Podiatry V orthotics

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Comments

  • hileena111
    hileena111 Member Posts: 7,099
    edited 30. Nov -1, 00:00
    Hi Speedy...

    Yes probably is the new regime....is it just ache or is it sore?
    If its just ache hopefully your using muscles you didnt know you had LOL and well done for getting down on your knees now

    Love
    Hileena
  • lavenderlady
    lavenderlady Member Posts: 409
    edited 30. Nov -1, 00:00
    I see my chirpodsit every 6 weeks to do my nails and heels etc they referred me to bio mechanics at our local hospital who got me on a treadmill and watchewd how I walked my right foot turned inwards so they made me lie on my front and put wet strips of material over my foot, this was the mould for new insoles to help with my feet but I could not get along with them they now are in my drawers never used, it felt like a pebble in my shoe feeling if you know what I mean, I now wear Hotter shoes and sandles and love them , I've got my yearly diabetic feet check monday so that should be interesting as far as my neuropathy goes, I cannot see why your problems can not be sorted out between them all
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    Hi Lavendarlady hope your foot check goes well. The insoles my podiatrist gave me have "first phase" on them, they are soft etc but she did mention, once we had them right having more durable long lasting ones made - so I think we work up to the painful ones you had ... that is one of the downside to the insoles - I love padded, soft supportive insoles too and look for them in shoes - but suspect they are incompatible with the final podiatrist version...

    Speedy
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    Hi,

    I went to see the orthotist today who gave me my new heel rais following my operation.

    He measured my legs and the difference in just 1 cm. This is reassuring as it feels and looks from how I stand, a lot more.

    This is the maximum they can treat with orthotics in the shoe and anymore than that and you need your actual shoe raised. He said I could have my shoe raised and it doesn't look as horrendous as it sounds, the way they do it these days is very discreet ... but will stick with the heel raise in the shoe for now.

    He thinks a lot of problems are my posture and back (a result of my hips - in particularly having a partially dislocated one for so long) and these make my leg length disprepency seem worse than it is.

    He looked at my new insoles from the podiatrist and agreed they didn't do much for my leg length and only helped the valgus of the heel. So he pulled a bit off and I can now wear both together until I see the podiatrist again. He said if I got no joy to go back to the hospital as both orthotists and podiatrists can work together there - unlike at the moment where they are based in separate places.

    Still feeling so stiff from yesterday - drove 1 hour to visit a college for S + sat for 2 hour meeting and then drove home again. Was torrential rain - so couldn't walk and stretch legs after meeting or to break up journey. Did go for walk once home - but still paying.

    Speedy
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • dreamdaisy
    dreamdaisy Member Posts: 31,520
    edited 30. Nov -1, 00:00
    Morning speedy, I hope you have rested and are feeling better. Do you feel any further forward - perhaps I am being dense but I couldn't tell from the tone of your last post. Icm discrepancy is (possibly) a good thing as they can treat it without a built-up shoe, but looking at it on a ruler it is still quite a difference! Would physio help your posture in some way? You OAers are a mystery to me! DD
    Have you got the despatches? No, I always walk like this. Eddie Braben
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    dreamdaisy wrote:
    Morning speedy, I hope you have rested and are feeling better. Do you feel any further forward - perhaps I am being dense but I couldn't tell from the tone of your last post. Icm discrepancy is (possibly) a good thing as they can treat it without a built-up shoe, but looking at it on a ruler it is still quite a difference! Would physio help your posture in some way? You OAers are a mystery to me! DD

    Hi DD, the combo of the insole (with a bit removed) and the heel raise on the left and the insole on the right now means my leg length is almost (but not totally) corrected and so is the pronation and supation (or whatever) of the feet so this is a step forward!! The orthotist suggested how the insole on the right could be adapted further at my next podiatrist appointment so that it does not counteract the heel raise so much ... that appointment is in 5 weeks. I have better balance and weight bearing on the op hip since wearing insoles - so it is worth persisting.

    I restarted physio last week, I had a really thorough examination and evaluation. I explained about poor gait, poor core stability affecting my ability to sit up straight, standing properly and keeping upright when walking, also the tightness in my legs when trying to kneel. He evaluated my whole trunk, my hips, my lower legs, my gait, my posture. He looked for weakness, tightness, knots/trigger points and evaluated strength. Very comprehensive. He treated trigger points and stiffness as he found it and I felt a bit like I had been run over by a steamroller!!

