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The lower leg side gives the most pain on the side on the lower back. This hip is higher and tilts back. It puts pressure on the nerve that supplies the outside of the leg and foot. An orthotic that is specific for this condition will align the pelvis instantly. Left and right orthotic will be very different from each other.



Apple Pay, Samsung Pay and wireless payments has launched today at Dubai Podiatry Centre. Patients and customers can check-out and pay even faster for treatments and products. Dubai Podiatry Centre is proud to announce this new feature and looks forward to keeping at the forefront of the latest technology.

Online booking for patients for foot related problems also makes it easier for new and existing patients looking for an appointment anytime of day or night.

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A bunion is a painful bony area behind the big toe and a bunionette is a painful bony area behind the 5th toe. It can happen for women, men and children. Some bunions are genetic, some are from ligament laxity, some from poor foot alignment in the ankle and arches and others are caused from footwear that is too tight. 

Three Main Types of Bunions

Type 1 – Small boney growth from tight shoes 

When shoes are too tight it causes pressure in the forefoot to the area behind the big toe and behind the fifth toe. This occurs in men and women.  To check if you have this type of bunion and bunionette, look at the big toenail and toe when standing. It should be level and straight. Look at your shoes when wearing them. Ballerina pumps, slip on shoes and high heels are the main culprit. Are the boney areas exactly where the edge of the forefoot where the shoe cuts across the top and side of the foot?  The pressure from tight footwear makes the bone react and grow larger. It may also start to grow a swelling called a buses to protect the bone which makes the lumps look larger than they actually are.

Treatment

  1. Better fitting shoes. 
  2. Make the foot slimmer and smaller. This can be reduced by using forefoot tapes by  for women or   tapes for men with a  or  insole. This insole lifts the forefoot bones back up together. The tapes minimise the width of the forefoot making the foot size smaller and slimmer by half shoe size to one shoe size smaller making it fit into shoes again. 

To prevent it coming back use beauty and the bunion tapes when wearing high heels or tight shoes such as dress work shoes for men and ballerina pumps or high heels for women. They keep the foot small and tight so that it does not press against the shoe causing bony growth’s. 

 

 

 

 

Type 2 – Forefoot splay and widening

This type is exclusively found in women’s feet particularly with hormone changes or after having children or age related.

Normal female hormones make the ligaments softer and more chewing gum like. They hold the forefoot bones together tightly. But with hormones affecting these ligaments the forefoot gets wider over time. The big toe also starts to deviate and move towards the second toe and the toenail plate on the big toe also turns. To see if you have Type II bunion stand on your feet and look at your big toe. If the big toe moves across towards the second toe then you have Type II bunion. It should be noted that there is a good medial arch and straight ankle and there is no involvement from the medial arch collapsing. 

Treatment

  1. Use the  system for women and system for men. 
  2. 2. All three components require addressing. These include muscles,bones and ligaments.  The 3 insoles in the system  are divided into three stages to lift the metatarsal bones in the forefoot back up again. The forefoot binding tapes squeeze the metatarsals together again making the forefoot slimmer again by pulling the bunion and bunionette together. The electro muscle stimulator in the systems works by strengthening the muscles that also help to keep the metatarsals together. This is important as the insoles and binding tapes can make the muscles week during the 6-12 week process. This must be counterbalanced by engaging these specific muscles. 

For Women

For Men

 

Type 3 – Bunion and bunionette with medial ankle collapse, medial arch collapse, forefoot splaying.  

This is the most complex of all the bunions. This can be found in children men and women. It starts with the medial ankle leaning in and collapsing the medial arch. The forefoot then splays, collapses and widens making the first and fifth metatarsal push outwards. The big toe will appear to be moving towards the second toe and the toenail will be leaning away from its centre position. The longer the problem goes on, the fifth toe will also start to lean towards the 4th toe and the nail will turn down towards the ground also. 

Treatment

  1. Firstly, ankle must be straightened using The  that tilts the foot which in turn straightens the ankle. It should be worn for 3 month. In children this orthotic is called . After completing  three months the for men or the  system for women and children should be used for 6-12 weeks. A silicone toe aligner my also be used which is custom made to help if the big toe has deviated an extreme amount. 

