HOME

ABOUT US

CHIROPODY AND PODIATRY

BIOMECHANICS AND GAIT ANALYSIS

ORTHOSES

KIDS FEET

CLINICS

HEALTH INSURANCE

CONTACT

LINKS

Naomi Green Podiatry putting your feet in the right place HOME

WELCOME

NEWS

NEW PROJECTS

About us...Naomi Green is a Podiatrist specialising in assessing and treating the biomechanics of the foot and lower limbs, musculoskeletal and sporting injuries in addition to treating all aspects of general footcare. Read more...Chiropody & Podiatry....Our feet should not hurt and putting up with painful feet is unnecessary. Naomi Green can diagnose and treat all types of foot problems. Read more...Biomechanics & Gait Analysis...It is very common for our feet to function poorly, and this can result in pain or injury in the foot, ankle, knee, hip and even back. Read more...Orthoses....Orthotics act a lot like eyeglasses, they are precisely calibrated devices designed to correct any areas of poor function within the foot and optimise the performance of your body. Read more...Kids Feet...A lot of foot conditions are genetic in origin so if you have problems your children may too, Podiatry and Orthotic Therapy may help as they grow. Read more...Clinics...Naomi works in several clinics in Bristol, Bath and Reading. Read more...

Home The home of all things foot related

Our feet are expected to take 10,000 steps per day, that’s over 3.5 million steps a year. That's why experts recommend you see a Podiatrist at least once a year.

The repetitive motion of walking and running can place stress on our feet, legs, pelvis, muscles, tendons and ligaments potentially leading to pain, discomfort and injury at either foot level (whether it's corns, callus, forefoot, arch or heel pain) or further up the body as with shin, knee or hip pain, for example.

A Podiatrist is a specialist of the foot, ankle and lower limb. Musculoskeletal Podiatrists look at how the feet function when walking and during sporting activities and then assess how this affects the rest of the body during motion. The lower limb has to deal with a lot of stress and load during walking and sports so it's not surprising that we develop injuries and pain if our feet aren't working efficiently. This type of analysis is also often referred to as 'biomechanics'.

Podiatric biomechanics and gait analysis (studying your walking pattern) can help to identify and address the factors that may be causing or contributing to problems, helping you to recover from an injury or minimise the risk of injury in the future.

Fun Foot Facts

Fact 1.The skin on the soles of your feet is thicker than anywhere else on your bodyFact 2.The pressure on your feet when running can be as much as three to four times your body weightFact 3.Women suffer from foot problems nearly four times as often as men. This may be due to wearing high heels.Fact 4.There are approximately 250,000 sweat glands in a pair of feet and they excrete as much as half a pint of moisture each day.Fact 5.The 52 bones in your feet make up about one quarter of all the bones in your body.
Darren and Naomi-100012551.jpg

ABOUT US

Naomi Green MSc BSc(Hons) PGDip PGCert MChS Musculoskeletal Podiatrist

Naomi Green is a Podiatrist specialising in assessing and treating the biomechanics of the foot and lower limbs, musculoskeletal and sporting injuries in addition to treating all aspects of general footcare. Following completion of her BSc (Hons) degree in 1999 Naomi worked for the NHS and then went on to work in private healthcare clinics. Naomi has obtained a postgraduate certificate in Sports Podiatry, and also completed her Masters degree in Biomechanics at Staffordshire University, where she was awarded a merit for her research into football boots and injury.Naomi combines her knowledge and use of many other treatments to reduce symptoms, and improve lower limb and foot health, complimenting any on-going care patients are receiving from other health professionals. A large number of her patients are pre and post surgery and referrals from orthopaedics.In comparison to many other clinicians, in the podiatric field, Naomi has the additional advantage of in-depth understanding and knowledge regarding video gait analysis and pressure measurement due to the invaluable experience she gained from working for the manufacturers of foot pressure measurement systems, training their customers.Naomi has worked as part of a mobile podiatric biomechanics team visiting sports teams/clubs treating all sports patients from the juvenile to amateur to professional athlete in football, cricket, rugby, running, netball and shooting. Naomi'’s research into injuries and football boots has helped her focus and specialise in the assessment and treatment of musculoskeletal and sporting injuries.Naomi has presented numerous detailed training programmes in gait analysis, biomechanics, the diabetic foot and orthotic prescription. She has lectured throughout the UK as well as in Denmark, Belgium and India. This has advanced her own expertise enabling her to provide high quality service and treatment to her patients.Naomi is registered with most major private medical insurance providers including Bupa, Norwich Union, PruHealth.Naomi works on a consultancy basis in clinics in Bristol, Bath and Reading. Naomi works at Spire Hospital in Bristol, Elite fitness in Thornbury, Bristol. She works at the BMI Bath Clinic and in Reading at Brightwell Clinic. Click here to go to the CLINICS page.

