Our Services

Podiatry and Bio-Mechanics

Biomechanics is defined as:

The application of mechanical principles to the musculo-skeletal system (or muscles, ligaments and skeleton all working together as a functional unit).

Biomechanics developed in North America in 1960’s & 70’s, as an area of study in the under – graduate and graduate curriculum. The content of biomechanics was extracted from mechanics, an area of physics that consists of the study of motion and the effect of forces on an object. This is applied in podiatry by analysing human motion and assessing the effect of the forces from the ground when a person walks or runs.

Biomechanics is a complex area of study. By using biomechanics in podiatry, the podiatrist is able to detect and treat many of the problems that arise in the foot and lower limb. Treatments are carried out by the provision of foot orthotics. To obtain some foot orthotics, a biomechanical examination is carried out by your podiatrist.

Biomechanical Examination

A biomechanical examination is a thorough examination from your head to your toes. The podiatrist will measure certain bones and joints in your foot to determine how they are functioning. Additional measurements of the leg muscles will be taken to assess how they are also functioning. The podiatrist will then assess your lower limbs and feet during a standing position, following an assessment of you walking. All of this information is recorded on a comprehensive examination form then a prescription is formulated. During the assessment process the podiatrist may video you walking to later assess in slow motion.

Once all the information has been recorded the podiatrist will then take some casts of your feet to capture the biomechanical problems in the casts. These are then sent to a specialised laboratory along with the prescription for the orthotics to be made.

This type of orthotic differs from the orthotics brought from chemists or shops as they are made from the measurements taken from your feet. The orthotics produced are custom-made which means that they are manufactured for your feet and your problems only.

The orthotics in shops can be used by any individual and may not help your type of foot or lower limb problem.

Orthoses

Orthoses come in many different shapes and sizes. The podiatrist will determine the correct orthotic for you from the prescription obtained from the biomechanical assessment. Orthoses are used to treat many conditions of the feet, legs, knees, hips and back. They function to correct the biomechanics of your feet thereby focusing on improving function and relieving you of pain. They act to improve your quality of life.

Correct control from a custom made orthotic for a patient with feet that in-roll.

Orthoses help treat:

Back pain, Hip pain, Knee pain, Ankle pain, Flat feet / feet that are in-rolling, Injuries from sports, Arthritic conditions, Heel pain, Plantar fasciitis and Bunions. Also, many other problems arising in the foot and lower limb.

Our policy in the Edgeway Clinic is not to manufacture the orthotics ourselves. Some podiatrists have their own orthotic laboratories where they are able to provide the orthotics themselves, however we believe in having them manufactured at more specialised orthotic laboratories. Orthotic laboratories are accustomed to making orthotics all the time. Therefore, they have a very great expertise in orthotic manufacture which ensures the orthotics are as good as they can possibly be.

If you have any aches or pains in any part of your body a simple solution is only an appointment away.

Don’t continue in pain; improve your quality of life

Referrals For X-Rays and MRI Scans

Edgeway Physiotherapy Consultancy works closely with Direct Medical Imaging, Lytham St Annes. Patients can be referred for x-rays and MRI scans, usually within two days, with the results available the following day, both at very reasonable costs.

Information on X-rays and MRI Scans

Radiation Exposure

None. MRI machines do not emit ionizing radiation. Exposure to dangerous ionizing radiation.

Application

Suited for Soft tissue evaluation, e.g., ligament and tendon injury, spinal cord injury, brain tumours, etc. X-Rays are largely used to examine broken bones. Can also be used to detect diseased tissues.

Effects on the Body

No biological hazards have been reported with the use of MRI. However, some may be allergic to the contrast dye, which is also inappropriate for those suffering from kidney or liver disorders. The powerful rays have the ability to create birth defects and diseases and can also alter the DNA.

Cost

MRI is usually more expensive than CT scans and X-rays, and most examining methods. X-Ray is relatively cheaper than MRI.

Time Taken for Complete Scan

Depending on what the MRI is looking for, and where it is needing to look, the scan may be quick (finished in 10-15 minutes) or may take a long time (2 hours). Ability to change the imaging plane without moving the patient. MRI machines can produce images in any plane. Plus, 3D isotropic imaging also can also produce Multiplanar Reformation. Does not have this ability.

Scope of Application

MRI is more versatile than the X-Ray and is used to examine a large variety of medical conditions. X-Ray is limited to examining a few body conditions only.

Details of bony structures

Less detailed compared to X-ray Detailed images of bone structure on photographic film as bones absorb x-rays, and x-rays affect photographic film in the same way as light

Details of soft tissues

Provides much more soft tissue detail than a CT scan. None - only bone and other dense tissue can be seen

Principle

Body tissues that contain hydrogen atoms (e.g. in water) are made to emit a radio signal which are detected by the scanner. Search for "magnetic resonance" for physics details. X-rays attenuated (blocked) by denser tissue creates a shadow on the image.

