The last 2 weeks have been a bit stressful!
In our Brantford and now Mississauga offices as our workhorse; The Pedigait video-gait analysis system that we purchased almost 10 years ago developed a serious problem preventing us from gathering new video images.
It’s at times like this that we suddenly realize how crucial a component it has become in helping us deliver the services we do.It also illustrates how little I understand about computer systems and how they function, thank goodness for you strange folks that choose to specialize in this field.
Looking back on my years of teaching as a clinical instructor in our professional programme at Toronto General Hospital, I can’t help but wonder how much better a job I could have done for the students then.
The Pedigaits primary role is helping us identify and diagnose the root cause of biomechanical disfunction. Subsequently; we can use it to evaluate both improvement in function and deterioration over time. In deciding surgical intervention and/or orthotic modification we often run a more recent Pedigait video analysis, then contrast and compare to previous captures, to assist the decision making process.
Better still it provides an amazing platform for us to demonstrate to our patients the actual source of their complaint in a crisp clear video, in slow motion, and from every angle. We believe an important part of our job is to inform and educate, without that our patients can never truly make an informed decision regarding which treatment course they would like us to deliver or to seek referral.
The average human eye can see 40-60 frames per second, decreasing with age. Fighter pilots and gamers can be trained to see up to 220 per minute. But processing these images requires a much slower rate in the high teens to 20 for most. Thus watching human motion at real time, even with many years of experience and training is limited in its insight and detail.
So while dealing with our short term crisis may cause some interruption in service, I apologize in advance to Dr Milioto but we will continue to pester you to leave your clinic for a few hours and return to your design lab and craft a new version of your superb system.
Not everyone who wears sandals develops hard skin and cracks on their heels. But if you do its indicative that your feet are not very stable.
I know summer has just arrived and already I'm on your case about sandals.
But before you shed your clothes and slip on your sandals, please remember, even a contoured sandals like the one pictured below, will not significantly improve functional control.
Your heels are going to roll in and twist causing hard skin to build up and then form vertical splits. Your big toe joint is going to lock causing heavy callouses (hard skin) on the side of the big toe and your little toes to curl down into the ground causing callous and thicken/discoloured nails.
It's OK to wear sandals, just don’t live in them.
Remember to hydrate your body and your skin. Pick your opportunities to wear based on level of activity and yes we can help diagnose and treat the underlying cause.
Nope! I'm not telling who’s feet these are!. But its safe to say some of us dont always practice what we preach.
Heel pain can cause discomfort throughout the day and affect your ability to carry out regular daily activities. A common cause of heel pain is a foot condition known as plantar fasciitis. One way to treat this condition is with custom orthotics, which are devices worn inside the shoes. Dr. Barry Noble, Dr. Mark Bradley, Dr. Marilyn Bradley, and Dr. William Jacob, the experienced foot specialists at The Podiatry Associates in Whitby, Brantford, and Mississauga, ON, treat heel pain and can fit you for custom orthotics.
Plantar fasciitis is a foot condition associated with pain at the bottom of the heel and sometimes in the arch. Running along the bottom of the foot is a thick band of tissues called the plantar fascia. These tissues connect the heel bone to the toes and provide shock absorption for the foot. Constant pressure or strain on these tissues can cause them to become swollen or inflamed, which can lead to heel pain and discomfort. One method for treating plantar fasciitis is wearing custom orthotics in the shoes.
How Orthotics Help
Orthotics are devices that are placed inside the shoes to correct a wide range of foot issues, including irregular step patterns. Orthotics help position the feet and ankles so they are in proper alignment with one another. It is possible to obtain over-the-counter orthotics, but custom orthotics deliver better results since they are tailored to each patient’s unique foot structure. We offer custom orthotics at our offices in Whitby, Brantford, and Mississauga, ON, for the treatment of heel pain.
Orthotics help with heel pain and other foot problems in several ways, including:
- Providing added cushioning
- Alleviating pain and discomfort
- Providing more arch support
- Improving stability and balance
- Reducing strain on the feet and ankles
- Improving alignment in the feet and lower extremities
Several types of custom orthotics are available, including semi-rigid, rigid, and soft orthotics. Semi-Rigid custom orthotics provide additional arch support, which is beneficial to individuals with flat feet. Rigid orthotics help correct irregular step patterns by improving foot positioning when walking. Custom soft orthotics provide added cushioning and support and are helpful to patients with arthritis in the feet or ankles. One of our foot specialists can recommend the right type of custom orthotic for your heel pain.
