Non-operative Treatment

Custom Foot Orthotic Fitting

Custom foot orthotics are specially designed corrective devices to restore the natural position of the feet. The orthotics acts as an interface between the feet, the shoe and the ground. The purpose of the device is to support the bones and joints of the feet to maintain optimal neutral position and to eliminate or compensate any misalignments or structural problems of the feet.

Orthotics are usually prescribed by a specialized doctor according to the requirement, lifestyle or shape of the feet of the patient. There are many different types of orthotics such as rigid types to increase the control of the feet and soft or flexible types to provide comfort. Certain specially designed orthotics for different sporting activities provide balance and control during sport, prevents high impact stress or injury to the feet, knees or spine and also enhances performance.

Functions of Custom Foot Orthotic

  • Prevents abnormal foot function
  • Restores proper weight distribution
  • Improves overall biomechanical function of the foot
  • Compensates for deformities or other abnormalities related to leg and foot
  • Prevents further damage of joints, muscles and ligaments
  • Prevents sports injuries and enhances performance

Indications

Orthotics are commonly indicated for prevention or correction of various foot conditions. Usage of orthotics depends on the symptoms of the condition ranging from general aches to foot conditions such as Achilles’ tendonitis, plantar fasciitis, heel spurs, diabetic neuropathy, calluses or corns formation, Morton’s neuroma and sesamoiditis. Sometimes orthotics are also recommended as an alternative to surgery or may be used after surgery to preserve the alignment.

PRP Injection

Platelet-rich plasma (PRP) is a newer modality of treatment for the management of many orthopaedic conditions including sport injuries. RBC (red blood cells), WBC (white blood cells), plasma, and platelets are the major components of blood. Platelets are small discoid blood cells with granules containing clotting and growth factors which are released during the healing process. On activation, the platelets accelerate the inflammatory cascade as well as healing by the release of the granules containing growth factors. Platelets have an average lifespan of 7–10 days.

A normal blood specimen contains only 6% platelets whereas platelet rich plasma (PRP) contains a much higher concentration of platelets. A PRP injection is generally recommended in the treatment of tendon or muscle injuries with a success rate of about 70% to 80%. Four to six weeks may be required for complete healing.

Special precautions are required in individuals with low platelet count, bleeding disorders, those on blood thinning medications or anti-inflammatory medications, individuals allergic to local anaesthetic agents, those with active infections and women who are pregnant or breast feeding.

Procedure

Your doctor will first draw 10 ml of blood from the large vein in your elbow. The blood will be centrifuged or spun to separate the platelets from other blood components. The entire process takes about 10 minutes. The platelet rich portion of the blood is then extracted.

The injured part of the body is anesthetized with a local anaesthetic and PRP is injected into the affected area under ultrasound guidance.

After the Procedure

Following the procedure, you can resume your daily routine activities but avoid strenuous activities such as heavy exercise or lifting.

You may experience some pain during the injection which may last for a couple of days. Cold compresses and pain medication may be prescribed for pain relief. Anti-inflammatory medications are to be avoided for up to 48 hours after the injection, as they can affect the platelet function.

Risks and complications are rare but can include infection, nerve or blood vessel injury, scar tissue formation, and calcification at the injection site following a PRP injection.

Call your doctor immediately in case of persistent pain or the development of any adverse reaction after the injection.

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