Q. What is ICT?
A. ICT (Inverted Calcaneus Technique) is a method of treatment used exclusively by the Heel Clinic specifically for heel related ailments.
The ICT principle is to measure and correct the Calcaneus (heel bone) angulation when the heel begins to collapse. This creates a more functional efficient alignment of the foot structure on weight bearing. It is achieved by accurate calibration of the angle the heel strikes the ground in gait using the latest software from overseas.
The Heel Clinic over 15 years has proved conclusively there is a link between heel position and Plantar fasciitis, pill Severs and Achilles pain.
To correct these angles the Heel Clinic has designed a unique prescription orthotic to realign the calcaneus providing a more functionally efficient foot during gait (walking, pills standing or running). This technique has shown to achieve superior results treating heel related ailments than standard arch based supports.
Q. I have had an Xray and I have spurs, viagra dosage what can you do?
A. It is important to know that spurs grow all over the body and are natures way of trying to create a connection to torn or strained tissue (ligaments/tendons) attached to bone. That is, spurs grow because of pain, not painful in themselves. Hence the Clinic treats the tissue strain.
Q. What is different about what you do?
A. Having treated heel pain for 15 years the Clinic has an extensive database of knowledge on Plantar Fasciitis and Achilles tendonitis. The basis of treatment is to treat the prime cause not the symptoms. Both ailments require rest, whilst still allowing the patient to continue with their daily lives. The Clinic has achieved this by designing, creating and engineering a prescription Insert to take the pressure off the torn and inflamed tissue.
For over 10 years the Clinic used prescription Orthotics to achieve this rest, but being predominantly arch based it was discovered there was a risk of aggravating the ailments. The Inserts are only part of the treatment regime. See Treatment page
Q. How long have you been practicing?
A. 23 years treating all functional/biomechanical sporting ailments. 10 years specialising in Heel related pain.
Q. How long will it take to go away?
A. Both Plantar Fasciitis and Achilles tendonitis do not follow any standard times of repair (unlike a torn calf muscle for example). From the Clinic’s extensive database most patients find it can take 10-15 weeks. The time it takes is also dependant upon the patients discipline to follow the programme provided by the Clinic.
Q. What are the qualifications of the Consultants?
A. The Clinic has Podiatrists specialising in biomechanics only, an Exercise Physiologist and a footwear consultant with over 25 years knowledge (and former sufferer of acute heel pain). All consultants have extensive sporting and exercise backgrounds.
Q. How much is the first consultation?
A. $120.00 and patients will be in the Clinic no more than 1 hour.
Q. I have tried everything and nothing has worked. Why is it now getting worse?
A. In treating many 1000’s of patients with Plantar fasciitis and Achilles tendonitis there have been common medical histories. Most patients have already tried many different treatments. The most common of these treatments and their potential benefits are listed below.
Xrays: Foot xrays are recommended to determin spur growth. Spurs grow quite naturally all over the body and are stimulated by pain, but are not part of the pain. Unfortunately treatments for the ailments Plantar fasciitis and Achilles tendonitis are based on the xray image of spur development.
Rest: To rest the daily weight bearing load off the feet is not feasible or practical due to daily needs and lifestyle.
Lose Weight: This is virtually impossible if patients cannot exercise. Most patients have come to the understanding that the more exercise one does, the greater the pain.
Anti-Inflammatories: May provide short term relief as pain killers in the early stages, but do not address the daily load on ligaments, hence become ineffectual over a period of time.
Cortisone: A steroid and a powerful anti-inflammatory. Cortisone is at best a mask, but once it wears off patients may be in more pain than previously as they have increased activity, feeling pain free. The side effects of the overuse of cortisone are well documented and many doctors will no longer prescribe this treatment.
Massage and Heat: This can aggravate the fibrous tissue if too aggressive, the ligaments and tendons are already inflammed. For example using golf and tennis balls, wooden rollers, deep tissue massage etc.
Ice: Is beneficial if used in non weight bearing positions to reduce inflammation. But, rolling the feet over cans or bottles of frozen water irritates the tissue.
Orthotics and Arch Supports: As a specialist Clinic for over 20 years in this field the Heel Clinic has conclusively proved that any device inside the shoes that lifts up the “arch” of the foot in the case of Plantar fasciitis will most likely increase the upward pressure on the already inflammed ligament.
Q. Why is it only in one foot?
A. Even after 15 years and many thousands of patients we do not have a satisfactory answer to that. It can be evenly distributed between left and right and male and female. One factor has become observed that patients are becoming younger and it appears hereditary.
Q. I have plantar fasciitis and already wear orthotics but I’m still in pain.
A. This is a difficult question to answer as the Clinic has not been able to assess your injury or devices. However, after 25 years or practice (15 years specialising in heel pain), Clinic Consultants have seen hundreds of unsuccessful orthotics and our observations are as follows:
1. Arch Based Devices:
The clinic has assessed thousands of patients with plantar fasciitis and the predominant problem with most orthotics is that they are arch based devices. This support principle can cause a force upwards into the arch of the foot, increasing the strain on the plantar fascia. This maintains or increases tension and in some cases aggravates the tissue.
The Heel Clinic previously used standard arch based orthotics until patient data proved arch lifting principles did not provide acceptable results. This compelled a change in methodology to new developments in Insert technology (see treatment).
2. Mass Manufacture:
Orthotics can be made from a variety of materials including hard carbon fibres, rigid plastics, high density foams and soft spongy materials. They can be purchased off the shelf (Chemists), Custom Made or Computer Generated where the vast majority are mass made in production laboratories here and overseas.
The Clinic ceased using external manufacturing many years ago due to poor quality and inconsistency. To accurately control the musculoskeletal imbalances for 26 bones, 33 ligaments, muscles, tendons and ligaments in the foot, the Heel Clinic believes each prescription pair of Inserts demands strict quality control. As such, the Heel Clinic has its own manufacturing lab.
Orthotics can be prescribed by Podiatrists, Physiotherapists, Chiropractors and Doctors, not all are adequately trained in biomechanics and foot function.
For more information or to book a consultation phone us on 1300 855 853 or Enquire Online. We currently consult in Sydney, Parramatta and Brisbane.