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Glad it was helpful!

Yes a low drop shoe can also take load off the knees. Increases the load through the ankle. Yes is not a good or bad thing, so something to be aware of

@@tommyddurand no worries a pleasure. With out seeing your foot hard to comment as such. However a general rule, I am not a fan of long periods of off loading. My personal view is need to work on the strength side of things and building up strength and tissue tolerance and off loading whilst been active, so using rocker soled shoes Good luck. There are other videos on the channel around strengthening exercises If you need any help more than happy to do a online or face to face appointment

Yes, there is no reasons why you can't as along as symtpoms allow

Glad it helped and great to hear

The ones in the cover art are saucony endorphin speeds

My pleasure!

Many thanks for message, sorry the text is terrible, it was written by a human (AI was not aroudn when the video was recorded) and had no other complaints and at the time I didnt have any other microphones (I have improved them now) Domes can be purcahsed from nkactive.co.uk/product/metatarsal-dome-pair/

Most running shoe shops will stock them

Personally not used them, however had a couple of colleagues try them they had concerns over quality. We are currently Using kit by strength by numbers

No worries at all, glad it was help and best of luck for the future

To pronate the forefoot to help engage the windlass mechanism and take the load off the plantar fascia. Then lateral to compress the fat pad

Glad it was helpful!

Hi @noivctheaf many thanks for the message, yes the insertional will not like stretching. Of course we can offer an online consultation you can book in with the link below. nk-active.cliniko.com/bookings?practitioner_id=53034&appointment_type_id=1260834468004889714 Thanks Nick

Great stuff

Glad it helped!

Glad it was helpful

Yes of course we can, we can schedule it for next couple of months time

Sorry I have just seen this, if you have not already please message Julie ATnkactive.co.uk your CV and covering letter thank you

Sorry this is a very vague answer as it depends our clinical evidence. Say it is anything from 12 weeks up to 7-8 months from when you start a treatment plan. There are many factors that count towards the difference in time length the main factor is if there is problems or dysfunction around the big toe as this will increase the load going through the leaser plantar plate those toes

If you’re getting symptoms after swimming, this can be irritated if you are using the Foot to push you off the wall, however if this is not the case and you’re not pushing off the wall and you’re still getting irritation on swimming that is a sign you’re not offloading it enough

You can use somethings like hypafix or mefix on the top or leave the top bit off. It in only there to stop it catching on socks

Soak your foot in water

Sorry to hear about the Injury. Having a look at north face vectiv would be helpful or hoka trail shoe. Happy to help with an appointment face to face or over video if you are not local to us nk-active.cliniko.com/bookings#location

It was a pleasure, glad it was helpful. If you like a stiffer feeling shoe look at the hoka carbon x also

Thanks for the message, I think it depends, and to check if you feet are a 4e width, just because most people are in the incorrect size shoes and it could be wider or narrrower Wider shoes Hoka Wide fitting shoes Altra FwD experince Brooks ghost max wide Thanks Nick

Yes, absolutely, rocker shoes should be helpful for sesamoiditis nkactive.co.uk/wp-content/uploads/2024/04/Footwear-.pdf

Many thanks for the question, the use of insoles and footwear are tools to help live with OA, they dont have to worn everyday, you decide when you need to wear them to help you the most

My pleasure

Thank you for the comment. The north face vectiv and hoka comes in a walking boot version as well which are waterproof. Unfortunately the majority of the options with a rocker are running or trail shoes very limited options when especially looking at a leather shoe, this is why we often will put orthoses or a stiff rocker in normal shoes to help

Thanks!

Thanks roger. Hope you are well

No problem

Thanks for the question. with CECS pain will not continue, with Biomechanical over load syndrome (BOS), pain will not continue after, however as with BOS it is often related to reduced strength in the legs and calf you can get muscle pain after. The other option to consider is popliteal artery entrapment syndrome. Happy to have an appointment face to face or video if you are not local

Thank you for your quick response. My doctor suggested we look into that too. Will reach out if I need an appointment. Thanks a lot🙏🙏

Thanks for the message. Yes CECS could be a possibilty or Biomechanical over load syndrome, however I would expect the pain to be more intense, did the MRI scan show any boney bruising?

It was a pleasure Colin, we do plan to get Jill back on the podcast again

Glad it was helpful! Also I need to add a shoe to this Altra FWD experience, which are nice and wide, I ordered a pair to test a few weeks ago and very happy with them so far

@@NKActiveClinics Hello again! I use altra and especially the altra paradigm and of course i like the wide toe box but it doesn't have a rocker sole. So if you have tested the new altra FWD, could you please tell me about it, in comparison to saucony endorphin or the other roccker shoes that you mention in the video!

