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Our feet are beautifully complex machines. With 26 bones in each foot, several layers of muscles and a multitude of complicated joints, our feet do an amazing job of keeping our bodies upright, not to mention walking and running. Biomechanics concerns itself with looking at the function and form of feet and optimising their performance.

Of course, feet are not an isolated part of our bodies, and a full biomechanic assessment involves not only looking at the feet standing still, but also seeing how they interact with a person's legs, knees, hips and whole body. Often biomechanical issues in the feet can cause issues further up the body. Even some back pain can be attributed to poor foot posture.

Fact: there is as much pressure going through your big toe joint alone with each step as goes through your knee! 


Often referred to as 'orthotics', these are special inserts made specifically for your feet to keep them working in the best possible way. Made from a variety of materials including special plastics, carbon fibre and special foam rubber, these orthoses will help to support your feet where you need it and transfer pressure under your feet to where it will be of most benefit. Often, these will change the way you walk, and in some cases, may also have an effect on your knees, hips and back. 

Orthoses may be issued by your podiatrist after a comprehensive biomechanical assessment to improve your foot function. There are various types of orthoses, including pre-made 'over-the-counter' devices, non-cast functional foot orthoses and full customised devices, where an impression cast of your foot is taken. In each case, it is important that you talk with your podiatrist to make sure that you get the right orthotic for your foot.

 Your new orthoses will often require a wearing-in period, as your feet and body adjust to the new support. During this time, the devices will feel strange but shouldn't be uncomfortable. If they are sore in any way, it is important that you talk to your podiatrist, who may make slight adjustments to ensure a perfect fit.

High-Risk Feet

Conditions such as diabetes, circulation disorders and nerve conditions can put your feet and lower legs at risk of complications such as deformity and pain, and in some cases lead to sores, ulcerations and in extreme cases, amputation. High-risk management involves you and your podiatrist working closely together, often with your GP or other health professional, to make sure that your feet are happy and healthy. 

This may involve annual assessments of your general health, nerves and circulation (called a neurovascular assessment), foot biomechanics and/or general foot health, all of which are available onsite.

If you feel your health might be affecting your feet, book an appointment today.

General Care

Callouses and corns are areas of hard skin caused by pressure areas on the feet. Some people find them uncomfortable, irritating or just plain unattractive. In summer weather, going barefoot or wearing thongs can often lead to feet become dry, calloused and cracked around the heels and balls of feet.

Whether it's to deal with your callouses or a sore corn between your toes, or you simply need to have your toenails cut as your feet are getting harder to reach, here at Adrian Misseri Podiatry, we can bring your feet back to tip-top shape in a gentle and comfortable way.

Ingrowing Toenails

Toenails can grow into all sorts of funny sizes and shapes. On occasion, they can grow down into the sides of the toe, resulting in sore nails which can become infected. The experienced care at Adrian Misseri Podiatry can remove your ingrowing toenails, making your toes much more comfortable.

In some cases, this may involve a minor surgical procedure performed under a local anaesthetic, which usually heals very well with minimal pain and fuss. Talk to us if you have an ongoing issue with ingrowing toenails to see what we can do to help you.

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