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A very small area of sudden, intense and highly localised pain in the sole of the foot can sometimes be caused by a foreign object embedded in the skin.

Because we put our full body weight through our feet, even something incredibly small—a tiny splinter, hair or fragment of glass—can become surprisingly painful. Patients will often describe being able to point to one exact spot that feels extremely sharp or painful when they stand or walk.

 

Even a Hair Can Become a Foreign Body

One of the more unusual foreign bodies we occasionally encounter is human hair.

For example, when someone shaves in the shower, freshly cut hairs can have extremely sharp ends. At the same time, warm water temporarily softens the outer layers of skin on the feet.

A short, stiff piece of freshly cut hair can occasionally penetrate this softened skin. With continued walking and pressure, it may gradually work deeper into the skin.

This can also occur with cat or dog hairs, particularly short, coarse hairs that can behave almost like tiny splinters.

Initially, the person may notice very little. However, as the foreign material penetrates more deeply and the surrounding tissue becomes inflamed, a very small area can become disproportionately painful.

 

Glass splinter removed from the sole of the foot following assessment and careful debridement at Dubai Podiatry Centre

 

Why Does It Become So Painful?

 

The body recognises an embedded object as something that does not belong there and produces an inflammatory response around it. Occasionally, a small collection of pus may develop around the foreign material.

In other areas of the body, this may eventually drain spontaneously and allow the foreign body to escape.

The sole of the foot, however, has particularly thick, strong skin designed to withstand enormous amounts of pressure and friction. This can make spontaneous drainage more difficult.

Instead, the foreign object may remain trapped while every step continues to push pressure through the affected area.

The result can be intense pain concentrated within a surprisingly tiny area.

 

Common Foreign Objects We Find in Feet

Foreign bodies can enter the feet in many everyday situations. These include:

  • Tiny wooden splinters from gardening, decking or wooden floors
  • Small fragments of broken glass
  • Human hair following shaving
  • Coarse cat or dog hairs
  • Thorns and plant material
  • Small fragments picked up while walking barefoot outdoors
  • Splinters from harbour or marina decking
  • Sea urchin spines

Walking barefoot around swimming pools, gardens, beaches, marinas and decking areas can increase the opportunity for tiny objects to enter the skin.

Look Closely at the Area

Sometimes there is very little to see from the surface.

You may notice a tiny dark or discoloured area beneath the skin. Occasionally patients describe seeing a greenish or grey shadow, although colour alone cannot confirm that a foreign body is present.

One simple trick is to take a close-up photograph with your mobile phone in good lighting and enlarge the image. Modern phone cameras can sometimes reveal a tiny entry point or object that is difficult to see with the naked eye.

However, if you cannot easily see and grasp the object at the surface, repeatedly digging into the foot at home can make matters worse.

Sea Urchin Spines

Sea urchin injuries are usually much easier for the patient to recognise because they occur immediately after standing on or brushing against a sea urchin.

The difficulty is that sea urchin spines are fragile and can break, leaving fragments embedded beneath the skin.

At Dubai Podiatry Centre, we use careful podiatric techniques to access suitable superficial retained fragments and remove them while trying to avoid breaking the spine or driving it further into the tissues.

Deeply embedded fragments, significant swelling, persistent pain or suspected involvement of deeper structures may require further medical assessment or imaging.

Don’t Keep Digging at the Foot

One of the most important pieces of advice is not to repeatedly cut, squeeze or dig into the sole of the foot yourself.

If a foreign body is clearly protruding from the surface and can be removed easily, that may be straightforward. But when an object has disappeared beneath the skin, trying to find it with needles, blades or other instruments can push it deeper, introduce bacteria and cause additional tissue damage.

If you have a very small, intensely painful area on the foot—particularly after walking barefoot—and you cannot see what is causing it, a podiatrist can examine the area carefully.

 

When Should You Seek Medical Attention?

 

Seek professional assessment if the pain is increasing, you cannot comfortably walk, the object appears deeply embedded, or you develop redness, warmth, swelling, pus, bleeding or spreading inflammation.

People with diabetes, poor circulation, reduced sensation in the feet or impaired immunity should avoid attempting to remove embedded foreign bodies themselves and should seek professional assessment promptly.

Sometimes the tiniest object can cause an extraordinary amount of pain in the foot. Finding and safely removing the cause can provide enormous relief.

Dubai Podiatry Centre
Dubai, UAE
Specialist assessment and treatment of foot and lower-limb conditions.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Plantar fasciitis is one of the most common causes of heel and arch pain. A typical symptom is pain underneath the heel when you first get out of bed in the morning, or when you stand up after sitting at your desk, driving or relaxing for a period of time.

