Acquired Adult Flatfoot

One of the primary stabilizing muscles of the foot is the Tibialis Posterior. When this muscle is working properly; it locks the foot, supports the arch and assists you in walking.

Sometimes the tendon of this muscle becomes damaged and then the arch will progressively collapse, giving you a “flat foot”. Often the progression of this problem is painless and can go unnoticed until the foot is quite deformed and walking is difficult. This condition is more common in women over the age of 50, but can occur in anyone.

Being overweight, having Diabetes, and a history of previous surgery or Cortisone injections may also contribute to this condition. Once the condition develops it is common to have pain in various other parts of the foot, have difficulty with walking and standing on your toes. A specialized type of custom foot orthotic, worn in your shoe, can be very helpful in this condition and limit further arch collapse.

Please call us  at Island Pedorthic Footcare if you have questions about this or any other painful foot conditions limiting your mobility.

How Do I Deal With My Plantar Fasciitis?

The Plantar Fascia is a ligament located on the bottom of the foot. It functions by attaching the ball of the foot to the front of the heel. It is important in maintaining arch height and providing stability to the foot when you walk. When there are problems with the way you walk, increased stress on the Fascia causes injury and subsequently pain. Biomechanical problems can include the big toe having too much movement, the foot over pronating (arch collapsing) or the ankle being restricted or stiff in its movement increasing stress on the Plantar Fascia.

Typically the Fascia will try to repair itself when you sleep or sit for extended periods. Once you stand up and put weight on the Fascia, you tear the ligament and thwart these attempts to heal the Fascia. This explains why pain is often worse first thing in the morning or after standing from sitting for longer periods of time.

One of the more effective solutions is to support the arch with a custom foot orthotic. Custom orthotics in Nanaimo will limit the stretch on the Plantar Fascia. Once you limit the repetitive strain on the Fascia; the inflammation and the pain it causes will generally resolve over a period of 6-8 weeks. As you are correcting the biomechanics with custom orthotics, you will need to stretch the tight Achilles tendon and use cold laser, ice and ultrasound to decrease inflammation and speed up healing.

It’s Your Future, Be There Healthy…

Central Vancouver Island Foot and Ulcer Protection Clinic


Central Vancouver Island Foot and Ulcer Protection Clinic

Referrals are now being accepted (Please use attached referral form)

We are pleased to announce the opening of the Central Vancouver Island Foot and Ulcer Protection Clinic (CVIFUPC).

Our goal is to provide diabetic foot screening and risk assessment to all diabetic patients on an annual basis. This is a multi-disciplinary team approach with a focus on providing preventative foot assessments in the morning and biomechanical assessment and off-loading in the afternoon.   The clinic will be held at the Caledonian Medical Clinic, 340 Campbell Street, Nanaimo (see map below for directions) and will be open every Wednesday starting 29 April 2015 and will be staffed by:

Dr. Pieter Boshoff, MD, MBChB(Pret), International Interdisciplinary Wound Care Certificate

Dr. Katia Langton, Certified Pedorthist, Certified in Lower Extremity Amputation Prevention & Comprehensive Management and Treatment of the Neuropathic Foot. Canadian Diabetes Association representative for Diabetic foot care

Melinda Franklin, BSc Pharmacist, Certified Diabetes Educator

Services provided include:

  • Comprehensive Diabetic foot assessments including risk categorization for foot complications
  • Chronic wound assessment, management and dressing changes
  • Comprehensive foot exams for painful foot conditions limiting mobility including Plantar Fasciitis, Achilles Tendonitis, Bunions and Hallux Limitus etc.
  • Preventative off-loading based on risk categorization due to neuropathy
  • Patients will receive detailed education on monitoring and caring for the neuropathic foot in a preventative manner
  • Diabetic medication optimization and injection assistance service
  • Pedorthic assessment and treatment
  • Assessment for custom orthotics
  • Foot Care Nursing (Future proposed service)

Off-loading devices and custom orthotics may be covered by Social Services, Non-Insured Health Benefits (native affairs), extended benefits and DVA. We will attempt to access charitable donations through volunteer organizations.

Reports will be provided to the patient’s primary practitioner annually updating the patient’s risk category for developing further foot complications. These reports can be used as part of the Chronic Disease Management program. Recommendations regarding follow up assessments will be made to the patient as well as the referring health care provider.