Custom orthotics can provide relief from chronic heel pain and discomfort. Schedule an appointment with Dr. Barry Noble, Dr. Marilyn Bradley, Dr. Mark Bradley, and Dr. Will Jacob for help treating your heel pain by calling The Podiatry Associates in Mississauga, ON, at (905) 568-3800. We are also located in Whitby, ON, at (905) 433-0200, and Brantford, ON, at (519) 751-2900.
How can I best stretch my plantar fascia ?
Simple answer, you shouldn’t !
The plantar fascia is not a muscle, it's not meant to stretch or lengthensignificantly. It has minimal elasticity and I generally liken it to a braided steel band when explaining this to patients. Man has copied this natural construction method for centuries with varying degrees of complexity and success.
Plantarfascitis is the pain from inflammation of the plantarfascia most commonly at the insertion of the medial band to the heel bone. Micro tears in the band usually caused by trauma or over use trigger the inflammation as part of the healing process and also serves to dissuade the individual from further aggravating it while healing takes place.
To treat the condition, first identify the cause and don’t aggravate it in the mean time. So to summarize, aggressive stretching, deep tissue massage and impact exercising will all likely add fuel to your flames.
Be nice your plantar fascia they can bite back!.
Give us a call and have one of our "engineers" look into your structural issue!
Here in southern ontario the sun is out, Covid numbers are headed in the preferred direction and lots of our patients are poised to replace or improve existing running shoes as soon as retail stores are permitted to open.
The following running shoe review is primarily targeted at our typical symptomatic patient requiring mild to moderate functional control, moderating the impact of over pronation. Previously we reviewed shoes intended for the heavier and larger framed individuals. Some of these mid range shoes may work for them but will be less controlling or have a noticeably shorter life span. (mid sole material will compress of distort, and/or the stability in the mid-foot will weaken)
All of the major running shoe manufacturers produce bewildering ranges of models all boasting unique abilities and features. Some fact, some fiction. Within that range are likely some suitable shoes for you. What we’re trying to do is provide a few to models to compare to and then let comfort and common sense be your guiding light.
Basically we want a stable rear foot, incorporating some shock absorption, adequate cushioning in the mid sole, hard wearing outer sole and stable structure between the heel and forefoot preventing too much rolling. For a refresher shoe test video click the following link. How to test a shoe
Over the years I’ve gone from one brand to another, favouring one model for a particular type of challenge and different for another. Some brands I’m not as familiar with as I should be as a result of the limited retail experience I’ve had over the last 14 months.
For the purpose of this discussion I’m going to use Asics to illustrate my considerations and then list other options, but its in no way meant to be exclusive or biased.
We treat lots of active adolescents needing functional control yet they have not reached adult muscle and bone mass.
The Asics GT1000 has been a terrific option for them, especially where schools require black or colour neutral shoes. (some models have white lines in mid soles that can be made to disappear with a little black “sharpie” use). These work well for lighter weight adult female runners looking for more cushioning.
For larger teens, ladies, smaller guys and those in need of a little more control the GT2000 is a nice option to try. Again bear in mind the activity and the level of control required. A shoe that works great for walking many be too firm for running moderate or longer distances.
For those of us requiring even higher levels of control, or larger runners the Asics Kayano is a useful option.
All three models share many similar attributes with varying levels of control, shock absorption, stability and of course price tag!.
As always your mall sporting goods store offers good variety and pricing, however if running is your game find a specialty running store ( preferably not a franchise ) and (if not for ever shoe) once in a while visit and chat with an experienced runner who can present options based on your present model and past experience. Especially for new runners it can save you lots of money and potential discomfort to seek skilled advice.
For lighter weight runners some considerations include
Asics GT 2000, Kayano, Cumulus, Fortitude (w), GT 1000
Teen: Asics Dynaflyte & Roadhawk, Brooks Addiction
Young Kids: Asics GT1000, Noosa, Scram, NB 680, Saucony Cohesion
New Balance 880, 840, 1080, 990,
Saucony Pro Grid Ride, Echelon (wide)
Brooks Glycerin, Ghost
For the middle weight machines!
Brooks Dyad or Echelon (both wider)
Asics Gel Kayano (w), Fortitude (cushion-w)
Saucony ProGrid Omni
New Balance 928, 990,1260 (volume)
One last consideration for those that wear functional orthotic device. The design of our devices will vary in prescription and material based on your running style and discipline. A more controlling shoe or higher density midsole may cause the device to increase its function control and possibly reduce shock absorbency. A lot of the running publications provide reviews of new products and emerging technologies which while fun to read may not always be completely unbiased.
It can be complicated and as always if you get stuck we're here to help and again we intensionally do not retail footwear or other non prescription products as we can no longer remain unbiased and does you the patient a disservice in the long run.
Let us know what your personal preference is ( brand and model ) and a little about your style of running and body size.
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