Foot and Ankle Treatment & Management
Orthopaedic Treatment
Chiropractor Adjustments
Injuries Treatment
Physiotherspy Treatment
Foot and ankle treatment at Orthocure
At Orthocure the team of therapists work together to prepare a patient customized plan for the treatment, comprising of medicines, advanced therapies, chiropractic adjustments, foot balance analysis and customized insoles. The idea of integrated approach at our clinic is not only to relive from pain but also to treat the underlying root cause, maintain wellness of patients and prevent the recurrence of injury.
Advance physiotherapy treatment
At orthocure we have highly skilled physiotherapists who focus on patient centered care and use their expertise to diagnose and treat the condition by detail assessment and examination. Along with conventional physiotherapy, they are certified in advanced techniques like dry needling, mulligan mobilization, kinesio taping, cupping therapy, matrix therapy. These techniques are highly effective in treating acute or chronic injuries of foot and ankle like ligament injuries, muscle strain, plantar fascitis, fracture, arthritis, neuroma, etc.They are also specialized in handling the advanced fitness machine and equipments to improve the strength, balance and proprioception of lower limb. The ideal goal of our physiotherapy team is maximum restoration of function and preservation of further disability.
Orthopaedic treatment
At orthocure, the orthopaedic team are trained in treating foot & ankle injuries and arthritic conditions. They are highly experienced in planning an individualized conservative care plan which includes examination, proper diagnosis, medication and holistic treatment.They are also proficient in splint/cast application, joint aspiration/injection, fracture manipulation and joint reduction. In severe cases or operative conditions, our orthopaedic surgeons also undertake the surgeries at leading hospitals in Gurgaon.
Chiropractor adjustments
Foot and ankle disorders are often caused by misalignments of the tiny foot bones and joints.Chiropractic treatment can help to prevent chronic and recurrent problems of foot and ankle. Our chiropractor with careful case and examination,discover the cause and remedy it accordingly.The primary method of treatment is through adjusting the bones and joints in the ankle, feet and other regions of lower extremities thus providing the patient with relief.Because the chiropractor is actually improving the alignment of the foot bones it is truly getting to the root cause of the problem.
The ankle is the part of the lower limb encompassing the distal portion of the leg and proximal portions of the foot.The foot contains 26 small bones and 33 joints that are designed for weight bearing and force distribution. The ankle has the smallest surface area of the body’s three major weight-bearing joints — the knees, hips and ankles. The ankle also has the greatest amount of force placed on it.
While walkingthe force exerted on ankle is two and a half times the body weight. The amount of that force increases with impact while running or exercising.With so much pressure put on such a small part of the body, it’s no surprise that the feet and ankles are prone to painful injuries like sprains, fractures and dislocations. The degenerative effects of arthritis, infections and even structural characteristics like high arches or flat feet can take a toll on the foot and ankle.
Foot and ankle treatment at Orthocure
Foot Balance was founded in 2003 by Er kki Hakkala, a pioneering Nordic physiotherapist and inventor who specialized in podiatric medicine. He had the vision to improve foot and reduce foot related pain by making high quality, affordable, custom-made products accessible to everyone.
Foot Balance foot analysis identifies the foot type while custom insoles are individually moulded to the unique feet to support them in a neutral position aiding a balanced stance and correct posture. The resulting support helps the feet to maintain optimal alignment throughout the gait cycle, alleviating overpronation or supination. Medical practitioners recommend foot insoles if the foot’s muscles, ligaments, tendons, or bones are not well aligned and are causing foot pain, discomfort, and fatigue.It can be a very powerful way to change the way that we walk, correct deformities, and keep joints in alignment. Regular use can help to reduce risk of injury, increase power and efficiency, and improve foot comfort.
Foot Balance concept provides medical practitioners with the expertise to carry out a comprehensive foot analysis and mould 100% Custom insoles directly to a client’s feet during an initial appointment, saving time and increasing satisfaction.
Important benefitsof FootBalance custom insoles are:
- Help spread body weight and loading evenly to reduce foot fatigue.
- Help align ankles, knees and hips to reduce wear and tear on the tissues and joints.
- Wearing insoles can also help to relieve foot pain caused by medical conditions including plantar fasciitis, bursitis, diabetes and arthritis.
Process of foot analysis and moulding customs insoles
- The trained medical practitioner will analyse a client’s arches and feet with the use of a foot analysis unit.
- Pictures are taken of the client’s feet and ankles with our FootZone software, aiding in the identification of foot malpositions. A personalized foot analysis report is sent to the client by email.
