Congratulations to Joanna and Luke who gave birth to Frankie on 6th November at 2.28am , 5lb 12oz. We are all looking forward to meeting Frankie soon here at DLT.
We welcome New Baby Frankie
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Orthotics & Summer Footwear
With Summer now in full swing, the warm weather and longer days brings a season of parties and outdoor activities. With this in mind, our patients’ footwear will have undoubtedly changed – from winter boots and enclosed styles, to sandals and casual ‘slip-ons’. Often these summery footwear styles offer little or no support to the foot. So what can be done to keep patients on track with their treatment regime, and reduce the re-occurence of existing biomechanical conditions or injuries, during the summer months?
WOMEN’S FOOTWEAR
For women, sandals and ballet flat styles of shoes can easily be fitted with ICB High Heel Orthotics. Although, as the name suggests, this orthotic style was originally designed for fitting into high heels, its narrow slimline design makes them ideal for flat (or low) heeled sandals. Each pair of ICB High Heel Orthotics are supplied with velcro dots to hold the orthotics in place inside the sandal.
HIGH HEEL ORTHOTICS
Ideal for fitting into summer sandals and ballet flats.
Tip: Add a 4° ICB Rearfoot Varus Wedge medially on the plantar surface of each orthotic – this will assist in providing additional pronation control.
ICB Rearfoot Wedges
Can be attached to the orthotic when additional rearfoot control is required (more than the 5° inversion built into 2/3 and full length ICB Orthotics). Patients who pronate more than 5° may require additional rearfoot posting to give optimum results. Sizes available: 2° & 4° (2 or 10 pack with double-sided tape).
MENS FOOTWEAR
‘Boat shoes’ and slip-on mocassin styles are popular summer shoes for men. A common problem with these can be that they are often narrow through the shank of the shoe. The ICB Dress Style Orthotic is a good choice for such styles, as the lateral skive (i.e. no lateral border) accommodates for broader feet, and fits much easier to narrow shoe types. The dual density design offers excellent support and comfort for the burliest of blokes.
Dress Style Orthotics – Ideal for fitting into mens boat shoes and mocassins.
Arch Pain After Wearing Orthotics
| A common complaint amongst patient’s who have been prescribed foot orthotics is ‘pain in the arch’. This type of pain can be the result of 4 common issues: 1. Pain can be due calcification (similar to dupuytren’s contracture) or a fibroma in the body of the Plantar Fascia, or a Ganglion cyst may be present. TREATMENT: If there is calcification in the fascia, use manual therapy to break it down.
VIEW VIDEO: 2. Plantar fasciitis pain can be experienced at the attachment to the calcaneus. TREATMENT: Control rearfoot pronation using orthotics with intrinsic rearfoot posting to realign the feet to the Subtalar Joint Neutral Position (STJN). If additional inversion is required to control and achieve STJN, add extra rearfoot wedges (2° or 4°) to provide additional Calcaneal control2.
A medial arch infill can also be applied to the orthotic to provide increased arch support. The Plantar fascia may be tight, and during gait (at mid stance to toe-off), compressing into the medial longitudinal arch of the orthotic causing discomfort and pain. To test for a tight fascia use the ‘Windlass Test’ (pictured below).
VIEW DEMO
TREATMENT: Create a plantar fascial ‘relief’ or ‘groove’ in the arch of the orthotic using heat or by grinding the orthotic. Place the groove 1cm from the medial edge through the arch contour. 4. The patient may exhibit unilateral excessive pronation as a possible compensation or due to plantar injury.
TREATMENT: Create a plantar fascial ‘relief’ or ‘groove’ in the arch of the orthotic using heat or by grinding the orthotic. Place the groove 1cm from the medial edge through the arch contour
Unilateral arch pain can be associated with a leg length difference3 due to long leg compensatory excessive pronation. If a structural leg length discrepancy is identified, a heel lift will need to applied to the orthotic on the shorter leg.