    He said I could work on one problem at a time or the whole lot. As it's now or never, said the whole lot so have got lots of new exercises and harder versions of some of the old ones. Only one weak muscle in my bottom I can't work on because all the exercises for it involve a combination of movements and would risk dislocation. He is hoping if I work on everything else it might have a knock on effect. I have to go back in two weeks. He said not to get disheartened if I only notice a small improvement at first as it will take 6 to 8 weeks of concerted effort for the muscles to show real improvement... just in time for work then.

    So have been doing the exercises ... particularly paying in back and trunk ... as these have been compensating for the semi dislocated hip for years - but the combination of pummelling and exercises has broken my leaning when I'm sitting, so that is good.


    ZZZzzzz - wake up!! I've finished now!!
    Speedy
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • ironic
    ironic Member Posts: 2,361
    edited 30. Nov -1, 00:00
    Wow Speedy, you have got a lot going on there! Good about the leaning already getting better. It's going to be a long job but if you get to see results every couple of weeks it should spur you on.

    How's the clearing up going? I wish my OH would get rid of some of his stuff. I'm sure the house would be two foot taller if we got rid of some of the weight :lol::lol:

    Lv, Ix
  • dreamdaisy
    dreamdaisy Member Posts: 31,520
    edited 30. Nov -1, 00:00
    He is right, it will take time and discipline but the possible gain will be soooooo worth it! I think you have a good physio there, he seems to know his stuff, so basically it's over to you, speedy! Good luck with it all - it can be so hard to keep these things a regular habit but they do help when done regularly. I hope S is OK - how's the clutter clearance going? DD
    Have you got the despatches? No, I always walk like this. Eddie Braben
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    Hi DD and I,

    I think I am lucky with this physio - he is very thorough and looking at my whole body and not just my hip ... with a bit of luck the exercises will sort out the problems the hip has caused elsewhere, and offset further trouble.

    I know what you mean I about the house clearing ... what amazes me is even though I'm clearing stuff out, it doesn't yet look much different!! In fact probably looks worse, as I'm disturbing stuff ...

    I am putting less in the skip than I thought, because can't bear to put toys, books and clothes in the skip - so they go to charity shops/recycling instead... Have done a ton of shredding, and there is still at least 10 times as much to do! Trying to get book cases to fit where I want them is nigh impossible!! I start to panic I wont get it all done before S breaks up mid Oct ... but I am further forward than when I started...???

    If I didn't have to sort first and could just bin it all - it would be so much easier!!

    Speedy
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • lavenderlady
    lavenderlady Member Posts: 409
    edited 30. Nov -1, 00:00
    speedalong wrote:
    Hi Lavendarlady hope your foot check goes well. The insoles my podiatrist gave me have "first phase" on them, they are soft etc but she did mention, once we had them right having more durable long lasting ones made - so I think we work up to the painful ones you had ... that is one of the downside to the insoles - I love padded, soft supportive insoles too and look for them in shoes - but suspect they are incompatible with the final podiatrist version...

    Speedy
    my yearly check up on my feet showed neuropathy had got worse and more widespread, but the pulse reading was pretty good so was happy with that, I swear by hotter shoes look on ebay you get brand new ones for a fraction of the price they help me so much
  • speedalong
    speedalong Member Posts: 3,315
    edited 30. Nov -1, 00:00
    Hi Lavenderlady, pleased your pulse reading was still good, even though neuropathy has worsened. Thanks for tips on Hotter shoes. Do you put insoles in them or do you find the built in support is sufficient?

    Speedy
    I have had OA since mid twenties. It affects my hips and knees. I had a THR on the left aged 30 and now have a resurface-replacement on the right - done May 2010.
  • hileena111
    hileena111 Member Posts: 7,099
    edited 30. Nov -1, 00:00
    Hi Speedy,
    Yes hotter are fantastic...I'll vouch for that as well

    Love
    Hileena
  • penfactor
    penfactor Member Posts: 366
    edited 30. Nov -1, 00:00
    Hi all!
    Well this thread has made me realise I have not had nearly enough help from the hosp since my THR!
    All I have is slightly too low shoe insert as othotics said any higher & I would have to have shoe adapted. Apparently they adapt your own trainer. They have never looked at foot on the operated side which has pronated almost upside - down!
    I've finally decided the current inch high insert is not working so am going back to see if they can make a higher one & hope that it does fit in my trainer.
    My left hip, back & right knee have definitely suffered as a consequence.
    I made official NHS complaint & the surgeon has offered to re-do op but they is big risk of fracture of femur in this case so have declined.
    love Pennie

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