Pedorthic Services

Fitting Tips

For a proper fit you should go to a reputable store and have both your feet measured. Our sales staff are trained in proper use of Brannock Scientic Foot Measuring Device. As shoe sizes vary by manufacturer and model getting this size is only the starting point. Our trained staff can assist you with your selection. Putting pressure on your feet Expands them as well.

If you have Corns, bunions and other afflictions. Our salespeople can help in recommending footwear for the relief of discomfort caused by these ailments.

Remember no other article of wearing apparel which is not fitted correctly, will cause so much pain and discomfort as a pair of shoes.

Frequently Asked Questions

What is a Pedorthist?
Why do I need Orthotics?
What is pronation?
What is Supination?
What are Shin Splints?
What is Plantar Fasciitis?
What is Morton’s Neuroma?
What is Runner’s Knee?
What is a Bunion?
What are Hammer Toes?
…problems with my I.T Band???

What’s a Certified Pedorthist (C.Ped.)?

A Board-certified pedorthist is an individual who has studied foot anatomy and pathology, biomechanics, shoe construction and modification, foot orthosis fabrication and materials, footwear fitting, and patient/practice management, and who abides by the Code of Ethics outlining responsibilities to the patient, the physician, the public and the profession. For most C.Peds, hands-on training in the field is also part of their learning process.

Why do I need Orthotics?

Below are some of the more common symptoms that can be developed due to improper foot biomechanics. All of these problems can be helped by orthotics.

Lower Back & Hip Pain

Foot pronation causes internal leg rotation. This has the effect of tilting the pelvis forward and increasing the curve in the lower back resulting in aching and stiffness.

Knee Pain

Internal rotation of the lower leg due to over pronation of the foot results in a change of alignment between the upper leg bone (femur) and the lower leg bone (tibia). This alters the “tracking” of the kneecap (patella) with subsequent irritation behind and around the patella. Pulling, aching or sharp pain around the front of the knee is the result.

It is also common to develop cartilage, ligament, muscle and tendon injuries of the knee when the foot pronates excessively.

Shin Splints

This term encompasses a variety of overuse injuries in the shin area. Due to medial weight bearing and rotation of the leg, the muscular structures within the leg become fatigued and overused. Controlling this rotation with orthotics reduces stress in this area.

Heel Pain (Heel Spur Syndrome, Plantar Fasciitis)

Because the arch flattens out excessively in an overpronated foot, the long ligament under the arch becomes stretched with inflammation occurring where the ligament attaches under the inside of the heel bone (calcaneus). Traction of the ligament is significantly reduced by supporting the arch of the foot with orthotics.

Achilles Tendonitis

As the foot rolls inwards, the heel leans inwards too. Since the Achilles tendon attaches to the back of the heel, vertical alignment of the heel is important for Achilles tendon and calf function. Orthotics hold the heel as close as possible to vertical and therefore alleviate this painful problem.

Bunions (Hallux Valgus)

Bunions are caused by overloading of the inside of the ball of the foot as the foot pronates. Holding the heel vertical allows control of the rest of the foot too, reducing medial forefoot loading. Added to this the arch supporting ability of custom Orthotics and it can be seen that the progression of bunion deformities can be significantly slowed.

Taken from “sportsmedicine.about.com”

What is pronation?

A pronating foot tends to come down or roll on its inner margin. Simply check the wear of an old pair of shoes. Excessive wear along the inner border of the heel and forefoot of a shoe is an indication of this condition. Please remember that some pronation is normal. However, severe pronation can cause arch, ankle, and knee pain.

What is Supination?

A supinating foot tends to come down or roll on its outside margin. Simply check the wear of an old pair of shoes. If the shoe shows excessive wear along the outside border of the heel and forefoot, you are probably a supinator. Severe supination can cause ankle or knee pain.

Taken from “qanubalance”

What are Shin Splints?

What is it?

A shin splint is really periostitis: a tearing of the lining of the bone away from the bone. It occurs between the knee and ankle joints. There are two variations of this condition, anterior and medial. Which of these develops depends on where the periosteum(lining) is being torn away from the Tibia, and by which muscle in the leg.

How is it caused?

Anterior Shin Splints

The tibialis anterior muscle is an antipronator due to its insertion on the medial aspect of the foot. When overpronation occurs, the tibialis anterior has to fire constantly to oppose the over-overpronation, causing swelling of the muscle. Due to the fact that the anterior compartment of the leg is tightly constricted, the swollen Tibialis Anterior can cause an obstruction of blood flow which can cause severe pain due to lack of oxgen.

