Free Footwear Health Check

One very happy client! At Happy Feet Pedorthics we see people who have had polio as a child and now have a condition called PPS – Post Polio Syndrome. Many people with the late effects of polio do have foot problems – some mild and some more severe.

 

Happy Feet Pedorthics 

One very happy client! At Happy Feet Pedorthics we see people who have had polio as a child and now have a condition called PPS – Post Polio Syndrome. Many people with the late effects of polio do have foot problems – some mild and some more severe. Partial paralysis can create a muscular imbalance between opposing muscle groups of the foot and ankle which can lead to a pes planus or pes cavus foot, abnormal pronation or supination and other gait abnormalities. Other problems can ensue such as calluses, corns, hammer toes or hallux valgus.

 

Happy Feet Pedorthics 

One very happy client! At Happy Feet Pedorthics we see people who have had polio as a child and now have a condition called PPS – Post Polio Syndrome. Many people with the late effects of polio do have foot problems – some mild and some more severe. Partial paralysis can create a muscular imbalance between opposing muscle groups of the foot and ankle which can lead to a pes planus or pes cavus foot, abnormal pronation or supination and other gait abnormalities. Other problems can ensue such as calluses, corns, hammer toes or hallux valgus. Pedorthically the aim is for proper fitting, supportive footwear and or orthoses which is accommodative and not corrective, both of which give the client more comfort. The shoes above is what a recent client presented with.

 

More specifically we want the shoes to have the following features:

  • Lace up or velcro closing to prevent the foot from sliding in the shoe
  • Good arch support
  • Long firm heal counter to stabilize the foot when turning and pivoting
  • A firm sole to act as a shock absorber when walking
  • Low heel with less pressure on the metatarsal heads
  • A wide deep toe box for the toes not to be irritated and to accommodate the width of the foot

 

 velcro closing to prevent  

The shoes above have been made for the client’s feet, and at first fit she was one very happy person. Shoes which fitted her feet, comfortable, no pain, more safety in walking and styly look!

 

Thanks to the team who made it happen!

 

 

Clare Nelson C Ped CM AU

Have a look at your feet for a moment. What is the shape of your foot?

 

Take another moment to look at your shoes. What is the toe shape of your shoes?

 

Beautiful feet with their unique dimensions! Beautifully handsome shoes made on lasts with their unique dimensions!

 

The question – is there a match or mismatch? The outcome –comfortable or uncomfortable feet?

 

 

 

After a long day out, or a long night dancing about, take a moment to look at and feel your feet when you take your shoes off. Is the colour of your skin even? Are the bunions red? Your toes, especially the little toe? Are the soles of your feet hot and stinging? Have you developed a blister? Can you feel a callous?

 

Don’t get us wrong! At Happy Feet Pedorthics we believe in parties and you need the shoes to party well! And we also know the pain – the burning, the blisters, and the inflamed feeling! Just get me to the chair I say!

 

We have a client who used to work in chicken factory was given the nick name of Paddle Foot.

 

To the left are the feet after resting up from the night before during holiday time –no shoes for a wee while for Paddle Foot!

These are the tracings of the Paddle Foot’s feet. Have you ever measured the width of your feet at the widest part and then compared that measure with the width of the soles of your shoes at the widest part?

 

Below are the shoes are worn to work – holes cut for the toes and too long. Paddle Foot is very grateful to be employed with these shoes – as she is on her feet all day servicing the pubic in the retail sector!

 

 

 

When there is a need for something other than bare feet these are the best possible for Paddle Foot! Ouch for the heels and the fifth toes on both feet!

 

Thank goodness for the skill of the podiatrist to remove the callous build up!

 

 

Clare Nelson C Ped CM AU

All of us have different abilities – visible and/or hidden. So what can this mean for some people who come to Happy Feet Pedorthics for appropriate footwear? Footwear provides protection be it to walk in the street or when sitting in a wheelchair or reclining chair. All of us are entitled to the dignity of choice and as a pedorthist I must exercise our duty of care to every person, when making a footwear assessment.

 

Following are some stories of people coming to Happy Feet Pedorthics who have special needs.

 

Zak
Zak has right hemiplegia, suffers epileptic seizures, is mentally challenged, and is having an increasing number of falls, and is being reviewed regarding the need to wear a protective helmet. Zak wears different length boots, both of the same width, with a leg length difference raise of 3cm to his right boot. Zack needs several pairs of shoes as they require regular repair.

 

Howard
Consequent to a sporting accident Howardis a quadriplegic who drives his own car. As a pedorthist I must respect that Howard does not want to look like he is sharing shoes with his grandfather because Howard believes his clients will not then see him as an equal. And Howard readily has pressure areas resulting in ulcers on his feet, due to his long hours of work.
Howard

 

Mary Jane loves to walk, such that in travelling she has to be restrained in a wheel chair. My response as a pedorthist is for well-fitting shoes, worn well with the foot well back in the shoe and the straps not too loose and not too tight. The goal for Mary Jane is no slips, trips or falls; and to accommodate her toes and not develop corns.
Mary Jane

 

Mary Jane
Josie is 40 years of age and her feet are only 17 cm long. Josie needs shoes which give her more support as she walks all the time. Josie does not like having her feet touched and she is telling us this by trying to kick. Josie’s intent is not to hurt. As a pedorthist I need to understand her language.

 

Hayden is a 45 year old man who was involved in a car accident which resulted in him having an acquired brain injury and spending most of his time in a wheel chair. Hayden wears an ankle foot orthoses on his left leg to give support as he exercises under supervision. His right shoe has a full length raise and his left has a hell raise as well as a conversion to long opening with 3 velcro straps so that his foot and AFO can be accommodated.
Mary Jane

 

Mary Jane
Vincent is 37 years old and has cerebral palsy. He wears the same length and width boot on both feet, and he has a 2 cm leg length difference raise to his right boot. To reduce his toe walking we have fitted a sensomotoric orthotic, which utilizes the proprioceptive system of the body. Vincent’s alignment of his body is best when he keeps his shoes in alignment with regularrepair.

 

Rose, 49, lives independently and has Downs Syndrome. At Happy Feet Pedorthics we have fitted Rose with an extra width and depth sandal for summer and for winter
a split fit long opening velcro closing shoe – 3E width on the longer foot, 5E width on the shorter foot, both with extra room at the arch area.
Mary Jane

 

Mary Jane
Benjamin has short wide feet. He does not like attending medical appointments and even if he agrees, he invariably refuses to be examined, have podiatry care or his shoes fitted. At Happy Feet Pedorthics we are able to fit him with prefabricated medical footwear – a 6E fitting with extra depth, which were then modified to have pull back straps to aid Benjamin to independently fasten his shoes more firmly.

Clare Nelson CP CM AU