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18/Aug/2017

Get Arches in Your Feet

The Medial Longitudinal Arch (MLA) extends from the inside of your heel along the bottom of your foot and connects to the big toe. It is a critical structure to allow for good shock absorption of the forces transmitted through the body from the feet during gait.
When the MLA is lower to the ground or €˜flat€™ it can cause an uncontrolled over pronation of the ankle joint.
Overpronation is where the ankle joint €˜rolls in.€™ Common injuries that occur from a flat MLA and over pronation include: Achilles tendonitis, heel pain, bunions, stress fractures, arch pain, shin splints and over use tendon injuries.
Custom made Orthoses Devices can be implemented to strengthen the MLA and maintain a neutral ankle joint alignment to control over pronation and relieve pain.
A custom made Orthoses is made by taking a mould of your feet to get the exact shape of each foot. It is then uniquely modified to create the individual€™s perfect Medial Longitudinal Arch and neutral ankle joint to allow the ideal heel to toe gait.


18/Aug/2017

Flatten your Curved Nails
Curved nails are where one or both of the linear aspects of a nail starts to form down into the skin to form a curved shape.
Having curved nails is a common problem and can cause great distress to the surrounding skin which can lead to pain, inflammation and even infections.
To correct the curvature and pain it is important to address how the curves developed. Nails can curve due from certain medications, ageing, tight footwear, hereditary, improper cutting, fungal infections and skin problems such as Psoriasis or Ecemza.
Treatment involves assessing the steepness of the curve and choosing the best treatment plan for each patient.
Options include
Corrective Nail Trimming
Nail Braces: where a small plastic device is medically applied to the top of the curved nail. The brace works with a spring-like action to pull up the corners of the curve to straighten out the nail. Leaving a pain free, perfect toe nail. Treatment period = 6-8wks.
Partial Nail Avulsion (PNA): If the curve or nail rydge is steep then a PNA may be recommended. A simple procedure where local anasethetic is administered to the side of the nail to achieve anasethsia. The small section of aggravating nail is then carefully removed right from the nail root. This procedure takes approximately one hour and usually ready to exercise and swim within 10days.


18/Aug/2017

Written by Michelle Champlin BSc Pod., M.Ch.S., S.R., Ch., (UK)
‘Onychocryptosis’ is a medical term for an ingrown toenail. It occurs when part of the nail penetrates or increases pressure on the skin which causes pain, inflammation, hyper-granulated tissue and sometimes even bacterial infection in the soft tissue around the toenail.
Why do I get ingrown toenails (and they keep coming back)?
The many causes of developing painful ingrowing toenails including:
Incorrect cutting of the nail €“ (too short / leaving sharp edges / cutting down the sides of the toenail)
An underlying biomechanical issue of the foot such as ‘Pronation’ of the hallux – where the toe rotates – and Hallux Valgus (bunions)€“ causing skin to €˜bulge€™ on one side of the nail leading to an increase in pressure between of the toenail on the surrounding toe
Involuted nails €“- where the nail is growing extremely curved at one or both edges rather than lying straight across the nail bed
Tight shoes causing increased pressure on the nail and skin
Trauma – deforming the nail growth will increase the chances of developing into an ingrown nail, such as kicking something or dropping an object on your toe
Swollen toes €“- chubby digits or due to swelling during pregnancy can increase the skin bulging around the nail leading to an ingrown nail
Fungal nail infections €“- deformed, brittle or thickened nails increase the chances of developing an ingrown nail.
How can a Podiatrist help?
At Dubai Podiatry Centre, we work differently to Chiropodists and even other Podiatrists. We recommend treating any underlying root cause of all problems, so that the problem doesn’t come back. Rather than constantly seeing a podiatrist to correctively trim back your nail (which tends to keep coming back as the underlying problem hasn’t been fixed), we advise finding out and fixing any root cause. For example, if the ingrowing nail is due to an internally rotated toe and over-pronation at the ankle, simply correctively cutting the nail will not fix the issue for more than a few weeks. We may advise corrective orthotics to re-align your foot and ankle correctly to stop the resulting pressure on the toe and nail. Otherwise, you may find yourself constantly treating the painful ingrowing nail, which may simply be a symptom of an underlying biomechanical issue.
Other issues such as an underlying chronic fungal nail infection should also be treated and addressed, as otherwise your nail will continue to grow in thickened / ingrown.
Therefore, we look at every single factor from your footwear, to hormones, underlying bacterial and/or fungal infections, growth pattern of the nail, biomechanics of your foot, ankle and leg and general medical history to get to the cause of why your nail is ingrowing. Then, you can be sure that you are receiving the correct specialist nail advice and precise course of treatment appropriate to the cause of your ingrowing nail. At Dubai Podiatry Centre, it is an important part of our ethos that patients are fully informed and can make treatment decisions based on a full assessment and best course of action for both the short and long term.
Diabetes and Ingrowing Nails
If you are Diabetic, it is also very important that you see a Podiatrist at least annually for your regular foot check up. If you experience any foot issue, including early signs of an ingrowing nail, seek prompt and early treatment from your Podiatrist to prevent more serious complications.
What should I do if I have an ingrowing nail?
We treat every nail as if it were our own, and know how painful ingrowing nails are. For permanent help and treatment of your painful ingrowing nail, come and see the nail experts at Dubai Podiatry Centre. Chief Podiatrist Michelle Champlin advises early intervention and rather than just constantly trimming the nail and putting up with pain every month, identify and fix any underlying cause.
Do not ever cut down the sides of your nail, or let anyone except a qualified medical professional such as a Podiatrist, do this. Do not let a pedicurist cut down the sides of your nail. Before seeing your Podiatrist, you can soak the feet for 10-15 minutes in a warm saline solution. Do not oversoak and keep the toe clean and dry otherwise. Avoid tight fitting hosiery, socks and shoes. You can also pack a little piece of gauze or cotton under the side of the nail to lift the nail up from pressing into your skin, if you can. Make an appointment with your Podiatrist to stop the ingrowing nail from causing infection to the surrounding tissue and to stop the nail from ingrowing again. If you already see redness and pus, you should see your GP in the meantime for a course of antibiotics.
For caring and professional treatment for any toenail, foot or leg issue, contact Dubai Podiatry Centre on 04 3435390.


