Feet
Planter Fasciitis
What is Planter Fasciitis
Plantar fasciitis is a disorder that results in pain in the heel and bottom of the foot. The pain is usually most severe with the first steps of the day or following a period of rest. Pain is also frequently brought on by bending the foot and toes up towards the shin and may be worsened by a tight Achilles tendon. The condition typically comes on slowly. In about a third of people both legs are affected. When plantar fasciitis occurs, the pain is typically sharp and usually unilateral. Heel pain is worsened by bearing weight on the heel after long periods of rest. Individuals with plantar fasciitis often report their symptoms are most intense during their first steps after getting out of bed or after prolonged periods of sitting.
Treatment for Planter Fasciitis
Foot orthosis have been demonstrated as an effective method to reduce plantar fasciitis pain. Orthotic devices are proposed to reduce pronation of the foot and therefore reduce load on the plantar fascia resulting in pain improvement. Our custom – made innersoles will improve your feet and reduce the pain caused by planter fasciitis.
Achilles Tendinitis
What is Achilles Tendinitis
Achilles tendinitis is disruption of the Achilles tendon by degeneration, trauma, or inflammation. This tendon is the extension of the gastrocnemius and soleus muscles onto the heel bone, it causes the foot to extend when those muscles contract. The most common signs and symptoms are pain and tenderness of the affected tendon, swelling may also occur. The pain may be continuous, or only occur with use of the tendon. These symptoms may extend into the surrounding tissue. The tendonitis may cause limitation of motion in the ankle joint. A common cause is overuse and/or improper use of the gastrocnemius and soleus muscles among those participating in physical activity involving the legs. Excessive pronation of the foot while walking or running can contribute to the disruption of the tendon.
Preventive measures include proper stretching of the gastrocnemius and soleus muscles prior to physical activity involving the legs, exercises to strengthen these muscles, and wearing shoes for proper cushioning and to prevent excessive pronation.
Treatment for Achilles Tendinitis
Supportive shoes and our custom – made orthotics can ease the pain from having Achilles tendinitis. For example, shoes that are softer at the back of the heel can reduce irritation of the tendon. In addition, heel lifts can take some strain off the tendon.
Heel lifts are also very helpful for patients with insertional tendinitis because they can move the heel away from the back of the shoe. They also take some strain off the tendon. Like a heel lift, an Achilles sleeve can reduce irritation from the back of a shoe. In case of severe pain wearing a walking boot for a while is recommended. This gives the tendon a chance to rest.
Metatarsalgia
What is Metatarsalgia
If you are suffering from pain in the forefoot – the area just in between the arch and toes, you might have metatarsalgia, also commonly known as a stone bruise and or ball of foot pain. Metatarsalgia can cause and feel like tingling, numbness or a burning pain which can affect your toes and or your whole foot, staying of your feet for a while may is the pain from inflammation caused by having metatarsalgia.
Treatment for Metatarsalgia
Our Custom – made arch support innersoles with extra padding on the ball of foot area would relief pain caused by metatarsalgia. Avoiding activities that can cause extra strain on your feet should be avoided, wearing footwear that puts less stress on your feet are recommended.
Shin splints
What is Shin Splints
Shin Splints also known as Medical Tibial Stress Syndrome, is a pain that goes along your Shin Bone (Tibial), the larger bone in the front of your lower legs. Normally Shin Splints are the cause of repeated trauma to the muscle tissue surrounding the Shin Bone. It most commonly affects people who engages in running sports activities or any other physical activity that causes strain on the shin bone area.
Treatment for Shin Splints
While typical treatments include rest and ice and staying away from activities, our custom – made innersoles can help align and stabilise your feet and ankle, while taking the stress off from your lower leg, which can either prevent shin splits or hinder the return thereof.
Drop foot
What is drop foot
Foot drop is a gait abnormality in which the dropping of the forefoot happens due to weakness, irritation or damage to the common fibular nerve including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg. It is usually a symptom of a greater problem, not a disease in itself. Foot drop is characterized by inability or impaired ability to raise the toes or raise the foot from the ankle (dorsiflexion). Foot drop may be temporary or permanent, depending on the extent of muscle weakness or paralysis and it can occur in one or both feet. In walking, the raised leg is slightly bent at the knee to prevent the foot from dragging along the ground.
Treatment for Drop Foot
Treatment for some can be as easy as an underside “L” shaped foot-up ankle support (ankle-foot orthoses). Another method uses a cuff placed around the patient’s ankle, and a topside spring and hook installed under the shoelaces. The hook connects to the ankle cuff and lifts the shoe up when the patient walks.

Clubfoot
What Is Clubfoot
Clubfoot is a birth defect where one or both feet are rotated inwards and downwards. The affected foot, calf, and leg may be smaller than the other. In about half of those affected, both feet are involved. Most cases are not associated with other problems. Without treatment, people walk on the sides of their feet which causes issues with walking. The exact cause is usually unclear. A few cases are associated with distal arthrogryposis. Diagnosis may occur at birth or before birth during an ultrasound exam. Clubfoot occurs in about one in 1,000 newborns. Males are affected about twice as often as females
Treatment for Clubfoot
Initial treatment is most often with the Ponseti method. This involves moving the foot into an improved position followed by casting, which is repeated at weekly intervals. Once the inward bending is improved, the Achilles tendon is often cut and braces are worn until the age of four. Initially the brace is worn nearly continuously and then just at night. In about 20% of cases further surgery is required.




Bunion
What is a bunion
A bunion is a deformity of the joint connecting the big toe to the foot. The big toe often bends towards the other toes and the joint becomes red and painful. Onset is gradual. Complications may include bursitis or arthritis. The exact cause is unclear. Proposed factors include wearing overly tight shoes, family history, and rheumatoid arthritis. In the end causing your toes to move and rest on top of each other making it difficult to fit into shoes as well as causing pain and discomfort.
Treatment for a Bunion
Orthotics are splints or regulators while conservative measures include various footwear like gelled toe spacers, bunion/toe separators, bunion regulators, bunion splints, and bunion cushions. There are a variety of available orthotics (or orthoses) including over-the-counter or off-the-shelf commercial products and as necessary, custom-moulded orthotics that are generally prescribed medical devices. Wearing this aid helps prevent bunion progression, overlapping toes, and hammer toes, limiting the need for surgery.



Shoe Build – Ups
At Grundling Ortho Care & Wellness Centre we offer shoe build – up services, with many years of experience adding lifts to shoes and specialising in making your shoes look as good as possible.
If you were born with a sorter limb or if you had knee surgery, you might need an orthopaedic lift or shoe build – up.
This is a lift placed either inside your shoe or we can build it on the outside of your shoes that levels you off, giving you much relief from back, hip and knee pain caused by having a sort limb.
Our technicians have the ability to add shoe lifts, shoe build – ups to just about any type of shoes or boots.
What happens in most cases is we split the sole at the bottom of any shoes, this is done professionally to either men’s, ladies or children shoes. This creates aesthetically appealing look while alleviating pain caused by having limb length discrepancy. In cases where the sole of the shoe cannot be split we simply apply the build – up directly to the sole of the shoe, all this done to ensure a professional look and comfy feel.


