Flat Feet

If you have flat feet, knowing which insoles are right for your feet can be difficult and confusing. There are so many types out there, which may leave you with a lot more questions than answers, like: 

  • How do I tell the difference between the different types of insoles – they all look the same?
  • Which are the best insoles for me and my feet?
  • How do I know if the insoles I have now are right for me?
  • Is my foot or leg pain because of my flat feet?
  • Am I going to get foot problems because of my flat feet – and would insoles help?

These are great and valid questions, and our podiatrists have set out to answer them all by explaining what having flat feet really mean for you – and where insoles fit into the picture.

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Top of foot pain

Every week, almost half of all Australians experience foot pain. As foot health experts here at My FootDr, this comes as no surprise – our feet support the entire weight of our bodies, and with hundreds of moving parts, the role of our feet is more complex than many of us realise. With our feet being a small but mighty collection of muscles, tendons, ligaments, bones and nerves – when something is overloaded, out of place or not functioning quite right, it can be an easy road to foot pain. 

As pain in the feet is always the result of an underlying issue or fault, understanding the cause of the problem is key in relieving your symptoms, treating any damage, and helping prevent it from returning in the future. Here are our top five reasons that you might be feeling pain at the top of your feet.

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My FootDr podiatrist showing patient shoes

Do you have private health insurance? With a large number of private health funds having a deadline of December 31st 2020 for their customers to use the podiatry services that they pay a premium for,  you now have just three months to take advantage of these benefits. This includes claiming your orthotics rebate on a new or second pair of custom foot orthotics so you can get them with just a low gap*.

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Itchy feet

Do itchy feet keep you awake at night?

The medical term for itchy feet is pruritus, and this regular or recurrent itch can feel extremely frustrating for those affected. While the science behind why we itch in the first place isn’t well understood, it is thought to be a way to protect the skin from parasites, dead skin build-ups, and any other nasties that are wanting to move through the skin and invade our bodies where they can do real harm. Which makes sense! When a mozzie or other bug starts biting, you feel an itch, look down, see the bug there and shoo it away before it does too much harm. It also explains why when you see someone else itching, you may itch too – to help prevent whatever is biting or irritating the other person to get to you too.

While this is great protection, it doesn’t make the sensation any less unpleasant and downright maddening at times. If you’ve found yourself regularly itching your feet or your toes and have no idea why, our podiatry team have put together the top six reasons that your soles, toes or feet, in general, are itchy – and what you can do to help stop the itch.

1. Dry Skin On The Feet

Dry skin is irritated skin. If the natural oils on your feet dry up or stop doing their job to moisturise and care for the skin, the skin gets irritated, starts getting that dry and flaky appearance, and starts to itch.

The solution is to fix the dryness. This is easiest done by giving the feet a good wash and scrub to remove the dry, dead skin and applying a good moisturising lotion daily to replace the function of the natural oils. If your feet are covered in callus or hard cracks, we can take care of all of this for you at a skin & nail care appointment

2. Athlete’s Foot Fungal Skin Infection

Medically known as tinea pedis, Athlete’s Foot is a common skin infection that tends to affect the soles of the feet and between the toes. It can make the skin look dry and powdery, have bubbles that look like they’re peeling and may look red and irritated. These changes to the skin, as well as the presence of the fungus, can cause the skin to get very itchy.

The solution is to use an anti-fungal medication to treat the fungus, and help prevent the fungus from returning by helping keep your feet dry as much as possible, like proactively drying your feet well after showers – especially between the toes. This is because fungus grows best in moist, warm environments – like damp socks and shoes.

Learn more about Athlete’s foot here.

3. Nerve Damage

Much like experiencing burning, tingling, pins and needles, nerve damage can also cause other abnormal sensations which can include itching. When it comes to the feet, diabetes is a large cause of nerve damage that we work with, while other causes of a neuropathic itch reported in studies include shingles and neural lesions, among others. 

The solution: unfortunately, these itches are tricky to treat and manage as the nerve damage is often irreversible. Some medications have been reported to help, so seeing your GP or your My FootDr Podiatrist for a definitive assessment is your first step.

4. Chilblains

Chilblains develop when the blood vessels in your feet change from being constricted (narrowed) due to the cold temperatures, to dilating quickly when they warm up and sending blood streaming through the vessels. The result is that blood can leak into the surrounding tissues, and may become very itchy very quickly. You must be super careful, as your skin can be more vulnerable to damage when you have chilblains, making scratching particularly damaging 

The solution is prevention. Chilblains are preventable by avoiding going from cold to hot too quickly. Instead of jumping straight into a hot shower or bath with freezing feet, let them defrost and adjust to room temperature first, wear some socks to help them warm up gradually, and avoid applying direct heat in the form of a heat pack or putting your feet up next to an open flame.