18/Aug/2017

Plantar Fasciitis

Introduction
Plantar Fasciitis is a common cause of heel pain. The plantar Fascia Sheath is made up of connective tissue it becomes painful, inflamed and degenerative at its attachment to the calcaneus bone or along one of its three bands that span the longitudinal arch of the foot. Chronic forms can develop a heel spur €“ 70% of plantar fasciitis sufferers have been noted to have this

Etiology
The Plantar Fascia acts as a shock absorbing bowstring which supports the longitudinal arch of your foot. It transfers the weight from your rear foot to your fore foot during gait. It is consistently getting stretched when your foot is weight bearing and relaxed when your foot is Non Weight Bearing. If this stretch increases or becomes too much it can create micro tears in the fascia. With repetition this can create pain and inflammation. Over a long period of time a degenerative process is witnessed.
Overpronation or Pes planus foot type €“ causing the Fascia to stretch more when placed in a NWB position
High Arch feet that drop due to ageing process, medication or trauma €“ causing increased stretch to the fascia
Obesity €“ can put extra stress through the Fascia
Middle Age Woman>Men are more prevalent
Occupations where standing/walking long periods especially on hard surfaces €“ waitresses, construction workers, hairdressers, factory workers
Improper footwear €“ Shoes that are hard or thin soled, unsupportive or loose. Continual wear of high heeled shoes can cause the Achilles Tendon to tighten which increases the strain to your heel and Plantar Fascia
Symptoms
Pain develops gradually €“ getting worse over weeks/months
One or both feet can be affected
Pain at medial aspect of heel, along the longitudinal arch and occasionally at the fascia€™s attachment to the metatarsal heads
Pain worse on first steps or after periods of rest, pain will decreases as foot/fascia warms up
Pain then increases as day goes on or if exercise is increased
Pain on palpation of the medial aspect of the calcaneus or along the fascial tendons

How a Podiatrist can help?
Diagnosing and treating any occurring foot deformities with orthoses devices €“ Thus reducing the stretch/strain on the longitudinal arch and fascial tendon
Stretching Regime of Achilles and Plantar Fascial Tendons
Footwear advice
Advising activity modification and ice management
In severe cases a Night Splint can keep the heel stretched during the night €“ so it does not become contracted
Non Steroidal Anti-inflammatory drugs can help minimise pain and inflammation


18/Aug/2017

Severs Disease/ Calcaneal Apophysitis
Introduction
Calcaneal apophysitis (inflammation of the heel bones growth plate) is a traction apophysitis of the insertion of the Achilles tendon into the calcaneus (heel bone).
Adult heel bones are shaped differently to children heel bones. The fragment of bone not attached to the heel as you see in the picture, is normal for a child below 16 years of age and is known as the growth plate. It€™s the inflammation of this growth plate which causes pain.
As we get older this bone fragment €˜connects€™ itself with the rest of the heel to create the €˜adult heel bone€™ as we know it.
Severs Disease is one of the most common causes of heel pain in children and affects those aged between 8-14years old.
Severs Disease can be present in both males and females however most common in males aged 10 to 12 who are active in sports.
One or both heels can be affected.

