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 50 355 3024

 

الحديث عن القدم أيام الجمعة: مصحح الورم ومصفف إصبع القدم

مرحبًا بكم في الحديث عن القدم يوم الجمعة.!

اليوم سنناقش خيارات الأورام.

الورم هو المكان الذي يمر فيه إصبع القدم وهذه المنطقة بهذا الشكل. ما نريد القيام به هو تصويب إصبع القدم ونريد المساعدة في دعم إصبع القدم الكبير بشكل مستقيم. لذا، سنفعل شيئين.

1. سنضع بعض الشريط اللاصق على إصبع القدم. إذا أردنا تقويم إصبع القدم، فسنستخدم شيئًا يسمى شريط Beauty and the Bunion. نحن فقط نزيل الشريط بهذه الطريقة وسنضعه على جانب إصبع القدم. لذلك، سنضعه هنا ونسحبه بشكل مستقيم إلى أسفل جانب إصبع القدم مثل هذا. ألصقه لأسفل، والآن ترى هذا الشريط يقوم بتقويم أصابع القدم.

2. الآن ما سنفعله هو إعطاء الشريط بعض المساعدة إذا كان إصبع القدم منحنيًا جدًا. نقوم بذلك عن طريق صنع بعض السيليكون بين إصبع القدم. الآن سأوضح لك كيفية صنع بعض السيليكون. سوف نستخدم بعض معجون السيليكون والمحفز. سنقوم بصنع قرص صغير مثل هذا، والآن سنستخدم بعض المحفز عليه وسنقوم بخلط كل شيء معًا. السيليكون زيتي للغاية والسبب في كونه زيتيًا هو أنه عندما يدخل بين أصابع قدميك لا يسبب لك بثرة أو أي شيء من هذا القبيل. ثم ما نقوم به هو أن نشكله على شكل يتناسب بين أصابع القدم. يعمل السيليكون عن طريق تقويم إصبع القدم الأول عن طريق استعارة إصبع القدم الثاني ثم ننتظر بضع دقائق حتى يثبت السيليكون.

والآن هذا هو شكل معجون السيليكون. عندما تقوم بإزالته، فإنه يحافظ على شكله ولكن سيبدو دائمًا وكأنه ممحاة أو مطاط السيليكون، وهو زيتي جدًا لذا لا يؤذي بشرتك. ثم تقوم فقط بإعادته إلى مكانه بين أصابع القدم.

عادةً ما ترتدي شيئًا كهذا لمدة تتراوح من أسبوعين إلى أربعة أسابيع وأحيانًا تصل إلى ستة أسابيع. يمكنك في بعض الأحيان تغييرها كل أسبوعين اعتمادًا على مدى ميل إصبع القدم عبر قدمك، حتى تتمكن من عمل عدد قليل منها على مراحل حتى تستقيم أصابع القدم. طبيب الأقدام سيجعل هذا لك. إذن هناك دعامة إصبع القدم المصنوعة من السيليكون وعندما تقوم بإزالتها تبدو كهذا.

يمكنك ارتداء هذا أثناء التجول وهذا يساعد على دفع إصبع القدم الكبير بشكل مستقيم وتساعد الأشرطة على إبقاء إصبع القدم مستقيماً.

لذلك، نستخدم شيئين للحفاظ على إصبع القدم الكبير مستقيماً. إذا كان لديك إبهام أروح أو ورم، فهذا يساعد أيضًا. يمكنك ارتداء هذا أثناء المشي أثناء النهار لأنه مع بعض جبائر الورم الأخرى، لا يمكنك ارتداؤها إلا في الليل. آمل أن يكون هذا مفيدًا لاستخدام فطيرة السيليكون وجمال Footerella وأشرطة الورم.

أتمنى أن تستمتع بيوم الجمعة وأشكرك على مشاهدة الحديث عن القدم يوم الجمعة..

للمواعيد والاستفسارات الأخرى:

اتصل: ٠٤٣٤٣٥٣٩٠

واتساب: ٠٥٠٣٥٥٣٠٢٤

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 50 355 3024

 

الحديث عن القدم أيام الجمعة: شفاء إصابات القدم بسرعة

 

  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 50 355 3024  

الحديث عن القدم أيام الجمعة: التهاب اللفافة الأخمصية

سنناقش اليوم التهاب اللفافة الأخمصية وهي حالة مؤلمة للغاية في الكعب.

لذلك، مع التهاب اللفافة الأخمصية، يصبح عظم الكعب ملتهبًا وذلك لأنه عبارة عن شريط قوي من اللفافة يمتد من الكعب إلى مقدمة القدم.

إنها تحافظ على سلامة قوس القدم للأعلى، ولكن إذا كان قوسك يسترخي أو ينخفض ​​أو بدأت قدمك في الميل قليلاً، فإن اللفافة الأخمصية سوف تنخرط وتشد مشدودة. حيث يصبح ملتهبًا في عظم الكعب ويصبح الغلاف الخارجي لعظم الكعب هو الذي يصبح مؤلمًا للغاية، خاصة إذا كنت نائمًا أو تجلس لفترة طويلة وتذهب للوقوف، فإن عظم الكعب يكون في أشد حالاته ألمًا. ثم عندما تمشي لعشرين خطوة تقريبًا، تبدأ في الشعور بتحسن كبير.

لسوء الحظ، أثناء المشي والوقوف الذي تقوم به (بينما تشعر بالتحسن)، تقوم فرقة اللفافة الأخمصية بسحب ذلك الجزء من عظم الكعب المصاب وتؤدي إلى التهابه بحيث يظهر الالتهاب عند الراحة أو النوم لفترة من الوقت. .

لذلك، ما نفعله لتقليل التهاب اللفافة الأخمصية هو أن نرفع القوس للأعلى مرة أخرى ونقوم بإمالة القدم قليلاً حتى يصبح الكاحل مستقيمًا حتى تتمكن اللفافة الأخمصية من العودة إلى حالة الاسترخاء والتفاعل فقط عندما تكون هناك حالة طارئة (على سبيل المثال، إذا كنت اقفز من الحائط، أو اقفز وهبط بقدميك بقوة شديدة) تنخرط اللفافة الأخمصية في تلك الحالات وسرعان ما تنخرط طوال الوقت. كل ما نفعله هو إعادته إلى وضع الراحة حتى تتحسن العظام الملتصقة به.

استمتع بيوم الجمعة الخاص بك!

للمواعيد والاستفسارات الأخرى:

اتصل: ٠٤٣٤٣٥٣٩٠

واتساب: ٠٥٠٣٥٥٣٠٢٤

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.

  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