The plantar fascia is a strong band of connective tissue running along the sole of the foot from the heel towards the forefoot. It plays an important role in supporting the arch and stabilising the foot during standing and walking.

When the plantar fascia is repeatedly placed under excessive tensile stress, particularly where it attaches to the calcaneus (heel bone), the area can become painful and irritated.

Importantly, plantar fasciitis is not always simply a problem with the plantar fascia itself. Foot and lower-limb biomechanics can contribute to excessive loading of the fascia. This is why successful treatment should aim not only to settle the painful area, but also to identify and reduce the mechanical stresses that are causing it.

Here are some simple measures that can be carried out at home.

 

1. Contrast Foot Baths – Warm and Cool Water Therapy

Contrast bathing can be a useful part of a home-care routine.

Prepare two containers deep enough for the water to reach approximately midway up the lower legs.

Warm bath: approximately 40–42°C
Cool bath: approximately 22°C

Place both feet and lower legs into the warm water for approximately one minute.

Then transfer them into the cool water for one minute.

Continue alternating between the warm and cool water, repeating the process approximately five times. The complete treatment should take around 10–12 minutes.

The change in temperature produces alternating warming and cooling of the tissues and changes in local blood flow. Many patients find this soothing, particularly towards the end of the day.

We generally recommend doing contrast bathing in the latter part of the day rather than immediately before going to bed, as some people find the treatment quite stimulating.

Always check the temperature carefully before immersing your feet. Contrast bathing may not be appropriate if you have reduced sensation, neuropathy, vascular disease, diabetes-related foot complications or another condition affecting your ability to accurately feel temperature.

 

 

 

2. Massage the Plantar Fascia with Cork Balls

Cork balls are an excellent and simple way of gently massaging the sole of the foot while sitting at home or at your desk.

Different-sized cork balls can be used for different areas of the foot.

With a small cork ball, place the ball underneath the heel while seated and gently rest the foot over it. Make small circular movements around the plantar heel, alternating between clockwise and anticlockwise movements.

A medium or larger cork ball can be placed underneath the arch. Gently roll the foot backwards and forwards over the ball to massage the plantar fascia and surrounding soft tissues.

This is particularly useful if you spend long periods sitting.

One of the characteristic symptoms of plantar fasciitis is pain when standing after rest. Gentle movement and massage before standing can help prepare the foot for loading again.

The massage should feel comfortable rather than painful. Aggressive rolling directly over an acutely painful heel is unnecessary and can aggravate already sensitive tissue.

 

 

 

3. Plantar Fascia Support Tape

Traditional plantar fascia taping often involves applying several individual strips of tape underneath and around the foot. Although this can be effective, it can also be cumbersome and difficult for patients to apply themselves.

A purpose-designed single plantar fascia support tape can be a much simpler home option.

The tape is only a few millimetres thick and can provide gentle padding underneath the foot while helping to reduce some of the tensile load placed upon the plantar fascia.

It is generally worn during the daytime, when the foot is weight-bearing and the plantar fascia is repeatedly being loaded.

Taping is not intended to permanently correct the underlying biomechanics. Instead, think of it as temporary mechanical assistance while the irritated tissue is recovering.

 

4. Support the Arch and Correct Excessive Foot Movement

If plantar fasciitis continues to return, it is important to look at why the plantar fascia is being overloaded.

The plantar fascia does not work independently from the rest of the foot and leg.

For example, excessive movement through the subtalar joint and lowering of the arch can increase the mechanical demands placed upon the plantar fascia. Changes in the forefoot and transverse arch may also affect the way the foot loads during walking.

When the foot is not functioning efficiently, the plantar fascia may be subjected to increased tension as it contributes to supporting and stabilising the foot.

This is why a suitable supportive insole or individually prescribed corrective foot orthotic can be extremely beneficial for some patients.

The purpose is not simply to cushion the painful heel. A properly selected device should address the mechanical forces contributing to the problem and reduce unnecessary tensile stress through the plantar fascia.

For patients with significant biomechanical abnormalities, a professional assessment is advisable rather than simply purchasing a very soft heel cushion.

 

5. Give Your Toes Enough Space

Footwear is another important part of plantar fasciitis management.

The toes are designed to spread and function as part of the foot’s natural support system. Constantly squeezing them together inside narrow or pointed footwear can interfere with normal forefoot mechanics.

We often recommend toe socks combined, where appropriate, with very soft silicone toe aligners to allow the toes to sit in a more natural position.

These can be combined with an orthotic incorporating appropriate arch and transverse-arch support.

The shoe itself should have sufficient width through the toe box to allow the toes to open rather than compressing them together.

