fbpx

Please wait...



BLOG

No more posts

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


Subtitles:

Welcome to Foot Talk Fridays!

Today we’re going to talk about some people that have an embarrassing problem called sweaty, smelly feet.

With sweaty, smelly feet it is normal for your feet to sweat, but if the sweat is contained inside socks and shoes for a bit too long the normal fungus that’s on your foot can start to grow and that’s what gives a musty smell to the feet.

Not only do we have fungus on our feet, we also have bacteria. We have good bacteria and good fungus, but if you give this warm and damp conditions the bacteria and the fungus can thrive and that’s what can give a very strange odour to the feet which some people find offensive and embarrassing to their self. To explain the

http://dubaipodiatry.com/wp-content/uploads/2019/11/SSF_1.jpg
http://dubaipodiatry.com/wp-content/uploads/2019/11/SSF_2.jpg

skin on the foot, there’s a reason why a lot of foot odour sprays don’t work to alleviate the symptoms. We’ve all had cases of smelly feet, you know if you’ve been stressed or something there is some hormone that is released in the body and it can make the body smell in an unusual way but as soon as you have a shower it washes off.

There are other times where the bacteria and the fungus actually take hold and penetrate the deeper layers of skin. I have a little example of layers of the skin.

In the foot, there are five layers of skin and it takes 28 days for the baby skin layer here to grow up to become the top player that you would normally see on the outside of your skin (ignoring hard skin).

If you get a fungal infection and a bacterial infection, they creep into the deeper layers of skin so any foot odours spray or salt bath that you used for your feet or perfumes that you use only address the top layer (and maybe if you’re lucky the second layer). But the third and other layers here still have a bacterial and a fungal infection and that’s what gives the strong odour.

So, when you come and see a podiatrist we will normally use a strong medicated treatment to get through all the layers of the skin. That takes a course of six weeks and normally we will use a strong gel or cream to penetrate all the way through the five layers of the skin, not just the top two.

To get rid of foot odour it normally takes six weeks to clear the foot odour from all of these layers of the skin.

If you have smelly feet or extra sweaty feet, come and see us. If you don’t have bad foot odour but they just sweat a lot, there is something that we can do for the feet that closes the sweat pores so that the feet don’t sweat too much (but we do want the feet to sweat little bit – it’s a self-cooling regulatory system that the body has).

So, if you think you’re sweating too much, come in and see us and there’s something that we can do for you to close the sweat pores. Or if you have bad smelling feet according to you then come and see us also there are some anti-fungus and antibacterial gels that we can use that penetrate through all five layers of the skin. Then those five layers of skin can grow out over six weeks to reveal the fresh, healthy, new skin without a bacterial or fungal infection.

Enjoy your Friday!

