Diabetic Foot
The Diabetic Foot is part of a series of anatomopathological alterations and peripheral neurological disorders that occur in the feet of people affected by diabetes mellitus. These changes consist of diabetic neuropathy, circulatory problems, infection and decreased blood circulation in the foot. These lesions are usually caused by contamination of bacteria, and, as diabetes causes a delay in healing, there is a risk an amputation of the Foot. Diabetic foot occurs due to the destructive action of excess of glucose in blood.
Our role will be to intervene with preventive measures, in order to minimise the consequences of Foot Diabetes.
Posturology/Postural Correction
Posture is the position of the joints at a given moment, allowing balancing in space, together with nervous system and muscles.
- In a single individual, information circulates between the nervous system (afferent peripheral pathways) and the brain, coming from three sources for the balance of the body in the space, whether standing, sitting or moving. These three sources are the Eyes, the Temporomandibular Joint (TMJ) and the Feet.
- There are proprioceptors that inform a structure called cerebellum there, and then inform the brain of the degree of tension that each one is being submitted, transmitting that information back to the muscles, joints, ligaments and tendons, making us balance consciously or unconsciously. Thanks to these receptors, if we close our eyes and cause a movement, we perfectly perceive our position in the space in which we are located.
- Depending on the affected structure, collaboration will be important, namely with Physiotherapy, Ophthalmology and Dentistry.
- Our role will be to identify the affected structure, correcting through the so-called Postural Insoles.
Biomechanics
“Biomechanics is the study of the structure and function of biological systems by the means of the methods of mechanics”. Herbert Hatze
In Foot Biomechanics, we focus our attention on the mechanics of the foot movement, considering the recognised normal patterns.
Our role will be to identify what can be considered pathological, taking as a criterion the adaptation of the Foot to the body structure.
After correct identification, we proceed to correction using customised insoles, where main objective is total or partial absence of symptoms.
Study of Gait
Walking properly helps minimise tension and pressure on your knees, heels and back. Each step is composed of different movements, facing with the complexity of each movement, it is essential to study the gait of each individual, in order to perform:?
– Diagnosis of the various gait patterns (physiological / pathological)
– Correction of pathological patterns;
– Monitoring after therapeutic intervention;
– Prevention of co-morbidities;
– Worsening of bone-articular and musculoskeletal disorders;
– Cardiovascular and pulmonary conditioning (inactivity).
Fungal infections
Commonly known as onychomycosis (nails) and dermatomycosis (skin infection of a foot sole and the interdigital zone (between the fingers)) are infections caused by fungi (dermatophytes, yeasts, filamentous non-dermatophyte fungi).
Onychomycosis initially causes few or no symptoms, manifesting itself by a colour change in a corner of the nail (yellow spot). With the proliferation of the infection, the nail becomes yellow and thick, causing destruction or partial or total dystrophy of the nail and its bed.
In the most severe cases, we have cross-infections with two or more families of fungi, increasing the likelihood of Candida albicans over infection, presenting painful inflammation around the nails (paronychia).
Our task is to diagnose, treat and control the infection, as well as all favourable factors to the development and proliferation of fungi, promoting essentially prevention after treatment.
Dermatological changes in the Foot
Warts is a common viral infection that appears in small areas of the skin of the Foot. They have the same colour as the skin and are most commonly surrounded by a hyperkeratosis layer (“hard” skin), often confused with the so-called “callus”. It can be very painful and is contagious, so that public places as swimming pools, showers, changing rooms and gyms are the easiest ways to spread and development of these viruses.
Calluses are areas of greater or lesser dimension of the skin, which accumulate several layers of keratin due to excessive body pressure or friction caused by footwear.
Cracks in heels. When the pressure of the body weight falls on the heels and the skin is not properly hydrated, it will start a cracking process, which can give rise to wounds causing pain and discomfort.
- Customised Insoles
- Postural Insoles
- Comfort Insoles
- Sport Insoles
- Adult Corrective Insoles
- Child Corrective Insoles
Insoles are made through a biomechanical evaluation and baropodometric, in a customised way and adapted to each clinical situation, after diagnosing individual needs.