Image specifics

Demonstrates subtle differences between different kinds of soft tissues. Demonstrates the difference between bone density and soft tissue.

Post-Operative Scar Treatment

Soft tissue scar therapy is a treatment given to help post-operative or burn scars. It is used to improve feeling and functionality in the scar and surrounding tissues, creating better movement between the layers of the skin, fascia (connective tissue) and muscle. Following treatment, scars often appear smaller, flatter, lighter and less prominent but the emphasis is on the underlying tissue changes.

Dense scar tissue can reduce, nerve impairment such as numbness, pain, itching, irritation or extreme sensitivity may improve. Changes that occur to the scar and nerve function are usually permanent. Tightness in surrounding tissues can reduce mobility and joint function, the treatment helps to restore muscle function. Scars are often softened and loosened, ridges and holes may be minimised. Multiple treatments may be needed to gain the most benefit and response to treatment will vary for each individual.

As skin is healing after an operation or accident, different layers under the skin get adhered - stuck together - as the body rushes to close and heal the wound. Soft Tissue treatment stimulates the area, these movements seem to encourage further natural healing to take place and help to release these layers so to allow better function and movement in the scar and surrounding tissues.

It’s never too late, scars that are very old still improve with treatment, or they can be new. Many different kinds of scars can benefit from this specialised scar massage. It is important that before treatment scars are healed, dry and infection free. Scars could be the result of an accident, operation, including cosmetic surgery, or a burn some examples of scars I have treated:

Abdominal surgery, Appendix removal, Breast augmentation, C-section

Cancer surgery, Knee surgery, Mastectomy and Lumpectomy, Open heart surgery, Facial scars, Foot surgery, Gallbladder removal, Hip replacement, Hysterectomy and many more.

Soft tissue scar therapy is not a replacement for conventional treatment. Keloid scars and acne scars are not treated. If you are in doubt, ask your doctor or consultant if you can safely have massage on your scar.

Treatments are gentle, making them ideal for children or anyone with extremely sensitive scars, working at your level of comfort, over sensitivity can be improved as the nerves in the scar area relax and desensitise. I have worked with clients who hate to have their scars touched. Starting away from the scar area and gradually progressing onto the scar only as comfort levels allow, within just a few treatments, big changes to sensitivity are possible.

Very little research has been made into manual therapies for scars, but it is not a new concept, even in the 1550’s a French surgeon called Paré noted the use of massage to reduce joint stiffness and improve healing following surgery. Our nerves, blood vascular and lymphatic vessels are wrapped in layers of connective tissue or fascia. Recent studies indicate that changes in connective tissue tension could affect the functioning of the enveloped structures within it. Soft tissue therapy may be effective by releasing tension in the connective tissue and therefore improving neural function and fluid flow as the localised restrictions caused by the scar tissue are reduced. Fortunately, many scars will fade in time. For those that don't: "Massage helps break down the dense bands of collagen that attach to underlying tissue”

