Ian Radford

Foot pain due to Sciatica

Sciatica is a debilitating condition in which the person experiences radiating pain in one leg that passes beyond the knee, including as far as the foot. Sciatica may present with or without neurological symptoms such as paraesthesia (“pins and needles”) or muscle weakness along with pathway of the sciatic nerve or its branches. As such,Continue reading “Foot pain due to Sciatica”

Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction (PTTD) is a common foot and ankle condition and a common cause of adult-acquired pes planus (“flat foot”). It can affect people of all ages and activity levels, although it is very common in obese, middle-aged women, affecting approximately 1 in 10 people within this demographic. Around 60% of people withContinue reading “Posterior Tibial Tendon Dysfunction”

Peroneal Tendinopathy

Peroneal Tendinopathy is an uncommon condition of the lower leg that involves pain in the tendons of two of the peroneal muscles, namely peroneus longus and/or peroneus brevis. It can be both acute (less than 6 weeks) or chronic (longer than 6 weeks). Some sources also call this “peroneal tendinitis”, although in many cases thereContinue reading “Peroneal Tendinopathy”

Cuboid Syndrome

Cuboid Syndrome (CS) is an easily misdiagnosed cause of pain in the lateral midfoot. CS is believed to arise from a subtle disruption of the arthrokinematics of the cuboid or issues with the calcaneocuboid joint not being structurally congruent, which irritates the joint capsule, ligaments, and peroneus longus tendon which passes underneath the cuboid. CSContinue reading “Cuboid Syndrome”

Forefoot Varus and Supinatus

A forefoot varus is an osseous deformity of the forefoot occurring in about 1-2% of the population. While there is still some debate as to the aetiology (cause) of this condition, it has been suggested that a forefoot varus arises from the talus (a bone within your ankle joint and rearfoot) developing abnormally. The talusContinue reading “Forefoot Varus and Supinatus”

Pes Planus – the “Flat Foot”

The classic definition of a Pes Planus is one of a foot with a low medial (longitudinal) arch, often called “your instep”, an everted rearfoot (heel rolled in), and an abducted, dorsiflexed midfoot. There are two types of pes planus: a rigid type and a flexible type. Both can have a significant impact on theContinue reading “Pes Planus – the “Flat Foot””

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome (TTS) is a compression neuropathy (trapped nerve) of the Tibial Nerve or one of its branches as it passes behind the Medial Malleolus and under the Flexor Retinaculum in a space called “the Tarsal Tunnel”. The Tarsal Tunnel as a space created between the Medial Malleolus of the Tibia, Talus, Calcaneus andContinue reading “Tarsal Tunnel Syndrome”

Osteochondral Lesions of the Talus

Firstly, for those who don’t know what the talus is, it is the bone that sits on top of (superior to) the heel bone (calcaneus), between the medial and lateral malleoli, making up the bony parts of ankle joint. An osteochondral lesion of the talus is an injury to the bone and/or cartilage on theContinue reading “Osteochondral Lesions of the Talus”

Patellofemoral Pain Syndrome

Patellofemoral Pain Syndrome (PFPS) is a very common condition affecting both athletes and non-athletes alike. It is a very common running injury, with approximately 25% of runners experiencing PFPS at some point. In fact, it is so frequently associated with runners that it is often called “runner’s knee”. People with PFPS present with a dullContinue reading “Patellofemoral Pain Syndrome”

Posterior Tibial Tendinopathy

Posterior Tibial Tendinopathy is a common injury of the lower limb, affecting between 3% and 10% of people in the UK. It tends to affect women more often than men, particularly women aged 40-50 years. The Tibialis Posterior muscle is a key inverter or supinator of the foot and has an important role in maintainingContinue reading “Posterior Tibial Tendinopathy”