Don’t ignore heel pain in young athletes.

by (Osteopath)

Is your young sports star suffering heel pain? Let me tell you, they are not alone. Heel pain in young growing active individuals is usually due to a condition medically known as “Severs Disease”. Although it sounds quite dramatic it is very common benign condition affecting active (boys usually) between the ages of 8 – 14. It is caused by an irritation of the growth plate of the heel bone brought on by recent an increased pull from the Achilles tendon. When your child is growing, it is usually the bones that start to grow first, leaving behind the muscles and tendons to adapt and catch up. This leads to the tendons pulling at the insertion site at the heel.

What are the symptoms?

  • Pain around the perimeter of the heel during physical exercise – particularly activities involving lots of jumping and running
  • Pain becomes worse at the BEGINNING and AFTER exercise
  • Changes in the way your child walks – walking on toes is common
  • Swelling, redness or tenderness around the back of the heel

How can we help?

The good news is, there are lots of effective ways to help your child throughout their active lifestyle during this stage. … read more »

Dr Josh Osborne

by (Podiatrist)

Josh completed his bachelor of Podiatry at La Trobe Bundoora in 2011. He is a highly enthusiastic Podiatrist and Personal Trainer, having advanced knowledge in sporting injuries and rehabilitation. He has a great deal of experience working alongside physiotherapists within football clubs and within multidisciplinary teams loving the collaborative approach to healthcare.

 

Josh considers himself to be a problem solver who is caring and friendly; “I want the best for my patients and I strongly believe in holistic management”

 

Josh has completed numerous courses including rocktape application, foot mobilisations, and dry needling.

 

Chronic conditions such as Plantar Fasciitis and Achilles tendonopathy are two of his favourite conditions to manage.

“Every Body Deserves to Feel Good”read more »

Diabetes and the foot

by (Podiatrist)

Diabetes Beach FeetDiabetes is a condition in which the body’s method of converting glucose into energy is not working as it should; meaning the amount of glucose in the blood is elevated.

There are two common types of diabetes being:

Type 1, also known as insulin dependent diabetes. This usually affects children and young adults.  People with this type of diabetes require daily insulin injections.

Type 2, also known as non-insulin dependent diabetes, is by far the most common and usually affects people over the age of 40 years.

Diabetes, whether it is type 1 or 2 can cause numerous long term complications in the body, but the main one being the affect on blood supply in our body by narrowing arteries.

The most common reason a diabetic patient is administered into hospital is due to their feet.

How does diabetes affect the feet?

1. Poor circulation, causing decreased healing rates, dry skin, cold feet, cramping etc.

2. Loss of sensation. The nerves need blood supply too. This may cause numbness, burning and injury without pain.

3. Muscle weakness

4. Foot deformity

5. Ulceration

6. Amputation

If you have poor circulation, you will need to take extra care to protect … read more »

Things to consider when buying a Footy boot

by (Podiatrist)

Footy season is just starting up and many people will be looking at buying new boot. This selection can be a difficult and frustrating process and as you will be aware conditioning of the body is important when preventing injuries. What you may not know is the importance of footwear and lower limb biomechanics in further preventing injury.

When selecting your Football boot this winder there is 3 main points you need to consider.

Outer sole: Studs, moulds or screw ins
There are many options for the outer sole in the market. As you will be aware the outsole provides the traction and there are a variety options on the market with Adidas releasing a boot with 3 interchangeable soles. There are many actors including position, surface, previous injury and biomechanics to take into account when making this decision. This is an important as a simple decision like have a stud in the wrong place can lead to a stress fracture. Make sure you speak to a podiatrist when making this decision especially if you have a history of lower limb injury.

Surface
What is the surface you will be playing most of your footy on?

With the Victorian climate, … read more »

Biomechanics of Barefoot Running

by (Podiatrist)

Barefoot RunningThe complex issues that surround barefoot running

For experienced and dedicated runners the barefoot running debate has prompted a lot of discussion. These discussions center around the benefits and risks associated with this new technique.

My definition of bare foot running is: to run barefoot or in a device that provides no support, heel counter and has no shock absorption properties.

There are many shoes that sit between a barefoot running device and a traditional running shoe. These shoes range from Vibrams to Nike frees. Shoes in this range all vary in the effect they will have on your gait. Due to this and the large range of shoes that are currently on the market, I have chosen not to discuss individual shoes here.
In this article I have provided more information about what I believe are the key points to consider related to this issue. They include: foot strike patterns, shock attenuation, training and proprioceptive feed back and how these will effect energy expenditure, injuries and injury rates. In this article I hope to discuss many of these issues in more detail.

Barefoot Running Diagram

Foot strike pattern

The largest visual change between shod and bare foot running is most commonly seen … read more »

Shin Splints

by (Osteopath & Exercise Scientist)

Shin Splints is a common term for medial tibial stress syndrome (MTSS). It is an injury caused by overuse and ‘doing too much too soon’. MTSS is the inflammation of the periosteum of the tibia (the sheath surrounding the bone). Individuals doing high impact activities such as running, jumping, netball and football are more prone to this injury.

Not all pain in the anterior lower leg is MTSS; other common lower leg injuries include Anterior Compartment Syndrome, Stress Fracture and Tibalis Anterior Tendonopathy. These can be assessed and diagnosed by your health professional.

Symptoms

  • Pain and tenderness over the medial lower half of the shinbone, usually 3- 12cm up from the ankle.
  • Swelling
  • Pain increases with exercise

So what has caused this injury?

When the muscles are put under more stress than they able to cope with, they lose their ability to shock absorb which therefore, increases stress on the body. Players returning to sport after a period of rest or large increases in training increase the risk of developing this injury. Tight muscles including the gastrocnemius and soleus (calf) muscles can cause tractional forces on the periosteum causing inflammation and pain. Poor foot biomechanics with excessive pronation or supination … read more »

Barefoot Running

by (Osteopath & Exercise Scientist)

As a Podiatrist I have been asked my opinion on Barefoot, Pose running and Chi running many times. As a runner myself, this is also a topic that interests me greatly and which I am always researching. As you can imagine it provokes a lot of discussion amongst my colleagues.

Barefoot, Pose and Chi running theories are based around running without shoes and spending most of your time on your forefoot. When running barefoot there are changes made to the way the forces go though your body, changing which muscles, bones and ligaments are stressed. There are pro’s and con’s to different techniques and I aim through this article to give you a better understanding of the advantages and disadvantages.

Running barefoot has its advantages as it increases the range of motion used at the joints of the lower limbs and feet. It improves your body’s awareness of where your foot is on the ground, improves your balance, as well as proving a small decrease in the amount of weight you carry while running. There is only a small amount of research that has been done on this topic however, which has shown that there is a slight decrease in … read more »