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



  Subtitles: Welcome to Foot Talk Friday! Over summertime we’ve got so many travellers going to nice destinations and doing a lot of walking in shoes that they normally wouldn’t wear so much, like walking shoes with socks, and maybe they are used to wearing sandals here in the Middle East. So, when your skin is very baby soft around the edges you can get blisters, calluses and corns. What we recommend is something that is really light and it fits in your bag (even your purse or wallet), it takes up no space. We have ones like this, we call these toe pads or bunny pads (actually we call this a bunny nose because it’s so soft – but no bunnies were harmed in making of these!).  And you put it on your fifth toe like this so if you’re wearing strappy sandals, or you’re wearing high-heel shoes, or you’re wearing a business shoe, or sports shoes that might feel like it’s rubbing on the toe from the London heat and sweat right now. That’s why I would recommend putting bunny pads – keep them for the whole family so if somebody complains about a hot spot on their foot you can put that on.  You can also put them on the second toe or the third toe, a lot of people come back after summertime with bursas on their toes – they sometimes look like little swellings on the top of the toes and they sometimes think that they’re corns. So, if you use this when your toes are gripping a little bit and rubbing on the top of the shoe it prevents from bursa and discoloration of the skin. Then these ones if you’re wearing shoes you’re not used to (like the heel on one of the shoe because there’s always one bigger foot and one smaller foot for almost all human beings) is that one of the bigger foot can rub and press on the back of the heel a little bit, so this would go in the back of the shoe on the heel area and that instantly stops hot spots and stops a blister from forming. You can also use them behind the big toe – most people get hard skin behind the big toe and along the side of the foot. So, you can use the long pads (we call it bunny ears) behind the big toe where you get calluses and burning as well. Then finally we have the bunny face. You can put this under the ball of your foot so if you’re wearing high heel shoes or your sandals gets sweaty and you’re slipping or something like that, you can just put this behind your toes under the ball of your foot like this. So, if you’re wearing high heel shoes or doing a lot of walking it cushions the ball of your foot. You can also use it on your heel for extra cushioning (it’s a perfect size for your heel). But there is another handy trick to this pad and it’s where you can actually put it up underneath the arch of your foot. For example, your arch is hurting from doing a lot of standing and walking and normally people get one arch that hurts them because we all have a pelvic tilt because we have a leg length discrepancy (it is totally normal). Say for example the arch of your foot is here, if you stick this pad underneath your arch and you pull it up it helps to lift your arch and to keep it up. So, there’s a lot of handy different ways that all of these little pads can help your feet. These pads have been taken to the top of Everest, from one side of the pole to the other side of the pole, they have come in handy with a lot of adventures! The weight is hardly even anything, but if you’re going to go hiking, go on forest walks, or you are going to do lots of walking in cities like Rome, London or Paris that you’re not normally used to doing – definitely take them in a little pouch in your bag and anybody in the family that complains about a hot spot then they are absolutely perfect to use. 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 children’s school shoes.  So, the time is coming where you’re trying to leave it as close as possible to the start of this school term so that the child’s feet is accurately fitted to the school shoes for the school term.  For example, when buying shoes, we want a shoe that’s quite sturdy and strong. These are Adidas and I really like it because they have velcro straps so it makes it very easy to take on and off.  Older children (over the age of eight and on wards) we encourage them by that age that they should be tying their own laces for school. But for very young children it makes it easier for moms and dads to have velcro straps.  The reason that we also like Adidas, like this type for the school shoes (it comes in black for school and white for sports) is they have nice insoles that are fitted. Now the good thing about Adidas and Eco school shoes do it, also – do you see this grid pattern here? This shows where the child’s foot should be fitted when they’re in the shop (that first line). Then these diagonal lines here show where the child should be able to have growth during the school terms. That last line is where the children should get a new pair of shoes when their toes get to the end there. This is really helpful as well if you’re not sure about the shoe fitting in the shop, you can always take this easily out of the shoe (you saw how easily this one came out of the shoe). Ask your child not to sit but to stand on this, I don’t want them to be sitting when they place their feet on it, I want them to stand on it. Just get the heel matching up to this back line and the big toe and small toes should not be beyond that first line here. Then that’s the perfect size for them.  Getting onto girl school shoes, so for example your child does wear an orthotic for flat feet or something like that, the insole comes out of this shoe and quite a large orthotic (this is a child that leans in almost 45 degrees) will fit into a shoe like this.  The reason that we like this is that it has this extra velcro strap on the top which acts like a seat belt, so that when the child is running or if they have a strong orthotic inside there, the seat belt strap keeps the foot and their heel down inside the shoe.  Now another reason for this is so that you can get quite a generous sized shoe for the child to allow them to grow. If you buy your child ballerina style shoes without this Mary Jane style strap, you will have to get a tight-fitting shoe and we see so many young girls with corns and calluses on the outside of their toes because they had to get tight fitting shoes so it doesn’t slip off with their heel. So that you can do the same thing that is allowed for other types of shoes in children, you want this extra space to grow. You’ll be able to do that in a Mary Jane style shoe, they will have the extra space to grow without the heel slipping out the shoe because they have the seat belt strap. So please, please, please for children, please don’t buy the ballerina style of shoes. I see there’s not much cushioning normally underneath so they feel heel pain and there’s not much support at the side of the ballerina pump so the arches become quite soft and strained, it can cause a lot of arch pain. And then of course they have to be tight-fitting style school shoes to keep the shoe on, so please don’t buy ballerina styles -please buy the Mary Jane’s styles with the strap on the top. I hope that help with finding shoes for children for the upcoming school term.  Enjoy your Friday! For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978


Subtitles:

Welcome to Foot Talk Fridays!

