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Foot Posture and Back Pain

Foot Posture and Back Pain

Broadway Burrard Chiropratic

Back pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower socioeconomic status as well as other occupational and psychosocial related factors. Also, other conditions such as: poor posture, spine curvatures (e.g. lumbar lordosis) and leg length differences have also been a suspected risk factor for back pain. Abnormalities in foot posture have been shown to lead to back pain. Your foot posture is the posture that your foot adopts when in a weight bearing position (that is, when you are standing on it). This position can significantly affect your joints and muscles in the leg all the way up to your upper back and neck, putting added stress on the soft tissues surrounding these joints/structures.

Overpronation and oversupination:

Overpronation is when your foot arches fall and we land on the inside of the bottom of our feet, causing the feet and the legs to turn inwards. Even this small difference can change the way we walk and the forces that go through joints and soft tissue structures. This deviation from normal can also alter the position of our knees, hips, backs and shoulders. You don’t tend to feel the effects instantly, but over time, muscles and tendons can become overworked and lead to pain. Oversupination is the opposite and is where the our foot arches are high and we land on the outside of our foot.

You can test what your foot posture is by simply standing straight and getting someone else to assess whether your heel is aligned with your ankle and knee. If your knee and ankle is excessive deviated inwards (medially) compared to your heel then you are an overpronator. However, if you knee and ankle is excessive deviated outwards (laterally) compared to your heel, then you are an oversupinator. Your podiatrist can give you further details.

Treatment:

Footwear

Footwear is an important factor that can contribute to back pain. More specifically, high heeled shoes can lead to back pain, especially when you have a oversupinated or overpronated foot posture. Wearing high heeled shoes puts you in a posture where the “S” curve in your spine becomes more prominent, and puts more pressure on the muscles and joints in your back. As your height is increased with high heeled shoes you are less balanced, and thus need a lower centre of gravity to make sure that you maintain your balance when walking. As a result of this, your upper back is pushed backwards and your lower back moves forwards. This puts tension and pressure on your muscles, tendons, soft tissue and joints. Therefore, it is essential that you avoid wearing very high heeled shoes for long periods of time as, over time, damage if caused, and can lead to more serious degenerative conditions. Shoes with a lower heel, with a firm heel counter and cushioned soles, will be more beneficial to your back in the long term.

Orthotics

Orthotics are useful to correct your foot posture and improve your overall alignment, especially if you have high or low arches. Orthotics come in two forms: over-the-counter and custom made orthotics. Over-the-counter orthotics are simple insoles that you can purchase from the chemist or shoe store. These are not designed specifically for your circumstances and typically provide cushioning and a simple arch support. Custom orthotics are orthotics that your Podiatrist can make specifically for your foot with a prescription that is based on your individual biomechanics. The type of custom orthotics that are most suitable for you depends upon a number of factors, including the severity of your back pain. It is important to see your Podiatrist for a complete assessment to ensure you get the best treatment.

Foot Posture and Back Pain

Broadway Burrard ChiropraticBack pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower...

What are the best shoes for orthotics?

For some of us, our orthotics have become a part of our daily lives. They provide great relief from the aches, cramps and twinges we experience during our daily activities, typically as a result of our faulty foot biomechanics or external strain/forces. Yet, after...

What are the best shoes for orthotics?

What are the best shoes for orthotics?

For some of us, our orthotics have become a part of our daily lives. They provide great relief from the aches, cramps and twinges we experience during our daily activities, typically as a result of our faulty foot biomechanics or external strain/forces. Yet, after finally attaining those custom-made insoles, the process of finding the correct shoes to fit them in, then becomes quite tedious. There are definitely a few limitations in regard to footwear choice, but sneakers DON’T have to be your only go to, several sandals will work just as well.

Here are a few shoe features that we recommend you look for when purchasing shoes for your orthotics. Also remember to take your orthotics with you when going shopping.

1. Removable insoles – to swap out for your orthotics

2. Heel counter/heel support – so your orthotics don’t’ fall out

3. Deep heel cup – so that the orthotics will fit well in the shoe and your heels won’t lift when walking.

4. Deep and wider toe box – again for good orthotic fit

5. Some form of adjustable fastening – such as laces or velcro

6. Low heels – usually no more than 3 – 4 cm is recommended

Did you know, Podiatrist’s can also make custom made orthotics for narrow/high heeled shoes (cobra orthotics)?

Understandably, these types of orthotics won’t provide the same type of support as regular orthotic molds, but they are worth considering, especially if you’re in high heels all day.

These cobra orthotics are particularly popular with lawyers and those in the corporate field.

Foot Posture and Back Pain

Broadway Burrard ChiropraticBack pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower...

Tinea pedis/Athlete’s foot

Tinea pedis, also known as athlete’s foot is a skin infection that is caused by a fungal infection. It usually presents as red, macerated, peeling or flaky skin in-between the toes or soles of your feet. The fungal infection typically grows in areas that are warm and...

Why is my child getting pain on the outside of their foot (Iselin Disease)

Why is my child getting pain on the outside of their foot (Iselin Disease)

Photo credit: Academy of Chiropractic Orthopedists

If your child is developing pain on the outside of their foot then this could indicate inflammation of the growth plate of their 5th metatarsal. This is called Iselin’s disease. During development, the bones grow from growth plate, which is made up of cartilage. This cartilage is usually very soft and can be prone to injuries during this phase of growth. Iselin disease is typically more common in the ages of 8 to 13 years. Children who play sports are more prone to having this issue. 

What are the causes of Iselin Disease?