 



 

 

This image shows mosaic warts on the foot. They can easily be mistaken for corns. Dermojet is a very successful treatment in this case. The Dermojet works by obliterating the tissue that the virus hosts upon.  We also provide a course of Verruca vitamins™ that helps to feed the skin and liver so that it can fight the virus before it becomes overgrown. 



This image shows a pink silicone putty toe prop that has been made for a patient whose big toe goes across and under the second toe. 

This silicon or toe prop keeps the big toe in position and away from the second toe and it should be worn for 2 to 6 weeks. 

The condition is called Hallux Valgus. 



This picture shows blemishes on the top of the toes. This occurs when the transverse arch underneath the forefoot collapses and the toes retract and claw. This makes the toes rub on the top of a closed shoe. The patient then becomes self-conscious from the discoloration of the skin and continues to wear closed- toed shoes to hide the toes. This makes the problem worse. 

These are not toe corns they are in actual fact bursa. Bursae develop along a tendon when there is pressure on the tendon against the bone. It is an adventitious occurrence and helps to protect the tendon. Silicone therapy should be used on the toes whilst we are in closed shoes to help break down the bursae. The pale colour on the fourth toe is from collagen building up to protect the skin.  Perfectoes™ should be worn with closed shoes for 12 weeks to get the toes into perfect condition. A Footerella™ insole should also be worn for 12 weeks to lift the forefoot to prevent future clawing of the toes and the condition returning.

 



A teenager attends with medial arch pain on standing, walking and running. This is a common complaint from an ankle that excessively pronates on weight-bearing.

This excessively loads and stress through the medial border or inside of the foot where the medial longitudinal arch occurs. It is common for the arch to collapse and for the person to believe that they have a “flatfoot” as a result. The easiest way to identify excessive pronation is to look at the back of the heel.

In this image it shows the ankle excessively pronating and the second image shows the ankle when it is straight as it should be.

The treatment for this is to take a cast of the foot to get the exact foot shape and then to tilt the ankle as many degrees as it leans-in, in the opposite direction. This is called a Corrective Orthotic and it is comfortable to wear and eases the arch pain immediately. 

Michelle Champlin
Chief Podiatrist
B.Sc. Pod., S.R.Ch., M.Ch.S.,U.K
Tel: 04 3435390
WhatsApp: +971503553024
Dubai Podiatry Centre

 



Every lady has a different maximum heel height that is comfortable. The front and back of the ankle determines the maximum angle the foot will fit into a high heeled shoe and be able to walk comfortably.  Also the length of the foot determines the height of the heel that can be worn to comfortable limits. It is a simple matter of geometry.

Wearing a high heeled shoe moves the forefoot fatty padding to behind your toes instead of under the ball of your foot where it rests naturally in a flat shoe or barefoot. That is why the ball of the foot aches so much when wearing high heels. Also, the weight of the lady wearing a high heeled shoe is a significant factor.  The heavier you are, the more impact on the forefoot and the more painful it will be. 

Stress fractures are common in ladies wearing excessively high heeled shoes and dancing in them such as a wedding. The pain starts in the forefoot about 3-5 days after the initial stress fracture. 

It is much easier to sprain an ankle when wearing high heeled shoes. The ligaments at the sides of ankle relax immediately in high heeled shoes. If the ankle wobbles to the side, it actually leans a great amount before the ankle ligaments start to engage. By that time the ankle is past its critical point of self correcting and the sprain or even break of the ankle will occur. That is why silly competitions for ladies such as sprinting 50 meters race in high heels or weight lifting in high heels for competitions are no laughing matter. They should result in a severe ankle sprain or ankle break and it is sheer luck if it does not occur. 