We’re going to discuss ‘knock knees’ and that’s when the child’s knees lean in together, called ‘Gene Valgum.’ When the child’s knees go away from each other it’s called ‘Genuverous’. 

Gene Valgum is quite common especially if the feet lean in. If the feet lean in, the knees can internally rotate and the knees can begin to bend together causing an X appearance. Some children might have a straight leg and one knee that bends in and that’s what we call a ‘K leg’ because it looks like a letter K.

So what we want to do initially is we want to find out where the Gene Valgum comes from – is it coming from the hip? Is it coming from the knee? Is it coming from

http://dubaipodiatry.com/wp-content/uploads/2019/09/Gene-Valgum-2-2.jpg
http://dubaipodiatry.com/wp-content/uploads/2019/09/Gene-Valgum-1.jpg

the foot? Is it coming from the ankle? Once we discover where it’s coming from that will change the treatment plan.

Say for example, we need to get the knee to point out wards and the space to open, we’ll put something underneath the foot that tilts the foot to get the knee to externally rotate again, because normally with the feet straight we want the knees to point at eleven and one o’clock.

The perfect position of the knees is eleven and one o’clock, we don’t want straight ahead knees either, we also don’t want the knees to point to ten and two o’clock or nine and three o’clock, we just want eleven and one o’ clock with the feet straight.

The reason for that is when the feet are straight and the ankles are straight, the hips are set wider, so the knee does have to get 50% of a different angle from the ankle to the hip ratio, so eleven and one o’clock is perfect alignment.

We also have to look at leg length because ‘leg length discrepancy’ is normal with growing children. When one leg grows longer than the other the pelvis will tilt, and one knee will point to a different direction compared to the other.

We have to understand that’s normal for children, but if you notice your child has knees that are leaning in or bending in it’s very important to take them to the podiatrist, or the orthopaedic, of course your general practitioner, or your paediatrician just to get a full scope of assessment done.

But most commonly we use something underneath the feet to tilt the feet to get the knees to change direction which is why if your child has ‘Gene Valgum’ or ‘Genuverous’ you’ll be asked to come and see a podiatrist to get the foot and ankle sorted to help with that.

So, what we do with Gene Valgum is we would put something underneath the foot, and we would tilt the foot (and that’s what this tilt is). Depending on the severity of the Gene Valgum, it depends on how high this wedge is so it can be anything from five degrees up to forty-five degrees in the most severe cases.

Again, say for example it’s a child, we would put a tilted orthotic with how many degrees (this child has a twenty-seven-degree tilt on to theirs) for their Gene Valgum inside school shoes and it fits easily inside the school shoe, of course we always like it with a strap on the top. For boy’s school shoes’ most of the time it’s very easy because they look like sports shoes.

Going back to Gene Valgum, normally if the ankle leans in you can imagine the leg will come up like this and then bend up to the top as well. That’s why we put something underneath the foot that will tilt the foot straight.

I will show you what we mean, say the foot leans inward like this, we would put something tilted so that when a child stands on it they are tilted straight and that’s how we correct Gene Valgum in most cases.

Enjoy your Friday!

