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By far the most common injury which patients have to contend with is when they roll their ankle and foot in an inwards direction and sprain one or more of the main three ankle ligaments on the outer side. The image below shows these three. They are easily tested in the practice with a few simple movements. In cases where we are not sure as to the extent of the damage or it seems to be severe - we will send you for an ultrasound scan which will show us in detail which areas have been affected.

Treatment will of course be individualised for your particular injury, but would involve (in less severe cases) mobilising the bones in your foot (see explanation below for more details), relaxing some of the muscles in your foot, lower leg and possibly all the way up to your hip. It just depends on how long ago the sprain took place and how badly it influenced your foot and leg movements. In most cases you will be shown a few stretches to do on your own and a simple strapping technique which - when possible - would allow you to continue your activities. Also, if appropriate, we may recommend a variety of pain relieving or anti-inflammatory creams which you could choose to purchase at your own discretion at any pharmacy.
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Heel Pain

It's most annoying when every step you take causes you pain. Your heels are actually made up of two bones 'stacked' on top of each other. Due to a variety of reasons these two bones can develop a tilt and put your entire walking pattern at risk. In some patients this may have far reaching knock-on effects such as lower back pain or even headaches. In others it will simply cause just local foot pain. This is usually easily remedied with osteopathic manipulation and some muscle work. You would also be shown stretches which you can do on your own to speed up the process.

Heel pain can also happen because the muscular attachments to the underside of your heel become inflamed and cause pain whenever you try to use them to walk. In these instances the pain will often be worst after a period of rest - such as when you get up first thing in the morning, or after you have been sitting watching TV for a while and go to get up. This condition is often called Plantarfascitis. Its treatment involves a mix of modalities dependant on its severity. In mild cases (which can still be quite painful) osteopathic treatment and stretching on your part can be enough to actually fix the issue over the period of a few months. In other cases where the inflammation is more severe we would need to order an X-ray and ultrasound in order to assess the severity. In some of the most severe cases we may need to refer you for a cortisone injection in order to give you long standing relief. As always we will discuss these options together, you wil receive our professional advice, but you will always make the final decision on what you would like to do.
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Nerve Entrapment

In certain cases where constraining shoes are worn for many hours a day, or if you have to walk great distances every way on hard surfaces you may develop a nerve compression in your foot. The nerve (which can vary between patients) becomes squashed between your foot bones can lead to a great deal of pain every time you try and put weight on the foot.

These painful presentations often need to be differentiated from fractures which can occur under the same conditions - either by means of X-ray of ultrasound. In some cases we can help with osteopathic treatment, whilst in other we will suggest an appropriate podiatrist, specialist or other professional who would be most helpful to you in order to achieve the fastest results for you.

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