Step Into The New Year With Less Foot Pain

Life is too short for uncomfortable shoes, but even the cushiest shoes can feel like bricks at the end of a long day on your feet (especially if you’re already prone to foot pain). While you can’t always put your feet up when you want to, the good news is that there are things you can do to prevent and alleviate foot pain. Continue reading to learn about the most common causes of foot pain and what can be done to treat your feet. 

Common Causes of Foot Pain 

Everyone will experience sore feet at some point, but what happens when foot pain is recurring or, worse yet, persistent? Recurring or constant foot pain often comes down to one or more of the following:

  • Poor-fitting or uncomfortable footwear
  • Wearing inappropriate footwear for an activity 
  • Strained foot muscles caused by occupation, prolonged activity, or excessive body weight
  • Untreated gait issues resulting in excessive supination (rolling outward of the ankles and raising of the arch), pronation (rolling inwards of the ankles and collapsing of the arches) and other biomechanical faults
  • Hereditary conditions, including rheumatoid arthritis that affect the bones and joints of your feet and ankles 
  • Arch pain from fallen arches and poor arch support 
  • Heel spurs, hammertoes and bunions 
  • Past injuries to your feet, ankles, knees or hips that displace more weight to one foot, reducing foot flexibility or causing pain during certain activities
  • Heel pain caused by plantar fasciitis and Achilles tendon pain caused by Achilles tendinopathy
  • Metatarsalgia, causing pain and inflammation in the bottom balls of (one or both) feet, triggered by poor arch support or shock absorption
  • Shin splints pain caused by training on hard surfaces and footwear with poor shock absorption
  • Gait issues that negatively affect your body’s alignment and posture, resulting in knee, hip or lower back pain

Choosing the Right Shoes

Foot Pain Caused By Poor-Fitting Foorwear

In our efforts to be fashionable, we often make footwear choices based on form over function by paying more attention to a style than whether or not our footwear choices properly support our feet. Common blunders include toe boxes that are too tight, heels that are too high or soles that are too flat, resulting in constrained feet and overtaxed foot muscles after a few hours of wear. The ideal footwear considers the activity you’re performing and supports your feet by helping to distribute your weight as evenly as possible and absorbing some of the shock when your feet strike the ground. 

Proper Footwear for Your Occupation and Sport

If your occupation has you on your feet all day, your footwear needs to be more shock-absorbing and offer good stability and arch support to prevent muscle strain and inflammation. 

Selecting the proper footwear for your sport is just as important (if not more) as choosing the rest of your equipment. For example, a good weightlifting shoe will offer drastically different types of support than the ideal shoe for hiking, trail running, CrossFit or field lacrosse. So carefully consider what kind of support your feet and ankles need during the activities you perform. 

Some Feet Need a Little Extra Support

Some feet require extra TLC, and that’s okay! When we consider how much our feet support us every day, it only makes sense to return the favour. 

Some Feet Need a Little Extra Support

Did you know? 

Besides causing pain, improper footwear and unaddressed gait issues can have a detrimental and compounding effect on the rest of your body. For example, Shin pain, knee pain, hip joint pain and lower back pain are sometimes caused and exacerbated by issues that start in your feet. 

Protecting your health from the ground up!

If we compare our bodies to a tower, the strength of a tower’s architecture significantly depends on a solid foundation. The same is true about our bodies. The optimal alignment of our joints (and posture) starts at our feet – our foundation. This is where custom orthotics come in.

How custom orthotics mitigate foot pain

Most foot pain is caused by biomechanical faults of the feet that can be corrected using custom-made orthotics. Even foot pain caused by genetic factors can benefit from having custom orthotics that help reduce foot strain. Custom orthotics are tailored to the exact ergonomics of your foot, taking into account any pain and biomechanical faults caused by foot malformations, fallen arches and other foot muscle imbalances. Properly fitted orthotics improve how your body’s weight is distributed to your feet, improving overall body alignment and shock absorption while standing and during activities.