Iselin’s disease is caused by repetitive loading, increased muscle tension and overuse of the area, which puts strain on the growth plate on the base of the 5th metatarsal bone. Things that can be risk factor for Iselin’s disease is being involved in activities such as soccer, basketball, dance or gymnastics; having tight calf muscles or doing a lot of running and jumping activities that puts tension on the growth center. 

What are the symptoms of Iselin Disease?

  • Pain along the outer edge of the foot
  • Pain is worse with activity and gets better with resting
  • Redness and swelling on the outer edge of the foot.

What is the treatment for Iselin Disease?

After a definite diagnosis of Iselin disease through x-rays, Iselin disease is treated in the following ways: 

  • Rest from activities that are aggravating the condition. 
  • Application of ice for 10 – 15 minutes on the area after activities (not before) to help with reducing any inflammation present.
  • Using topical anti-inflammatory gels to reduce inflammation. 
  • Taping the area to support the muscles on the side of their foot. 
  • Stretching tight calf muscles.
  • Wearing supportive shoes. 
  • Orthotic therapy to offload the area.
  • Return to sports and activities only when the pain has gone and your child is not limping. 
  • Possible immobilization in a walking boot in severe cases. 
  • Surgery if all conservative treatment fails. 

Iselin disease should resolve when the growth plate has properly fused once your child has stopped growing. 

 

Tinea pedis/Athlete’s foot

Tinea pedis/Athlete’s foot

Tinea pedis, also known as athlete’s foot is a skin infection that is caused by a fungal infection. It usually presents as red, macerated, peeling or flaky skin in-between the toes or soles of your feet. The fungal infection typically grows in areas that are warm and humid, so it is more likely to grow if your feet are in enclosed toe shoes for long periods of time. Thus fungal infections have become more common in recent years with more individuals wearing shoes that don’t let your feet to breathe.

What are the causes of Tinea?

Tinea is caused by a number of species of fungi but most commonly a species called Trichophyton rubrum. This species is found in warm and humid environments, including numerous areas in Australia. This fungal species is also contagious and can spread to different individuals when walking barefooted on contaminated surfaces such as shared changing rooms, showers and swimming pool areas. They can also be present in shoes, socks and towels.

What are the symptoms of tinea?

  • Red and flaky skin
  • Skin peeling
  • Itching, stinging or burning
  • Small red blisters
  • Scaly rash covering the entire soles and up the sides of the feet (moccasin tinea).

What are the treatments for tinea infections?

Treatments for tinea infections including topical treatment in the form of antifungal creams, sprays, ointments and powders. These are typically available over the counter. Other treatments including oral tablets, which are usually prescribed by your doctor.

10 tips to avoid tinea infections:

  • Wash your feet thoroughly every day when you come back from work, you can use products with tea-tree oil to help prevent bacterial and/or tinea infection.
  • Make sure to dry in between the toes well.
  • Change socks every day.
  • Wear breathable socks.
  • Let your shoes air dry.
  • Put your shoes in the sun to kill any fungal spores.
  • Use a tea-tree spray for your shoes and on your feet.
  • Alternate your shoes.
  • Wear shoes with a breathable material
  • Wear flip flops in shared environments such as swimming pools and showers.

not assigned 105
foot disorders 5
sports injuries 2
Common Foot Problems 12
foot care tips 12

Foot Posture and Back Pain

Broadway Burrard ChiropraticBack pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower...

What are the best shoes for orthotics?

For some of us, our orthotics have become a part of our daily lives. They provide great relief from the aches, cramps and twinges we experience during our daily activities, typically as a result of our faulty foot biomechanics or external strain/forces. Yet, after...

10 Tips on How to Get Rid of Smelly Feet (Bromodosis)

10 Tips on How to Get Rid of Smelly Feet (Bromodosis)

Bromodosis is the term used to describe smelly feet or foot odour. This is a common medical condition that affects a number of individuals. Your feet have a tendency to sweat profusely as they have more sweat glands than any other part of your body. Sweat regulation is also affected by your hormones and thus teenagers and pregnant women tend to sweat more. However, it is not the sweat that causes the odour but actually the bacteria that grows as a result of the sweating. There are naturally occurring bacteria already present on your skin but extra bacteria can form and remain on your skin and shoes if not properly cleaned, causing the bad odour. However, there is good news as smelly feet can be treated easily.

Here are 10 things that you can do at home to prevent and help with smelly feet.

1. Make sure you wash your feet regularly, especially after your feet have been in enclosed toe shoes for a long period of time. Wash with a mild soap and scrub in between your toes as this is where bacteria tend to grow the most. After washing, make sure to dry thoroughly.

2. Change your socks regularly, at least once every day.

3. Clean and maintain your toenails.

4. Use different pairs of shoes or have two pairs of shoes that you can alternate between so it gives the other shoe time to dry properly.

5. Use tea-tree spray ( inside your shoes to remove bacteria and get rid of odour.

6. Leave your shoes in the sun to eliminate bacteria and dry the moisture from the shoes.

7. Use rubbing alcohol or Friar’s balsam to prevent excessive sweating.

8. Use breathable socks.

9. Use antifungal sprays to prevent athletes foot.

10. You also use deodorising insoles that can be purchased from the chemist.

Smelly feet can be an embarrassing condition but it is relatively easy to treat. With regular attention and care, you can potentially eliminate foot odour in 1-2 weeks. The tips above are usually very effective but in severe cases seeing a doctor may be necessary.

 

 

Foot Posture and Back Pain

Broadway Burrard ChiropraticBack pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower...

What are the best shoes for orthotics?

For some of us, our orthotics have become a part of our daily lives. They provide great relief from the aches, cramps and twinges we experience during our daily activities, typically as a result of our faulty foot biomechanics or external strain/forces. Yet, after...