Assessment & Treatment of Musculoskeletal Injuries & Conditions

Assessment and treatment of musculoskeletal soft tissue injuries and conditions. Who is a Musculoskeletal Physiotherapist? Musculoskeletal Soft Tissue Physiotherapists have expertise in the treatment of musculoskeletal (muscle and joint) conditions. Musculoskeletal Soft Tissue Physiotherapy employs advanced clinical assessment and diagnosis methods. Musculoskeletal physiotherapists have been trained in a broader range of treatment techniques. Edgeway Musculoskeletal Soft Tissue Physiotherapists are leaders in the diagnosis, treatment and prevention of muscle and joint problems, especially spinal conditions that commonly cause lower back pain and neck pain. How Can Musculoskeletal Physiotherapy Help You? Your Musculoskeletal Soft Tissue Physiotherapist can:
  • Totally relieve or reduce your pain.
  • Provide you with strategies to best manage your injury or condition.
  • Help you to recover quicker and hasten your return to your normal activities.
  • Improve your flexibility, muscle strength, quality of movement, proprioception and co-ordination.
  • Assist you to achieve exercise or functional goals.
  • Improve your fitness.
  • Help you to prevent future injury recurrences.
  • Prescribe exercises to do at home and work in the gym to enhance your recovery.
About Musculoskeletal Pain. Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute (having a rapid onset with severe symptoms) or chronic (long-lasting). Musculoskeletal pain can be localised in one area, or widespread. Lower back pain is the most common type of musculoskeletal pain. Other common types include tendonitis, myalgia (muscle pain), and stress fractures. Edgeway Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic diseases. What are the causes of musculoskeletal pain? Anyone can experience musculoskeletal pain. It is most often caused by an injury to the bones, joints, muscles, tendons, ligaments, or nerves. This can be caused by jerking movements, car accidents, falls, fractures, sprain, dislocations, and direct blows to the muscle. Musculoskeletal pain can also be caused by overuse. Pain from overuse affects 33% of adults. Lower back pain from overuse is the most common work-related diagnosis in Western society. Poor posture or prolonged immobilization can also cause musculoskeletal pain. What are the symptoms of musculoskeletal pain? Symptoms of musculoskeletal pain depend on whether the pain is caused by an injury or overuse and whether it is chronic or acute. The symptoms can also differ from person to person. Common symptoms include:
  • Localised or widespread pain that can worsen with movement.
  • Aching or stiffness of the entire body.
  • The feeling that your muscles have been pulled or overworked.
  • Fatigue.
  • Sleep disturbances.
  • Twitching muscles.
  • The sensation of "burning" in your muscles.
What are the different types of musculoskeletal pain? Musculoskeletal pain has varying symptoms and causes. Some of the more common types of pain include:
  • Bone pain: This is usually deep, penetrating, or dull. It most commonly results from injury. It is important to be sure that the pain is not related to a fracture or tumor.
  • Muscle pain: This is often less intense than bone pain, but it can still be debilitating. Muscle pain can be caused by an injury, an autoimmune reaction, loss of blood flow to the muscle, infection, or a tumor. The pain can also include muscle spasms and cramps.
  • Tendon and ligament pain: Pains in the tendons or ligaments are often caused by injuries, including sprains. This type of musculoskeletal pain often becomes worse when the affected area is stretched or moved.
  • Fibromyalgia: This is a condition that may cause pain in the muscles, tendons, or ligaments. The pain is usually in multiple locations and can be difficult to describe. Fibromyalgia is usually accompanied by other symptoms.
  • Joint pain: Joint injuries and diseases usually produce a stiff, aching, "arthritic" pain. The pain may range from mild to severe and worsens when moving the joint. The joints may also swell. Joint inflammation (arthritis) is a common cause of pain.
  • "Tunnel" syndromes: This refers to musculoskeletal disorders that cause pain due to nerve compression. The disorders include carpal tunnel syndrome cubital tunnel syndrome, and tarsal tunnel syndrome. The pain tends to spread along the path supplied by the nerve and may feel like burning. These disorders are often caused by overuse.
How is musculoskeletal pain diagnosed? The therapist will begin by conducting a thorough medical history. He will be looking for possible causes of your pain, such as workplace or sports injuries, and will also ask if the pain is ongoing or acute. The therapist will then conduct a hands-on examination looking for the source of the pain. This may include palpating the affected area. This helps him locate the origin of the pain. However, to determine the underlying cause of the pain. Based on the findings from your examination and the results of these tests, your physiotherapist should be able to diagnose the cause and type of your pain. This will help him or her to create a treatment plan for you. How is musculoskeletal pain treated? Musculoskeletal pain is best treated by treating its cause. This will vary depending on whether you are experiencing bone, muscle, ligament, tendon, or joint pain, or some other kind of musculoskeletal pain. Treatments include:
  • Physical Therapy
  • Strengthening and conditioning exercises
  • Stretching exercises
  • Soft tissue Techniques including massage
Pain medication may be used during treatment for any type of musculoskeletal pain. Your doctor may recommend analgesics such as acetaminophen, NSAIDS, or, if pain is severe, opioids.

Prehabilitation and Rehabilitation programmes

Edgeway Physiotherapy will design either a rehabilitation or Prehabilitation programme which will be specific to the patient's needs. The programme will be designed to be carried out in a fitness suite, gymnasium, or at home without any major equipment. Throughout the programme the patient will be re-assessed at regular intervals to monitor their progress.

Rehabilitation: Rehabilitation is the process by which to regain full function following injury and involves restoring strength, flexibility, balance, proprioception, endurance and power. It is achieved through various exercises and drills. Rehabilitation is as important as treatment following an injury but unfortunately is often overlooked. The aim of our rehabilitation programme is to regain pre-injury levels in all aspects of physical and mental fitness. A full rehabilitation and strengthening programme is essential to ensure a full recovery and in order to prevent re-injuries occurring.

Prehabilitation: This is a form of strength training and aims to prevent injuries before their actual occurrence. Since rotator cuff and elbow injuries, are common among athletes in a wide range of sports, training the muscles surrounding these vulnerable joints can prevent injuries sustained from repeated wear and exertion. Prehabilitation can also be applied to people awaiting orthopaedic surgery. The intention is that the fitter the patient is when they have surgery the quicker they will recover from their surgery. Massage and strengthening exercises are tailored to the patient so that even those with end-stage osteoarthritis (bone on bone) can safely undertake some form of exercise that will improve their long term outcome. Evidence suggests that to improve quadriceps and hamstring strength before knee surgery is beneficial to the long term outcome of the surgery.

Our Services

Assessment & Treatment
Functional Orthotic Prescription
Post-Operative Scar Treatment
Referral for x-rays an MRI scan

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