“Put Your Feet In Good Hands”

“Put Your Feet In Good Hands”

Mobility is one of the most important human functions.  No matter what ‘walk’ of life you come from, if you can’t easily get around by walking your life can be very restricted.
Not only is mobility important, walking is the basic function that keeps our whole body healthy.  It’s common knowledge that becoming sedate gets us out of shape physically which can bring on medical complications.  Failure to exercise creates progressive physically harmful conditions and walking is the easiest and best form of exercise.  However, if we hurt when we walk be become sedate which causes us to gain weight, which in turn makes it more difficult and painful to walk thereby further causing our health to deteriorate.
To keep in shape, months ago I started a daily program of walking three kilometers up and down the Pattaya Beach walkway, but I quit because my feet, knees and hips hurt too much.  I dismissed my discomfort as aging, but little did I know that body aches and pains, including foot, ankle, knee, hip, back, neck and even headaches, can be caused by common foot disorders that can be corrected.
We’ve all heard of club feet, flat feet, high arches, falling arches, rheumatoid arthritis, getting bunions and so forth, but there are many additional problems that can affect our ability to stand and walk normally and comfortably without pain.  Doctors may treat your pain with painkillers but fail to diagnose and correct the cause.  To really get your problems corrected so you can get back on your feet you need the expertise of a Podiatrist.  There is only one Podiatrist in all of Thailand.  He has two clinics, and luckily for us one of them is located in the Pattaya area.
Twelve years ago Rudy van der Lubben of Holland opened the first and only Podiatry Clinic in Bangkok.  He received his college education in Podology in Holland and his practice is accepted in both the Netherlands and by the Ministry of Health in Thailand.  
The first thing that will ease your mind is that the cost of getting your feet corrected is normally quite minor and may even be covered by your insurance. Rudy will discuss that with you.  Also, unlike in the past when orthotic corrections had to be worn for the rest of your life, with today’s technology many sufferers can be cured within a year. Children, whose bones are still developing, are often corrected in as little as a few months.
Being fitted with orthotic corrections begins with an inexpensive but thorough examination to determine if your problems can be corrected.  During the examination Rudy will take a blueprint of your footprint.  You’ll be amazed when you see it.  Did you know that your footprint is different when standing compared to walking (static and dynamic)?  He checks both and determines if you are wearing the correct size shoes and what orthotic corrections may be required.  He also measures pressure and heal position with a Podoscopie, thoroughly examines your feet (palpation), measures your height and weight and will tell you immediately if he can help you.  Rudy is proud of his 100% satisfaction record, so if he determines he can help you, you can be confident he will comfortably get you back on your feet.
Of serious concern to diabetics is the very real possibility of eventual amputation of their feet.  This may be preventable through Podiatry.  Correct walking creates better blood circulation.  If you are diabetic, do right by yourself and see if Rudy can ward off this horrible possibility.
Did you know that having a hip or knee replacement can change the alignment of your legs and how you walk?  Without therapy and maintenance, new problems may occur.  This can easily be prevented with orthotics.
Whether you suffer bunions, curvature of a toe, a heal spike, ulcerated skin or any other problem which prevents you from walking normally and painlessly, have Rudy examine you today.  If you are favoring one leg or both, it puts your body out of balance which affects your whole wellbeing.  Remember, there is a difference in ‘stepping’ and ‘walking’ effortlessly and painlessly with a normal gait.  See Rudy as soon as possible and get yourself walking comfortably again.  Your aching body will thank you.
“The Walker” foot clinic is located in  138/161 Soi Chaiyapruk  Call Rudy today for an appointment: 038-232-543 or 087-133-1280, or email him at:info@footclinic.asia. You can also find additional information at his website:www.footclinic.asia.

Met de groeten aan je voeten!

Met de groeten aan Uw voeten!

Behandeling van voetklachten in Thailand zijn zowel in Bangkok en Pattaya mogelijk. 13 jaar geleden heeft The Walker Podologie Co.,Ltd zijn deuren in Bangkok geopend om te helpen bij voetklachten en klachten hierdoor zoals, Enkel, Knie, Heup Rug en Nekklachten. Veel Expats van over heel de wereld bezoeken Foot clinic The Walker  in Pattaya en  Bangkok. Waarschijnlijk wordt dit jaar ook een Foot clinic in Shangmai geopend. Boven verwachting bezoeken ook veel Thaise inwoners Foot clinic De Walker. The Walker maakt gebruik van steunzolen /orthotics en Arch support en deze worden vervaardigd met de nieuwste technieken en materialen.