5. Medical Conditions & Medications

Both medical conditions and medications can also cause itchy feet. When it comes to medications, common ones you may already be taking include aspirin, some pain killers (opioids) and some blood pressure medication can get the skin itching.

When it comes to medical conditions, this can range from kidney, liver or blood problems, to having an overactive thyroid, to skin conditions like chickenpox, psoriasis, eczema, hand-foot-and-mouth disease and more.

The solution lies in addressing the cause – whether that’s managing the condition, or altering your medication with your GP to help avoid this symptom. 

6. Allergies & Contact Dermatitis

If your skin appears to have a  reddened, rash-like appearance that may have some blistering and has some significant itching, then it may be an allergic reaction or contact with an irritant that may have triggered contact dermatitis. Contact dermatitis simply means inflammation and irritation of the skin (dermis), and can present on the feet unexpectedly as a result of glues or chemicals found in shoes, contact with irritants found in nature when walking with bare feet, or even skin and nail care products. 

The solution is to identify and remove the allergen or irritant that has triggered the problem, and hence the itching. In the meantime, the itching sensation can be relieved using creams and corticosteroids from your chemist or GP.

Scratching: The Consequences And Why It Feels So Good

While scratching your feet when they itch is the normal – and often uncontrollable – response to give you some much-needed temporary relief, it can also make the problem worse by irritating or even damaging your skin, leaving you with some discomfort or being vulnerable to infection. So as much as possible, try to avoid itching!

For your interest, scratching can feel so good because it sends a low-level pain signal to your brain that overrides the itching sensation, providing relief. Unfortunately, it can also trigger a cycle that re-activates the itch signal, leaving you in a constant state of itching and scratching.

Itching for help?

If you’re worried about your feet, we’re here to help. My FootDr has clinics all around Australia with knowledgeable, experienced podiatrists to help you get the best results for your feet. Book your appointment online or call us on 1800 FOOT DR

Elderly man walking on beach

If you hold a DVA gold card, you may be eligible for a number of fully subsidised podiatry services – and it all starts with a foot health assessment. If you’ve yet to take advantage of this service – or you have no idea how podiatry can help you, we’ve outlined everything you need to know about your foot health and My FootDr below.

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Common Tradie Foot Problems

It’s Australian Tradies National Health Month and to help support tradie health and encourage a healthy workplace through injury prevention management, our podiatrists are talking about your work boots!  

The shoes you wear every day become the ground you walk on and can influence your risk of injury and pain. We’ve put together this safety boot fitting guide to help you use your work boots to not only protect your feet from hazards – but also keep you moving well and feeling great on your feet. 

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Common Tradie Foot Problems

Tradie sore feetTradies – you feel exhausted at the end of your workday, and we get it. Many of you spend a large portion of your day on your feet, moving around, climbing stairs or ladders, operating machinery and generally tiring your body. 

Every step you take can result in significant forces passing through your feet and legs – like a load of up to three times your body weight on your knees. So, it’s no surprise that there are approximately 190 serious workers’ compensation claims made every day – an incidence rate of three times higher than any other occupation.

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Women leg injury

Here at My FootDr, we have the privilege of helping men and women with a wide range of lower limb problems. This gives us a unique insight into the kinds of injuries men and women tend to sustain more frequently, and the causes behind them. We believe that knowledge is power – and that knowing your risks is a powerful tool to help avoid painful and potentially long-standing injuries. So today, we thought we’d pair our observations with the current research to help answer an all-too-common question: who is more prone to injury, men or women – and why?

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Bakers Cyst

Recently, we treated a social runner in his 50’s who was experiencing pain and swelling behind his knee. He couldn’t recall any injury or reason for the pain, but it seemed to be getting worse, especially when he bent or straightened his knee. With a careful examination, history taking, medical imaging and consultation with his GP, he was diagnosed with a Baker’s cyst – and we quickly set to work on helping him feel more comfortable.

Of all the causes of pain around the knee, a Baker’s cyst is one that isn’t talked about very often. Given that it has a growing relationship with knee problems including lesions, meniscus tears and early osteoarthritis, we thought we’d fill you in on Baker’s cysts, how to tell if one may be the cause of your knee pain, and what you can do if that pain and tightness starts behind your knee.

Baker’s Cyst: The Background

A Baker’s cyst, also known as a popliteal cyst, is a swollen bursa at the back of the knee. We have bursae all around our body – they are fluid-filled and cushion-like sacs that sit between bone and tissue. By allowing tissues like tendons to glide smoothly over the bursa instead of rubbing against the bone, bursae help to prevent painful damage.