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References:
1. FROWEN, P., O’DONNELL, M., LORIMER, D., BURROW, G. (2010) Neales Disorders of the Foot 8th Edition, p130
2. FROWEN, P., O’DONNELL, M., LORIMER, D., BURROW, G. (2010) Neales Disorders of the Foot 8th Edition, p127
3. MICHAUD, T.C. (1997) Foot Orthoses and Other Forms of Conservative Foot Care, Sydney: William & Wilkins, p.114
Treating Plantar Fasciitis
| Plantar Fasciitis (PF) is a degenerative syndrome of the plantar fascia resulting from repeated trauma at its origin at the calcaneus1.
It is reported to be the most common cause of inferior heel pain in adults2. Plantar fasciitis is also known as painful heel syndrome, heel spur syndrome3, runner’s heel, policemen’s heel, subcalcaneal pain, calcaneodynia and calcancal periostitis. Treating the causative factors of plantar fasciitis is key to designing a treatment for your patient.Using the point of pain test will indicate if the pain is Lateral, Central or Medial.Valmassey refers to plantar fasciitis as affecting both pes planus and pes cavus foot types4 with opinion being that different pain regions may be suffered depending upon the foot structure (watch video).Generally speaking the following often applies: • Lateral Heel Pain is often associated with an uncorrected forefoot valgus and pes cavus foot type. • Central Heel Pain often indicates a forefoot valgus is present, in addition to rearfoot pronation. • Medial Heel Pain generally indicates the patient will exhibit excessive rearfoot pronation. |
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Point of Pain TEST
In each case, treatment will involve prescribing an orthotic device to control rearfoot pronation and provide biomechanical correction. In the cases of Central and Medial pain, a heel deflection (referred to as a ‘horseshoe deflection’) in the orthotic can also assist by relieving pressure on the attachment. Low Dye Strapping can be used to provide short term pain relief, as it mimics the support and control offered by an orthotic device.
Shockwave therapy has also been used to some effect in breaking up scar tissue. Anti-inflammatory medications, massage and surgery are generally less successful in the long term treatment of Plantar Fasciitis.
TREATMENT SOLUTION: ICB MOULDING ORTHOTICS
ICB Sports Orthotics have an intrinsic 5° rearfoot varus angle to assist in controlling rearfoot pronation, and a horse shoe deflection making them ideal for treatment of Plantar Fasciitis.
References:
1. Cornwall MW. McPoil TG., Plantar fasciitis : Etiology and Treatment. Orthopaedic Sports Physiotherapy (1999);29:756-76
2. Singh D. Angel J. Becky G. Trevino SG.,Fortnightly review. Plantar fasciitis. BMJ (1997):315:172-17.S.
3. Lemont H, Ammiiati KM, Usen N. Plantar Fasciitis: A Degenerative Process (fasciosis)
Without Inflammation. American Journal Podiatric Medicine Assoc (2003); 93:234-237
4. R.L. Valmassey, Clinical Biomechanics of the Lower Extremities. (1996) p76
How to use the Prendē Podicure Wax PODS and ORB
| Your Orb Box Contains: • Orb • 1 x Base Plate With Plug • 2 x Product Cupsview THE ORB |
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| Step 1: Unpack ORB and switch on | |
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| Step 2: Directly place the POD into ORB | Step 3: Place ORB on plugged in dock |
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| Step 4: Put on lid | Step 5: Wait until light is solid (20-25 min) |
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| Step 6 : Add oil to cup | Step 7: Massage Oil onto feet |
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| Step 8: Brush wax onto skin | Step 9: Brush REALLY SLOWLY |
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| Step 10: Cover desired area with wax | Step 11: Cover foot with plastic sheet |
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| Step 12: Cover feet with towels/booties | Step 13: After 10min, gently massage & loosen |
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| Step 14: Remove all wax | Step 15: Massage in Ureka Footcare Cream |
Download The ORB FAQ – What if the product feels too warm?