For some patients, a wider, foot-shaped or barefoot-style toe box can be very helpful. However, footwear needs to be selected according to the individual foot and the stage of recovery; a sudden transition into very flexible or minimally cushioned footwear may not be appropriate during an acutely painful episode.

 

Dubai Podiatry Centre infographic showing home treatment options for plantar fasciitis, including cork-ball massage, plantar fascia support tape, corrective orthotics, toe aligners and toe socks

 

How Long Does Plantar Fasciitis Take to Heal?

This is one of the most important things to understand.

Plantar fasciitis rarely disappears overnight.

The plantar fascia is a very strong, highly loaded structure, and the attachment at the heel is repeatedly stressed every time you stand and walk.

Even when the underlying mechanical problem is being corrected and the symptoms begin to improve, it can take several months for the area to settle fully. In many of the patients we treat, we advise allowing approximately three to four months for progressive recovery, although individual healing times vary.

The key is consistency.

Contrast bathing, gentle cork-ball massage, plantar fascia support taping, appropriate footwear and correctly prescribed arch support can all work together to reduce stress on the painful area while the tissues recover.

Don’t Just Treat the Heel – Find Out Why It Hurts

Perhaps the most important message is that plantar fasciitis should not always be viewed simply as an isolated painful heel.

Persistent plantar fascia pain can be a sign that the foot is compensating for a wider biomechanical issue.

The position and movement of the forefoot, arch, subtalar joint, ankle, knee, pelvis and hip can all influence how forces are transmitted through the foot.

If your plantar fasciitis keeps returning, is becoming progressively worse, or has not improved despite appropriate home treatment, it is worth having your walking pattern and lower-limb biomechanics professionally assessed.

At Dubai Podiatry Centre, we assess the foot as part of the complete lower-limb mechanical system. By identifying why the plantar fascia is being overloaded, treatment can be directed towards both relieving the painful tissue and reducing the mechanical stresses that contributed to the problem in the first place.

Dubai Podiatry Centre
Helping your feet function better from the ground up.

This article provides general educational information and is not a substitute for individual medical assessment. Persistent or severe heel pain, swelling, neurological symptoms, inability to bear weight, or pain following an injury should be professionally assessed.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Flat feet can affect more than just the feet. When the arches collapse excessively during standing or walking, the feet may roll inwards—a movement known as overpronation. This can alter the position of the heels and affect the alignment of the ankles, knees and hips.

Over time, poor foot alignment may place additional strain on the muscles, tendons and joints throughout the lower limbs.

 

Signs and Symptoms of Flat Feet

Not everyone with flat feet requires treatment. However, adults and children whose flat feet cause pain or affect their mobility may experience:

  • Tired or aching feet
  • Heel, arch or ankle pain
  • Knee or hip discomfort
  • Reduced walking endurance
  • Difficulty standing for long periods
  • Uneven shoe wear
  • Changes in walking pattern

A professional foot and gait assessment can help determine whether flat feet or overpronation are contributing to these symptoms.

Corrective Orthotics for Flat Feet

Not all insoles provide the same type of support. Cushioned insoles are primarily designed to improve comfort and redistribute pressure. Corrective orthotics are designed to control excessive foot movement, support the position of the heels and improve lower-limb alignment.

When clinically appropriate, custom-made corrective orthotics may help reduce excessive strain on the feet and legs, improve stability and make standing, walking and daily activities more comfortable.

Children’s and adults’ feet have different requirements. For this reason, corrective orthotics should be individually prescribed following a detailed assessment rather than selected as a one-size-fits-all solution.

Biomechanical Assessment at Dubai Podiatry Centre

At Dubai Podiatry Centre, flat feet treatment begins with a comprehensive biomechanical assessment. Our podiatrist evaluates:

  • Foot posture and arch position
  • Heel and ankle alignment
  • Walking pattern and gait
  • Muscle function
  • Joint movement
  • Lower-limb biomechanics

The assessment helps identify how the feet are functioning and whether custom-made corrective orthotics are suitable for you or your child.

Book a biomechanical assessment at Dubai Podiatry Centre to learn more about flat feet, overpronation and corrective orthotic treatment.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Have you ever wondered how custom-made corrective orthotics can transform the way you stand and walk? Watch our before-and-after video to see the remarkable improvement in foot alignment after wearing custom orthotics designed specifically to correct overpronation and flat feet.

 

 

When the feet lean inward excessively, they can cause poor body alignment, placing extra pressure on the ankles, knees, hips, and lower back. This imbalance often contributes to heel pain, plantar fasciitis, arch pain, ankle instability, knee pain, corns, calluses, and foot fatigue. Without proper support, these problems can worsen over time and affect everyday mobility.