- The heated orthotics are moulded to each foot individually in the windlass position while at the same time maintaining neutral foot alignment.
- Simple and fast wedging can be created and added to adjust the rearfoot, midfoot and forefoot positions.
Patient Success Stories for Foot & Ankle
Case 1 :
Flat Foot
Name: Anita Sharma
Age: 60
Complaints & Symptoms: Difficulty in walking,intense pain and because of the fear of walking use to wear same set of from past couple of years, she use to feel foot bones touching the ground while walking and pain in the arch of the foot and the sides of the foot along with muscles.,Collapsed arch was present with foot alignment altered and so the walking pattern
Protocols Followed: Her foot analysis was done and accordingly an insole was made for her followed by foot adjustment sessions and some exercises for the foot and leg
Patient Condition on completion of treatment: Patient got the confidence of wearing different with less pain while walking, her lifestyle improved a lot and she is managing her foot pain very well with resistance exercises to maintain the strength.
Testimonial:
I am very happy with the insoles and the foot adjustments which I have been given, after 15 yrs for the first time I wore wedge heel and it made me feel fantastic.My pain has been reduced and I can walk for longer without any discomfort.Its like getting my life back again which I can enjoy on my feets.
Case 2 :
Plantarfascitis
Name: Rachna Gupta
Age: 38
Complaints & Symptoms: Pain in the arch of the foot, esp aggravated in the morning or when get up after sitting for long. muscles also feel tired.
Protocols Followed: Ultrasonic therapy followed by cold pack, Release of plantarfascia with cupping therapy and an insole was made to support her arch and correct foot alignment as after the foot nanlysis we found her foot was going out of alignment.
Patient Condition on completion of treatment: Pain was not so continuous now and walking was muh more easier, she has been put on some exercises for home.
Testimonial:
She is a very good . She explains the problem very well and patiently. Has good knowledge of bones and muscles. I got good relief from plantar fasciatis problem.
Case 1 :
Foot Pain & Toe Spurs
Name: Vimal Arya
Age: 70
Complaints & Symptoms: pain in both the feet at the metacarpal heads. Since 1-2 years.
Sometimes feel burning sensation. There is difficulty in walking for long, has shown to orthopaedist and they have prescribed Gaba neurons medicines and pain killer but there is no relief
Protocols Followed: We proceeded with foot adjustments some exercises and cold pack and we managed her foot pain and burning sensation. Some sessions of ultrasonic therapy were also given for the spurs. Advised an insole
Patient Condition on completion of treatment: Burning sensation below the foot was treated with some sessions of adjustments, Patient was able to resume her daily routine of walks
Testimonial:
Finally the diagnosis was accurate and whatever the did with the gun (foot adjustments) gave me immense relief from foot pain and burning sensation .Highly recommended
Foot & Ankle Pain
Our feet are a complex structure consist of 26 small bones and more than 30 small joints along with muscles, tendons, ligaments and nerves and most importantly the arches. Arches of the foot plays an important part in our body mechanics while we stand, walk, jump or play sports. They provide us support and bounce so that the small structures of the foot are not under stress and minimizes their wear and tear overtime which can result in joint pain or damage to the plantarfascia causing its inflammation. We bear our whole-body weight on the foot thereby its alignment and strength plays an integral part in maintaining overall wellbeing.
If any of the above said is not in alignment, arches are low or high, you feel discomfort in toes, heels or sole, weakness in muscles, tight kinetic chain, Faulty biomechanics of foot, knee and hip, lifestyle choices, wearing wrong shoes or high heels can all result in foot and ankle pain. This can be associated with swelling, increased warmth, stiffness, difficulty to put down first step in morning, continuous intense pain or dull ache that remains there upon weight bearing or during ankle motion.
In most of the instances the foot pain is not permanent and goes by its own but in case you have started developing continuous pain and it lasts for say 2-3 months it’s time to get a screening done. Screening should involve history taking, observation, palpation, physical examination, checking the arches of the foot, foot alignment, ruling out X-ray findings, testing the strength of the muscles in and around the joint, testing other parts of the kinetic chain which might be the culprit and reaching to a diagnosis. Some very common foot conditions we come across is flat foot, plantarfascitis, ankle sprain, heel and foot spurs, weakness of intrinsic muscles, faulty weight bearing mechanics.
Foot pain should be addressed as soon as you discover that its not going with general advices, pain killers, exercises through you tube videos etc etc. A proper customised care plan is needed to take care of it in case you want to get rid of it as foot is the most integral part of our body system as we stand and bear weight on IT!!
