Jason Agosta Podiatry
This practice aims to provide the best possible treatment and advice in treating lower limb injuries by maintaining an awareness and use of the latest technical and research advances associated to podiatry in this practice.
What is podiatry?
Podiatry is the profession that focuses on the care of the foot and ankle and the relationship between the function of the foot on lower limb injuries.
There are two main areas of Podiatry. These include treatment of lower limb and foot injuries and general foot care.
Focus areas of this practice
- Difficult lower limb and foot problems
- Post-operative care
- Effect of footwear on walking and running
- Orthoses for sport
- Running training
- Running technique
What are the most common problems treated in this practice?
- Shin pain
- Knee pain
- Tendon pain of the ankle and Achilles
- Corns, callous and nail problems
- Heel pain
- Joint and bunion pain
Often there are three stages where Podiatry may assist.
- First stage is massage, mobilising and to begin weight bearing as soon as possible.
- Second stage is to stand and walk with even weight-bearing as soon as possible and to overcome any compensations.
- Third stage is to correct any asymmetry or mechanical anomaly with footwear, insoles and orthoses if required.
This practice has a strong focus on the use and effects of footwear in treating lower limb problems and for post-operative care. Footwear in sports is a priority and an awareness of latest trends, brands, models is maintained by keeping close contact with retailers and shoe companies.
What are orthoses?
Orthoses are insoles to correct foot alignment and pressure areas to assist in alleviating pain and to correct the alignment of the lower limb.
Orthoses in this practice
Orthoses are used conservatively in this practice due to:
- Individual adaptation to alignment and compensations.
- Most problems are improved with small to moderate changes.
- Forces during walking and running are large and repetitive, so small to moderate changes have a large effect.
- The Podiatrist needs to learn how and if intervention can help positively.
- The Podiatrist needs to learn how an individual tolerates any change in alignment.
See the downloadable handouts Orthoses in this practice , Orthoses for Runners and Orthoses Advice in the Useful Info section for information.
General foot care
This involves management of nail and skin problems. This is particularly important for diabetics. Usually this care involves clipping nails and ensuring there are no offending nails. The debriding of skin lesions is common for callous and corns. Many older patients require general foot care. Ingrown toenails are also treated and often a small procedure to excise the nail partially is required.