At Dubai Podiatry Centre, our experienced podiatrists perform a comprehensive biomechanical assessment, gait analysis, and foot impression to accurately diagnose the cause of your foot pain. Using these findings, we design custom-made corrective orthotics that help restore proper foot posture, improve balance, reduce excessive pressure, and support natural walking mechanics.

This before-and-after transformation highlights how corrective orthotics can improve foot positioning, enhance stability, and promote healthier movement. By supporting the feet in a more neutral position, custom orthotics help reduce strain throughout the body and improve overall comfort during walking, standing, and daily activities.

If you suffer from flat feet, overpronation, heel pain, plantar fasciitis, foot pain, ankle pain, knee pain, arch pain, or recurring corns and calluses, a professional biomechanical assessment may be the first step towards lasting relief.

Book an appointment with Dubai Podiatry Centre to discover how custom corrective orthotics can improve your foot alignment, relieve pain, and help you move with greater confidence.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Many people believe that ingrown toenails are simply caused by cutting the nail incorrectly. While this can occasionally happen, the vast majority of recurring ingrown toenails have a much more fundamental cause: the nail is simply too wide for the toe that it is growing on.

The Nail Is Often Too Wide for the Toe

In many patients, the toenail is naturally much wider than the available width of the toe. To fit into this limited space, the nail gradually curves more and more as it grows.

A healthy toenail should have only a gentle curve, rather like an upside-down dinner plate. However, when the nail becomes excessively curved, more like an upside-down soup bowl, the edges begin to press deeply into the surrounding skin. This is when pain, inflammation and recurrent ingrown toenails develop.

Side and front view of an ingrown toenail demonstrating the curved nail growing into the skin and causing chronic pain. Educational illustration showing why ingrown toenails recur and how permanent treatment can prevent future problems

Fan-Shaped Toenails

Another common cause is what podiatrists describe as a fan-shaped toenail.

With a fan-shaped nail, the visible nail root, near the cuticle, appears relatively narrow, but the nail becomes progressively wider towards the tip of the toe. As the nail widens, there is simply not enough room for it within the soft tissues, causing the edges to dig into the skin.

These nails frequently become ingrown, regardless of how carefully they are trimmed.

Why Cutting the Sides Is Only a Temporary Fix

Many people seek immediate relief by having the sides of the nail cut away during a pedicure or medical pedicure.

Although this often relieves the pain temporarily, it rarely solves the underlying problem.

When the edge of the nail is removed, the surrounding skin naturally plumps up and heals into the empty space. However, the nail root continues producing the same wide nail as before. As it grows forward, it now has to push through this newly thickened tissue, which often becomes even more painful than before.

This creates a frustrating cycle:

  • Pain develops
  • The sides are trimmed
  • The skin heals and thickens
  • The wide nail grows back
  • The pain returns

Many patients find themselves needing treatment every one to three months simply to remain comfortable.

Top and front view of an ingrown toenail showing the nail edge growing into the surrounding skin, causing pain and inflammation. Educational image explaining the causes of recurring ingrown toenails and permanent treatment by Dubai Podiatry Centre

The Protective Skin Along the Nail Edge

The firm skin that develops alongside the nail is often viewed as something that should be removed. In reality, it serves an important purpose.

Repeated pressure from the nail causes the body to build a stronger, tougher strip of skin, almost like a protective railway track guiding the nail as it grows.

During aggressive pedicures, this protective tissue is often removed together with the nail edge. Without this natural barrier, the sharp edge of the nail can penetrate the softer skin even more easily, increasing the likelihood of another painful ingrown toenail.

Why We Do Not Recommend Lifelong Trimming

At Dubai Podiatry Centre, we do not recommend relying on repeated trimming of the nail edges as a long-term treatment.

While regular trimming may temporarily relieve symptoms, it does not change the width of the nail growing from the root. The underlying problem remains, meaning patients often become dependent on frequent medical pedicures or painful salon treatments for years.

 

The Gold Standard: Partial Nail Avulsion with Phenolisation

For patients who repeatedly suffer from ingrown toenails, the most predictable long-term solution is a partial nail avulsion with phenolisation.

During this procedure:

  • Only the problematic edge of the nail is removed
  • Phenol is carefully applied to permanently stop that narrow strip of nail from regrowing
  • The remaining nail continues to grow normally

Because the nail is permanently made slightly narrower, it can fit comfortably within the toe without curling into the surrounding skin.

When performed by an experienced podiatrist, only the minimum amount of nail necessary is removed. This provides a permanent solution while maintaining a natural, aesthetically pleasing appearance.

 

What About Nail Braces?

