Do I need arch-supports?
December 16, 2008
"Hi, I had thought you only needed arch-supports for your feet if you have flat feet. I checked with the wet footprint test and found no sign of flat feet. But a friend recently said that he has heard of people with flat feet feeling better with arch-support. Should I get one? What is there to support if you already have an ‘ok’ arch in your feet? I don’t get it. Please advise." - Toh K.L. Read more
5th Metatarsal Fractures
December 3, 2008
Fractures are common in the fifth metatarsal and normally occur with sporting activities. Read more
Snapping Ankle
September 24, 2008
In people who recurrently sprain their ankle, it is not uncommon to hear clicking coming from the outside of their ankle. This phenomenon is commonly known as “snapping” ankle or slipping peroneal tendon. As the name suggests, the clicking sound arises from the peroneal tendons slipping in and out of the groove behind the bone sticking out on the outside of the ankle. Medically, it’s known as peroneal subluxation. Read more
Sports Taping - Ankle
May 9, 2008
The ankle is prone to twisting from either landing awkwardly or too sudden a change in direction. Taping up the ankle using the figure-8 technique helps provide support but still ensure sufficient movement in the ankle. Calvin Sim, a senior physiotherapist from Back2Sports.com.sg shows us how in this sports taping series. Read more
My bunion is stopping me from running! Help!
February 25, 2008
Under repetitive pressure, the joint between the foot and the big toe (first metatarsal joint) can move out of place, swell and turn inward, resulting in a painful and stiff bony protrusion on the side of the foot.
Overpronators tend to excessively roll their feet inwards, and this can actually have an effect on the development of bunions. This is because with too much rolling in of their feet, overpronators can put excessive stress on the metatarsal joint during push-off phase of running.
For Asians, we tend to have a wider forefoot. Wearing shoes with narrow toebox can sometimes cause or worsen bunions. Hence, it is important to have a good fitting shoe with a roomy toebox.
Besides wearing proper shoes, the pain and stress on the bunion can be reduced by taping the foot in a normal position before a run. A toe-separator can also be placed between your big and second toe with a padding taped to the big toe.
Modifying your running style can also help reduce the stress on your big toe. When you run, avoid going up on your toes, which puts pressure on the big toe. Instead, try to land with your midfoot down with every step.
However, the above measures are mainly to address the symptoms than to correct the actual deformity. If the discomfort is severe enough, or the correction of deformity is desired, a surgery may be performed.
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Cindy Tan, B.Hsc(physio)
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