Monthly Archives: April 2015

Location location location


Our Practice Associate and chartered physiotherapist Mary McGuinness talks us through metatarsalgia – pain in the front part of the foot.


Where would you rather live?

These cramped apartments                          cramped apts mary


or this luxurious country house?                        big house Mary


Have you considered that your feet might feel the same way?!

Wearing high heels transfers extra weight to the front of your foot and is a common cause of metatarsalgia in women. Shoes with a narrow toe box and thin soles can precipitate this painful condition too.

Metatarsalgia is the name given to pain in the front part of your foot under the heads of your metatarsal bones- the ball of your foot.

Mortons neuroma occurs in the same part of the foot. It is a non cancerous growth of fibrous tissue around a nerve and usually occurs between the 3rd and 4th metatarsal heads. It frequently results from wearing high heels or too tight shoes that put pressure on your toes.

High heel shoes are not the enemy. It’s like all things in life- moderation is the key. We average 10,000 steps a day. It’s probably better for our feet if all of those are not in high heels!


What running shoe should I buy?

Read on for a great resource by the American College of Sports Medicine on a summary of the evidence and also debunking some myths with regards to selection of a new running shoe. It separates the science from the marketing and is a must read before getting your next pair of runners.

Choosing a running shoe

A few good tips include

  • ” Buy running shoes at the end of the day when
    your feet have ‘swollen’ as much as they will
    and the shoes will not feel tight”
  • “Foot shape or arch height are not good
    indicators of what kind of running shoe to
  • “Test the shoe to determine if it is too narrow:
    take the insert out of the shoes and step on
    them on the ground. Does your foot hang
    over the sides of the insert? If so, your shoe is
    too narrow”


At the clinic

Course on Female Sexual Dysfunction & The Pelvic Floor – London May 2015

This course on Female Sexual Dysfunction and The Pelvic Floor is on in the Royal College of Obstetricians and Gynaecologists in London on May 22nd 2015. It is chaired by Consultant Obstetrician, Gynaecologist and leader in the field – Miss Claudine Domoney.

There are a host of eminent speakers on topics of obstetrics and urogynecology including sexual medicine and bladder and vulval pain disorders. Our own Specialist Women’s Health chartered physiotherapist Maeve Whelan will present on the role of physiotherapy after childbirth injury.