Medial Shin Splints

The Tibialis Posterior is an antipronator due to its insertion on the medial aspect of the foot. When over-pronation occurs, the tendon of the Tibialis Posterior is stretched and pulled excessively thereby attacking the weakest area, namely its origin on the Periosteum of the Tibia. Small fibres of the Periosteum are torn away from the bone, which causes pain.

Treatment

Medial and Anterior Shin Splints: suice the problem is the overpronation, the patient should be fitted with custom orthotics. Ice and rest will also help to relieve the inflammaton.

Taken from the “Comfort Footcare Centre” brochure

What is Plantar Fasciitis?

It is the most common form of heel pain, affecting 3 million people annually. The Plantar Fascia is a tendon-like band of tissue that runs along the bottom of the foot. It is atached to the heel bone and to the five metatarsal bones that are in the forefoot. The fascia has two tasks: (1) to support the longitudinal arch of the foot; and (2) to help prevent over pronation (foot rolls over to the inside).

How is it caused?

Plantar Fasciitis is an inflammation of the tendon that usually occurs due to poor foot mechanics. When the foot mechanics are faulty, the Plantar Fascia is twisted and pulled excessively, over stretching the tendon, causing it to become inflamed. When this band becomes overstreched, it pulls away or tears at its attachment on the base of the heel and causes pain.

Common Symptoms & Complaints

Pain in the heel in the area of inflammation when pressure is first put on the foot in the morning, or when getting up after sitting for some time. Pain usually decreases after one has been walking around for a few minutes. At the end of the day, pain may return, depending on the types of activity conducted.

Treatment

Successful treatment ususally consists of reducing the stresses on the over-stretched tendon by the use of a custom orthotic. The orthotics provide permanent long-term relief by eliminating the excessive torsioning of the Plantar Fascia, preventing over-pronation of the foot. Rest and ice will also help reduce the inflammation and swelling to a minimum.

Taken from the “Comfort Footcare Centre” brochure

What is Morton’s Neuroma ?

What is it?

A neuroma is an irritated, pinched nerve that has erupted because of constant compression and irritation, either between metatarsal heads, or at the base of the proximal phalanges (the largest bones in the toes).

How is it caused?

A neuroma may develop when poor biomechanical function of a foot causes a chronic irritation of a nerve, triggering the growth of additional nerve cells. A neuroma can also be caused by ill-fitting shoes, which squeeze the forefoot and force it to accept almost all of the body’s weight during walking or running. Swelling of the foot for any reason may also cause a neuroma.

Common Symptoms & Complaints

Symptoms vary from patient to patient and can range from mild to severe. Patients will complain of pain between the 3rd and 4th toes; sometimes numbness, as well as a burning and a tingling sensation in the surrounding toes.

Treatment

Treatment is based on the cause of the disorder. If the cause is from poor-fitting shoes, change the footwear permanently. If the problem is from a biomechanical fault, custom orthotics will work up to 80% of the time.

Taken from the “Comfort Footcare Centre” brochure

What is Chondromalacia Patella (Runner’s Knee)?

What is it?

A Condition where the cartilage on the back of the patella (knee cap) is irritated and painful because it rubs against the medial femoral condyle. The back of the knee cap is covered with cartilage that normally glides smoothly in a groove, but if the knee cap were to move off centre in that groove during motion, it rubs against the sides of the groove.

How
is it caused?

There are three major causes of Runner’s Knee: weak or malfunctioning quadrideps muscles above the knee; faulty biomechanics of the foot and lower leg; and a dysfunctional patellar tendon below the knee. A foot that over-pronates tends to turn the knee to the inside. This causes undue stress on the knee joint itself, and the knee cap can deviate from its normal path in its groove as the leg tries to compensate for the over-pronation.

Common Symptoms & Complaints

The area becomes swollen and inflamed, and acute pain radiates from the top of the knee cap. Stiffness can occur when a person has been sitting with a bent leg for a couple of hours, and the pain will become quite pronounced when a person is going up or down stairs. In some cases, there could be occasional painful grinding in the joint when the knee is bent.

Treatment

If the cause is a biomechanical foot fault resulting in over-pronation, the patient should be fitted with orthotics and will likely experience pain relief within weeks, and complete recovery within months.

Taken from the “Comfort Footcare Centre” brochure

What is it?