Uniek is dat bij spoed of tijdelijk verblijf in Thailand de steunzolen binnen 24 uur kunnen worden geleverd.

Steeds meer ouderen met loopklachten!
Voetklachten en voetpijn komen heel vaak voor. Naar schatting ondervindt 75 procent van de bevolking wel eens een voetprobleem.
De menselijke voet bestaat uit 26 botjes, 33 gewrichten, 107 ligamenten (band van bindweefsel om een gewricht) en 19 spieren en pezen die tezamen de bijzonder ingewikkelde bewegingen om te kunnen lopen mogelijk maken.
Een mens maakt gemiddeld 8.000 stappen per dag en met iedere stap wordt de druk van 2 á 3 keer het lichaamsgewicht op voeten en enkels uitgeoefend.
Daarbij gaat wel eens wat mis en al helemaal als er slijtage optreedt door ouderdom.
Mensen worden gemiddeld steeds ouder en daarmee stijgt het aantal voetklachten en klachten die voortkomen uit een verkeerde stand van de voeten.
Steeds meer 50-plussers melden zich dan ook bij de Foot clinic The Walker.
Bij het ouder worden slijten de voeten. Het vetpolster onder de bal van de voet en de hak kan dunner worden. De ligamenten in de voeten worden minder sterk waardoor de voeten meer gaan doorzakken.
Daardoor zullen de spieren harder moeten werken om de voeten en daarmee het hele lichaam in balans te houden. Hierdoor kunnen vermoeidheids- of overbelastingsklachten ontstaan.
Mensen merken ook letterlijk op dat hun voeten “groter en breder” zijn geworden.
Dat ene paar schoenen waar altijd prima op gelopen werd, zit dan ineens niet meer zo prettig of het zeswekelijkse bezoek aan de pedicure moet ineens vervroegd worden vanwege die ene vervelende likdoorn die er eerst nog niet zat.
Een wandeling kan niet meer goed gemaakt worden omdat de voeten en benen pijnlijk en vermoeid aanvoelen. Voor hulp bij dergelijke klachten wordt steeds vaker Foot clinic The Walker bezocht.

Momenteel telt Thailand maar 1 bedrijf, die zich bezighoud met (preventieve) behandeling van klachten aan voeten, knieën, benen, rug en nek.

Meer informatie kunt U vinden op www.footclinic.asia

Met de groeten aan Uw voeten!

Rudolf

Thai Boxing and injury!

Recently a man called me for an appointment. He had made a forward kick on punching bag.
On the inside of his Ankle was a sensitive spot.Pressing this place gave pain under his heel.

Investigations revealed that he suffered from, Carpal Tunnel Syndrome.

Tarsal tunnel syndrome (TTS), also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel.^[1] This tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles travel in a bundle through the tarsal tunnel. Inside the tunnel, the nerve splits into three different segments. One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot. The tarsal tunnel is delineated by bone on the inside and the flexor retinaculum on the outside.

Patients with TTS typically complain of numbness in the foot radiating to the big toe and the first 3 toes, pain, burning, electrical sensations, and tingling over the base of the foot and the heel.^[1] Depending on the area of entrapment, other areas can be affected. If the entrapment is high, the entire foot can be affected as varying branches of the tibial nerve can become involved. Ankle pain is also present in patients who have high level entrapments. Inflammation or swelling can occur within this tunnel for a number of reasons. The flexor retinaculum has a limited ability to stretch, so increased pressure will eventually cause compression on the nerve within the tunnel. As pressure increases on the nerves, the blood flow decreases.^[1] Nerves respond with altered sensations like tingling and numbness. Fluid collects in the foot when standing and walking and this makes the condition worse. As small muscles lose their nerve supply they can create a cramping feeling.

Treatments typically include rest, manipulation, strengthening of tibialis anterior, tibialis posterior, peroneus and short toe flexors, casting with a walker boot, corticosteroid and anesthetic injections, hot wax baths, wrapping, compression hose, and orthotics. Medications may include various anti-inflammatories such as Anaprox, or other medications such as Ultracet, Neurontin and Lyrica. Lidocaine patches are also a treatment that helps some patients.

Very important to limit the pronation of the foot.

We do this with Orthotics with general success.

Greetings,

prof. Rudolf