Till you see your physiotherapist regarding your foot pain its better to follow certain advices from our experts-
- Avoid wearing old worn out shoes.
- Avoid wearing high heels. 2 inch can still be fine.
- In case you can’t avoid heels choose a platform one.
- Do regular stretches of your whole lower body.
- Encourage ankle foot pump movements to boost in circulation.
- Do some strengthening of the small muscles of foot and ankle like- picking up stones, rolling towel, rolling a cold bottle under your feet.
- Maintain foot hygiene.
- Use Epsom salt water dips for 20 mins a day for effective pain management.
- Maintain a healthy weight. Try getting customised insoles to correct your foot alignment and evenly distribute your body weight.
Ankle sprain is very common type of ankle injury affecting the ligaments (connective tissues connecting bone to bone for stability) of the ankle. It usually is a result of twisting injury which is often seen in people who play sports, indulge in high impact activities like skiing, hip-hop dance etc or people who wear high heeled shoes most of the times. This twist causes there ligaments to stretch pass their capability thereby causing tearing. Depending on the severity it can be classifeied in 3 grades.
GRADE 1 – Mild damage to the ligament (usually a overstretch) resulting in pain, swelling and discomfort without any instability.
GRADE 2 – Moderate damage that the ligament partially tears resulting in pain, swelling and discomfort. Unable to bear weight on the foot.
GRADE 3 – complete rupture of the ligament resulting in marked bruising and instability in ankle joint.
- Sports activities which have high probability of ankle twists like basketball, tennis, skateboarding.
- High impact fitness routines like running on uneven surfaces, hip-hop dancing, Salsa dancing.
- Injury like slipping from stairs or twisting of foot on high heels.
- The risk increases in case:
You have weak foot and leg muscles.
You have flat foot.
Improper footwear.
Wearing high heeled shoes.
- X-RAY- to rule out fracture.
- Physical Examination- to assess ROM and see whether its Inversion (lateral) ankle sprain or eversion (medial) ankle sprain.
- MRI- in case doctor suspects grade 3 injury to rule out the need of surgery.
Why does the ankle pain keep coming back?
If your ankle pain is coming back every now and then that means the root cause was not identified. The root cause could be below or above ankle joint. The entire kinetic chain (foot, knee, hip, pelvic back and head) needs to be assessed to rule the exact root cause followed by the treatment.
For example, foot over pronation (flat foot) put more stress over the heel and Achilles tendon leading to recurrent ankle pain..
Is there a cure for ankle pain?
You can do PRICE
- P: PROTECTION- with ankle brace/ Kinesiotaping to restrict the motion
- R: REST- for 2-3 days or till the signs of inflammation are resolved
- I: ICE- for 10-15 mins 3-4 times/day to minimize further injury, reduce swelling and accelerate healing.
- C: COMPRESSION- Crepe bandage/ Space Kinesiotaping to enhance the fluid movement
- E: ELEVATION- Keep 2-3 pillows under the leg to enhance the fluid movement which helps in reducing swelling.
- Non-steroidal anti-inflammatory drugs
- Orthotics: insoles to provide equal weight distribution
- Followed by gentle ankle exercises, weight bearing exercises and weight reduction.
- If no relief is attained then consult your therapist and physician to cure your ankle pain.
What are the signs of arthritis in your ankles?
Arthritis of ankle joint shows following signs and symptoms:
- Pain: dull/aching/sharp or intense pain in lower leg, back or middle foot.
- Swelling:
- Stiffness and restricted range of motions in ankle
- Popping or crunching sound (crepitus)
- Instability
- Limping while walking
Getting treatment in early stages of arthritis can significantly slow the progression of symptoms.
Can ankle pain develop without an injury?
Ankle pain can also develop without injury. Altered foot position, altered biomechanics of knee, hip or pelvis, poorly fitted , turf can cause ankle pain without any episode of injury or trauma. Consult your physiotherapist or chiropractor for full posture assessment.
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Not every bone and muscle condition
needs a surgery!
Orthocure offers surgery free treatment for your orthopaedic problems. Our 4 Point protocols and international medical equipment helps us in bringing accuracy and rectifying your problem with our regular exercise plans without any surgery.
India's 1st chain of specialty clinics for Orthopaedic problems
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4 locations all over Gurgaon
Your friendly neighborhood Clinic for all bone and muscle conditions
DLF Phase – V
Nirvana Country
Sector 40
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Our unique 4 point protocol allows for an all round approach.
We start with the right diagnostics, and then proceed to initial pain relief and structural corrections to treat the condition of the root cause of the ailment.