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# Northernhay Clinic: MSK Podiatry, Custom Orthotic & Shockwave Therapy

## Sitemaps
[XML Sitemap](https://northernhayclinic.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Conditions
- [Popliteal Artery Entrapment Syndromes (PAES)](https://northernhayclinic.com/condition/popliteal-artery-entrapment-syndromes-paes/): As Podiatrists we are trained to investigate, diagnose, and treat complications of the Vascular System supplying the lower limb. PAES is commonly under-diagnosed in young, athletic populations. At Northernhay Clinic we utilise our 30 years of experience to screen at risk populations.
- [Chronic Exertional Compartment Syndromes (CECS)](https://northernhayclinic.com/condition/chronic-exertional-compartment-syndromes-cecs/): At Northernhay Clinic we are experts in the diagnosis and management of Chronic Exertional Shin & Calf pain. Our consultant MSK Podiatrist Jonathan Palmer BSc (Pod) FFPM RCPS (Glasg). FCPM has extensive experience in the assessment, diagnsosis and treatment of shin pain following 20 years of Podiatry services to HM Royal Marines Commando Training Centre, Lympstone.
- [Heel Spur](https://northernhayclinic.com/condition/heel-spurs/): Bony spurs on the base of the heel can cause sharp pain on weight-bearing, as the spur itself causes friction and puts pressure on the surrounding tissues. 
- [Nerve Entrapment](https://northernhayclinic.com/condition/nerve-entrapment/): Burning or tingling pains in the Foot & Ankle are often the result of Nerve Entrapment or irritation. The nerves on the inside of the ankle feed the tissues of the heel. Compression of these nerves can lead to painful symptoms on the heel. This can be involved with up to 25% of Plantar Heel Pain cases.
- [Fat Pad Atrophy](https://northernhayclinic.com/condition/fat-pad-atrophy/): The Fat Pad on the bottom of the Heel and Forefoot (ball of the foot) should be plump and supple, allowing for effective shock absorption. Sometimes with age, overuse or trauma, the fat pads on our feet can become thinner, giving the underlying tissues and bone less protection. We think of this a little bit like running a car on low tyre pressures. When the fat pad on our feet atrophies (becomes thinner and less protective) we can develop pain, aching and soreness underfoot with walking and weight-bearing.
- [Hypermobility](https://northernhayclinic.com/condition/hypermobility/): Hypermobility and its related conditions are misunderstood by many. It is a great attribute to have a good range of movement and be free and able to move fluidly. Sometimes Flat Feet can be a result of Hypermobility, as the joints within the feet of a person who is Hypermobile can move to their end ranges very easily. This can affect the stability of the foot and ankle and lead to repetitive soft tissue pain and injury.
- [Lower Back Pain](https://northernhayclinic.com/condition/lower-back-pain/): Back Pain is the single most common musculoskeletal complaint that presents at GP surgeries. As Podiatrists, we can assess whether your Lower Limb & Foot Biomechanics may be affecting your Back Pain.
- [Hip Osteoarthritis](https://northernhayclinic.com/condition/hip-pain/): Hip Pain is one of the most common causes of musculoskeletal pain, especially in older people. The most common cause of hip pain is related to Osteoarthritis, but there are a number of conditions that may cause pain in the hips. During a Consultation our Podiatrists will try to help you understand the source of your Hip pain and more importantly, what can be done to help manage it.
- [Knee Arthritis](https://northernhayclinic.com/condition/knee-arthritis/): Knee Osteoarthritis (OA) is an extremely common condition that presents very frequently at GP surgeries and Podiatry Practices. Any conditions that result in damage to the knee joint surfaces can result in Knee Arthritis development. This might include previous trauma or injury, genetics, weight gain, ageing and inflammatory disease to name a few.
- [ITB Syndrome](https://northernhayclinic.com/condition/itb-syndrome/): ITB Syndrome most commonly develops in runners, with up to 14% of runners suffering from it at some point in their running lives. It is also associated with a variety of sports such as hockey, cycling, field sports and basketball. It can involve pain, inflammation, and degeneration along the course of the large band of connective tissue running along the outside of the thigh (the Ilio-Tibial Band). The pain usually affects the lateral (outside) of the knee but can radiate up the leg towards the hip.
- [Patellofemoral Pain](https://northernhayclinic.com/condition/patellofemoral-pain/): Patellofemoral pain refers to pain behind or around the knee cap. It is commonly known as 'Runners Knee'. It is very common at our clinics and our Podiatrists are best placed to help you manage this problem.
- [Plantar Plate Injury](https://northernhayclinic.com/condition/plantar-plate-injury/): Plantar Plate Injuries involve damage to the  ligaments that lie beneath the toe joints. They are most commonly found at the base of the 2nd toe joint.
- [Sesamoiditis](https://northernhayclinic.com/condition/sesamoiditis/): Sesamoiditis is a common pain syndrome that affects the forefoot. It is especially common in distance runners, football players and dancers.
- [Tarsal Tunnel Syndrome](https://northernhayclinic.com/condition/tarsal-tunnel-syndrome/): The Foot & Ankle's version of Carpal Tunnel Syndrome in the wrist, Tarsal Tunnel Syndrome usually involves entrapment of the tibial nerve on the inner side of the ankle. It generally affects the Inner Ankle and can present with tingling, pins and needles, numbness and pain on the inside of the inner ankle and down into the arch of the foot and toes.
