Orthotic therapy is a form of podiatry treatment that uses specially designed devices that are worn inside the shoe to control abnormal foot function and improve lower limb alignment. The idea being that this alteration can help eliminate lower limb pain and possibly enhance performance through improved gait efficiencies.
Orthotic Uses :
• Metatarsalgia or other foot pain
• Plantar fasciitis []
• Morton’s Neuroma
• Flat feet
• High arches
• Knee pain
• Hip pain
• Low back pain
• SIJ dysfunction
• Degenerative Disc Disease
• Osteoarthritis in the knees, hips, pelvis or low back
• Patellofemoral pain syndrome
• Femoral acetabular impingment
• Iliotibial band friction syndrome
• Bursitis in the ankle, knee or hip
• Chronic ankle sprains
• Piriformis syndrome
• Achilles tendonopathy
• Patellar tendonopathy
• Snapping Psoas
• Gluteal tendonopathy
• Hamstring tendonopathy
• Recurrent Calf Strains
What type of orthotics do we have?
For complex foot problems, our podiatrists may recommend a custom-made orthotic (usually with a thermoplastic material) made in a laboratory from a plaster cast moulding or a 3D scan of your foot. For less complex problems, we have a range of heat-moulded orthotics that may suffice. Making quality orthotics takes years of experience and in many ways is considered an art form. Our podiatrists have these skills and can supply quality orthotics to suit your needs.
All of our orthotics are supplied with a full length cover meaning you get an ideal fit that doesn’t move around in the shoe. Your feet are like no other and this is why our orthotics are all custom made to fit your particular foot type.
Exercises are instrumental tool in keeping us healthy. Just like your car, our bodies need regular maintenance to perform optimally. Physical therapy improves strength, balance, mobility, and overall fitness as well as injury prevention and treatment. Physical therapists help you restore and improve motion to achieve long-term quality of life.
Manual therapy (sometimes called bodywork) is a general term for treatment performed mostly with the hands. The goals of manual therapy include relaxation, decreased pain, and increased flexibility.Manual therapy can include:
Pressure is applied to the soft tissues of the body, such as the muscles. Massage can help relax muscles, increase circulation, and ease pain in the soft tissues.
- Mobilization. Slow, measured movements are used to twist, pull, or push bones and joints into position. This can help loosen tight tissues around a joint and help with flexibility and alignment.
- Manipulation. Pressure is applied to a joint. It can be done with the hands or a special device. The careful, controlled force used on the joint can range from gentle to strong and from slow to rapid.
The Physiotherapist assists the patient in the movement restoration. His tasks include the following:
- Muscle strength evaluation and quantification.
- Physiotherapy exercises to maintain and increase joint range of motion.
- Evaluate and train sitting and standing balance.
- Physical therapy exercises to increase strength,endurance and coordination for other specific muscle groups or the entire body.
- Use various physical therapy modalities such as both superficial and deep heat and cold as well as hydrotherapy techniques, electrical stimulation, traction and massage for pain relief.
- Aid in home evaluation to make the environment barrier free and accessible.
- Assess the patient's wheelchair needs, including maintenance and assist with individualized wheelchair prescriptions.
- Progressive gait training with or without amubulatory aids.
- Exercises to reduce spasticity.
It is a thin, stretchy, elastic cotton strip with an acrylic adhesive. Therapeutic kinesiology tape that can benefit a wide variety of musculoskeletal and sports injuries, plus inflammatory conditions.
Kinesiology tape is almost identical to human skin in both thickness and elasticity, which allows kinesio tape to be worn without binding, constricting or restriction of your movement.
Kinesiology tape is an that is used for treating athletic injuries and a variety of physical disorders. For the first decade after its introduction practitioners in Japan were the main users of the therapeutic kinesiology tape. By 1988 the tape had been adopted by Japanese Olympic and professional athletes before spreading across the world.
Benefits of Kinesiology Taping
Kinesiology tape is a flexible elastic tape that moves with your body. This provides supports to your body parts without the tape slipping.
By supporting your body part kinesiology tape is able to provide you with pain reief and muscular support to help control body parts affected by muscle inhibition.
As previously mentioned, your muscle strength may be assisted by kinesiology tape via physical assistance and tactile feedback through the skin. This phenomenon may assist both the able bodied athlete to enhance their performance and hypotonic eg children with low muscle tone.
Kinesiology provides a passive lift to your skin via its elastic properties. This vacuum effect allows your lymphatic and venous drainage systems to drain and swollen or bruised tissue quicker than without the kinesiology tape.
It is also thought that this same principle can assist the removal of exercise byproducts like lactic acid that may contribute to post-exercise soreness eg delayed onset muscle soreness (DOMS).
The Physiotherapy treatment of musculoskeletal injuries has progressed from its foundation in remedial gymnastics and active exercise to therapist-applied passive physiological movements and on to therapist-applied accessory techniques. Brian Mulligan’s concept of mobilizations with movement (MWMS) in the extremities and sustained natural apophyseal glides (SNAGS) in the spine are the logical continuance of this evolution with the concurrent application of both therapist applied accessory and patient generated active physiological movements.
Principles of Treatment
In the application of manual therapy techniques, Physiotherapists acknowledge that contraindications to treatment exist and should be respected at all times. Although always guided by the basic rule of never causing pain, therapist choosing to make use of SNAGS in the spine and MWMs in the extremities must still know and abide by the basic rules of application of manual therapy techniques.
Specific to the application of MWM and SNAGS in clinical practice are:
Compression therapy means wearing socks or stockings that are specially designed to support your veins and increase circulation in your legs. The socks or stockings are normally worn in the morning upon arising, and removed at night. Throughout the day the compression they provide prevents blood from pooling in leg veins, thereby helping overall circulation and diminishing any leg swelling you may have.
