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Common Foot Problems


Metatarsalgia (literally metatarsal pain, colloquially known as stone bruise) is a general term used to refer to any painful foot condition affecting the metatarsal region of the foot. This is a common problem that can affect the joints and bones of the metatarsals. Metatarsalgia is most often localized to the first metatarsal head (the ball of the foot just behind the big toe). There are two small sesamoid bones under the first metatarsal head. The next most frequent site of metatarsal head pain is under the second metatarsal. This can be due to either too short a first metatarsal bone or to "hypermobility of the first ray" (metatarsal bone + medial cuneiform bone behind it), both of which result in excess pressure being transmitted into the second metatarsal head.

How can Outdoor Traders help?

The primary cause of metatarsalgia in most people is over pronation. This can be controlled using orthosis. Flexible orthotics control foot motion without restricting function and creating compensatory movement in other structures. Here at Outdoor Traders we are specialists in Accomodative Orthotics, these are insoles which cast the foot neutral and can help to relieve the pain caused by metatarsalgia. Click here to book an appointment today.

Plantar Fasciitis

Plantar fasciitis is a painful inflammatory process of the plantar fascia. Longstanding cases of plantar fasciitis often demonstrate more degenerative changes than inflammatory changes, in which case they are termed plantar fasciosis. The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus (heel bone) and extending along the sole of the foot towards the five toes. It has been reported that plantar fasciitis occurs in two million Americans a year and 10% of the population over a lifetime. It is commonly associated with long periods of work-related weight bearing. Among non-athletic populations, it is associated with a high body mass index. The pain is usually felt on the underside of theheel and is often most intense with the first steps of the day. Another symptom is that the sufferer has difficulty bending the foot so that the toes are brought toward the shin (decreased dorsiflexion of the ankle). A symptom commonly recognized among sufferers of plantar fasciitis is increased probability of knee pains, especially among runners.

How can Outdoor Traders help?

Orthotics, i.e., foot supports, are the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of a soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. At Outdoor Traders we specialise in offering these kinds of solutions, to make sure you can get back out there as soon as possible! Click here to book an appointment today.


bunion is a structural deformity of the bones and the joint between the foot and big toe, and it may be painful. A bunion is an enlargement of bone or tissue around the joint at the base of the big toe (metatarsophalangeal joint).The big toe may turn in toward the second toe (angulation), and the tissues surrounding the joint may be swollen and tender.

Today the term usually is used to refer to the pathological bump on the side of the great toe joint. The bump is the swollen bursal sac and/or an osseous (bony) deformity that has grown on the mesophalangeal joint (where the first metatarsal bone andhallux meet).

How can Outdoor Traders help?

Bunions can be treated with a change of footwear or orthotics, and we can help you find a solution that eases the pain you're feeling. We're very proud of our expertise when it comes to custom fitting, so why not click here to book an appointment today.

Tibial Torsion

Tibial torsion is an inward twisting of the shin bones (the bones that are located between the knee and the ankle). Tibial torsion causes the person's feet to turn inward, or have what is also known as a "pigeon-toed" appearance. It is typically seen among toddlers, but also amongst adults.

How can Outdoor Traders help?

An accomodative orthosis can help relieve the symptoms of tibial torsion, whilst casting the foot neutral. If you think you might suffer come and talk to a member of our staff who will be happy to help you, click here to book an appointment today.

Mortons Neuroma

Morton's neuroma (

also known as Morton's metatarsalgiaMorton's neuralgiaplantar neuroma and intermetatarsal neuroma) is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the third and fourth intermetatarsal spaces.

This problem is characterised by numbness and pain, relieved by removing footwear.

Despite the name, the condition was first correctly described by a chiropodist named Durlacher, and although it is labeled a "neuroma", many sources do not consider it a true tumor, but rather a perineural fibroma (fibrous tissue formation around nerve tissue).

How can Outdoor Traders help?

The use of flat feet orthotics has been researched and tested by leading institutions around the world, and is widely accepted in the medical community. Flat feet insoles and orthotics are used in both public and private hospitals and clinics.

Clinical studies and field research verify the value of orthotics in relieving flat feet and improving structural integrity. Flexible orthotics control foot motion without restricting function and creating compensatory movement in other structures. At Outdoor Traders we know our stuff when it comes to orthotics - either off the shelf or completely custom made. Click here to book an appointment today.

Back Pain

Back pain (also known "dorsalgia") is pain felt in the back that usually originates from the musclesnervesbonesjoints or other structures in the spine.

The pain can often be divided into neck painupper back painlower back pain or tailbone pain. It may have a sudden onset or can be a chronic pain; it can be constant or intermittent, stay in one place or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. The pain may be radiate into the arm and hand), in the upper back, or in the low back, (and might radiate into the leg or foot), and may include symptoms other than pain, such as weakness, numbness or tingling.

Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.

The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain. Large nerves that originate in the spine and go to the legs and arms can make pain radiate to the extremities.

How can Outdoor Traders help?

Rolling over of the feet - over pronation - causes the lower leg to rotate internally. As a result, the pelvis is forced to tilt forward, which can cause an increased curvature of the lower back. This is referred to as 'poor body posture'. Especially after standing up-right for longer periods the curvature in the back will cause tightness and stiffness of the lower back muscles. A contributing factor to back pain is over pronation.

The advantage of orthotics is that they will control the amount of over pronation and thus reduce the pain associated with this condition. Click here to book an appointment today.