A bunion defined is a hallux (big or great toe) valgus (deforming away from the midline). It means that there is a deviation in the big toe joint. There are three degrees of bunions: mild, moderate, and severe. Bunions are not hereditary, and they are typically caused by over-pronation, which has a hereditary component, and wearing illfitting shoes.

How is it caused?

Normally, toe-off occurs from the Plantar surface of the big toe. Overpronation can cause the propulsion phase of stance to take off from the medial aspect of the Plalanges of the big toe instead of the Plantar surface. As a result, there is a retro grade force into the joint which pushes it out medially and streches the joint capsule. A person winds up with a grotesquely shaped toe as a result of opposing forces that do not counterbalance each other without causing a deformity.

What are the common symptoms?

Pain in the region of the first (big) toe, and demonstration of a slight of full deformed toe.

Treatment

The problem is over-pronation: therefore the patient should be fitted with custom orthotics and proper footwear. Recovery can be expected to occur over a period of months. Orthotics will not cause the physical deformity to regress, but will arrest any further progression and likely stop the pain. It is important to note that when the bunion is severe and requires surgery, the bunion can be corrected, but will re-develop unless the root cause of over-pronation is corrected.

What are Hammer toes?

What Is It?

A Hammer Toe is a contracture of the proximal joint, which is the farthest joint from the end of the toe. A mallet toe is a contracture of the distal joint, the hoint closest to the end of the toe. When both joints are involved, the conditiion is called a claw toe.

How is it Caused?

A Hammer Toe develops over a period of years and unfortunately, one will not notice its development until the area begins to hurt and fitting shoes becomes painful. When the muscles and tendons on the top and bottom of the foot malfunction due to abnormal biomechanics, the biomechanics of the toe involved will become abnormal. Once a Hammer Toe forms, a corn is not too far behind.

What are the commom symptoms?

Patients will develop pain in the toe joint and find it more difficult and painful to fit into their shoes.

Treatment

A biomechanical fault is usually the culprit. The easiest and most conservatve approach is to be fitted with a custom orthotic to correct the underlying problem. In severe cases, a more invasive surgical approach is necessary.

Taken from the “Comfort Footcare Centre” brochure

Ilio-Tibial Band(Friction Syndrome)

What is it?

The ilio-tibial band originates at the outer edge of the pelvis and runs over the outside part of the knee joint. When the knee contracts, the band can be stretched too tightly, causing friction and irritation.

How is it caused?

The band may be over-stretched because of a poorly developed or very short band, causing it to be abnormally tight. Also, a badly over pronating foot will cause an internal rotation of the leg, causing stress to the band. Occasionally the illio-tibial band friction syndrome will be caused by too much hill running, or by running constantly on uneven, rough terrain.

What are the common symptoms?

Pain and tenderness on the outside of the knee at the head of the fibula and up the side of the leg. Sometimes there is tightness in the hip. Walking up and down stairs produces pain, and there is stiffness in the knee joint after sitting with the knees bent for more than a couple of hours. The pain would be concentrated more on the outside of the joint.

Treatment

A program of exercise to properly stretch the band, ice the area to relieve discomfort, and a change in footwear, including the use of custom orthotics to correct the biomechanicalfault.

Pedorthist

Come in and visit one of our certified Pedorthists
and let them help your troubled feet!

What’s a Certified Pedorthist (C.Ped.)?

A Board-certified pedorthist is an individual who has studied foot anatomy and pathology, biomechanics, shoe construction and modification, foot orthosis fabrication and materials, footwear fitting, and patient/practice management, and who abides by the Code of Ethics outlining responsibilities to the patient, the physician, the public and the profession. For most C.Peds, hands-on training in the field is also part of their learning process.

The services of a certified pedorthist are necessary to limit the effects of challenges from birth problems such as cerebral palsy, hemophilia, osteogenesis imperfecta, spina bifida, and malformation of the long bones. Fractures; brain damage; muscle,tendon, and cartilage tears; and spinal cord injuries are often helped by prescribed orthoses. Pedorthic treatment often benefits those with problems caused by stroke, muscular dystrophy, arthritis, diabetes, and multiple sclerosis.

Whether your pedorthic needs are the result of disease, traumatic injury, or congenital problems, your rehabilitation is personally prescribed. Your pedorthist utilizes the prescription from your physician and will consult your physical or occupational therapist. Your pedorthic device will be custom designed and created on site.

Sizing Chart

Use the chart below to help get your shoe size.


Taken from “millershoes.com”