Foot Health

Analysis of general foot diseases and conditions  (including wounds in the foot area and pain in the sole of the foot), examination and diagnosis are made by the doctor and expert podologist or prosthetic orthosis technicians in order to find appropriate treatment methods for the disease and pathology.

The podologist (foot health specialist) examines the postural / biomechanical structure of the foot and body in 3D and visually with the latest technological products and tools.

Following the diagnosis and diagnosis made by the podologist or according to the prescription of the patient's doctor, the patient's existing ailments in the foot, by making personalized orthopedic insoles, intervene in the foot foundation structure and ensure the recovery and comfort of the patient.

The podologist does not only finish his task by making insoles for the patient, but also gives the necessary information for the patient to use the insoles in the right conditions (use of healthy shoes, etc.). When necessary, it also monitors the natural development of the patient's foot by applying controls that extend the life of the insoles.

Problems caused by foot structure and dysfunction:

• Posture, balance, stance and gait disorders

• Foot (heel, sole, toe) and ankle pain

• Leg, knee, hip, waist, back, neck, shoulder, jaw pain

• Fatigue, muscle cramps, decreased lung capacity

• ankle sprains

• Hallux valgus (thumb protrusion-bunion), hallux rigidus, hammer toe and other little finger problems, ingrown toenails, sesamoid problems, morton's foot, metatarsalgia, morton's neuroma, calluses and plantar verrue (apical wart), medial plantar neuropraxia (jogger's foot) , sole collapse, high sole, heel spur-plantar fasciitis, posterior tibial tendon dysfunction, tarsal tunnel syndrome, Achilles tendon problems, haglund's disease, stress fractures, foot related muscle and tendon strains, articular cartilage lesions and ligament-capsule strains, compartment syndromes, functional shortness of the leg, curvature of the spine.

Baropodometric Analysis

​

Baropodometric analysis, patient's pressure  Equipped with special sensors  It is based on the principle of measuring by walking or stopping on a platform. This platform is used for dynamic, static movement/gait and postural assessment.

The data coming from the sole of the patient's feet through pressure sensors are analyzed with special software, on a computer screen.  displayed and reported.

In this way, the person's pressure / balance etc. detected if there is a defect.

Baropodometric Gait Analysis Test

The gait analysis test clearly reveals the real problem with the person's gait. It makes an important contribution to deciding on the necessary treatment. It provides objective data for tracking the person. It provides an objective evaluation of the effectiveness of the treatment. The cause of a functional disorder in the foot cannot be found without measurement with functional tests or dynamic tests. Using the advanced technology foot pressure scanning system and video analysis system such as Sensor Medica – freeStep, the functional  It should be checked how it presses when it is in a state or static state. If there is a defect in the pressure distribution of the foot, solutions should be produced for this. The primary purpose here is to protect, and the secondary purpose is to produce a solution for the cause.

Baropodometric Gait Analysis

Gait analysis systems should be computerized advanced technological systems with completely special software. The measurement data should be evaluated by a special computer program of the gait analyzer, which has been prepared to evaluate the foot functions, and accordingly, personalized insoles should be designed by the computer program and personalized insoles should be made with the CNC machine with the special materials used. Again, this detailed computer data should be used by experts to make advanced interpretations and solutions.

​

The foot is the most load-bearing structure in the body. It is the region where the body weight and the gravitational force of the ground meet each other. It is directly affected by the magnitude, direction and variation of these forces. Forces above the norm cause mechanical and pathological disorders in the foot. While buying shoes and making the supports added to the shoes, the forces are balanced and the deteriorated mechanics are tried to be corrected by taking this situation and reasons into consideration.

​

The sole protects the plantar aspect of the foot. For this reason, the outer sole of our shoes should be more rigid (hard), and the inner part in contact with the foot should be partially softer. The widest part of the shoe should be the points where the bone heads of the 1st and 5th toes coincide. If this area is too narrow, it may cause compression and mechanical deformities with this compression, ingrown nails, fungus and skin loss. Again, toe box or pointed toe shoes with narrow uppers can cause finger deformities such as hallux valgus and hammer toe by causing compression in the bones with the fingers.