QUALIFICATIONS

Foot Mobilisation Technique Certificate (2010)

MSc in Clinical Podiatric Biomechanics (2009)

Corticosteroid Injection Therapy (2009)

Advanced Local Anaesthesia Certificate (2009)

Podiatric Acupuncture Certificate (2009)

CIBTAC Diploma in Body Massage (2008)

PGDip Clinical Biomechanics (2005)

Ionising Radiation Regulations Certificate (2005)

PGCert Clinical Biomechanics (2004)

PGCert Sports Podiatry (2002)

BSc (Hons) Podiatry (1999)

No Frame

HEALTH INSURANCE PROVIDER NUMBERS

BUPA No: 85012049

Aviva / Norwich Union: 600058908

Exeter Friendly Society: S2160620

PruHealth: PRU3574597

Standard Life

PROFESSIONAL MEMBERSHIPS

Health Professions Council - CH14231

The Society of Chiropodists and Podiatrists - 015225

Member of the International Foot and Ankle Biomechanics Community

Member of Podopaediatrics Interest Group

British Association of Sports and Exercise

International Society of Biomechanics in Sports

CHIROPODY AND PODIATRY

Chiropody & Podiatry Making your feet feel great

We all frequently complain that our feet hurt but putting up with painful feet is unnecessary. Everyone can benefit from seeing a podiatrist whether they have painful feet or not. During a podiatry session Naomi will get your feet feeling great by removing any hard skin and treating corns and nail problems.The following examples are instances where a visit to see Naomi would be recommended:

* Difficulty cutting toe nails

* Fungal infected, discoloured or yellow nails

* Painful or thick toe nails

* In-growing toe nails

* Bunions

* Verrucae

* Corns, callus, tchy, flaky or dry skin

* Chilblains

* Cracked heels

* Blisters

* Painful foot joints, arches, shins or knees

* Some back, hip, knee and/or ankle pains.

* Numb/swollen feet

* Diabetes

Click on an icon for more information on different foot problems and other treatments available

Foot & Joint Pain

Toes

Skin Problems

Injection Therapy

Foot Mobilisation

Acupuncture

BIOMECHANICS AND GAIT ANALYSIS

WELCOME

NEWS

NEW PROJECTS

Our eyes cannot work quick enough to pick up and see some of the abnormalities that occur when we walk and so Naomi uses a state of the art video gait analysis system to assess your foot, leg and body motion. Naomi can then use the data collected by this hi-tech equipment to address any abnormalities or asymmetries in movement.In conjunction with video gait analysis, Naomi also uses a pressure system which allows her to see what your foot is doing when it is in contact with the ground.Many people talk about 'pronation' and 'supination' but these are normal movements and need to occur in walking. Therefore stopping these movements occuring or treating them generally can be ineffective or cause further harm. We need to be able to measure how much someone pronates or supinates, when, and how quickly, these movements of the foot occur. We can then address the foot movements and timings specifically.

Biomechanics & Gait Analysis Getting your feet working efficiently

The foot is a complex structure of 26 bones, 33 joints and 30 muscles, over half of which originate in the leg and control the foot.

How effective our feet are when we walk depends on how the bones, muscles and joints move and work. Our feet need to be flexible when we walk and run so they can absorb the shock of hitting the ground. But the foot must also be stable enough to support us as our body weight moves over it during each step.

Good foot function depends on the foot's interaction to the ground as well as the position of the foot to the leg. How the muscles and joints further up the body are working will play a role on foot function but will also be affected by how the foot functions. It is very common for our feet to function poorly, and this can result in pain or injury in the foot, ankle, knee, hip and even back.

