LOWER LIMB CONDITIONS

Our Belfast clinic has all the technology and resources to diagnose and manage the majority of common foot conditions.

shockwave therapy for heel pain

PLANTAR FASCIITIS

One of the most common foot pain conditions. It affects the heel and it commonly presents with sharp pain after rest or first thing in the morning. It can come and go very quickly. However, if your pain is persisting for weeks and is getting worse you must take action! 

Typical treatment plan 

  • Lower Limb injury assessment to determine risk factors and ultrasound scan to assess severity.

  • Footwear assessment

  • Exercises typically eccentric loading and stretching will be demonstrated

  • Custom orthotics if significant foot correction is required or a simple insole if not.

  • (ESWT) Shockwave therapy if the ultrasound demonstrated significant injury

  • Time! 

Foot Massage

METATARSALGIA

Strictly speaking not a true diagnosis, more an umbrella term for many conditions that can affect the forefoot or the "ball' of your foot. These conditions can include, capsulitis, bursitis, Morton's Neuroma, and fat pad atrophy. Accurate diagnosis is essential, we can quickly ultrasound scan to assess the injury and then provide you with a bespoke treatment plan. For severe pain we can give a cortisone steroid injection. However, this is not always recommended.

Child Physiotherapy

KNEE PAIN

The knee is a relatively straightforward joint to assess. In many cases, knee pain is caused by trauma (acute) or biomechanical (chronic). Identifying which structures are involved is the key to effective management. Effective treatment modalities include;

 

  • Orthotics

  • Hip mobility exercises

  • Knee stability strengthening 

Vaccination

TENDINOPATHY

We can manage will all kinds of tendinopathy (also known as tendonitis). We commonly come across

 

  • Achilles Tendinopathy

  • Patella Tendinopathy

  • Posterior Tibialis Tendon Dysfunction

  • High hamstring 

  • Gluteal tendinopathy

  • Extensor tendinopathy

etc

The best method of treatment is to first identify risk factors with a detailed lower limb injury assessment. Multiple risk factors could be causing tendon overloading and eventually dysfunction leading to tendon breakdown and pain. 

Shockwave therapy is an excellent treatment for tendinopathy, but should be used in conjunction with an effective rehabilitation plan. Recent research discourages the use of steroids due to the risk of rupture.