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



  Subtitles: What we’re going to do is take the cast of the foot with the patient non-weight bearing because we want the arch to be the highest. When the patient stands, the arch collapses – we want the foot shape to be at the highest arch.  And now we’re going to let the plaster dry then it’s time to remove the casts.Here we have the perfect arch of the foot and shape of the whole foot, and I’ll show you how we’re going to use this later.  Now that we have taken the cast of the feet, we want to make a pad that is going to give her an excellent arch support and anchors her heel to the forefoot. So, what we want to do is make something that comes around her heel area – up around the outside of her foot up behind the toes, round here, and as high up on the arch as we can possibly go, and back round again. This is what we want to do, something that doesn’t finish at the side of her foot here otherwise it will irritate. So, it must come up the side of the foot to underneath just behind the toes. Up around the side of the arch because we want to help lift the arch right up. This is not as high as we’re going to lift the arch, this is just where the pads going to pull the arch up and then we want the pad to come up and around here so we’re going to make something that is going to be the shape. Then we’re going to do it for the other one also.  So, we’re going to make it come up underneath the toes. Up round the side of the foot, around the heel area, and as high up on the arch as we can possibly go, and back down to meet the toes just around here. We’re going to make something that fits just there on to the foot and takes up very little space. Now that we’ve taken cast of your feet, we’ve made this specially for the shape of the foot and this one especially the shape of the other foot.  We’re going to start with the left foot. This pad, as you can see, is specially made for her foot so we’re going to put this onto the foot. We’re just going to pull that foot back a little bit and we’re going to put it underneath the toes and press it quite firmly (notice that we’re not taking the paper all the way off yet – press firmly then we’re going to remove the rest of it). When we put this on we’re only going to pull it and we ask the patient to relax the foot so that the arch is much higher. Now we’re going to put the pad and secure it firmly around the heel by pulling the tabs up at the side like this and along the outside edge. We have tightened everywhere apart from we’ve not stuck it down in the arch yet. With the patient’s foot completely relaxed it makes the arch much higher – this is the last part we’re going to stick. When you do this you really pull the tape up and underneath the foot like this onto the top of the foot. So now it makes the arch really strong and secure and this material doesn’t stretch so it won’t allow the arch to drop down. Now we’ll put it onto the right foot, same thing again. We’re going to take the paper off of the closed curve side and we’re going to put it underneath the toes and press down firmly then we’re going to ask the patient to relax the foot so that the arch drops and you can see how the foot is compared to when they pull up the foot up and the arch gets flatter. So, we’re going to relax the foot and make the arch high. We remove the rest of the paper backing and then bring it to the heel, place it, and then bring the tabs up. They’re specially cut so there’s no wrinkles around that heel when we curve it around. Then you put it up on the outside of the foot and you will notice we haven’t stuck it yet to the arch and there is a space inside here. This is the last thing that you do is you then absolutely pull the tape up as tight as you can and lift up and secure on to the arch. Now you can see the arch is very nicely held up and this material doesn’t stretch, it curves all around the heel like this so that there’s no wrinkles and that gives them some extra strength for the plantar fascia and heel pain. 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 corns on the feet. You can get corns on the small toe or you can get corn underneath the bones here. Now, when a corn forms it’s either because the shoe presses on the bone and the skin gets squeezed in between and the body protects itself by building up hard skin, or if a bone is dropped down underneath the foot.

One of these bones here holds the metatarsals when the heads of these bones (or we can call them the knuckle of the feet). When these dropped down, the body defends itself by building some hard skin underneath, and the hard skin gets harder and harder. That is what we call a corn, it is pure hard skin.

http://dubaipodiatry.com/wp-content/uploads/2019/10/Corns_1.jpg
http://dubaipodiatry.com/wp-content/uploads/2019/10/Corns_2.jpg

So, to fix it of course we can drill out the corn but it will keep coming back because the bone dropped down. What we do is we have to lift the foot here so we could use something like this for the person to wear underneath the foot, using this small ball-shaped pad to lift these bones back up, so that we don’t have the corn coming back again.

We also need to make the foot tighter again to help squeeze the metatarsals to keep it up. To do that we would use something these tapes – they bind the forefoot together and you would apply here every day for 2 weeks to lift these bones up.

Then, these red muscles that we can see on the foot – these should be intensified and that’s what these tiny little electro muscle stimulators are used for. You can put them on your foot for about 10 minutes a day and that innovates these muscles here, so this is for muscle innervation. This is neuromuscular tapes and that’s to keep the ligaments together (the ligaments here are highlighted blue).