Custom orthotics add an instant upgrade to almost any pair of shoes

Custom orthotics are made to fit neatly into most types of footwear, and depending on your lifestyle, can be tailored to suit the activities you partake in most. For example, it’s not uncommon for athletes to have more than one pair of custom orthotics – one that is specifically designed to be used during training. 

Custom-made orthotics support your feet where they need it most

Custom Orthotics and Gait AnalysisUnlike off-the-shelf insoles and inserts, custom orthotics are created from exact molds of your feet that are taken after a thorough biomechanical assessment and Gait Analysis that examines your feet and posture when standing and walking. Making orthotics from an exact mold ensures the correction offered by your orthotics is just enough, providing support specifically where your feet need it without interfering with the healthy dynamics of your feet.

Click here to learn more about our Gait Scan Analysis or visit our article on Custom Foot Orthotics to learn more about our Custom Orthotics process at Diversified Health Clinic in Victoria, BC.

Take the Next Step in Treating Foot Pain

Book a private appointment with one of our chiropractors or physiotherapists at Diversified Health Clinic today at (250) 382-0018 to discuss whether orthotics are right for you, or contact our clinic to learn more.

We’re happy to answer your questions, address the cause of your pain and discomfort, and help you step into the new year with happy, healthy feet!

Custom Foot Orthotics

Many foot problems can be directly attributed to collapsed/fallen arches or other biomechanical issues such as pronation (rolling in and collapsing of the arches) or supination (rolling outward of the ankles and raising of the arch). Many of these biomechanical faults can be genetic in origin and many patients do not know there is a problem, usually until pain manifests. Orthotics can help to provide relief from conditions of the foot, ankle, knee, hips and lower back including, but not limited to:

  • Plantar Fasciitis
  • Bunions
  • Ankle sprains
  • Achilles’ tendinopathy
  • Shin Splints
  • Low back pain

How are custom orthotics made?

If you are an existing patient, you will come in for the first appointment, a biomechanical assessment that includes a gait scan analysis, that looks at your feet when standing, and walking. Next, the practitioner will take a foam cast of your feet, in the proper “neutral position” which allows the orthotic lab to customize the orthotic to your feet. Then we send out the gait scan analysis along with the foam cast to The Orthotic Group’s lab and in about 2-3 weeks, your orthotics will be delivered to the clinic. 

If you are a new or existing patient, you will need to check with your extended benefit company to get an understanding of the requirements they may have for your orthotics to be reimbursed before booking in for the first orthotic appointment, the Biomechanical assessment.

You would then book a fitting appointment roughly 2-3 weeks after the biomechanical assessment. In this appointment you will receive your new orthotics and will be able to try them in your shoes and the practitioner will ensure they are fitting correctly. They will also be able to discuss how often you should start wearing your orthotics for and holding up to wear and tear. After this, you can book in maintenance/checkup appointments if you have any concerns or issues with the custom orthotics. 

If you are a new patient to the clinic, we would have you book an initial appointment first so that your practitioner can get your health history, do a proper assessment and be able to recommend a treatment plan. If the practitioner believes custom orthotics would benefit your treatment and condition, then they would book you the biomechanical assessment.

How Orthotics are Made

Orthotic Fees

At the first biomechanical appointment, along with your appointment fee we will also collect a non-refundable deposit that goes towards the cost of the orthotics (50% orthotic cost). At the fitting appointment, you will pay your appointment fee and the remaining 50% of the orthotic cost. You will also be given your Orthotic package that will include receipt of payment, biomechanical paperwork, proof of manufacturing and if applicable any paperwork that is required by your extended benefit plan. 

Adjustment Period

There is an adjustment period after you receive your orthotics for your body to readjust to the correct position, generally about two weeks. Your body will have adapted to the ground in a certain way when you did not have orthotics, and now must re-learn the correct position. Accompanying your orthotics, our practitioners will provide you with an instruction sheet that suggests the length of time that orthotics should be worn each day until your body has had the chance to readjust. It is important, once you have gone through the adjustment period, to wear your orthotics as prescribed and on a continuous basis to ensure that your body maintains that correct position and to help alleviate pain. 