@@stratos1974athe FWd experience has a rocker, comfortable shoe. The Altra doesn’t have a plate in it so not a stiff so you don’t feel the rocking motion as much, but if you are looking for really wide then the Altra fwd experience is the shoe or the books ghost max which is wide with a rocker but again no plate inside

@@NKActiveClinics It seems that it's one-way to try saucony endorphin and hoka clifton which are the wider with rocker and plate. Of course i will try brooks and altra you mentioned just to compare the feeling, because i have been wearing altra shoes for 3 years now and i am afraid that my feet are used to the wide feeling in the toes. Thank you!!

@@NKActiveClinics Hello again! I tried saucony endorphin 4, hoka bondi 8 and clifton 9. The endorphin feeled narrow in toes and also the bondi. The feeling was better in clifton. But my problem is that here in Greece i can't find the wider version of bondi and clifton to try to see the difference. It seems that if i can test bondi wide, this could be my choice. I keep checking.. About asics metaspeed the choices are sky, edge, sky+ and edge+. If it is possible could you tell me what the proposel is? which one? Starting from your fully informative video, i started having hope to find something that it fits me best to help me with Subhallucial interphalangeal sesamoiditis.

Many thanks and good luck on the venture. Where are you based?

This can help as part of a treatment process, however it is rare that one treatment on it's own will help solve plantar fasciitis

I always explain that once we have an tendinopathy we can settle the sympotms however need to keep nice and strong going forward to help reduce the risk of it coming back, so you think of it as it is a constent managment, hope your symptoms not causing you too many issues

Thanks for the message, there are few things it can be signs of neuropathy or nerve entrapment or it can be related to things like diabetes. My recommendation is to see a health care professional to have an assessement

Sorry to hear you are suffering from this. Yes, military recruits are one of the most common groups we see this in, especially new recruits, I think part of it is with basic training and tabbing, a lot of people don't do a lot of the physical prep work prior to joining. The biomechanical overload syndrome was actually developed in the military as they found if they made the soldiers stronger, in some work on the way they walked, things got better. This is partly also where the rough guidelines of squatting body weight and dead lifting 1.5 X body weight came from. In the clinic during the rehab process, we get the military patients to do rehab with their kit (or equivalent weight) on. Hope your symptoms get better and hope you are getting the required support. If not we can help. Thanks, Nick

This ended my army career. Even though I was a pt stud I couldn’t pass a pt test to save my life. Listen up. When you get out make sure you get 30% for chin splints. Don’t forget this. Make them pay.

@@theavalanchmanI have this and am in now I can run like 2 days a week any more and my feet go numb what’s ur advice?

Thanks for the message Graham, I agree, I am not a fan of safety shoes, I have had 3 patients this week where safety shoes played a huge role in their problem, the issue with the design of safety shoes, is they are designed around safety and not foot function, I believe they could make a couple of changes to the boots to help out, whilst steel maintaining the safety. Currently, you cant change on the shoes, so you need to off load with orthoses (insoles) and making the foot much stronger than average to cope with the loading. We have patients, who manage to get treatment and orthoses paid from by their employer as it is part of PPE to do their role as the cost of treatment is less than then the cost of going on sick. Hopefully that helps, we can offer virtual or face to face appointments if required. Thanks

The bondi 8 will be ok, the bondi x maybe better as a stiffer than the bondi 8, however you may feel the bondi 8 off loads the symptoms enough

@@NKActiveClinics Thank you so much for your comments! By the way, may I have your opinion about the role of Shockwave Therapy in the treatment of plantar plate tear? I saw some doctors advocate the Shockwave Therapy as the important tool for treating PPT. Thank you!

No worries at all. The aim of shockwave therapy is to promate healing. Ligaments have a poor blood supply so do not tend to heal that well (that doesnt mean you can get back running and reduce the pain etc) but for me I am not convincned in the use of shockwave for plantar plate injuries. We have a shockwave machine in clinic, however I never use it for plantar plate inujuries. Thanks Nick

@@NKActiveClinics Appreciated your time & professional advice! Thanks again!

@@frankh8821 it is a pleasure

It will not change how much the foot supinates (rolls out words) or pronates (roll in) the aim is to reduce the tensile load through the plantar fascia and help compress and off load the fat pad. It makes the foot feel very supported

It is so much more interesting than road running

Yes, we try and work on if pain 4/10 or lower then ok to keep running, if above 5/10 then maybe back off, work on treatment and then get back to running