Finally, you must wear something like this for about 3 months to lift the ball of your foot pad, but we have to do it gradually just like dental braces capitated too quickly we have to do it in stages so we would lift you up 5 degrees, lift you up 10 degrees and then lift you up 15 degrees to to get the transverse arch lifted back up again and finally if it is an issue with the corn on the right side of the 5th toe, we would simply ask you to stand and we would draw around your feet using a pencil and trim out the shape then we would match your foot guide to your shoe just to show you your 5th toe is extending beyond the width of the shoe and would ask you to get wider shoe, that how we are going to fix the problem of the 5th toe. So hope that helps for foot corns and 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 be talking about a pain in your heel. So, you get pain in your heel particularly in the morning time when there’s a problem with the structure called the plantar fascia. The plantar fascia is a very thick band of collagen and its main purpose is to keep the heel attached to the front of your foot and to keep the arch of the foot intact. During the day, if your arch is beginning to collapse and come down like this, the plantar fascia begins to do its emergency feature and engage. But what happens is where it attaches into the heel bone becomes inflamed and angry. So, when you sleep or sit down for a while this area of the heel bone becomes bruised and tender and swollen, so when you then go to stand on it when you get out of bed, or up from sitting for a while, this is extremely painful. But, as your circulation gets going after about twenty steps it stops hurting.  Although, the underlying problem is where the plantar fascia anchors and attaches into the heel bone. There’s a few ways to help it. The plantar fascia is an emergency feature, it helps to keep the foot arch intact. It also helps to keep the ball of the foot intact to the nice little arch underneath. But, we need to help it if it’s doing its emergency feature every single time you stand or take a step. So, to bring the forefoot closer to the rear foot we would put an insole inside your shoe. The insole would also lift up your arch so the plantar fascia here can relax a little bit. It’s a myth that the plantar fascia stretches, it sits relaxed. When you jump down off of a high wall or jump from a box or something, the plantar fascia then pulls taut but then it should relax as your arch goes back up again. So, if it’s being pulled taut all the time because the arch is collapsing in your foot then it is time to lift the arch and pull the forefoot closer to the rear foot. It also sometimes is common if the foot for example starts to lean in a little bit and depress the arch, so we would also put a small tilt to get the ankle back to straight.  So, that is the most common cause for heel pain in the morning time called plantar fasciitis. What we suggest you do is make an appointment with a podiatrist and the podiatrist will assess you standing and see if your arch here, or sometimes rarely the lateral arch here on the outside is collapsing. If it is, they lift those arches back up again to take the tensile stress off of the plantar fascia. Enjoy your Friday! For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978


Subtitles:
Welcome to Foot Talk Friday! Today we’re going to talk about tightening the forefoot particularly in men’s feet. So, the forefoot, this is called the plantar fascia and this keeps the structure of the foot together, but there are ligaments underneath all of this area (we’ve highlighted them blue so it makes it a little bit more obvious to see). These blue ligaments hold the knuckles of the foot together and when these get a little bit stretched and create some spaces between the metatarsals the foot gets wider – a bunion and a bunionette can start to form. And that’s where the Tri-Steps Tapes come into play. So, the tri-steps tapes we use across the forefoot in these areas here, and we also use other tapes across the forefoot to tighten, and more tapes along the big toe to straighten the toe if the big toe has already started to become an issue. On the diagram that we’re showing you just now shows how to apply the tapes. There’s ways to apply the tapes to squeeze the forefoot together again and there’s way to apply the tape to pull the fat pad back down to where it’s supposed to be when the transverse arch collapses. Forefoot alignment is easily corrected in most cases with something like Tri-Steps Tapes. Tri-Steps Tapes are neuromuscular tapes and what you do is you peel them off the paper backing like this and the material has a hypoallergenic sticky quality to it. If you can just see it slightly glistening in the light, the tape has lots of little waves into it. In these little waves when it stretches onto the foot, you can see air holes begin to form, so it does allow the skin to breathe as we are putting the tape on. It’s also got elasticity properties so that when we put it onto the foot, we place it on like this, we can pull and stretch the tape to go around the foot and make the foot tight here. So, these neuromuscular tapes are very effective in the forefoot alignment system and that’s what Tri-Steps Tapes are for.  Have a good Friday! For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978


Subtitles: Welcome to Foot Talks Fridays! Today we’re going to talk about flat feet of any age, for children and adults.  Most of the flat feet that we see at the clinic are indeed not flat, so when the person sits with their foot not on the floor there is a visible arch when they stand, the arch collapse, in most cases. It is because the feet lean in (you can see from the diagram that we’re putting up of what we’re talking about when the feet lean in) and so what we do here at the clinic is we measure how many degrees the foot leans in and then we tilt the foot the opposite direction so that the ankle and the foot fits perfectly straight.  We examine that foot every six weeks, or every twelve weeks, or every six months depending on your age until we get full correction. Enjoy your Friday!
For appointments and other queries: Call: +971 4 3435390 WhatsApp: +971 50 331 4978

Copyright Dubai Podiatry 2019. All rights reserved.

WhatsApp us