You wouldn’t be here just window shopping! Have you got questions we can help with? There are fabulous post to read here and on our website - got another question ?
We are treating Phil with shockwave therapy actually more specifically Phil’s Achilles, as he has been diagnosed with having Achilles tendinosis. A painful, degenerative conditions to the back of his heel. 👣👣
Phil is on his feet ALL DAY and the pain was starting to impact his ability to work as he has
been dealing with this for about 3 months now. This was frustrating for him so he needed
something done to fix this issue! Phil knew of shockwave therapy, so he knew he needed to
see the professionals straight away!
We would love to say everyone is pain-free, but Phil is not yet. Phil’s pain has dropped
50%.... but did we mention he has only had one sessions so far (this video is his second
session). We have also got Phil into a good pair of ASICs Nimbus shoes for casual wear and a
pair of Blundstone LACE UP boots for work. We have provided him with some heel lifts to offload the tendon.
MOST importantly though, we have also begun doing some
strengthening work with Phil so that we can get this tendon very, very strong so it can handle all of Phil’s time on his feet.
Phil is stoked. He knows shockwave works, and will proceed to see us for treatment so we can get him completely pain-free. Stay tuned - we will keep you up to date!
More questions ? Have you headed to our heelpaindoctor.com.au website ? Great spot to get more answers !
Will cortisone fix my heel pain?
There isn’t a day that goes by where We don’t hear from a patient telling our team that they have either a had a cortisone injection for a “heel spur” 🤨 or they have just been to A MD / GP + an injection has been recommended
Let’s Face it the allure of an injection -magically will fix your heel, in little time + with almost no effort on your part is amazingly attractive! Magic pills step aside we have your better looking sister coming through!
The amazing thing about research is that you can present many of its findings in particular ways to make those findings seem more attractive than they are. Lets look at Cortizone injections for plantar heel pain.
Article in the Oxford Journal of rheumatology Oct 1999 - the short-term effectiveness of steroid injections for heel pain in a randomised controlled trial, reported a statistically significant reduction in pain at 1 month. Awesome! Now read the detail on Cortizone and it becomes a little bit more murky in the end - 19 people still had heel pain, 16 had sought help from other health practitioners = they did not get a result that means 56% of those in the trial DID NOT get relief from THE INJECTION!
Another suggested NO significant difference between treatment group of cortisone vs heel cushion vs saline inj. So kids Pop a heel pad in its as good as cortisone!!!
The vast majority of patients that I see on a day-to-day basis who have had Cortizone injections are either, no better or report to be worse after the injection then before 😣
So what should you do?
Our suggestion for chronic heel pain -address the following.
▪️footwear - while in pain - firm base and heel counter
▪️address your foot posture - high arches need shock absorption. Low arches often require soft pliable arch support
▪️address your soft tissue - look to isometric exercises - evidence base is mounting. Anecdotally We see improvements in our patients with this quickly!
Achilles pain? Told you need to stretch? Told you need to stop running? - hmmmm read on!
Inge is a nurse and is on her feet ALL DAY LONG. Inge loves to run as well! Unfortunately for Inge, she suffers from Achilles Tendinosis and this painful condition is really hindering her
day-to-day activities. But don’t worry we have Inge on the mend!!!!
She has seen other practitioners before and she was told to stretch, stretch, and stretch
even more. This hurt to do though and only provided very temporary relief. 😫😩😫🤔
Here Inge shows us what NOT TO do (left) and what TO DO (right). We are now aware that
isometric strength exercises and not isotonics (going up and down) are the way to go for
Achilles pain.
Inge was experiencing a 9/10 pain after running. However, upon doing 5x45sec after her running, this immediately bought her pain down to almost pain-free.
LESSON - you can run - maybe it’s time to give up stretching!
Should you stretch for Heel Pain?
To stretch or not to stretch?
Did you know that the latest research says that stretching is not only painful but maybe causing more damage?
We see around 30 patients a day with pain just like yours. Pain on rising, sometimes after activity, pain after exercise or even a day at work!
Have you tried stretching but found it made it worse? Tried the ice water bottle but with no success? Worse still be sold hard uncomfortable orthoses or insoles? It can be enormously frustrating!
We are helping people from right across Sydney walk pain free! No more hobbling out of bed. No more avoiding walking due to discomfort!
Our team will work with you to develop a plan to beat heel pain using the latest treatments and advances in medical care of painful difficult heel pain!
We will look at using treatments that actually beat Heel Pain! Not endless sessions of getting you in to stretch or "check ups" Our Doctors will look at the most advanced therapies available in the market, so we can get you back doing the things you love!
We LOVE helping people get back to Happy Healthy and Active. If you have questions or would like more information please call our helpful front desk team! Our team have spoken to literally 1000's of patients with complex painful heels. They will work through with you what is the best type of appointment for you, costing and talk to you about what your health fund may cover and then reserve the best appointment time for you.
Our number is +612 96732987 we hope to hear from you. We would LOVE to help!
What does Shockwave look like?
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Dr Ken our Podiatrist applying Shockwave therapy to one of our patients today.
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Most sessions of Shockwave are short bouts of between 2-3 minutes. We complete 2-3 rounds per foot.
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Each time you come in to have treatment our Doctors reassess your progress. How are you progressing? How much improvement have you had this week?
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We work through what exercises we will have you work on this week and what improvement we expect for the following week.
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Each week we aim for an improvement!