Shoes

The importance of shoes cannot be over-emphasized here. The best custom orthotics will be ineffective if you wear them with shoes that are not stable. Custom orthotics can be transferred into different shoes that you may wear, however there may be certain shoe types that do not comfortably accommodate your orthotics. A good quality shoe will provide adequate support for only about 8 months if you wear the shoes daily. While the shoes may appear in good condition, the foams in the mid-sole lose their ability to “bounce back”. Replacing your shoes on a regular basis is on the most important things you can do for your foot health. 

Placing Orthotics in the shoe

The most important thing to do when inserting your custom orthotics, is to remove the insole that is already in the shoe. Most insoles have a lip on the back, and this will prevent the custom orthotics from sitting all the way back in the shoe and may lead to arch or heel irritation. After you have placed your custom orthotic into your shoe, you want to make sure that the heel sits all the way back against the heel of the shoe. If there is a gap between the orthotic and the shoe, this is an indication that the shoe is too narrow for your orthotic and your foot. 

How long can I expect the custom orthotics to last?

No orthotics are not indestructible and will wear out eventually or you may even outgrow them. Generally, custom orthotics last 1 to 5 years and determining if they need to be replaced comes down to appearance and how they are used.  Some of the most relevant factors are:

  1. How they are used: if you do a lot of high impact activities, they will wear out faster
  2. How often they are worn: It is recommended to wear your orthotics everyday, and many people choose to get more than one pair to accommodate for dress shoes, running shoes etc
  3. Getting older: Your feet will not be the exact same size and shape, as they will continue to grow and flatten as you get older. 
  4. Signs of damage: scratches and scuffs are fine, but if you notice cracks, creases or breaks in the orthotics, they need to be replaced.
  5. Pain: If your orthotics are working you should experience minimal to no pain.  Any kind of pain is the best indicator that your orthotics need replacing
  6. Lifestyle changes: any kind of significant transformation such as pregnancy, knee surgery, weight gain or weight loss can cause you to need new orthotics. 

If You’re Interested in Orthotics

Contact the clinic to find out more about custom orthotics or to book your biomechanical assessment with Dr. Caitlin Sellan at 250-382-0018 or book online at www.diversifiedhealth.janeapp.com

The Ins and Outs of Acupuncture

Acupuncture is a safe and gentle treatment suitable for all ages. It has been used for several thousand years as part of a complete system of medicine that originated in China, known as Traditional Chinese Medicine (TCM). Treatments include: TCM examination, diagnosis, and acupuncture, and may also incorporate lifestyle counseling, fire cupping, Gua Sha, and Chinese massage techniques known as Tui Na. 

Afraid of Needles?

Acupressure can be used for patients who have a fear of needles or a tendency to faint.

How Acupunture Works and What It Treats

Acupuncture works on both mental/emotional and physical levels. It can help with a wide range of issues including, but not limited to, the following:   

  • Acute and chronic pain (osteoarthritis; injuries, including sprains and strains; headaches/migraines; body pain e.g. neck, frozen shoulder, back, knee sciatica; fibromyalgia; facial pain including TMJ; surgery preparation/recovery
  • Mental health (including depression, stress, grief, anxiety, and addiction)
  • Gynecological concerns (such as heavy bleeding, painful cycles, PMS, fertility, symptoms of menopause)
  • Skin conditions (rashes, hives, acne, eczema)
  • Neurological disorders (MS, neuralgias, stroke, palsy)
  • Respiratory disorders (asthma, bronchitis, allergies)
  • Digestive disorders
  • Sleep (insomnia, fatigue, lethargy)

Acupuncture can also be used on an ongoing basis to maintain health and well-being and enhance/support physical and mental performance. 

How Many Treatments Should I Expect to Have?

The number of acupuncture treatments required depends on the condition. Most acute issues will need a minimum of 3-4 treatments; whereas, chronic conditions will require more. It is recommended that you start with treatments once or twice a week until symptoms improve.  

Take the Next Step!

Our registered acupuncturists are here to answer any questions you might have. Initial appointments are 60 minutes and follow-up appointments are 45-60 minutes. Book your first acupuncture allergy treatment at Diversified Health Clinic today, or contact our clinic to learn more.

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