Introduce the Prendē Warm Wax Therapy experience to your patients with an Orb Starter Kit.
Everything you need to get up and running and create a new revenue stream.
Change your pedicure routine forever:
Pedicures are done for cosmetic, therapeutic and medical purposes. They’re extremely popular throughout the world. Pedicures are not just limited to nails; dead skin cells on the bottom of feet are gently buffed, followed by granular exfoliation, application of moisturizing creams, completed with a relaxing leg massage and nail paint.
Why a podicure is different to a standard pedicure ?
Designed by a team of podiatrists and beauty professionals. Our carefully chosen products and ingredients are backed up by techniques to help you deliver the most amazing and luxurious foot therapy while allowing efficacy in portion control, hygiene as well as adhering to treatment times.
The Prendē ORB forms an integral part of the Podicure treatment. A hand held skincare warmer for unique warm brush application.
The Prendē ORB gives
*enhanced efficacy of product,
*portion control,
*hygiene,
*a beautiful and totally new product delivery sensation.
Hyperion Shoe Spray to Protect Against Fungal Infections
The basic function of the Hyperion spray products is to offer protection against bacterial, fungal and viral infections.
The action initially is to provide an instant kill of dangerous microbes and the nano products prevent re occurrence of new infections for many months*
The main ingredients in Hyperion are composed of complex surfactant chemistry with a polymer backbone and the inclusion of nano particles and ions which were a spin off of the NASA Neemo 6 space program where aquanauts and astronauts operating in confined spaces, were unable to wash their clothes for periods as long as 6 continuous weeks.
The inclusion of nano particles and ions proved to be successful in preventing infections and nano particles and ions are now a mandatory inclusion in all astronaut clothing.
*Depending on application and operating conditions
What is the difference between Hyperion F and D?
HYPERION D (DIABETIC) 50ML BOTTLE (2 PAIRS OF SHOES)
HYPD £8.95 NOW £8.05 10% OFF Until 1/9/16
Hyperion D is specifically designed to offer maximum protection against foot infections which arise from infected footwear. It makes little sense for a podiatrist or doctor to treat the foot and then put the foot back into an infected shoe.
Hyperion D not only provides instant kill but also residual protection and should be used on all the patient’s shoes, socks, bandages, insoles and other items related to footwear. It can also be applied directly to the unbroken skin or nails at the discretion of the podiatrist or doctor.
HYPERION F
50ML BOTTLE (2 PAIRS OF SHOES) HYPF
£7.95 NOW £8.05 10% OFF Until 1/9/16
Hyperion F is a shoe treatment that offers protection against bad odours caused primarily by bacterial and fungal breakdown of sweat.
The spray is mainly used in sports shoes or work shoes which are worn intensively and where bad odour is generated by excessive sweating.
Hyperion products are NHS and EU approved. The main ingredients of Hyperion products have been tested independently, according to EU standards and legislation and within clinical NHS.
Hyperion has the highest safety credentials and antimicrobial efficacy (Log Kill of 6!!!) and was recently declared the “Winner” of the Smart Solutions HCAI (Health Care Associated Infections) in trials performed by TrusTECH, The North West of England NHS Innovations Hub, on behalf of the Department of Health’s HCAI Technology Innovation Programme and supported by the NHS National Innovation Centre.
“ Probably one of the most accomplished anti-microbial treatments available and an utterly fabulous product to use……..”
Pharmaceutical Sales Of Restricted ‘P’ Products
Please note due to UK Pharmaceutical supply guidelines governed by MHRA, before we are able to sell certain “pharmacy sale only” products to practitioners we must verify that they are qualified to purchase them. These checks include, noting HCPC Number for Chiropodists and Podiatrists or a scanned copy of the Qualification Certificate from Foot Health Training Schools. For more help please call our office on 01484 641010 if you are unsure of your status before placing the order.
