On average, people take 6-10,000 steps each day. With each step there are normal movement patterns that should be completed. When these patterns deviate from normal, a variety of conditions can often result.

Select your pain point below to read about the condition that is ailing you.

Bunions

Often referred to as bunion, hallux valgus is a deformity at a major joint of the big toe, otherwise known as the 1st metatarsal phalangeal joint.

Symptoms

This condition comes about when the end of the big toe angles towards the smaller toes.  Such an abnormal angle causes the joint to enlarge.  This enlargement (the bunion) can be red and swollen, is often painful and may stiffen over time.

The most common symptoms associated with bunions include:

  • Pain at the 1st toe joint.
  • Pain under the 2nd toe joint
  • Stiffness of the first toe joint in more advanced cases
  • Inflammation of the first toe join
Causes

The most common causes of bunions include:

  • Improperly fitting footwear such as high heeled and pointy toed shoes.
  • Genetic anatomical abnormalities like Morton’s Syndrome and metatarsus varus.
  • Overpronation (inward rolling of the foot)
Treatment

Orthotics

Orthotics will prevent occurrence of them in the first place.

Custom made orthoses support the skeleton, muscles and fascia in the correct position. Orthoses are a long-term solution to prevent reoccurrence by controlling and / or correcting the mechanics that cause the problem.

Orthotics for bunions include:

  • Medial longitudinal arch support which helps to position the weight of the inside arch / bunion onto the centre of the foot.
  • A built in angulation for more advanced cases
  • Forefoot cushioning materials.
  • Hollowing out orthotic material under sensitive forefoot joints.

Footwear

Footwear for bunions should have the following characteristics:

  • Dress shoes available with lower heels and wider widths.
  • Built with a wide stable sole base that provides medial stability – often referred to as Motion Control Footwear and available in athletic shoes, walking shoes, sandals and boots.
  • Proper width and depth to adequately accommodate the bunion.

Flat Feet

Commonly known as fallen arches because the feet appear to have a low inside arch, especially when standing.

Symptoms

This condition can either be genetic in nature or acquired.  The condition is usually characterized by collapsing of the medial arches (hyperpronation) and feet which may point away from the body (abducted feet).

The most common symptoms associated with flat feet include:

•    Medial arch and heel pain, plantar fascia strain.

•    Joint pain in foot and / or ankle area.

•    Achilles tendon pain.

•    Shin pain
.

•    Tired, aching calf muscles.

•    Knee pain.

Causes

The most common causes of flat feet include:

  • Genetically loose ligaments.
  • Rapid weight gain.
  • Previous injuries.
  • Foot mal-alignments.
Treatment

Orthotics

Custom made orthotics support the skeleton, muscles and fascia in the correct position. Orthotics are a long-term solution to prevent reoccurrence by controlling and / or correcting the mechanics that cause the problem. Orthotics for flat feet include:

  • A cupped heel to control excessive heel eversion (rolling down and inwards).
  • Extra wedging under the inside of the heel or ball of the foot to correct mal-alignment.
  • Arch support that is reflective of the patient foot type and flexibility.

Footwear

Footwear for flat feet should have a wide stable sole base that provides greater stability.

High Arches

Pas caves is the term used to describe very high-arched feet where excessive amount of weight is placed on the ball and heel of the foot.

Symptoms

This condition is often associated with a rigid foot structure and does not absorb shock well. Consequently, the heel and forefoot are overburdened when walking or standing.  When often combined with the tendency of the foot to roll outward, tendons and ligaments located on the outside (lateral side) of your ankle also become strained.

The most common symptoms associated with pes cavus include:

  • Pain and callousing under the ball of the foot
  • Pain through the plantar fascia, ligaments and muscles under the midfoot and within the midfoot joints.
  • Aching and fatigue in the muscles and joints of the legs and back, resulting from stiffness.
Causes

The most common causes of pes cavus include:

  • Present from birth (congenital).
  • Extreme cases can be associated with neurological conditions (such as Spina Bifida, Polio or Charcot-Marie-Tooth disease).
Treatment

Orthotics 

Orthotics are a long-term solution to prevent reoccurrence by controlling and / or correcting the mechanics that cause the problem.

It is imperative that the orthotics match the arch height of the foot. Over the counter insoles will not correct this condition. Orthotics for Pes Cavus include:

  • Prominent metatarsal pad or bar to lift and separate metatarsal heads.
  • Soft forefoot material to cushion metatarsal heads.
  • Hollowing out the orthotic under prominent metatarsal heads to reduce pressure as necessary.
  • A built in angulation to maintain the foot in a more suitable position.

Footwear

Footwear for Pes Cavus should following characteristics:

  • Footwear with additional lateral stability is ideal for a pes cavus foot type to fit the forefoot properly and resist outward rolling of the feet.
  • Sufficient depth for high insteps and clawed toes is a necessity. Lycra and neoprene materials work well to accommodate clawed toes.