How compression therapy stockings work?
Compression stockings improve the signs and symptoms of various conditions of venous disease by providing graduated compression therapy to help control leg swelling and discomfort. They are designed to provide support to the legs and veins, assist with circulation, and minimize swelling. The compression is graduated, with the strongest support starting at the ankles and gradually decreasing towards the top of the garment. This gradual support works in conjunction with the pumping action of the calf muscles, which also assist with circulation.
How do I get compression stockings?
Talk to your health care provider to find out if graduated compression stockings are right for you. If they are, your healthcare provider can tell you what pressure grade you should buy. Additionally, your healthcare provider may be able to recommend an authorized vendor that can measure and fit you for the stockings and can provide education regarding compression therapy. Since all legs are different in length and circumferences, before a stocking is dispensed the medical supply personnel will measure the intended leg to ensure maximum therapeutic effects from the stockings.
Galvanic, Faradic, Russian and microcurrents
There is a degree of confusion with regards this intervention, mostly caused by there being several 'names' or descriptions for the same intervention.
Essentially, this type of electrical stimulation employs what is referred to as a medium frequency alternating current (in the low kHz range - thousands of cycles a second), which is delivered in a pulsed (or burst or interrupted) output. The pulsing or bursting is at a 'low' frequency, and as a result, nerves will respond. It is primarily employed as a means to generating a motor response, though as will be seen (below), it has also been investigated as an electro-analgesia type intervention.
Russian Stimulation was probably the earliest name for this stimulation type. Several multi-modal stimulation devices include it as one of their options. Burst Mode Alternating Current (BMAC) is a more generic and more recently employed term, which is probably preferable. Aussie Stimulation (see below) is a play on the original Russian Stimulation, and is not especially insightful as a descriptor. BMAC is probably the term that could be used and should persist.
What is a TENS Machine?
TENS is an abbreviation of Transcutaneous Electrical Nerve Stimulation.
Transcutaneous means "across the skin". In simple terms, a tens machine stimulates your nerves via an electrical current through your skin.
A TENS machine is an electronic medical device. A TENS machine may assist you in modest short-term pain relief.
The use of a TENS machine should be as one part of a program under the guidance of your doctor or healthcare practitioner. Your health practitioner should always be consulted before using a TENS machine.
How does a TENS Machine provide Short-term Pain Relief?
Pain is thought to be controlled by TENS in one of two ways:
Use only as directed. A TENS machine and EMS machine are electronic medical devices. Always read the label and instruction manual. A TENS machine may assist you in modest short-term pain relief. Consult your doctor/healthcare professional prior to use and if symptoms persist.
The basic principle of Interferential Therapy (IFT) is to utilise the strong physiologicaportable iftl effects of low frequency (<250pps) electrical stimulation of nerves without the associated painful and somewhat unpleasant side effects sometimes associated with low frequency stim.
To produce low frequency effects at sufficient intensity at depth, patients can experience considerable discomfort in the superficial tissues (i.e. the skin). This is due to the impedance of the skin being inversely proportional to the frequency of the stimulation. In other words, the lower the stimulation frequency, the greater the impedance to the passage of the current & so, more discomfort is experienced as the current is ‘pushed’ into the tissues against this barrier. The skin impedance at 50Hz is approximately 3200* whilst at 4000Hz it is reduced to approximately 40*. The result of applying a higher frequency is that it will pass more easily through the skin, requiring less electrical energy input to reach the deeper tissues & giving rise to less discomfort.
The effects of tissue stimulation with these 'medium frequency' currents (medium frequency in electromedical terms is usually considered to be 1KHz-100KHz) has yet to be established. It is unlikely to do nothing at all, but in terms of current practice, little is known of its physiological effects. It is not capable of direct stimulation of nerve in the common context of such stimulation.
Interferential therapy utilises two of these medium frequency currents, passed through the tissues simultaneously, where they are set up so that their paths cross & they literally interfere with each other. This interference gives rise to an interference (beat frequency) which has the characteristics of low frequency stimulation – in effect the interference mimics a low frequency stimulation.
The exact frequency of the resultant beat frequency can be controlled by the input frequencies. If for example, one current was at 4000Hz and its companion current at 3900Hz, the resultant beat frequency would be at 100Hz, carried on a medium frequency 3950Hz amplitude modulated current.
By careful manipulation of the input currents it is possible to achieve any beat frequency that you might wish to use clinically. Modern machines usually offer frequencies of 1-150Hz, though some offer a choice of up to 250Hz or more. To a greater extent, the therapist does not have to concern themselves with the input frequencies, but simply with the appropriate beat frequency which is selected directly from the machine.
Laser Therapy treatment is a non-invasive therapy that makes use of intense beams of light of specific wavelengths to help reduce pain related to your injury. LASER stands for ‘Light Amplification by Stimulated Emission of Radiation.’
When it comes to therapeutic use, lasers are often referred to as Cold Lasers, Low-Level Laser Therapy (LLLT) or High Power Laser Therapy (HPLT). The Low-Level Laser Therapy utilizes red (and close to red) infrared light on areas of injury or wounds in order to mend the soft tissue and also to give relief from acute and chronic pain.
When the lights of specific wavelengths are targeted to a particular area of body, physiological changes take place in the cells. This process is known as photobiomodulation. In contrast to surgical lasers, the therapeutic lasers gently pass through your skin without breaking the skin or causing discomfort. Laser therapy is considered by many professionals and patients to be a very effective tool in improving injury condition.
Laser Treatments are becoming increasingly popular for patients seeking alternative pain management techniques. Laser Therapy can: