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What is Podiatry?
Podiatry is what used to be called ‘chiropody’ and is concerned with the care of feet. The reason for the new name is that it brings the UK into line with other countries which have been using a similar term for many years. Also, since 2005 newly qualified podiatrists/chiropodists have to have a degree in Podiatry (BSc Podiatry) so it makes sense for them to call themselves ‘Podiatrists’. The scope of work of podiatrists is also more than some people associate with that of chiropody. Many people think of chiropody as being confined to such treatments as nailcutting, removal of corns and callus and treatment of ingrowing toenails etc. but associate other treatments such as nail surgery, woundcare, foot and ankle surgery and biomechanics with podiatrists. In fact, the scope of work of both is identical.
What is Biomechanics?
In the context of podiatry, it is the science of looking at the way the foot functions in relation to the rest of the body, in order to diagnose and treat foot and leg pain. It involves the application of physics and engineering principles, coupled with human biology, to correct or improve foot function.
What can it treat?
The application of biomechanical principles can be used to treat people of all walks of life from runners and other sports people to busy mothers and retired couples. A wide variety of conditions are treated, including plantar fasciitis, heel pain, ‘shin splints’, ‘metatarsalgia’ (ball of foot pain), interdigital neuromas, knee, hip or thigh pain. Improving foot function can also often improve posture and back pain.
How does it work?
In simple terms, if the foot has less then optimal alignment and function, it will compensate in some way. This can cause pain in the feet, and because the foot is connected to the rest of the body, this compensation frequently also has ‘knock on‘ effects further up the skeleton, leading to stress and sometimes pain in other parts of the body, such as the knees, hips or back. So by realigning the feet, and improving their function, using orthoses (insoles) worn in the shoes, it can be possible to cure or improve the foot or leg pain.
What is involved in a consultation?
A consultation takes about one hour and involves a comprehensive examination of the joints and alignment of the pelvis, legs and feet. You will be examined lying down, standing and also walking or running on a treadmill. Your gait (walking style) will be recorded so that it can be analysed, using the latest video gait analysis software, and any problems picked up. At the end of the consultation, you will have the major findings and their significance explained to you, and a diagnosis given. You will also be advised of the treatment options available. If this includes having custom orthoses made, you may have your feet digitally scanned at this visit. If custom orthoses are prescribed, you will return in about a week, for a half hour appointment, to have the fit of the orthoses checked and, if no adjustments are needed, they will then be dispensed to you. After that, you will normally return in about 6-8 weeks for a half hour follow up appointment to check that all is well. (The fitting and follow up visits are included in the cost of the orthoses). For the consultation you need to wear, or bring with you, a pair of shorts. Other than this you do not need to undress for the consultation.
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