Under the bottom of the heel is a fat pad that naturally cushions us and protects us as we walk. When walking, there is a pressure equal to about 2.5 times body weight on the heel during heel strike, so it should be obvious why we need that fat pad. Without that fat pad there would be very poor shock absorption and this can lead to a number of problems due to that poor cushioning. The most common is simply pain under the heel. This is not a common cause of heel pain, but is an important one as it can often be mistaken for plantar fasciitis and other causes. Often it is easy to diagnose as there is just no cushioning under the heel and you can easily feel the bone.

Causes of Fat Pad Atrophy

The causes are not totally clear. The fat pad does atrophy with age naturally and in some it just atrophies more at a faster rate. Some people just seem to develop this and others do not. It is not related to bodyweight issues. It can occur in a number of rheumatological problems and runners due to the years of pounding on the heel may be at a greater risk for this. Those with a higher arch foot (pes cavus) also get a displacement of the fat pad which can give a similar problem to the atrophy.

Treatment of Fat Pad Atrophy

The only way to treat fat pad atrophy is to replace the fat or substitute for the fat. This can be inserted in surgicaly or a cushioning heel pad in the shoes used that has a similar consistency to the missing fat pad. Cushioned shoes can also be used with or without extra padding. Surgically this can be an injectable fillers or an autograft using your own fat cells.

If you want to know what the best options are for you, please come in and see us.

The PediRoller is a massage tool designed by a podiatrist that you roll the foot back and forwards over. It can also be frozen, so if it is cold, then that can be used instead of ice for foot pain. The rhythmic rolling of the foot over the massage roller will help those with things like plantar fasciitis and those tired and aching feet some get at the end of a hard day. The ridges or ribs on the PediRoller really get into the soft tissues to give them a workout.

The feedback that we get from users, is yes they do help. Those who use them do find them helpful. You only need to use them for a few minutes, maybe twice a day and they will give some relief. They will help stretch the plantar fascia ligament and stimulate the circulation. This can only be helpful in making the foot better. If the pain is bad, then putting them in the freezer before use is a great way to get an added advantage from the product.

pedi roller

If you have any questions about this, please ask one of the podiatrists. Croydon Total Footcare does have this product for sale or you can get it online.

Those with diabetes are at a higher risk of developing foot complications. This is because of the higher levels of blood glucose over a longer period of time can damage the nerves and circulation. As a result of this any damage to the foot may not be as easily felt (due to the nerve damage) and any damage that does occur may not heal as well (due to the circulation damage). For these reasons those with diabetes are urged to pay special attention to their feet and seek expert podiatry care for this.

One way to assist in this is with ‘diabetic socks’. These are socks that are designed and developed with characteristics that can help mediate any damage to the foot that changes in the nerves and circulation may be causing. Probably the most important characteristic is that the sock is not tight so as to restrict circulation. They should be soft so to help absorb some of the ground impacts when walking. They should have no or minimal seams as these can be pressure points. Diabetic socks should also be made of a material that absorb the moisture. They also should help keep the feet warm. All of these characteristics in a diabetic sock can help protect the foot.

At Croydon Total Footcare we can advise you on the best socks if you have diabetes and we do stock a range for your convenience.

This is a question we get asked a lot. They don’t. It is a myth that persists.

The reason that it persists is because corns do often keep coming back after we have removed them. They do not come back because we left the “root” there, like the plant analogy that the myth is based on. They come back because the cause of the corn is still there. They only way to stop a corn coming back is to remove that cause. Just removing a corn does not remove that cause.

A skilled podiatrist can easily remove a corn, but as that corn is caused by too much pressure on the area in which it develops, unless that pressure is removed the corn will return. You need to discus it with your podiatrist what needs to be done to either eliminate that excessive pressure or reduce it so that the corn is not so much of a problem.

The reason for that high pressure will vary from “corn to corn”, but it could be from, for example, a hammer toe pushing on tight fitting shoes; it could be between the toes and the alignment of the toes is off slightly, causing high pressure on the spot where the corn develops; or it could be from the shoe pushing on a bunion. The reason for the corn needs to be determined and that reason taken away if the corn is to be stopped from returning.

How that pressure is removed is going to be determined by the reason for the pressure. Was it the shape of the toe? Is there a bit of enlarged bone? Do the shoes not fit properly? Once that has been assessed then advice can be given on the best strategy to remove or lesson that pressure to prevent them from coming back

Bottom line is that corns do not have roots.

We have been stocking the Archies Arch Support Thongs in Melbourne from the very beginning. We were one of the early adopters. They are selling like ‘hotcakes’ and walk themselves out the door. With spring here and summer around the corner, how about coming in and getting a pair. We recently had a run of ladies who were pregnant buy them and raved about them. Some are coming in to buy them before heading to Bali for a holiday. Everyone seems to have a reason for wanting a pair. Even our office manager called them “life changing”! Runners and other athletes are finding then great for recovery after a hard worksout. No one seems to be disappointed in these.

What are the Archies Arch Support Thongs?

What is special about these is that they have an arch support built into them. If you need to wear foot orthotics or something simiar, than wearing thongs for an extended period of time can be difficult, so these are a good option when the weather is warmer or you prefer to use this type of footwear. Those who do not need foot orthotics just like the comfort that the arch support feature of these thongs – they just like wearing them. Some of these users of the Archies Thongs say things that they are less tired at the end of the day.

The Archies come in a varity of sizes and colours.

archies stockists in melbourne

Archies thongs design features:

Features and benefits:

  • The Arch Support – Archies Arch Support Thongs have a similar amount of support as most off the shelf orthotics. This may help to support the foot and improve foot posture, thereby potentially reducing the strain on your feet and lower limbs.
  • Comfortable! – The orthotic / arch support found in Archies Thongs combines with a super soft, highly resilient foam to provide an unbelievably comfortable feel, irrespective of whether or not you wear orthotics or have issues with your feet making them the perfect thong to wear when out walking or as a slipper in and around the house.
  • Lightweight – The highly specialised foam material found in Archies Thongs is ultralight in comparison to other orthopaedic thongs which may result in less tired and achy feet at the end of the day, making them the perfect thong when travelling!
  • The Strap is Tight – In thongs with a loose strap, your toes claw down and you do not get the protective support from the arch like you are supposed to. The tighter strap in Archies Thongs may help to reduce toe clawing allowing you to walk more naturally.
  • Construction is one piece – As the thongs are all moulded as one you are far less likely to break the toe pole as you are in thongs with a base and plug configuration.

Croydon Total Footcare have other recommended footwear brands, so come in and see them.