A Biomechanical assessment involves assessing the movement of the player in the swing and stance phases of gait. The player's Biomechanics could be the complete underlying cause of their pain, however if they have sustained an injury, their gait could be preventing or slowing down the injury from healing.
Biomechanical assessments are also used with a 'Prehab' ethos to identify if the player could be at a greater potential risk of injury.
'Casted Insoles' are fully bespoke and taken from a cast of the feet. The insole prescription arises from the Biomechanical assessment. They are made from hard wearing yet light materials that can be modified to numerous different sports shoe needs. Where other podiatrists can struggle with too bulkier insoles, Orthopodics specialise in making slim fitting football boot specific insoles.
On occasions a 'Simple Insole' may be trialled for a few weeks, which are not casted (and cheaper) to test the tolerance from the player and the effect they have. This usually then leads to Casted Insoles being made.
Ultrasound Guided Injections
The most common injections I provide are Corticosteroid Injections, which can be 'Clinically Guided' or 'Ultrasound Guided'. In addition to this I can provide Sodium Hyaluronate Injections (Ostenil Joint and Ostenil Tendon), Diagnostic Local Anaesthetics and High Dose Volume injections.
Minor Surgery and Dry Needling
The most common surgery performed is Nail Surgery. If trauma has been sustained to the nail or a player is suffering from an ingrown toe nail, under local anaesthetic, we can remove the whole nail ('Total Nail Avulsion') or the side(s) of the nail ('Partial Nail Avulsion').
If the nail is damaged due to trauma, the toe can simply be numbed and the nail removed without cauterisation, enabling the player to return to training / playing within a few days.
The nail bed can be cauterised so the nail never grows back in the area it has been removed. Cauterisation of the nail bed will need dressing every few days for up to six weeks, but is a permanent solution to a long term nail problem. Due to the post operative recovery this is usually performed at the end of the season or during international breaks, but can be used in extreme circumstances at any time.
Dry needling is used to resolve painful Verrucae(s). The theory is that this treatment pushes the verrucae cells deeper under the skin to elicit an immune response and has a higher success rate than freezing the lesions. They can also be removed under local anaesthetic, as a minor surgical procedure, but never in a weight bearing area.
Dry Needling can also be used for Enthesitis related injuries such as Plantar Fasciitis.
Independent Prescribing including Antibiotics and Pain Medication Advice
Problems of a Chiropody nature (toenail problems, corns, callus etc.)
Arranging Diagnostic Imaging and blood tests, advice and interpretation (X-Ray, USS & MRI)
Advice on when to refer for Surgery and what this may involve
Expertise in discussing assessment, treatment & advice for Gout, Inflammatory Arthritis (and other Rheumatology Conditions) & Diabetes.
Platelet Rich Plasma (PRP) injections