All posts by orlafoley

Bunions – Not just for your Granny!

Bunions (Hallux Abducto Valgus) – Not just for your granny!  

You will be surprised to learn many people in there 20s and 30s have the infliction of “Ugly” toes or “deformed feet” as one of my friends call hers.  In truth there a partial dislocation of the big toe, as a result of improper biomechanics (how you use your body), use of shoes, or an injury the base of  big toe moves medially (towards midline) and the top of the toe moves laterally (away from midline) in its joint, and subsequently a bursa develops (which may occasionally become red and inflamed) bony deposits are laid down to compensate for this and the deformity begins. In a lot of cases the big toe may deviate so much that it overlaps the 2nd toe like crossing one knee over another (which by the way you should also avoid as it creates structural imbalances).

Valgus diagram Bunion

Figure 1: Hallux Valgus

 

Researching for this blog I found an article highlighting the numerous celebrities, Amal Cooney, Catherine Zeta Jones, Imran Khan, Paris Hilton, Jennifer Lopez, Katie Holmes, and Naomi Campbell that are afflicted with this condition, under my search for Posh Spices Bunions, which I was shocked to see the biggest bunions I had ever seen one day watching her on an entertainment show.    Yet I suppose it explains why she does not smile her bunions must have been excruciating. I’ve taking excerpts from the article from daily mail (http://www.dailymail.co.uk/tvshowbiz/article-3256914/Amal-bunion-brigade-Mrs-Clooney-s-not-star-tootsie-trouble-cure-bugbear.html#ixzz4B6zxZJCS) and shared here:

 

Bunion Blog Diagram

   Figure 3: Diagram of Hallux valgus

 

‘First of all the synovial fluid becomes inflamed, and that’s why you get the initial red lump on the side of your foot,’ says Dr Khan.

‘Next the muscles and ligaments running up and down the big toe, which work to keep the toe straight, start to pull the joint away from the inside of the foot outwards.

‘As the joint becomes increasingly traumatised, and having lost the cushioning of the fluid layer, arthritis begins to form as bones rub against each other.’

The final stage, which is rare, is where the joint detaches altogether. ‘This is known as a windswept bunion,’ says Emma Supple.

According to Dr. Khan ‘It takes six weeks for bone to heal,’ she says. ‘You’ll spend two weeks in a surgical boot and the next four weeks pottering around in an oversized trainer — your foot is still swollen and bandaged. After three months you ought to be back in normal shoes.  Plus can take up to 3-4 months before you can drive again.

 

‘That means whatever feels comfortable (and with your surgeon’s advice). If you’re able to wear stilettos again, then do. It’s unlikely that the bunions will come back — only very occasionally is this a complication.’

 

‘A podiatrist will examine the joint and get an idea of how low your arches may be,’ says Dr Khan. ‘They may suggest exercises, over-the-counter remedies such as gels, bunions pads, anti-inflammatory medication or splints to hold the toe in place.’

 

Anyone with the slightest indication of bunions should try the following exercises, recommended by Dr Khan.

  • Sit with your feet out in front of you with a rubber band held between your

two big toes. Pull feet away from each other so toes are straight. Do for two minutes twice a day.

  • Stand on tissue paper and gather it up with your big toe. This exercises all the muscles in the foot and helps to redevelop the muscles in the arch of the foot.
  • Stand facing a wall. Rise onto your tiptoes and hold for two minutes. This stretch works the deep muscle in the back of the leg, which runs all the way from behind the knee to the ball of the foot’s and helps to keep the toe supple.