With the knee taking on large forces during physical activities – especially those that repetitively bend and straighten the knee like running – it’s not surprising that bursae are vulnerable to damage and pain, much like many of the other structures in the knee. 

The Symptoms & Causes

When the bursa at the back of the knee is damaged, more fluid is produced, causing the bursa to swell and become inflamed and painful. The result is a noticeable swollen lump that will make it difficult and painful for you to fully straighten or bend your knee. The swollen bursa also puts pressure on the surrounding structures too, causing tenderness, stiffness and even bruising. If the bursa pushes on a nerve, you may start feeling numbness, tingling, pins and needles and other nerve-related sensations.

The cause of the problem may be related to a knee injury, a condition like arthritis, or it may be unclear. When it comes to running, going for long distances when your lower limb biomechanics are less than ideal and hence are putting excess pressure through the knee joint can also irritate the tissues and structures around the knee 

Regardless of the cause, it’s likely that you won’t notice it until it gets swollen enough to bulge and affect your movement, which may occur some time after the original cause of the problem. While Baker’s cysts aren’t necessarily dangerous and may resolve on their own over time, there’s also a risk that they may burst and cause further problems. In the meantime, they’ll restrict your movement and can make it difficult for you to do physical activities and perform everyday tasks.

Treating Baker’s Cysts

Treating a Baker’s cyst starts with making sure you have the right diagnosis – which is where your My FootDr podiatry team comes in. After we’re confirmed your cyst and ruled out other causes of pain behind the knee, the goal is to help you feel as comfortable as possible by reducing the swelling in the bursa. Using ice intermittently, elevating your leg, resting and taking non-steroidal anti-inflammatories can help.

Depending on the response and severity of the cyst, we may need to refer you to help drain the fluid or seek further testing. Next, we’ll address any excess pressure on your knee joints and try to minimise and manage this as much as possible. Your footwear, foot posture and foot biomechanics can all add excess pressure on your knee – and are factors we can help you with by recommending the right footwear for your feet and pairing these with custom foot orthotics. Tight or weak muscles may also place unbalanced and troublesome forces on the knee – so it’s important to assess this in your exam too.

Experiencing knee pain but aren’t sure if you should seek help?

Here at My FootDr, we’re big believers that pain does not happen for no reason. Whether you’re a runner or not, pain is our body’s way of letting us know that something is wrong – and we need to listen to it before the problem worsens. 

Our team of experienced podiatrists have been helping Australia care for their foot and leg health for over 25x years. Book your appointment online by clicking here or call us on 1800 FOOTDR

As a My FootDr podiatrist, the phrase “I get [insert body part] pain during or after running” is something we hear daily. Just when you’re feeling motivated to start or continue running, a painful problem rears its head and can halt your progress or stop you in your tracks completely. 

This week, we asked five of our podiatrists what pains stopped their patients from running – and got them to elaborate on why it happens (and was happening in their case), and how we’re helping them overcome it. If you have any questions about these or any other problem you’re experiencing while running – let us know!

1. Knee Pain

In any 12-month period, up to 70% of runners will sustain an injury from running – and 42% of these will be to the knee. Our patient came in experiencing pain on the outside of their knee that would start during running and continue to remain tender after rest – although the pain wasn’t as severe then. They suspected they had a condition called runner’s knee (and we don’t blame them with that name!), but we take no guesses here, and after a comprehensive assessment, it turned out they were suffering from iliotibial band (friction) syndrome (ITBS).

ITBS involves a thick connective tissue called the iliotibial band (ITB) that runs down the outside of your thigh and connects to the top of your shin bone (tibia). Simply put, when you partake in sports that repetitively (and forcefully) bend and straighten the knee just like in running, the ITB can rub against the outside of the knee, irritating the band until damage to the connective tissue fibres occur – bringing with it pain and swelling. 

Our treatment plan for this patient – as for any patient – focuses on not only relieving the pain and helping repair the existing damage, but also addressing the cause to help prevent it from happening again in the future. For this gentleman, this meant using custom foot orthotics to help correct the alignment issues at his feet and legs, thereby reducing the strain on his ITB. We have created a stretching and strengthening program as his ITB was significantly tightened and we identified some contributing muscle weakness, we’ve temporarily modified his training schedule while his ITB heals, and we may also work on his running technique – something that was difficult to assess in the first appointment as his pain was causing him to forego his normal running style to try to minimise the pain.