Wearing high heels can be enjoyable. These are tips to help protect the foot and also help it recover;

  1. I wear high heels to work 2 days a week to show my patients that it is completely possible to wear heels to work. For example, my comfortable ‘workable’ heel height is 55mm. I fit my shoes to the larger foot and wear a heel grip on the smaller foot that feels loose. That way my toes do not get scrunched and corn formation is prevented. 
  2. I use a shoe with an orthotic with a transverse arch lift on the other days. This is to counter-act the affects of the high heeled shoes on the ball of my foot. It helps keep the essential fibro-fatty pad in place. 
  3. I use ‘Beauty and the Bunion’ foot tape to help keep my big toe straight and the forefoot tight so as to reduce the impact on the forefoot bones and reduce bunion formation. This helps keep the foot ligaments tight after they have been strained in high-heeled shoes. 
  4. I use an electro-muscle stimulator called the Footerella EMS, on my foot to keep the muscles strong after wearing shoes. I do this on a Thursday morning when I am preparing my diary for the next week ahead. It helps keep my forefoot slim and tight. 
  5. I wear “Bunny Pads” on the ball of my foot and on my small toes to protect them so that my skin on my feet look perfect without any blemishes on the toes from wearing high heels. It also cushions the ball of my feet if I am going to be standing in my heels rather than sitting. 
Michelle Champlin
Chief Podiatrist
B.Sc. Pod., S.R.Ch., M.Ch.S.,U.K
Tel: 04 3435390
WhatsApp: +971503553024
Dubai Podiatry Centre


  1. Every morning for just 30 seconds I dry file the feet using a flat paddle foot file. It takes much more tough skin away than when it is used with water. I do this every morning like I brush my teeth. It has to be done. 
  2. Every week I use an oscillating electric toothbrush with a soft head for my toenails at the side and underneath to give very shiny and clean toenails. It clears debris, moisturiser build up, dead skin etc and reduces the potential for nail fungus. It also helps keep the cuticle in place without using wooden sticks or instruments to push them back. I use Colgate white toothpaste with mine as menthol is fungicidal and freshens the nails. 
  3. I moisturise my feet before bed with 10% urea cream. It inhibits fungal growth.  Feet naturally have a higher count of fungal spores. Using a normal body moisturiser / lotion can increase these and promote a fungal infection. 
  4. I wear 5 toe socks or 5 toe stockings everyday depending on my outfit. They are more expensive than regular socks as they are more difficult to make. I like Injinji for toe socks and wear Japanese stockings with 5 toes. It prevents fungal infections between the toes. 
  5. Skin protection. If I’m wearing high heels I wear bunny pads on the ball of my foot, 4th and 5th toes and a heel pad on my Achilles to prevent any blisters or skin discolouration. 
  6. Sports shoes, to combat the abuse of high heels, I wear Footerella insoles. I wear 3 types; A mild, medium and high arched insole and swap them around each month to maintain my foot posture. 
  7. Hiking. I wear Thuro hiking socks with my Salomon hiking boots. I wear a 3mm insole in my left boot due to abnormal leg length discrepancy which annoys my left knee and foot arch problem over 20km if I don’t wear it. I wear orthotics to tighten my foot muscles so that my feet are really strong after this activity. 
  8. Walking. I walk 1 hour most mornings and 1 1/2 hours most evenings. I apply a strong mint foot gel made by CCS and then put my socks on. My feet feel alive and the sweat from walking helps the mint to activate the circulation to the skin in my feet. 
  9. Fresh air and no nail polish. I go to the beach every Friday. I expose my nails so that the UV can brighten my nail beds. I also walk along the beach for 50 minutes. This helps to remove dead skin but it also toughens the more sensitive areas of the feet which is important for hiking season. When I come home I shower immediately. I use my electric toothbrush that is exclusively for my toenails with white Colgate toothpaste. Then I put on my silicone bootys and pad around the house for an hour organising and tidying. The silicone soothes the skin and moisturises. 
  10. Every August I take a 1 month course of vitamin A which keeps the skin health strong. It helps to combat the verrucae virus which is common in water sports areas. It’s a preventative step and is also good for my eyes health. 

 



Water shoes are essential for preventing the verruca virus which causes plantar foot warts to feet.
The virus is prominent around the area where people walk barefoot at the swimming pool, gym showers and at water parks. By wearing water outside of the swimming pool and also inside the swimming pool, this reduces the skin to ground to foot contact which is where the virus can be contracted easily.
The photo of the clear water shoes with holes to allow water in and out are the most practical for swimming pools and water parks.

For stronger activity such as beach running or tougher beaches with coral and sharp rocks water shoes should be worn such as the sportier version in the second photo by adidas.

By:

Michelle Champlin

Chief Podiatrist


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