Leg Pain


Overview

Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.

Condition

Understanding what is at the source of your pain or condition is the first step in finding a solution that is right for you.

Symptoms & Signs

Identifying specific issues with your knee, leg, ankle or foot are performed at our clinics to help provide a treatment plan.

Treatment

Specific orthotics, braces, compression sleeves and socks, boots, footwear and other products are manufactured or fitted to help your recovery.

Symptoms & Cause

Pain experienced in the leg can be due to a problems with bones, tendons, muscles, fascia, nerves, blood vessels, or skin disorders. Your physician may direct you for a Pedorthic evaluation if a biomechanical influence is suspected to be causing or contributing to your leg pain. Common issues seen are overloading of a muscle or muscle group trying to counter or stabilize excessive motions at the foot level. Excessive pronation is commonly attributed to overworked muscles in the leg such as tibialis posterior or tibialis anterior. It’s counter movement is called supination where the foot tends to lean outward. Muscles often overloaded when this motion becomes excessive are the peroneals.

Motions noted in the walking or running cycle that produce an excessive twisting motion of the large leg bone, the tibia, can lead to higher torsional stress in the bone which in some cases may lead to a stress fracture. Sharp intense pain in the bone, found commonly in the lower 3rd of the leg that is irritated with activity such as hopping on the effected leg may indicate a stress fracture. These symptoms should not be ignored and should be assessed immediately.

Diagnosis & Treatment

Plantar fasciitis is the most common cause of heel pain. The plantar fascia, a band of tough tissue connecting the heel bone to the toes, becomes irritated or inflamed. Heel pain which is often worst in the morning when getting out of bed or getting up from rest, is the most common symptom. Arch pain may also be present in some individuals.

Treatment for plantar fasciitis includes:

  • Rest / activity modification
  • Calf and foot muscle stretches and exercises
  • Medication recommended by your physician
  • Shoes with a good shank and a cushioned sole
  • Arch supports or if required custom foot orthotics
  • Tape for support or pain relief such as Kinesio tape
  • Physiotherapy

If you are experiencing foot pain or discomfort, you should consult your physician for a proper diagnosis and an appropriate treatment plan.

 

Your doctor may refer you to  OKAPED’s to see a Canadian Certified Pedorthist for Pedorthic management of your foot pain. This may include orthopaedic footwear, shoe selection guidance, orthotics and/or foot related products such as a metatarsal pad. If you know your condition and want to learn about new products and treatments please give us a call.

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