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Thread: Can anyone recommend a really good podiatrist?

  1. #1
    Mini Goon Matt E's Avatar
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    I'm wondering whether anyone has used the services of a private podiatrist they can highly recommend, who has effectively sorted out any problems they had.

    I am looking for someone who is able to offer:
    - gait analysis
    - the manufacture of orthotics - preferably with foot measurements taken by laser rather than casting

    I have read good reports on this forum regarding the Rebound Clinic in Settle, but these posts are fairly old.

    Any help would be very gratefully received.

  2. #2
    Ultra King Paddy Dillon's Avatar
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    You could check with Rebound direct.

  3. #3
    ‹bermensch
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    It might sound like a joke, but have you tried the NHS? If you can get your GP to refer you, they have some very good podiatrists who'll do a very professional job, without emptying your bank account. It can take a bit of time, but it's well worth the wait.

    I did go to Andrew Stanley, at Settle, a good few years ago, and he was very good at correcting my flat footedness, with an orthotic insert, but not so helpful with another foot problem I have. The NHS foot specialist was better, imo.

  4. #4
    Mini Goon Matt E's Avatar
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    Many thanks for the replies.

    It's very interesting to hear about your experiences Guy. I have seen an NHS podiatrist, but without any great success. He took a cast of my foot and made me a custom orthotic but the arch was far too low. He then tried to remedy the problem by building up the arch, but made it too high and it was too painful to use. I've had to resort back to a non-custom orthotic (also provided by the NHS), which I feel is a much better fit than the custom one made by the NHS.

    My problem is injury to the fascia on the sole of the feet. This is not caused by overpronation, but by having a high-arched, inflexible foot, which does not absorb shock very well. I therefore need an orthotic which is able to absorb shock well, but also provides good support for the arch. Currently I am using a Sorbothane double strike insole with an arch supporting insole on top of it.

    I've had this problem for a while now so I feel it may be time to go along the private route.

  5. #5
    ‹bermensch
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    Matt -- It sounds as if you've got a foot problem very similar to mine. In my case the pads of fat on the sole of my foot were actually "displaced" because I had been wearing fairly extreme orthotics for a number of years, made at Rebound to correct my flat footedness. It felt like the soles of my feet were on fire when I walked any distance.
    Andrew Stanley seemed at a loss about what to do about it ? perhaps he was having on off day ? but the NHS podiatrist produced a footbed with the correct arch support and which also incorporated a very resilient rubbery material at the front ? a bit like Sorbothane ? to supplement my own displaced "shock absorbers". It's worked very well for three years or so now.
    BTW both Andrew Stanley and the NHS podiatrist took casts, rather than using laser measurement, and the results in terms of the "camber" on the orthotics were fine in both cases. I think it might be more to do with the judgement of the podiatrist than the method he or she is using.

  6. #6
    Ultra King
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    I was going to recommend a gait analysis and sport physiotherapist specialising in feet and the outdoors activities. I am not sure if it is Rebound or some guy called Stephen something. He did an article / advice section(or an article was done about him) in Trail mag a few years ago. I will try to find out his name.

    One small warning, some physiotherapists will want to send you to get specialist footbeds. This might sound reasonable but there is a bit of a scam going on where you get charged hundreds of pounds for something that does not provide much benefit over a simple £36 superfeet. I have heard of a local sports specialist physiotherapist who sends clients to his mate who make takes details then sends of to a supposedly "expert" manufacturer in USA which through many years of scientific research... blah!blah!blah! You get my drift? The resulting footbed is a slab of foam worth all of £3 to make.

    Not all specialists are the same just that I know of many people who have gone to "specialists" all over the place and after shelling out over £300 on a footbed ended up in more pain than the superfeet footbeds they had been using. One case was somone who went to a place in Settle after a sporting injury and ended up throwing the custom footbed away on advice from his doctor after it made the condition worse.

    I really do think you need to go through your doctor. But this is what the person described above did so it really is a case of suck it and see. Just be warned your pocket will be affected and potentially for no benefit.

  7. #7
    Mini Goon Matt E's Avatar
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    @Guy:

    That's very interesting. It sounds as though your NHS orthotic is exactly the type of thing I'm looking for . Now all I need to do is to find someone who can make one for me! It's also interesting to hear that you've found the orthotics developed from casts have been a good fit - I'll make sure I don't discount these.

    @Time to go:

    Many thanks for your reply .

    This is certainly a worry that I have. I am aware that it is likely to cost a lot of money, and will possibly not provide any better solution than the one I have at the moment. However, it's a risk that I think I'm prepared to take if I can find a specialist with a good track record.

