RS Podiatry Clinic

Conditions We Treat

Below is a very simple overview on some of the common conditions we treat and how we may be able to help. These are not definitive diagnoses nor are they actual treatment plans and should not be taken as advice. Each patient has a plan made to suit them, their goals and their stages of injury/recovery.

ITB Syndrome

AKA: Iliotibial Band Syndrome or ‘runner’s knee’

Symptoms: A sharp pain or ache on the outer (lateral) side of the knee

Contributing factors: Biomechanical factors, running technique, training error, certain muscle weaknesses, running terrain and gradient levels, weak muscles

Treatment Considerations: Assessing/adjusting your training programme, biomechanics and gait, footwear analysis, gait re-training, orthotics, exercises looking at everything from co-ordination to flexibility, taping, strengthening programme, sticking to your treatment plan and more.

Heel Pain

AKA/alternative diagnosis: Plantar Heel Pain, Plantar Fasciopathy, Plantar Fasciitis, ‘policeman’s heel’, Heel Spur, Heel Bursitis, Severs Disease, Stress Fracture, Fat Pad atrophy and more.

Symptoms: A dull ache or throbbing pain, sometimes a sharp pain on the bottom of or side of the heel, but can be on the inside of the arch. Typically, this is felt upon initial weight-bearing or after long periods on your feet

Contributing Factors: Often thought of as being simply due to over-pronating, however, over pronation is just one factor. Poor walking &/or running biomechanics, neural involvement, running technique, training error, muscle weakness, flat feet, BMI and lifestyle choice, footwear choices, pregnancy, neural involvement, weak arch muscles, and more.

Treatment Considerations: Analysing your gait and correcting biomechanics, orthotics, assessing/adjusting your training programme, specific isometric/isotonic exercises addressing factors such as strength, flexibility or co-ordination, assessing footwear, gait re-training, kinesiology taping, weight-loss, sticking to your treatment plan, consistent following of treatment advice and more.

Forefoot Pain

AKA/alternative diagnosis: Morton’s Neuroma, Metatarsalgia, Capsulitis, Plantar Plate Tear, Freiburg’s Infraction, Stress Fracture, and more.

Symptoms: Pain in the ball of the foot, pain in the forefoot during activities or when going on tiptoe, swelling, bruising, tenderness to touch.

Contributing Factors: Overuse, sudden change in activity, ill-fitting footwear, poor biomechanics, lack of shock absorption, diet, improper activity technique, high BMI, poor conditioning, neural involvement, arthropathies/arthritis, sports, repetitive localised stress, Osteoporosis, and more.

Treatment Considerations: Assessing/correcting biomechanics, rest, footwear assessment/change, special insoles, orthotics, treating inflammation, modifying you training programme or activity levels, taping, consistent following of advice and more. 

Achilles Tendinopathy

AKA/alternative diagnosis: Achilles Tendon pain, Achilles Tendonitis, heel pain, Achilles Bursitis,

Symptoms: A dull ache or sharp pain typically felt towards the back of the heel or along the tendon, a feeling of tightness, inflammation. Feeling of a thickening or lump.

Contributing Factors: Biomechanical ‘issues’, lack of ankle movement, running form, training error, excessive increase in activity and intensity, hill running, muscle weaknesses, muscle tightness, BMI and lifestyle choice, footwear choices, overuse, neural involvement, sports, Inflammatory Arthropathy, repetitive activities e.g. jogging or jumping.

Treatment Considerations: Altering training programme and managing tendon load, gradual return to running programme, orthotics, a targeted tendon loading (heavy-slow-resistance) programme, foam rolling, taping, gait analysis, footwear analysis and biomechanical correction, consistent following of advice, and more.

Shin Splints

AKA/alternative diagnosis: Medial Tibial Stress Syndrome (MTSS), Compartment Syndrome, Stress Fracture, Anterior Shin Splints/Posterior Shin Splints

Symptoms: Pain at the shin (Tibia) either on the front outer aspect or the inner tibia aspect. Usually activity related, area can be painful to touch, dull aching pain in front of the leg

Contributing Factors: Doing ‘too much too soon’, high BMI, poor foot biomechanics, training error, training surface, poor core strength, footwear, sports, muscle tightness and weakness, repetitive loading, cambered road running, and more.

Treatment Consideration: Correcting biomechanics, rest, muscle strengthening programme, progressively modifying your training programme, gait analysis, review of training/running surface, alternative activities to maintain aerobic fitness during the treatment plan, footwear change, consistent following of advice.

Some other conditions we see

Peroneal Tendinopathy

Tibialis Posterior Tendinopathy

Bunions

Sprained Ankle

Flat Feet/over-pronation

Big toe joint pain/Hallux Limitus/Ridgidus’