma and sometimes people called the Neuritis the Neuroma, but the Neuroma is quite rare. What we would do for that is we would try and open up the space in between the bones by lifting this area (where I’m pointing to) and that opens up the space to give the nerves more space to talk to the toes, otherwise these toes can go numb. So that’s what we do for Morton’s Neuroma, Morton’s Neuritis, collapsed transverse arch, Metatarsalgia. We use orthotics, foot binding and taping to constrict the foot as well, there’s also electro muscle stimulation that you can do to tighten these intrinsic muscles to keep the metatarsals in place also. Enjoy your Friday! For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978


Subtitles: Most of the patients that come to see us at Dubai Podiatry Centre complain about having a flat feet and in fact their feet are not flat in most cases even though when you stand and show and exhibit a flatfoot. Most of the reason the foot appears flat here is actually because the ankle joint here leans in and when the ankle joints leans in, it depresses and flattens these arch here. You can test this yourself by raising your foot off the ground and crossing your legs and if an arch forms you don’t have flat feet. But how can we help your foot to stay straight like this when you stand without the arch from dropping and what we have to do engineering wise is control this joint here. There is a bone in here called the talus bone, when the talus bone leans in and when it leans in causes the arch to collapse.Traditionally orthotics and insoles have been used to try and raise the arch of the foot. But now we know that in most cases the origin of the problem doesn’t come from here, it comes from the ankle so we make something exactly the shape of the foot and this is called a gyps cast, so we take a gyps cast to get the exact the shape of your foot so it should be extremely comfortable. But even if we make a fantastic insole or orthotic exactly the shape of your foot and you stand on it the foot will still lean in because the problem comes from your ankle joints. So what we have to do is we have to measure how many degrees your foot leans in. When we measure precisely how many degrees your foot leans in we count your balance that to tilt your feet straight. When we tilt the foot straight, the ankle joint from above also become straight. The ankle joints, ligaments on the medial and lateral sites start to tighten just like you do when you get braces for the teeth. And we measure this depending on your activity levels and what age you are and align your foot 5 degrees every time. So that’s why it’s important to come in and see us so that we can measure your arch and the position of your foot leaning in. So what we can do is we make an orthotic exactly the shape of your foot and we add a medial wedge to tilt you. So if you’re 30 degrees were going to tilt you 30 degrees straight and then what we ask you to do is get a very firm sole shoe. It’s very important when you put an orthotic inside your shoes, the shoes is correct. If you use a very soft sole shoe, the foot might still be able to lean in because the foundation of the shoes is too soft . But in this case the shoe is perfect because the foundation the shoe is very very strong.So as the foot leans in and or tries to lean in, you have an arch support that tries to stop that but more importantly you have a medial wedge so your can foot cannot lean at all and to make sure that you get a true results you should have a very firm sole shoe as well that we ask you to wear and when you put inside your shoes, you remove the sponge liner that comes with your shoes because even if you put your orthotic on top of it you can lose a few degrees so we make sure that the outcome is going to be as true and successful as we can possibly get it in collaboration with our patients.
For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978

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