FAQ – Pharmaceutical Sales Of Restricted ‘P’ Products
- Why are certain products now restricted, I’ve bought them for several years and was trained in their use as part of my training.
- The MHRA rules have not changed. For many years practitioners who have undergone training have been allowed to dispense certain products that are predominantly foot health related, their role was similar to that of a qualified pharmacist. With a vast increase in online supplies of pharmaceuticals MHRA guidelines are now much stricter when it comes to checking the actual purchaser of the products.
- I’m HCPC Registered – Can I buy as before?
- You can buy the same items as previously, but we do need a copy of your HCPC registration number on file, this can then be checked independently by MHRA should their inspector request it.
- I’m a Foot Health Practitioner Trained With Certain Restricted Products – How do I prove my qualifications?
- If you are registered on the Foot Health Practitioner Register, then we require your registration number similar to HCPC above. For non registered practitioners we require a scanned copy of your qualification certificate from your training school.
- Does this now allow me to buy POM medicines/Anaesthetic?
- No – The only practitioners allowed to purchase Anaesthetic for Nail Surgery use are those who have the correct certificates of additional training in prescription only medicines or anaesthetic use and nail matrixectomy.
VIEW ALL PHARMACY SALE ONLY PRODUCTS
How to use your promo code
• Your promo code lets you save money off your order.
• After you have finished shopping, click view My Basket.
• On the right you should see an order summary box, the promo code box is under the Gross total.
• In the promo box type your promo code and press apply, you will see the promo deduction has been taken off the price of each item.
See below for a visual:
Dr.’s Remedy SOS Nailcare Pack
The Importance of Healthy Nails & Cuticles
We all strive for perfect looking nails and toenails so it is very important that we keep them in good health. If your nails are in bad health then trying to masque this with a nail colour will not solve the problem. If you suffer from brittle, splitting nails and split cuticles then your nails may be in need of some TLC.
A good nail conditioner like Dr.’s Remedy HYDRATION NAIL MOISTURE TREATMENT is designed to provide the moisture balance necessary to have flexible nails and prevent breakage. Also enriched with naturally occurring anti fungals and vitamins, helps to heal, strengthen, and protect a person’s nails. Use: Apply 1 light coat of Hydration once weekly, allowing nails to breathe between application. Wear alone as a treatment for dry brittle nails or as a base coat under any Dr.’s REMEDY shade. To remove this hydration treatment use REMEDY REMOVER, an acetone free polish that gently removes polish without drying your nails.
Many people have a habit of biting the edges of the nails and skin around the nails which can allow common bacterial infections such as acute paronychia to form. Damage to the cuticles during manicures can also be the main cause of this infection. Your cuticles serve a very critical function by preventing bacteria entering the nail, acting like a seal to protect against infections.
Cuticle oil is used to moisturise the cuticle, skin and nail area. It can protect the cuticle and nail against damage and improve the health and appearance of the cuticles and nails. When cuticles are exposed to excessive cold, sun, chlorination, salty or soap water or other environmental conditions that lead to dry, chapped skin, the cuticles can be also become dry, chapped, and damaged. Similarly, picking at the cuticles, typing, folding laundry, brushing hair and cooking can all cause damage.
Dr.’s Remedy CARESS CUTICLE OIL can prevent accidental damage by keeping the cuticles and nail folds healthy. Dr.’s Remedy cuticle oil contains tea-tree oil and garlic bulb extract along with safflower and kukui nut oils. Use nightly to boost nail and cuticle flexibility and prevent breakage.
Our Dr.’s Remedy SOS nailcare pack contains Remedy Remover 4.2 fl oz, Caress Cuticle Oil and Hydration Nail Moisture Treatment. SAVE £3.40 buying this pack. Suggested RRP: £25.85, profit of £10.00 per pack. VIEW
ICB SUPERIOR BIOMECHANICS
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| Read about the causes and treatments of Plantar Fasciitis using the benefits of ICB orthotic therapy. | |||