Etiology
Severs Disease is caused by a repetitive overuse. An inflammation of the heel growth plate occurs and causes a €˜painful heel€™.
Causes of this inflammation include:
An Increase in activity
Being active and participating in known aggravating sports such as: football, gymnastics, hockey, rugby, tennis, ice skating, ballet and running
Growth Spurts €“ where the long bone of the tibia/fibia grows faster than the tendons
Having a limited €˜Range of Motion€™ in the Ankle Joint or Tight Calf Muscles
Gait abnormalities: in-toed, out-toed, tip toe walking
Biomechanical Abnormalities: Flat feet, over pronation, achilles bowing, limited ankle movement.


18/Aug/2017

The Footerella is amazing for tightening and toning – therefore slimming the feet. After years of research, the Footerella is finally here to make our feet perfect sculptures of our past perfect feet.

As we don’t use our feet like we use our hands, some of the muscles weaken over time. This makes our arches collapse and feet spread wider and even longer. The Footerella has been specifically designed to strengthen and tone the very muscles that have fatigued. Therefore, with stronger, fitter feet we also get slimmer feet. How great is that? A side effect that is actually good!

All you have to do is let the Footerella gently reactivate those sleeping muscles and start working on them. As those muscles grow stronger, and you see the foot tightening, you can increase the level of the Footerella and imitate the movement that the Footerella does to your feet – getting results in double time. You will feel muscles in your feet that you didn’t even know existed. All this while your are sitting reading or watching TV. We don’t want you walking around for the 30 minute Footerella session. Leg muscles will end up doing half the work that these very small muscles should be doing, that€™s why it sounds like you are sitting having a relaxing time, but your feet are actually working full throttle, without any help from bigger muscles in the legs. Tighter, slimmer feet are the result.

The Footerella has found it€™s way, not only for making our feet feel better, but making them look and feel better in shoes. As the Footerella phenomenon has grown, we have found that it hasn’t just been women that have ordered the Footerella, but now men, which is why we made a specific male version for sports called

How it works
The Footerella is the latest concept in tightening and toning your feet. As we don’t use our feet in the same way we use our hands to grip and lift objects, we loose our muscle tone in our feet in certain areas. The result is loose muscles, which make our feet wider and even appear to grow in length over the years. As time goes on, our feet spread in width and length from weak muscles and collapsing arches. The Footerella is designed to work those particular muscles that have weakened. When they become stronger, they tighten your feet, making them slimmer and smaller. When the arches are not collapsing and longer, and the foot is no longer widening, it decreases the likelihood of unsightly and painful flattening feet and bunions.
The Footerella has 3 electrode pads that stick to your feet. Set the program you would like to perform, such as slimming & toning, or bunion prevention, running or high heels. Each program is designed to stimulate a certain muscle group for that particular activity. All you have to do is pick the level , such as beginner, intermediate or advanced and the Footerella will start its program while you sit back and relax.
Taking baby steps at the beginning, you should allow the Footerella to phase you through the beginner stage. You will feel muscles in your feet working that you didn’t even know you had! as you become used to that level. Moving up to the next level where the Footerella works harder, you will see your foot moving and tightening through the program. Stronger, slimmer feet. What more could you want for those beautiful shoes you have begging to be shown off.

Slim Feet
The Footerella will give your feet a great work out. The muscles in your feet will tighten and tone. Because muscles are attached from one bone to another, when the muscles become stronger and tighter, they pull the bones closer. This results in a smaller foot, but more importantly, a healthier foot. The ligaments that hold all your bones in your feet together, don’t need to over work any longer as the muscles take over some of the load. Also, being a woman means that our hormones leave us susceptible to ligament stretch. Our hormones from time to time mean that our ligaments become a little stretchy, like chewing gum. Bad idea for the feet – there are around 30 bones in the feet, only 2 bones in the lower leg and one in your thigh! So that is a lot of bones in your feet to spread away from each other – which is why our feet appear to grow with time and pregnancy and monthly cycles! The good news is that the ligaments don’t normally over-stretch, so it doesn’t take much to regain your perfect feet again. With a little help from the Footerella to tighten and tone your muscles, bringing the bones closer again, your ligaments can shrink a little also, leaving a great long term foot posture. With today’s technology we can thankfully get our pretty feet back to their happy days.

Michelle Champlin
Michelle Champlin is a renowned Podiatrist based in the Middle East. Already with a fierce reputation for not letting a single foot problem get the better of her patients, Champlin has brought light on the subject of feet that collapse and spread. Structural foot correction is her expertise. Michelle Champlin works as a structural engineer for the feet, taking in the foots amazing marvel of architectural design. Seeing feet change shape and losing their perfect arches is the first signs of feet really beginning to deteriorate. Michelle Champlin has spent the last 4 years investigating what triggers the foot collapse and spread phenomenon.

” Once it was clear precisely what steps go wrong in the foot structure, it was quite easy to back track through the progress to reverse the changes – and thus, the Footerella was conceived” says Champlin of her years of her practice research.