Nail braces can temporarily flatten a curved toenail and may provide symptom relief in selected cases.

However, they do not change the actual width of the nail.

In patients whose nails are naturally too wide or fan-shaped, flattening the nail often reveals just how wide it really is. After wearing a brace for one to two years, with replacements every one to three months, the nail frequently returns to its original curved shape once the brace is no longer used.

For this reason, nail braces are generally not considered a permanent solution when the underlying problem is excessive nail width.

Not Every Ingrown Toenail Needs Surgery

Fortunately, not every painful toenail requires a permanent procedure.

Sometimes the discomfort is caused by a tiny nail spike that has broken off during nail cutting. This small fragment may be almost invisible and can work its way into the skin, causing significant pain.

Once this nail spike is removed, the problem is usually resolved and may never happen again.

 

When Should You Consider Permanent Treatment?

If your ingrown toenail keeps returning every one to three months, despite repeated trimming or pedicures, it is likely that the underlying nail shape, not your nail cutting technique, is responsible.

In these cases, a partial nail avulsion with phenolisation offers the most reliable long-term solution, allowing patients to return to comfortable walking without the need for repeated painful treatments.

At Dubai Podiatry Centre, we carefully assess the shape and width of every toenail before recommending treatment. Our aim is always to provide the smallest correction necessary to permanently eliminate pain while preserving the natural appearance of the toenail.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Are you experiencing foot pain, heel pain, arch pain, knee pain, or lower back pain? The underlying cause may be the way your feet are aligned. Flat feet (pes planus), overpronation (feet rolling inward), and supination (feet rolling outward) can affect your entire body, leading to discomfort, poor posture, and inefficient walking.

At Dubai Podiatry Centre, our experienced podiatrists specialize in diagnosing and treating flat feet, overpronation, and other biomechanical foot problems using advanced assessment techniques and custom-made orthotics.

Common Symptoms of Flat Feet and Overpronation

Poor foot alignment can contribute to:

  • Flat feet (fallen arches)
  • Heel pain
  • Plantar fasciitis
  • Arch pain
  • Corns and calluses
  • Bunions
  • Ankle instability
  • Knee pain
  • Hip pain
  • Lower back pain
  • Foot fatigue
  • Difficulty walking or standing for long periods
  • Sports and running injuries

Comprehensive Biomechanical Assessment

At Dubai Podiatry Centre, we perform a detailed biomechanical assessment to identify the cause of your symptoms. Your assessment may include:

  • Foot posture evaluation
  • Gait analysis (walking assessment)
  • Digital foot impressions
  • Foot alignment assessment
  • Lower limb biomechanics evaluation
  • Custom orthotic assessment

This allows us to accurately diagnose the source of your pain and recommend the most effective treatment.

How Custom Orthotics Help Flat Feet

Our custom orthotics (medical shoe insoles) are individually designed to support your feet and restore proper alignment. They can help:

  • Correct overpronation and excessive foot rolling
  • Support flat feet and fallen arches
  • Improve foot posture and body alignment
  • Redistribute pressure across the feet
  • Reduce heel, arch, knee, hip, and back pain
  • Improve walking, standing, and athletic performance
  • Prevent further foot and lower limb injuries

Unlike over-the-counter insoles, custom orthotics are made specifically for your feet, providing targeted support and long-term comfort.

Watch the Video

Watch our video to see how custom orthotics can immediately improve foot alignment by correcting excessive inward or outward foot movement. Proper foot support can reduce pain, improve balance, and help you move more comfortably every day.

If you have flat feet, overpronation, heel pain, or recurring foot discomfort, book a biomechanical assessment with the specialists at Dubai Podiatry Centre. Our expert podiatrists will determine whether custom orthotics are the right solution to improve your foot health and overall mobility.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Illustration showing flat feet causing lateral ankle pain, knee pain and hip pain, comparing accommodative insoles with corrective orthotics to improve lower limb alignment

 

Many people think flat feet only cause tired or aching feet. However, the effects of flat feet often extend much further up the body. When the feet do not provide a stable foundation, the ankles, knees and hips must compensate, which can eventually lead to pain in multiple joints.

At Dubai Podiatry Centre, we frequently see patients whose symptoms begin in the feet but gradually progress higher up the legs.

Flat Feet Affect More Than Just Your Feet

Your feet are the foundation of your body. Every step you take begins with the way your feet contact the ground.

In people with flat feet, the arches collapse more than they should during walking, causing the feet to roll inwards a movement known as overpronation.

As the feet roll inward, the rest of the leg follows.