 

In the UK in 2013 there were 3,781 recorded hospital admissions for bunion surgery for men and a staggering 29, 258 admissions for women.  According to the NHS Statistics surgery improves 85% of symptoms in cases.  I’m surprised at this statistic as in nearly 20 years of clinical experience I have yet to see one successful long lasting bunion surgery.  Yes I’ve seen short-term reduction of symptoms yet in all cases the bunions had returned and presented to Kincora Therapy Centre for help. If anyone reading this has had successful bunion surgery that has long lasting results please contact me I’d love to hear from you. In August 2014 I had the pleasure of meeting socially an American orthopedic surgeon and asked him “Tell me honestly does bunion surgery work in the long term?”  “No, only short term solution the bunions grow back”.  My reasoning for this is, as I believe bunions to be a biomechanical dysfunction the only long-term solution is changing biomechanics.  Anecdotally most people who present for treatment to me also have low back in particular sacroiliac (SI) dysfunction.  A holistic approach to helping bunions is to rebalance body, change biomechanics breakdown the body calcification over time.  There is no instant cure just a little bit of self care and making changes structurally with the aid of treatment initially once a week for four week and then follow on for once a month for three to four months for diligent clients who do their home care daily. For more advanced deformities the timeline may be longer.

 

What’s involved with treatment?  Initially some deep tissue massage around the feet and big toe in particular focusing on breaking down the body build up.  Then follow The Bowen Technique protocols for bunion care, which involved daily use of an ointment from the ECBS (European College of Bowen Studies) that we stock at Kincora Therapy and homecare advice. Subsequent programs can include more exercises to prevent reoccurrence on dysfunction such as postural exercises and activation of postural muscles. I also highly recommend the use of toe separator socks whilst walking around at home, shoes like Vibram’s, which are like a glove and in the past people have had great success using MBT to help retrain their muscles and arches.

 

Call Kincora Therapy Centre now and talk to me Orla Foley about taking the next step in the right direction and helping relieve foot pain and normalize your feet.

 

Reference:

Physical Examination of the Spine & Extremities by Stanley Hoppenfeld

 

http://www.dailymail.co.uk/tvshowbiz/article-3256914/Amal-bunion-brigade-Mrs-Clooney-s-not-star-tootsie-trouble-cure-bugbear.html#ixzz4B6zxZJCS

Merry Christmas and a Happy new with a wee gift for you for January 2016

Today is a day Im filled with gratitude and grateful for just being alive and living my passion.  One of life’s biggest lessons is to find your calling and enjoy what you do for a living.  It is worth soul searching and breaking out of moulds that society and your friends and family have you in and build your own mould.  Listen to your inner voice, (not to be confused with inner critic which will turn into your inner coach if your follow you deep knowing inner voice) and dare to become the best version of you possible.  The only limits in your life are the ones you place on yourself. Be free to be you.

Thanks for your continued support and custom be it coming to Kincora Therapy for craniosacral therapy, Bowen Technique, Reiki, physcial therapy, hypnosis, life coaching and yoga.  It is a honour and a great joy to work with so many wonderful, inspired, energetic and lovely people from all walks of life and all stages of life (babies to grandparents).  Please continue to spread the word and help make the next 15 years of business here at Kincora Therapy as great as the last.

Yoga classes resume on wk of 11th of January and will see the return of the long established Hatha class where you can learn to have an easy remember home care practice and introducing the fantastic Aerial yoga to challenge your core to wake up, use own body resistance and create alignment in your body helping you find ease in floor postures (asanas).

Therapies are available over the holiday on wednesday 30th with limited availabilty on tues 29ths January.  Returning to work 6th of January.  If you need help please contact me and I will do my best as always to help you.

My gift for you for the holidays is if you buy a voucher for a friend I add €5 euros to the value of voucher, and for your first appointment in january 2016 your receive €5 off that treatment if you quote BLOGDEC15 when booking.

