Vinaora Nivo SliderVinaora Nivo SliderVinaora Nivo SliderVinaora Nivo SliderVinaora Nivo Slider

Welcome to betterNOW! healthcare                                                 01223 832 808

A "3-in-1 treatment" Case History: 69 gentleman who couldn't play golf and 6 weeks later was back doing 18 holes!

A 69 year old gentleman attended our clinic in September complaining of right ankle pain around the inside of the ankle bone and pain on the top of his left foot along the course of the extensor tendon of his left big toe.  

 

He complained that he was finding it very difficult getting around the golf course and that he was feeling wobbly and unstable.  He described that his arch had recently disappeared. There is a condition called Sudden Adult Flat Foot - this can be treated if caught early enough.  Left untreated it can lead to a permanent deformity of the foot which can seriously effect a person's mobility.  It is medically known as Posterior Tibialis Tendon Dysfunction or PTTD because the condition is caused by the posterior tibialis muscle losing function; this muscle is responsible for supporting the arch structure and controls the inrolling motion of the foot.  Its tendon looks a bit like fingers supporting the arch from underneath, its strong tendon runs behind the inside ankle bone and its muscle runs up the back of the leg.  Early stages of the problem are characterised by tenderness around the back of the inside ankle bone and soreness along the inside of the arch.  In the early stages orthotics (special insoles that block abnormal movement) can prevent the condition worsening.  In the acute stage where the tendon has failed immobilisation may be necessary.  If you find it difficult to stand on tip toe you may have PTTD.

 

In the case of our 69 gentleman we felt the "3-in-1" approach would work well.  The osteopath, podiatrist and physiotherapist assessed the patient simultaneously and worked out a treatment plan consisting of gait scanning to assess the patients base stability, examination stood, prone and supine, balance and strength tests, anatomical measurements and neurological tests.  A treatment plan was devised that involved orthotic therapy using temporary orthotics (to assess their effectiveness), alternate week sessions with the physio and osteopath focussing on improving alignment, strength and balance plus focussed treatment of the symptoms which included massage and ultrasound.

 

Below is a photograph of the patient's ankle stability during walking.  The white lines on the graph represent the range expected in a person with normal function during walking.  The red line represents the right foot - in this photo you can clearly see the right ankle malfunctioning and left (green) 'spiking' as it tries to compensate.

 

BEFORE TREATMENT 

 

Right foot RED LINE  Left foot GREEN LINE White lines represent the range that normal functioning feet fall between

 

 

peter_lacey_scans_001

 

 

AFTER 6 WEEKS OF TREATMENT


 NOTE THAT THE LEFT AND RIGHT SCAN LINES NOW FALL WITHIN WHITE LINES SHOWING A MARKED IMPROVEMENT IN ANKLE STABILITY

 

 

peter_lacey_scans_004

 

 

After 6 weeks our patient is playing golf again, his foot function is greatly improved as is evidenced by his scans and he is almost painfree.  He is now awaiting his permanent orthotics which will support the improvements made and he only needs to return to our clinic for maintenance and keep up his exercises of course.

 

The "3-in-1" approach to treating patients is beneficial for many musculo-skeletal conditions.  By implementing the treatment techniques of osteopathy, podiatry and physiotherapy together the patient gets a truly rounded and complete treatment.  We meet regularly to discuss progress and review treatment strategy.  If you think the "3-in1" treatment system could help you - then why not save time and money and come for a obligation free appointment.


 

We look forward to seeing you soon!

 


 

 

book online button

 

 

 

 

DECEMBER STATISTICS

 

USE OUR NEW SEARCH BUTTON FACILITY (TOP RIGHT OF PAGE) TO LOCATE ARTICLES ON A WIDE RANGE OF TOPICS ASSOCIATED WITH PODIATRY, ACUPUNCTURE, OSTEOPATHY, DIET AND EXERCISE.

 

As part of our ongoing patient satisfaction surveys, we are proud to publish our July results. (posted 10th January 2017)

Patients score us out of 5, 0 being very poor, 5 being excellent:

 

100% of patients rated us EXCELLENT

 

100% would recommend us to friend

 

100% were not kept waiting more than 5 minutes

 

100% found us friendly

 

 Too good to be true?  Come and view the evidence for yourself.

 

 

 

 

 

Save

Save

Save

Save

Save

Save

Save

Save

Save


 

Check out our catchy new radio ad!

 

betterNOW!: 5 out of 5 based on 7 reviews.