​

The heel is the first point of contact in walking and carries between 50% and 60% of the weight of the load, while the forefoot (metatarsal region) bears approximately 40% to 50% of the weight of the foot. The heel is usually made of hard plastic or leather. Low heels around 2 cm provide maximum balance in the body and lighten and minimize the load on the fingers. While women should have a maximum heel between 4 and 4.5 cm, heels between 3 and 3.5 cm in men are considered normal, but as we said, the ideal heel is those that do not exceed 2 cm under normal conditions.

​

Insoles are used in low arches of the foot and related pathologies, internal-external balance problems of the fore and heel part of the foot and the entire region, that is, in biomechanical pathology, heel pain and heel spur, ulceration (skin loss) and deformation, diabetes-induced wounds, etc. It is an orthosis used for reinforcement in pathologies.

Pes planus (Flat Foot) is the lower than normal medial longitudinal arch of the foot. This can occur congenitally or later. In patients with pes planus, unbalanced pathologies may occur in the heel and anterior part of the foot. As the heel points towards the varus, the forefoot tends towards supination. In this case, while supporting the medial longitudinal arch, it is aimed to provide balance with the inner heel wedge. The reinforcements made cover 3/2 of the foot. If the heel points towards the valgus, it should be supported with an external wedge. Children up to 3 – 4 years old  pes planus is observed physiologically. After this age, arc reinforcements are needed. Normally, the arch completes its shape between 6 and 7 years of age.

Pes cavus is a condition in which the arch of the foot is higher than normal in contrast to the planus. In this case, clawing in the fingers and deformations on the outer surface of the 1st or 5th toes or the upper surface of the other fingers are observed. Pes cavus can be observed as a symptom of neuromuscular diseases. There may be congenital or acquired neuromuscular diseases. In particular, there are neuromuscular diseases that occur later, diseases caused by the body's immune system, thyroid disorders, diabetes, vitamin B12 deficiency, toxins, and some drugs that are harmful to muscle-nerve tissue.  While the foot is supported both medially and laterally in the pes cavus, the transverse arch is supported by the metatarsal pad. For clawing on the toes, the front of the foot is kept high and the joints are supported by an interdigital support, and the toe part of the shoe should be comfortable and have sufficient space.

In patients with low transverse arch , it is seen as a result of the weight of the foot on the bone heads of the 2nd - 3rd - 4th toes. The foot load is normally carried on the 1st and 5th toe bone heads in the heel. Due to the low arch, the 2 - 3 - 4th metatarsal heads are also loaded and pain occurs. In this case, transverse arch reinforcement is applied to the patient. This reinforcement is up to the 1st and 5th metatarsal heads and does not cover these metatarsal heads. In some cases, this reinforcement is enlarged to cover the 1st and 5th metatarsal heads. Generally, reinforcement is applied with the medial longitudinal arch to reduce the load on the metatarsal heads. In cases where the first metatarsal is short, the load is on the second metatarsal head. In this case, a reinforcement is made per 1st metatarsal or a reinforcement is applied to the metatarsal heads altogether.

The calcaneal epin (Heel spur) is an osteophyte formed in the calcaneus tubercle from the beginning of the plantar fascia muscle on the sole of our feet. The aim of treatment with insoles is to relieve the painful area from pressure. For this reason, the epin area is emptied in an ellipse shape and the heel circumference is supported to keep it stable. With arc reinforcements, the foot is kept in balance. Shock absorbing rubber sole shoes are recommended to increase the effect of these reinforcements.

Hallux valgus is a painful condition that occurs as a result of the bone head of the first toe protruding and the finger turning inward. It usually occurs due to the wrong choice of shoes, the work tempo where the standing posture is too high, or the wrong sports situation. Support and strength are applied with toe rollers, night splints or reinforcements made into the shoes. In the insoles again  We apply force to this region with various supports. In hallux valgus, shoes with a heel of no more than 3 cm should be preferred and comfortable, wide, round toe shoes should be used. If the pain felt in hallux valgus is severe, surgical intervention may be required. These supplements should be used before or after surgical intervention.

Morton's neuroma is nerve compression. Nerve compression occurs between the 3rd and 4th fingertips. These areas are supported with soft supports and compression is relieved. In severe pain cases, surgical intervention may be required, and as in hallux valgus, these supports can be applied after surgery.  should be used.