    I've tried many different types of off-the-shelf orthotics including green Superfeet. Superfeet don't really seem to work for me - the arch support is too low for my feet, and according to the NHS podiatrist I need something with more shock absorption.

  8. #8
    ‹bermensch
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    Matt -- The labels on my insoles are very faded, but I can just make out that they were made for the NHS by Chas. A. Blatchford & Sons, of Sheffield. They might be able to put you on to somebody in your area who could help.

  9. #9
    Mini Goon Matt E's Avatar
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    Many thanks for all your help Guy. It is very much appreciated .

  10. #10
    Mini Goon
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    What part of the country do you come from Matt? It may be that you will need to make a number of trips before the orthotics are correct, so it's worth looking in your local area. That was one of the problems I had when I went to see Andrew Stanley - he's in Yorkshire, and I'm on the south coast, so return visits were not very practical!

  11. #11
    Mini Goon Matt E's Avatar
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    That's an interesting point Graeme. I'm in North Wales, so probably about 2.5 hours drive to Settle.

    I'm prepared to travel a fair distance for good treatment. I presumed there would only be only one return visit. However, from your post it sounds as if there could possibly be more, which may be problematic...

  12. #12
    Ultra King Fossil Bluff's Avatar
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    Matt

    I have had the orthotics described by Guy through the NHS (2 sets for differing shoes) The orthotist was very helpful. All I needed was a referal from a GP - didint take too long at all.

    Have you tried your GP for an appropriate referral?

  13. #13
    Super Moderator Metric Kate's Avatar
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    It's such a lottery - I had serious back problems a few years ago, got absolutely nowhere on the NHS (they tried to treat the symptoms, but didn't investigate the cause), and my GP eventually suggested I see a chiropractor. He diagnosed over-pronation, did the laser-scan stuff and I have orthotics which within a few weeks had resolved the worst of the problem. I had to pay, but it was better than free pain on the NHS, though why I couldn't get a relatively straight-forward case of over-pronation diagnosed and treated on the NHS is beyond me.

    In spite of that, I'd probably try the NHS first (or at least find out what the waiting times are).

  14. #14
    Mini Goon Matt E's Avatar
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    Many thanks FB and MK.

    I have seen an NHS podiatrist who provided me with some custom orthotics. However, they made some mistakes in the process and the resulting orthotics do not match my feet very well and are are painful to use.

    Possibly I should go back to be fitted for new ones, but I've lost a bit of faith in them now.

  15. #15
    ‹bermensch
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    The NHS can be a bit of a lottery, but then so can being treated privately. My initial experience of the NHS was terrible -- they failed to diagnose my very flat feet for years, which caused me avoidable knee and back problems. Andrew Stanley, in Settle, diagnosed the problem and his insoles were good (even the NHS orthotist said as much), but he thenfell a bit in my estimation by not coming up with an answer to the problem I then had. The NHS then stepped in again and sorted things. I suppose it shows there is no guarantee one approach will work, andthe benefit of persistence.

  16. #16
    Mini Goon
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    I originally saw Andrew Stanley, and he made me some orthotics that helped a bit, but the distance (among other things) prevented me from making return visits to sort things out properly. I later ended up using Orthaheel insoles instead of the orthotics as they were more effective!

    A few years later, as my feet got worse, I went through the NHS. The first podiatrist I saw really impressed me and I think we started out on the right track. Unfortunately he was replaced with a young guy fresh out of training who seemed to be a complete waste of space So finally I've been seeing a local podiatrist that was recommended to me. Luckily he charges a fixed price, as I've been back to see him at least a dozen times as we gradually get the orthotics right. It seems my feet are indredibly sensitive and react badly to some of the standard approaches to correcting my problems. I can't fault my his perserverence, and we're nearly there now

  17. #17
    Widdler
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    If you need Foot Orthotics, you need to find an Orthotist!! That's what orthotists do - orthotics! They don't just do foot orthotics, they do all kinds of supports and splints for the whole body ankles, knees, hips, backs.They are highly skilled health care professionals working within the NHS and some also work privately. Make sure your healthcare professional is registered with the HPC if you are looking privately. There are loads of folk supplying foot orthotics and they are not all qualified to do so.

    Podiatrists are fine if you problem is from the knee down, but if a problem is coming from or affecting the spine, they will not treat it as it is not their area of expertise. You need an Orthotist to examine you fully.Try putting Orthotist into Google and see what comes up in yourarea. We operate in Sussex.

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