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Orthotics and the knee by Dr Les Bailey phd,DO,acopm,apta ( int part . Les Bailey orthotics article
When the knee is getting painful, and all "tests" are clear, maybe its time to look at the foots posture? By Dr Les Bailey, author of " the laymans guide to foot and heel pain".A Les Bailey orthotics article, Woodmansterne, Banstead, Surrey
By: Dr Les Bailey, orthotics,woodmansterne/Banstead
Very often a patient presents with unexplained knee pain, all tests are negative and we are left wondering the cause.
All too often one practitioner has told them it is a muscle pulling on a structure or some other wild guess.
In a very large number of cases , we need look no further than the feet.
Over pronation can cause many problems in the feet, knees,hips and lower back. This is as patently obvious as looking at the foundations of a house to diagnose the cause of the cracks going on in the upper structures.
The feet simply act as the foundations of the body, governing its biomechanical balance above.
If we look at the structure of the knee from an engineers point of view, we see that pronation of the foot will cause the knees to tilt inward, putting pressure on the outer area of the joint, causing wear and tear ( osteoarthritis ).
This tilting, or biomechanical imbalance, also puts stretching force on the ligaments of the inner area of the joint..
This tilting can also cause iliotibial band syndrome, shin splints, and patellofemoral pain.
If there is existing osteoarthritis ( very likely caused by the pronation in the first place!! ), re aligning the feet with prescription orthotics will drastically reduce both further wear and tear, as well as biomechanical pressure on the affected area of the knee.
My own experience prescribing orthotics for knee pain has proven that this approach is highly succesful, and patients also notice a dramatic change in problems they never dreamed were attributed to pronation or faulty foot posture, such as plantar fasciitis, ankle pain, sacro iliac instability or hip imbalance.
Avoid rigid orthotics , and choose a practitioner that uses semi rigid types that allow a certain amount of movement to the feet.
Also avoid soft orthotics, that merely act as a cushion, and above all...orthotics MUST be prescription, meaning they are either cast or laser measured just for your feet alone.
Never use " off the shelf " orthotics, that will be inaccurate for you and can exacerbate things , often dramatically.
If you would like to read my book "the laymans guide to foot and heel pain " take a look on ebay where you can pick up a bargain copy. And feel free to contact me at the contact details below if you want to ask me anything in particular.
About Dr Les Bailey phd,DO, acopm.apta(int part)
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 the diploma in foot biomechanics .
Dr Les Bailey works from his clinic near Woodmansterne, Banstead in surrey.
Copyright Dr Les Bailey phd,DO, acopm,apta ( int part )
Les Bailey 2012
Page Updated Last on: Nov 14, 2012