- [Stress Fractures](https://northernhayclinic.com/condition/stress-fractures/): Stress Fractures are small, hairline cracks that can develop in many different bones of the Foot, Ankle & Lower Limb. In the Foot, Stress Fractures are most common in the metatarsal bones (forefoot), but can also effect the bones of the mid-foot and hind-foot. In active and sporting populations they often affect the lower and upper leg. Tibial (Shin) Stress Fractures are not uncommon in runners, athletes and military personnel. 
- [Neuroma](https://northernhayclinic.com/condition/neuroma/): A Neuroma is a thickening of nerve tissue that can occur in the foot as a result of excessive shearing force between the metatarsals. Patient's with a Neuroma often complain of the feeling of 'walking on a pebble', or shooting, pins & needles & tingling sensations in their toes.
- [Medial Tibial Stress Syndrome](https://northernhayclinic.com/condition/shin-pain/): Shin pain is very common, especially in Runners & Athletes as well as Military Personnel. We have outlined some of the different types of shin pain below. If you have Shin pain it is very important to get it diagnosed properly, as soon as you can to help you get back to the activities you love.
- [Foot & Ankle Arthritis](https://northernhayclinic.com/condition/foot-ankle-arthritis/): Arthritic joint change can affect the joints within our Foot & Ankle just as it can affect other joints in our body. Arthritic pain can be challenging and can feel disabling for patients at times. Below we have highlighted some of the most common types of Foot & Ankle arthritis that we see in our clinics.
- [Posterior Tibial Tendon Pain](https://northernhayclinic.com/condition/posterior-tibial-tendon-pain/): There are a number of conditions that can cause pain on at the Inner Ankle, but one of the most common by far is Posterior Tibial Tendinopathy. It can be complex and distressing, often affecting your ability to enjoy even the simplest daily activities. Our Team can help diagnose the cause of your Inner Ankle pain and help you to manage it effectively.
- [Achilles Tendinopathy](https://northernhayclinic.com/condition/achilles-tendinitis/): Achilles Tendinitis (or Tendinopathy) can present as pain low in the calf muscle or the Achilles Tendon itself, whether above the heel or where the tendon inserts onto the heel bone. Achilles tendon problems can be extremely painful and limiting. You might notice some thickening, swelling or hardening of the Achilles Tendon.
- [Plantar Fasciitis](https://northernhayclinic.com/condition/plantar-fasciitis/): Plantar Fasciopathy (often referred to as Plantar Fasciitis) is extremely common. Approximately 1 in 10 of us will experience this pain at some point in our lives. However, this condition is commonly misdiagnosed as there as so many different pathologies that can cause pain under the heel.

## Treatments
- [Biomechanical Examination](https://northernhayclinic.com/treatment/biomechanical-examination/): Our Team use a Biomechanical Examination as a tool to learn more about how your body moves. It can tell us about how joints and muscles are working, what your individual tissue ranges are, and where areas of pain may be. It helps our Podiatrists identify which structures are painful and how they respond to certain movements. We can then work together to find a management strategy that works best for you.
- [Custom Foot Orthoses](https://northernhayclinic.com/treatment/custom-foot-orthoses/): Custom Foot Orthoses are a key treatment option in Musculoskeletal Podiatry, helping to support movement, reduce mechanical stress, and assist in managing a wide range of foot, postural and lower-limb conditions. At Northernhay Clinic, our devices are designed to your specific biomechanical needs, daily activities and foot structure, offering a truly individualised approach to orthotic therapy.
- [Gait Analysis](https://northernhayclinic.com/treatment/gait-analysis/): At Northernhay Clinic we use Computer Gait Analysis to gain further understanding of the way you move. It allows us to observe your Lower Limb function a little more closely using Video and Data as a tool to help you understand the way you move. Sometimes our movement patterns can contribute to our painful symptoms, perhaps preventing them from settling as they should. Moving in a different way or 'compensating' due to Lower Limb Pain can contribute to the development of pain in other areas.
- [Radial Shockwave Therapy](https://northernhayclinic.com/treatment/radial-shockwave-therapy/): Shockwave Therapy has been used for many years as an alternative to invasive surgery or traditional rehabilitation for musculoskeletal injury. In circumstances where chronic injuries fail to respond to conventional treatments, Shockwave Therapy often provides effective pain relief and restores normal tissue functioning. It is a versatile and often very effective treatment for a range of muscle, tendon and joint conditions.
- [Exercise Therapy](https://northernhayclinic.com/treatment/exercise-therapy/): Exercise Therapy is a fundamental part of managing Foot, Ankle & Lower Limb pain. Whether it is strength or mobility work, the main aim of Exercise Therapy is to increase the capacity of your painful tissues and those around them – allowing them to handle load more effectively without becoming painful.
- [Footwear Advice](https://northernhayclinic.com/treatment/footwear-advice/): Footwear advice is one of the pillars of managing Foot & Ankle pain. Appropriate footwear can make the difference between comfort and discomfort, painful symptoms and no symptoms. Finding the right Footwear can be challenging. Our Podiatrists always endeavour to give you the tools to help you find the right footwear for your function and specific symptoms to keep you comfortable for the long run.