This can lead to:

  • Increased inward rotation of the lower leg
  • Changes in knee alignment
  • Altered hip mechanics
  • Increased stress on muscles, tendons and joints

Rather than one isolated problem, it becomes a chain reaction affecting the entire lower limb.

Why Does the Outside of the Ankle Hurt?

Many people expect flat feet to cause pain on the inside of the ankle, but pain on the outside is actually very common.

As the foot collapses inward, the heel tilts and the structures on the outside of the ankle are forced to work harder to stabilise the foot.

This may place excessive strain on:

  • The peroneal tendons
  • The lateral ankle ligaments
  • The muscles that support balance during walking

Over time, these structures become overloaded, resulting in persistent pain on the outside of the ankles.

How Flat Feet Can Lead to Knee Pain

The feet and knees work together with every step.

When the feet overpronate excessively, the shin bone rotates inward. This alters the normal movement of the knee and increases stress across the joint.

Patients commonly experience:

  • Pain during walking
  • Discomfort when climbing stairs
  • Knee fatigue after standing for long periods
  • Gradually worsening symptoms with activity

If the underlying foot mechanics are not addressed, the knee continues to compensate with every step.

Why Hip Pain Often Develops

The inward rotation that begins at the foot doesn’t stop at the knee.

It continues into the hips, affecting the muscles that stabilise the pelvis and changing the way the hip joint functions.

This can lead to:

  • Hip muscle fatigue
  • Pain around the outside of the hips
  • Reduced walking endurance
  • Difficulty standing for prolonged periods

Many patients are surprised to discover that their hip pain may actually begin with poor foot alignment.

Not All Insoles Work the Same Way

Many patients tell us they have already tried insoles but still have pain.

This is because there are two very different types of insoles.

Accommodative insoles are designed to cushion the feet and improve comfort by redistributing pressure. They can be very helpful for reducing discomfort but do not significantly change foot alignment.

Corrective orthotics, on the other hand, are designed to control excessive foot movement, improve heel position and restore better lower limb alignment. By addressing the underlying biomechanics, they may reduce abnormal loading through the ankles, knees and hips.

The most appropriate option depends on a thorough biomechanical assessment and the specific cause of the patient’s symptoms.

Why a Biomechanical Assessment Is Important

Pain in multiple joints is often treated one area at a time. However, unless the underlying cause is identified, symptoms may continue to return.

A comprehensive biomechanical assessment allows the podiatrist to evaluate:

  • Foot posture
  • Walking pattern (gait)
  • Heel alignment
  • Lower limb biomechanics
  • Muscle function and joint movement

This helps determine whether abnormal foot mechanics are contributing to pain higher up the body.

Early Treatment Can Prevent Further Problems

Flat feet do not always require treatment. However, when they are causing pain in the ankles, knees or hips, early intervention can improve function and help prevent further joint overload.

Treatment may include:

  • A comprehensive biomechanical assessment
  • Custom corrective orthotics where clinically indicated
  • Footwear advice
  • Stretching and strengthening exercises
  • Ongoing monitoring to optimise lower limb alignment

 

If you have flat feet and are experiencing pain on the outside of both ankles, followed by aching knees and hips, the problem may not be isolated to each joint. Instead, your symptoms could be the result of altered foot mechanics affecting the entire lower limb.

Rather than simply treating the painful area, identifying and correcting the underlying cause can help improve movement, reduce abnormal stress and provide longer-term relief.

At Dubai Podiatry Centre, we assess the body as a connected system because healthy movement starts with a stable foundation.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024

 



One of the most common questions patients ask at Dubai Podiatry Centre is:

“Am I too old to treat my flat feet?”

The simple answer is no.

Many people believe that flat feet can only be treated during childhood and that once you become an adult, nothing more can be done. Fortunately, this is one of the biggest misconceptions we hear in clinic.

 

Not Everyone Diagnosed with Flat Feet Actually Has Flat Feet

There are several different types of flat feet, but the most common condition we see is not a true flat foot at all.

In many cases, the ankle leans inwards, causing the arch to collapse under body weight. The arch then appears flat, even though the foot itself still has the ability to regain its natural shape once the ankle is correctly aligned.

Rather than thinking of the foot as permanently flat, it is often more accurate to think of it as an arch that has collapsed because the ankle is no longer supporting it correctly.

 

Adult flat feet before and after custom orthotics showing improved heel alignment and foot posture

Child with flat feet before and after podiatry treatment using custom orthotics showing corrected heel alignment

 

Adult Treatment Can Actually Be Faster

Many people are surprised when we explain that correcting this type of flat foot can actually progress faster in adults than in children.

Children have high levels of human growth hormone, which keeps their ligaments soft, flexible and easy to manipulate. This makes repositioning the bones relatively straightforward and usually very comfortable.

