A Les Bailey orthotics article, Woodmansterne,Banstead, Surrey
In 2009 I was awarded my doctorate from OIUCM after writing a painstaking 15,000 word thesis on my approach to plantar fasciitis.
I had already completed the 3rd edition of "the laymans guide to foot and heel pain" and it had sold in excess of 35,000 copies.
My clinic had treated literally thousands of patients,some who had endured this condition for over 40 years, and I felt the time had come to theorise my findings and earn my phd.
The general tone of the thesis was concerning my studies on differing orthotics for plantar fasciitis and treating the condition by allowing movement at the plantar aponeurosis where it meets with the orthotic.
This differs with, not only the individuals foot function, but also the differing shoe types. Eg we want more movement/padding in a trainer type, and less in a formal shoe, and a differing type in a casual shoe (it gets complicated!!!)
The problem with plantar fasciitis is the tearing and inflammation along the plantar aponeurosis.
The orthotic must cradle this without irritating the injured aponeurosis with too much rigidity. The difficulty comes with the fact the orthotic cannot be too soft as to not support the foot properly and deal with the biomechanical imbalance that caused the problem in the first place. It must allow healing to take place without exacerbating the inflammation and micro tearing.
Some studies I have read find that orthotics do not cure plantar fasciitis, but my answer to that is that many of the patients individual factors re movement patterns and individual aponeurosis rigidity have not been taken into consideration when prescribing the orthotic.
This idea first struck me when I was using orthotics as an osteopath, mainly to correct foot posture and realign the sacro iliac area.
Many people started coming to me with foot problems, and i decided something new needed to be done, not merely mould a foot and correct it with a rigid device, or conversely, attempt to make a foot shaped piece of padding!!
Plantar fasciitis is a debilitating condition, and one that needs careful consideration of every factor of the problem,and more importantly every INDIVIDUAL factor of the patients needs.
More can be read in "the laymans guide to foot and heel pain" and sufferers are always more than welcome to phone me for advice.
Dr Les Bailey, phd, DO, acopm, apta (int part)
A dr Les Bailey orthotics article. Woodmansterne ,Banstead, Surrey.
About Dr Les Bailey phd,DO, acopm.apta(int part)
Direct phone number 07801418080
Dr Les Bailey began in physical therapies in 1981,qualifying in remedial massage,and later going on to qualify as an osteopath.
He gained his phd from OIUCM for a thesis on the treatment of plantar fasciitis.
He was awarded a teaching/lecturing diploma from the northern school of osteopaths in 1993.
He also holds a diploma in foot biomechanics .
Dr Les Bailey works from his clinic near Woodmansterne, Banstead in surrey.