The legs, knees, ankles and feet take the full load of everything we do, so it is usually only when injury strikes that people realise how limiting and debilitating these conditions can be.
Sporting and soft tissue injuries
A large proportion of what I see stems from sporting injuries. Shin splints are familiar to most runners and walkers and can be very painful. Soft tissue injuries are common and the muscles of the thigh and lower leg can suffer strains, including tendinopathy, along with ligament and cartilage injuries, knee injuries and bursitis.
Foot and ankle problems
Then there are foot and ankle problems caused by injury or by a change or a bad choice in footwear. Plantar fasciitis is a notoriously stubborn source of heel pain and ankle sprains, knee arthritis and ligament injuries are among the most common problems that I see. Pain felt in the foot does not always start in the foot and some of these complaints come with pins and needles or numbness, which can point to a nerve being involved rather than the muscle or joint alone.
When leg pain starts in the back
Pain in the leg or foot is not always a localised problem. Sciatica, for example, is felt in the leg but originates in the lower back, where an irritated nerve refers pain, tingling or weakness all the way down the limb. Working out where the pain is actually coming from is my first job at your assessment, because treating the site of the symptom rather than the source will not cure it.
What tendinopathy means and why it is not the same as joint pain
Tendon pain does not behave in the same way as joint pain and it helps to know which one you are dealing with. A tendon is the cord that anchors muscle to bone and when it is loaded more than it has been prepared for it can become painful, thickened and stiff. The older word was tendonitis, which suggested inflammation. Tendinopathy is the term generally used now, because in most long-standing cases the tissue itself has changed rather than simply become inflamed.
In the lower limb I see it most often in the Achilles, I see it around the kneecap, on the outside of the hip and along the tendons that run behind the ankle bones. It typically feels stiff first thing in the morning, eases as you warm up, then complains again a few hours afterwards.
How chiropractic care may help
Chiropractic care may help with many of these mechanical leg, ankle and foot complaints, typically through hands-on treatment of the affected joints and soft tissues combined with specific rehabilitation exercises and practical advice on managing your activity levels. Every plan is built around your individual problem. Where a problem sits in the structure of the foot itself, a podiatrist is often the better person to see and I will tell you if that is so. Your first appointment starts with a full history and examination, our FAQ page covers the common questions, and I have written on how many sessions it usually takes and an article on the fact that it is safe to see a chiropractor. You can also easliy see the side area my chiropractic practice covers.