However, because the ligaments are constantly growing and remodelling, they often take longer to adapt and stabilise in their new position. For this reason, children commonly progress through each stage of treatment over approximately three to six months.

Adults are different.

Adult ligaments are firmer and less elastic, so there can be slightly more resistance when repositioning the foot. For this reason, we usually make smaller adjustments at each stage.

Once the bones have been repositioned, however, the adult foot often adapts surprisingly quickly. Instead of waiting three to six months between stages, many adults can progress every one to three months, allowing treatment to advance more rapidly.

Similar to Orthodontic Braces

A useful comparison is orthodontic braces for the teeth.

Most people understand that braces are not just for children. Adults successfully wear braces every day to gradually reposition their teeth into better alignment.

Corrective orthotics work on a similar principle.

Instead of moving teeth, they gently reposition the bones of the feet and ankles in carefully planned stages. As the alignment improves, the arch is supported more effectively and, in suitable cases, the foot can gradually regain a healthier arch shape.

Each new stage builds upon the previous one, allowing gradual correction rather than trying to make one large adjustment all at once.

 

It’s Never Too Late to Have an Assessment

If you have been told you have flat feet, it does not necessarily mean your feet are permanently flat.

The first step is determining why your arch has collapsed. For many patients, the underlying issue is ankle alignment rather than the shape of the foot itself.

With the correct diagnosis and a staged treatment plan, adults can often achieve significant improvements in foot alignment, comfort and function.

So if you’ve been wondering whether you’ve left it too late to treat your flat feet, the answer may be much more encouraging than you expected.

At Dubai Podiatry Centre, we regularly assess both children and adults and develop personalised treatment plans based on the specific cause of each patient’s foot alignment, because no two cases of flat feet are exactly the same.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



 

Plantar fasciitis is one of the most common causes of heel pain. People typically notice it when they take their first steps out of bed in the morning or when they stand after sitting for a prolonged period. The pain often eases after walking for a few minutes, only to return again after periods of rest.

 

What is the plantar fascia?

The plantar fascia is a strong band of connective tissue that runs from the heel bone (calcaneus) to the base of the toes. Its primary function is to help support the arch of the foot.

When you walk, run or land from a jump, the plantar fascia becomes tensioned, helping the arch maintain its shape and absorb forces. Without this support, the bones of the midfoot would be subjected to much greater mechanical stress.

A healthy plantar fascia is not designed to remain under constant tension. Instead, it should be relatively relaxed at rest and become taut only when required during movement and weight-bearing activities.

 

Why does plantar fasciitis develop?

The term plantar fasciitis literally means inflammation associated with the plantar fascia. Although the pain is felt in the heel, the discomfort is usually concentrated where the plantar fascia attaches to the heel bone.

Rather than viewing plantar fasciitis as simply an isolated heel problem, it is often more helpful to consider why the plantar fascia has become overloaded in the first place.

In many people, the ligaments and muscles of the foot provide enough stability to support the arch without excessive strain on the plantar fascia. However, if the alignment of the foot changes, the plantar fascia may remain under tension for much longer than it was designed to.

One of the most common contributing factors is excessive pronation of the foot and ankle. As the foot rolls inward, the plantar fascia may become progressively tensioned throughout standing and walking instead of only during the phases when it is normally required.

An easy way to understand the problem

Imagine holding a single strand of long hair with a heavy weight attached to the end.

The hair itself is not painful.

The pain would occur where the hair is anchored into the scalp because that attachment point is constantly being pulled.

Once the weight is removed, the strain at the attachment point disappears.

The plantar fascia behaves in a similar way. The discomfort usually develops where the fascia attaches into the heel bone rather than within the fascia itself. If excessive tension continues day after day, this attachment site can become irritated and painful.

 

Why is the pain worse in the morning?

Many people notice that the first few steps in the morning are the most painful.

After sleeping or sitting for a prolonged period, blood flow and tissue fluid movement slow down. When the foot is suddenly loaded, the already irritated attachment of the plantar fascia is placed under tension again, producing the characteristic sharp heel pain.

As you begin walking, the calf muscles act as a pump, improving circulation through the lower leg and foot. This often reduces discomfort temporarily, which explains why many people feel better after several minutes of walking.

Treating the cause—not just the symptoms

While heel cushions, supportive insoles and stretching programmes may provide symptom relief for some individuals, long-term improvement depends on identifying and correcting the mechanical cause of the overload.

If excessive pronation or another alignment abnormality is placing unnecessary tension on the plantar fascia, simply adding cushioning beneath the heel may not adequately address the underlying problem.