” I was very lucky to be based in the Middle East where the problem of foot collapse and foot splaying was unfortunately extremely common. Being able to have such a rich study group has allowed amazing advances in what would be an otherwise slow research program. For womankind and all feet, I couldn’t have been in a better place for my search for a cure” says Champlin of her findings.


18/Aug/2017

Importance of Diabetic foot assessments
People with Diabetes should pay extra special care to their feet.
Diabetes can lead to poor blood circulation. This decreases the circulation getting to the legs and feet which can cause injuries in the feet to heal poorly and can create ulcers, changes in the shape and loss of feeling.
It is important to have an annual Pain Free Diabetic Assessment of your feet with your Podiatrist. Here we check the circulation and sensation of your feet. We also assess any problems that you may be having with pressure points, sores, callus€™s, nails and skin. And provide you with caring advice that increases your knowledge of Diabetes and feet.
Those who lead a healthy lifestyle with well controlled Diabetes and get annual feet checks should continue to have fantastic trouble free feet!


18/Aug/2017

Importance of daily washing with moisturizing Dove Soap
One of the side effects of having Diabetes includes developing dry skin. If your blood glucose is high, your body can lose fluid. Less fluid = less moisture so the skin can dry out. When you have raised glucose with Diabetes, your sweat can be ‘sweet’ and increase fungal infections.
Washing is important to remove the concentrated sweat from our skin. Dove body shower cream is ideal for using when washing. It removes the excess sweat as well as replenishes the moisture to your skin that was lost during your shower.
After you have washed, make sure you rinse and dry yourself carefully €“ checking places where water can hide.
Ideally, moisturise with a non greasy lotion like Nivea body lotion and remember to moisturize your feet.


18/Aug/2017

Dubai Podiatry Centre becomes the Gulf Region€™s first clinic to use Apple iPads for patient education
Apple has grown a whole new market with the introduction of the iPad – medical.

With its ten hour battery life, Michelle Champlin, CEO and Chief Podiatrist of Dubai Podiatry Centre, thinks the iPad will replace the laptop for everyday office applications such as email, and also for checking X-ray images. Michelle will be discussing the introduction of new technologies such as the iPads as well as the application of Social Media when she is a guest speaker at the Healthcare Marketing Forum, at the Hospital Build Middle East Exhibition 2010, on 2nd June 2010 in Dubai.
(The clinic currently uses a secure wireless LAN running bespoke practice management software).

The clinic€™s podiatrists already use iPhones and are familiar with the touchscreen technology and various apps on offer from Apple.
Michelle already envisages one significant area which she is keen to use with patients €“ using the high quality imaging of the iPad to show patients the biomechanical structures of their feet with the ability to zoom in to great detail, rotate 360Ëšto view the area from different angles. This will offer much greater advantages to patients as opposed to pointing to bones on a poster, which cannot offer different viewing angles or change to show how different structures, such as muscles, bones and tendons interact. Michelle says €œWe€™re so excited about using the iPads with our patients, as it€™s crucial that patients understand fully what the problem is and how we can treat it. The iPads literally offer us a new dimension for educating patients about the structure of their feet, in a user friendly way.
Michelle would also like to see some Podiatry specific software and apps being developed €“ €œThe range of Apple apps on offer already to the medical field is impressive and growing every week. I may just need to dedicate some time to develop an app particularly for the Podiatry field focusing on foot and ankle health!€
Founded in 2002 by UK trained Podiatrist Michelle Champlin, Dubai Podiatry Centre is the regional leader in foot and ankle health. The clinic offers a wide range of products and services designed to eliminate foot pain and enhance quality of life through improved foot performance. Michelle Champlin is the Inventor of Footerella„¢, a portable electronic device which tightens and tones women€™s feet.


18/Aug/2017

Bunions are bony protrusions at the side of your big toe. It is a common misconception that most bunions are caused be pointy, tight shoes.
Bunions are the head of the metatarsal bone jutting out. There can be some extra bone growth too in the area. There are 5 metatarsal bones that are just behind your toes. If you bend your toes over, you should be able to see them like the knuckles of your hand when you clench like a fist. The displacement of these metatarsal bones from being held tightly together like 5 pencils side by side, to splaying out widens the foot and causes the bony lump on the side of the foot. An orthotic is required to tighten the foot, and bring the bones into proper alignment, just like the teeth in your mouth with an orthodontic brace. A Footerella device should also be worn to stimulate some of the very weak intrinsic muscles that cause the metatarsal bones to splay. An x-ray might be needed to see if there is any arthritis in the joint and in some cases, and a surgical procedure may be required for damaged joints.
A biomechanical assessment is carried out initially to discover the extent of the problem before we devise the best podiatric plan for you.


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