Wishing you and yours a very Merry Christmas, celebrate the return of the light and may you manifest a most wonderful and successful 2016,

Love,

Orla

Normalising Curvature and Glut Building

Kyphosis of the thoracic vertebrae results in increased lordosis of the lumbar spine with a resultant anterior pelvic tilt, which subsequently lengthens the hamstrings and shortens the quadriceps. Correcting this imbalance may improve performance. Phrompaet et al (20110 found that Pilates can be used as an modality to stabilise lumbo pelvic stability by improving flexibility, enhancing control mobility of trunk and pelvic segments, and Pilates prevents the pre-disposition to axial musculoskeletal injury. Da Fonseca et al (2011) found that gait analysis changed following 15 sessions of Pilates, increased walking speed and decreased pain was also seen in the low back-pain Pilates group, weight discharge increased between left and right leg, would be beneficial for you.

See attachment at bottom to view pics

Wall squat with Gym Ball Ensure patella goes over 2nd toe
Picture: Side ways walk to build Glutues Medius with resistance band

 

 

Picture Ball Bridge Ball bridge with knee flexion

 

Gluteus Medius imbalances can be corrected by doing sideway walks and hip abduction with resistance band, single leg bridges, ball bridge with knee flexion on gym ball and the pelvic drop exercise by standing on a step and letting one leg drop of step whilst keeping the pelvis level by engaging abdominals and gluteus medius.

Gluteus Medius Leg Drop keep pelvis stable engage abdominals Hip Abduction with resistance band.

Foam rolling can be used daily on hamstrings, calves, quadriceps and spine including chest opener to counteract kyphotic posture.  Planks, reverse planks, side planks and bridge exercises also to be used daily.

 

Gluteus Medius Leg Drop keep pelvis stable engage abdominalsGlut Building Exercises 1 Wall squat with Gym Ball

Sugar Free

Sugar Free

Wk 1 preparation – no processed foods and just finished off the fruit (1 pineapple 4 organic apples in my kitchen was only sugar ingested this wk)

Lost 1/4 of stone

Wk 2 No fruit sugar.  Eat as much as what I want to eat just no sugar.  Continued lost another 1/4 of stone

Oatcakes with nut butter or nuts like brazil nuts, walnuts, almonds or cashew.

Porridge half oats/barley with loads of cinnamon and nuts.

You can eat meat, , eggs etc just after being in Switzerland Im having a break from them.  If I crave them or out for diner will order this option.

NO yeast allowed in diet and of course no Alcohol or other ferments except for yoghurt.

Fruits allowed are lemons, limes, tomatoes and avocados which i consume in abundance.  

Plenty of good omega 3 sources and i love to include pumpkin oil as a dressing over rice dishes.

Shopping list, carrots, cucumber, lettuce, rice, beans, tomatoes, cauliflower, steak, avocados, lemons, ginger, nuts, asparagus, mushrooms, courgettes, aubergines, organic nairns oat cakes, organic nut butters cashew, almond (peanut if you like i don’t use it too often).  Use plenty of herbs and spices to flavour food i love turmeric, curry, ginger, garlic Himalyan salt and black pepper. And cook using organic coconut oil

Near end of week 2 I started eating meat again – I only eat Lamb or Beef as the quality is the best here.  I also eat fish.  Love pulses and eat loads of organic butterbeans, aduki, lentils, black eye peas, etc.  

I did allow myself a smoothie – it was coconut milk, brazil nuts 5-6 and 1/2 avocado.  Cinnamon.  

I snack on dry fried seed mix of pumpkin, sunflower, linseed or organic popcorn with salt cooked in coconut oil.

My skin is much clearer, I’ve lost my holiday weight and fun February gain, I can taste sweet in things and am less hungry.  Im aiming to do another week yet if I did not thats ok too as I don’t have a candida overgrowth problem.  If you do have a candida over growth problem (use candida spit test to help investigate)  sugar free would be required for a month.

This is my second time doing sugar free and 1st time was for a month as if I ask people to do something I have to be willing to do it myself and I must say the benefits on my pallet where amazing.  I know find almonds and almond nut butter so sweet.  

There are plenty of Sugar Free recipes and cookbooks available one I love is the Extra Virgin Kitchen,IMG_5242