A corrective orthotic is designed to improve foot and ankle alignment rather than simply support the arch. Because every person walks differently, the correction required for the left foot is often different from that required for the right foot. The amount of correction should therefore be individually prescribed.

As the abnormal strain on the plantar fascia is reduced over time, the attachment at the heel is given the opportunity to recover, allowing symptoms to gradually settle while also addressing the underlying biomechanical problem that contributed to the condition.

The key message

Plantar fasciitis should not simply be viewed as inflammation of the heel. In many cases, it is the result of an underlying mechanical imbalance that places excessive and prolonged tension on the plantar fascia where it attaches to the heel bone.

Successful long-term treatment focuses on identifying the biomechanical cause, correcting the alignment of the foot and ankle, and reducing the abnormal forces responsible for the condition. By addressing the underlying mechanics rather than simply cushioning the symptoms, many patients can achieve lasting relief and reduce the likelihood of recurrence.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



 

 

A patient attended our clinic today complaining of severe pain underneath the outside of his left foot. The pain had become so intense that he was limping and described the sensation as walking on a sharp piece of glass.

On examination, we found a hard corn underneath the fifth metatarsal head on the outside border of his left foot. Many people assume that a corn is the problem, but in reality a corn is often the body’s attempt to protect itself from excessive pressure.

We removed the corn painlessly, and the patient experienced immediate relief. However, we explained that unless we addressed the underlying cause, the corn would simply return.

To investigate further, we performed a 3D body scan and biomechanical assessment.

The results were fascinating.

The patient had a significant imbalance throughout his body. His left leg was functionally longer than his right. His pelvis was tilted, with the right side anteriorly tilted and the left side posteriorly tilted. He was carrying considerably more body weight through the left side of his body, creating excessive pressure beneath the outside of the left foot.

His medical history helped explain the pattern. He had previously undergone two lower back surgeries on the left side, suffered left hip problems, torn ACL injuries involving the left knee, and undergone left Achilles tendon surgery.

Over many years, his body had adapted to these injuries.

The scan showed that his pelvis had shifted towards the left side, causing increased loading through the left leg and foot. At the same time, his right foot was internally rotated and functioning almost like a golfer at the top of a backswing position. This created high tensile stress through the right Achilles tendon, the right knee, and the lower back while simultaneously increasing compression forces through the left side of the body.

The painful corn underneath the left foot was simply the area where the body was absorbing the greatest amount of pressure.

The development of a corn follows a predictable sequence.

First, the body produces a layer of hard skin to protect itself. This creates a broad plaque of callus, similar to a pancake of thicker skin.

If the pressure continues, the body creates a concentrated plug of dense keratin at the centre of the pressure point. Keratin is the same material found in toenails. This hard central core forms what we recognise as a hard corn.

As pressure continues to increase, inflammation develops beneath the area. Patients often describe burning, stinging, or sharp sensations. This was the stage our patient had reached.

If left untreated, the next stage can be the formation of a soft corn. The tissues become saturated with inflammatory fluid and appear white, rubbery, and extremely painful.

The final stage is tissue breakdown and ulceration.

This progression is particularly important in patients with diabetes, neuropathy, or vascular disease. These patients may not feel the early warning signs of pressure and pain. As a result, the protective stages can progress unnoticed until an ulcer develops.

Many patients believe ulcers appear suddenly and without warning. In reality, the body often gives multiple warning signals beforehand, but if sensation is reduced, those signals may not be recognised.

For this patient, the solution was not repeated corn removal.

The solution was correcting the forces causing the corn.

We prescribed custom corrective orthotics designed specifically for his individual biomechanics. The right orthotic was intentionally very different from the left because each side of the body required a different correction.

The aim was to improve pelvic balance, reduce the functional leg length discrepancy, redistribute pressure more evenly between both feet, and decrease excessive loading through the left foot.

We performed further scans with the orthotics in place and saw immediate improvements in alignment and pressure distribution.

The body can be compared to a wobbly table. If one table leg is shorter than the others, the tabletop becomes uneven. Placing a carefully measured support beneath the shorter leg restores balance.

Corrective orthotics work in a similar way. While we cannot make one leg physically grow longer, we can improve balance and alignment so that the body functions more efficiently and with less stress.

The patient will return in three months for reassessment. As the body adapts to improved alignment, muscle tension, posture, and weight distribution can all change. Repeat scanning will allow us to monitor these changes and determine whether further orthotic adjustments are required.

The important lesson from this case is that a corn is rarely just a skin problem.

A corn is often a warning sign that excessive pressure is travelling through a specific part of the foot. Removing the corn may provide temporary relief, but identifying and correcting the underlying mechanical cause is what provides a long-term solution.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024


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