2. Heel Pain

Before we start with this patient, we thought we’d emphasise that you don’t need to be a runner to develop heel pain. In fact, we see just as many people with heel pain that have no desire to run as we see those who are active participants.

For this active lady who is new to exercise, her heel pain wouldn’t rear its head during running – but when she’d rest after a run and then go to stand up again. The pain was sharp, shooting and stabbing – and then would ease after she continued to walk (or limp) around her home. It wasn’t long before these symptoms were developing first thing in the morning as she’d get out of bed – which is the point where she decided she couldn’t put up with it any longer.

Our assessment showed pain at the insertion of a tissue called the plantar fascia at the bottom and inside of the heel. Thankfully, her symptoms and presentation were still mild to moderate, indicating that the damage to the fascia hadn’t yet progressed to a tear – which is always a win in our books as it’d make recovery easier and faster for her.

Her treatment involves switching from flimsy joggers to good running shoes (we gave her a list of appropriate shoe recommendations and those were her choice!), supporting her flat feet and improving her biomechanical foot function using custom foot orthotics, and helping to speed up the repair the of fascia using shockwave therapy.

3. Calf Pain

Your calves are very important when you run – working up to 25% harder than your quads when running. When you need to stop or quickly change direction, they’re the ones that help you do so safely without injury. They help to stabilise your knee and absorb a large amount of force when you run. Hence, runners with calf pain is a common occurrence around here.

This patient is training for his first half marathon, and is doing so by running around his neighbourhood, varying lengths and times according to a schedule that he was given. When we explored this further, we found that he lives in a very hilly area – which he sees as a benefit to his training – but also means that he starts every run with a massive climb, and proceeds to spend almost 75% of his run just going up and down hills. As he was increasing his distance, speed and time running, this man was simply overloading his calf muscles to the point of damage, especially as he hadn’t done much hill work or specific calf strengthening previously.

Treating these calves is involving a very detailed calf strengthening program so that his calves can eventually handle all of the uphills, actively working on his flexibility as we noted he had an early heel lift and a twist on his foot from a tight Achilles tendon, and modifying his marathon training program so that he can continue to train while not causing the onset of calf pain.

4. Shin Splints

This gentleman came to us describing a stiff and painful feeling in his shins that would start 10-15 minutes into his run and would settle after he stopped running. While shin splints was his initial thought about what the problem could be – after his detailed assessment, we noted that his symptoms were consistent with both shin splints (specifically medial tibial stress syndrome) as well as a stress fracture to his tibia.

We don’t believe in guesswork – so referred him for medical imaging to confirm his diagnosis. The winner? It was shin splints and it was affecting his leading leg due to the force on the (unrepaired) muscles and tissues during running.

Treating this particular case started with reinforcing the importance of a good warm-up, cool-down, and stretching. Especially getting the muscles ready before a big run – which as it turned out, he had been heavily neglecting previously. We taught him a series of stretches and gave clear instructions. Next – new shoes. He’d had good shoes, but they were about three years old and the inside edges were so worn down that they were tipping him inwards – very noticeable even when standing in the shoes. Finally, we recommended custom foot orthotics to help his foot posture and better control his inwards rolling (pronation) and therefore foot function.

5. Painful Toenails

Our last case was something a bit different – painful toenails – and this was a bit of a funny one. This lady was running approximately two times per week, and otherwise staying active with the gym and social soccer, which she loved. The skin around her left big toe was red and swollen, and the second toenail on her right foot was definitely bruised.

As it turned out, her soccer boots were way, way, way too tight. Which she knew, but thought it was okay given that she was in them for comparatively short periods during soccer games and training sessions. What was actually happening was that on her right foot, her second toe was her longest, and was constantly hitting against the boot (and ball!), leaving it bruised and tender regularly – including in other shoes when she went for a run. On her left big toe, the tight boots had led to her toenail piercing the skin – and an ingrown toenail developing. Even worse, the ingrown nail had become infected, contributing to her discomfort.

The first part of the treatment was obvious – getting new well-fitting soccer boots ASAP – which were measured to her longer right foot and to her second-longest toe, in the afternoon when her feet were at their biggest, and with the same thickness of socks that she normally wears when playing. For the ingrown toenail, we booked her in for a partial nail avulsion to permanently correct the ingrown toenail – especially as that nail had become ingrown at least three other times over the last six or so years. 

So, what’s stopping you from running?

If you’ve got a pain or problem during or after running, whether we’ve mentioned it above or it’s something completely different or unusual, we’d love to help. Treating foot and leg pain is what we do! And we have the best technology, skills and experience to allow us to do it excellently.

Book your appointment online by clicking here or call us on 1800 FOOTDR