The practitioner begins by questioning the patient, trying to establish the reason for the consultation. To do this, the chiropodist asks about the patient's medical and surgical history, which could be the cause of the pain. If the patient has already had any medical examinations carried out, it is important to bring them with you to the first appointment to corroborate the diagnoses that will be made at the end of the session.
In the decubitus position (lying down), the practitioner looks for the various painful points. The examination is then deepened by palpating the various tissues: skin, ligaments and muscles, in order to highlight the tissues incriminated in the pain.
The patient's overall posture is observed. The practitioner may use a posturoscope (a device for viewing the patient's body diagram in 3 planes of space (front, profile, top view) or a podoscope (a glass platform revealing the footprint).
The examination continues dynamically on a treadmill, whether or not the patient is an athlete. The acquisition of walking and/or running will be done by video analysis broadcast live on a television screen. Biomechanics can therefore be explained to the patient in real time. It will be possible to distinguish the different torsion measurements that may appear, using video analysis.
As far as the athlete is concerned, the podiatrist will focus on points such as the intensity of his or her sporting activity, injuries (past or recent), equipment and the execution of the sporting movement. It is therefore essential to bring the sports shoes used during training and competitions.
This is carried out using a platform. The platform contains thousands of new-generation sensors that can analyse, confirm and quantify the observations made beforehand, and measure the distribution of plantar pressure very precisely. What's more, it can be used to archive podiatric assessments and track progress over time.
The examination on the platform is carried out in a static position, then while walking. This device enables patients to gain a better understanding of their biomechanics by means of images representing their foot supports.
Whether using street shoes and/or sports shoes, the practitioner will have to assess the space available to best adapt the fitting that will be proposed.
At the end of the session, advice will be given on how to choose the shoes best suited to the pathology in the future. As our aim is to be able to monitor the progress and improvement of the reason for consultation, several check-up appointments will be offered.
"For a chiropody examination, it is essential to bring your health insurance card, a medical prescription, your latest X-rays, your usual street shoes and, if necessary, your sports shoes.
Deviations of the lower limbs in children are a source of concern and a common reason for consultation in chiropody practices. Quite often these deviations are part of the normal development of the lower limb:
Insoles must be worn for the following conditions:
After a certain number of years of diabetes (between 10 and 15 years) some patients may develop neuropathy, i.e. almost complete insensitivity of the plantar surface of the foot.
Accompanied by deformity and/or arteritis, the patient is at major risk of developing plantar perforation disease.
The podiatrist's role is to diagnose the patient's podiatric risk.
For each grade of risk, the chiropodist must put in place an appropriate treatment involving :
Today's chiropodists have all the modern resources they need to carry out a clinical examination of sportsmen and women, both static and dynamic. They use effective, comfortable materials to make foot orthoses adapted to all types of sport and footwear.
The chiropodist therefore has his place in the medical team supervising sportsmen and women of all levels. Podiatry treatment can be combined with other treatments when it modifies a pathological posture.
There are many pathologies in sportsmen and women linked wholly or partly to static disorders of the lower limbs:
Hyperkeratosis, subungual haematomas, phlyctenes (blisters), overheating, etc.
Hallux valgus, toe claws, plantar hyperkeratoses, metatarsalgia, Morton's syndrome, stress fractures, sesamoidopathies, etc.
Plantar fasciitis
Heel spur, heel spur, Haglund
Rochanteritis, pubalgia, sacroiliac pain, etc.
At the end of the session, advice will be given on how to choose the shoes best suited to the condition in question. Our aim is to be able to monitor the evolution and improvement of the reason for consultation, so several check-ups will be proposed.
Osteoarthritis, crow's foot tendonitis, tensor fascia lata tendonitis (runners knee, windscreen wiper syndrome), sub-patellar tendonitis, patellofemoral chondropathy, genu valgum, genu varum, patella misalignment, etc.
Chronic lumbago, neck pain, migraines, scoliosis, balance problems, etc.
The insoles designed by the chiropodist are made to measure and enable you to get as close as possible to ideal static and dynamic functioning.
The insoles prevent, reduce and even correct many chronic or acute pathologies. They can be worn in any type of sports or street shoe, and at any age. Comfort insoles can also be moulded directly to the shape of the foot.
Podiatrists are also able to make silicone orthotic devices called "orthoplastics" to modify the position of the toes and protect the foot from often painful pressure. In children, these can permanently correct certain toe malpositions.
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Tél : 01 43 62 22 22
41-49 Avenue du Maréchal Juin, 93260 Les Lilas