A biomechanical examination involves taking a series of measurements of the feet and legs with the patient standing and lying down, checking joint movements and assessing muscle strength and flexibility. We need to watch how you walk to assess the way in which your feet work.

The biomechanical examination is a 1 &1/2 hour appointment during which time many tests are carried out to assess and evaluate the lower limb. Once a diagnosis has been reached Naomi will discuss the proposed course of treatment, giving options where appropriate. It is possible that a programme of exercises and advice on footwear may be all that is necessary. You may need an orthotic insole in your footwear to improve your walking pattern.

Common injuries requiring gait analysis

* Sports injuries * Running injuries * Plantar fasciitis * Neuroma * Pain in the: - Shins - Foot arch - Legs or muscles - Knees - Lower back - Side of the thigh - Big toe joint - Forefoot * Generalised aches and pains * Achilles tendon problems.

ORTHOSES

Orthoses Supporting your feet all the way

Some of the conditions which orthotics can benefit include:-

* Arthritic or other pain in the Big

Toe Joint (or anywhere in the feet)

* Forefoot pain (Mortons neuroma,

Metatarsalgia etc)

* Heel pain (plantar fascitis)

* Arch pain

* Ankle pain

* Muscular pain in the legs, feet and

ankles

* Hip pain

* Lower back pain

Orthotics are devices (insoles) designed to correct poor foot function and so can improve the movement of our limbs and body. Like eyeglasses the prescription must be based on an accurate diagnosis of any pathology and an assessment of how your body functions.Orthotics are used for: Alleviating foot pain. Controlling or correcting abnormal gait patterns. Improving the shock absorbing properties of a foot. Helping to support the foot, as commonly required by the older foot. Reducing symptoms from lower back, hip, knee, ankle and foot that may be due to foot abnormalities. Controlling how the lower limb functions.There are many conditions which can be treated successfully with orthotics including pain within the foot, and pain in the joints and muscles of the legs. Some of the conditions which orthotics can benefit include:- Arthritic or other pain in the Big Toe Joint (or anywhere in the feet) Forefoot pain (Mortons neuroma, Metatarsalgia etc) Heel pain (plantar fascitis) Arch pain Ankle pain Muscular pain in the legs, feet and ankles Hip pain Lower back painThere are many different types of orthotics. The type that is used depends on the activity in which the patient is involved, the shoes they want to wear, and the underlying foot problem.Naomi also specialises in prescribing the Richie Brace. This is an ankle brace which is a very effective device for patients with severe flat feet, painful feet and ankles and drop foot.

KIDS FEET

Kids Feet Helping them take the big steps

Naomi has a great interest in children’s foot health and is a member of the National Interest Group for Podiatric Treatment for Children.

A lot of foot conditions are genetic in origin so if you have problems your children may too, Podiatry and Orthotic Therapy may help as they grow.

Many deformities that show up in adult life can often be traced back to early foot growth and development in children. Naomi will focus on preventative foot care and the early detection of foot deformities. It is often possible to prevent the lasting effects of abnormal foot growth and development in children by early diagnosis.

Early diagnosis is essential and many paediatric foot deformities can be treated before they progress into adult foot complications that occur later in life.

Common paediatric conditions are:

* In-toeing

* Out-toeing

* ‘Tripping’

* Tibial torsion

* Metatarsus adductus

* Genu Varum

* Perthes disease

* Knocked knees

* Talipes equinovarus

* Flat feet

* Severs Disease

* Freiburg’s Infarction

* Osteochondritis Dissecans

Many deformities that show up in adult life can often be traced back to early foot growth and development in children. Naomi will focus on preventative foot care and the early detection of foot deformities. Early diagnosis is essential and many paediatric foot deformities can be treated before they progress into adult foot complications that occur later in life.

Many children benefit from foot Orthotic therapy and othoses help many children to enjoy sports without symptoms.

CLINICS

SPIRE HOSPITAL BristolNaomi works at Spire Bristol Hospital on Mondays.The Glen, Redland Hill,Durdham Down,Bristol,BS6 6UTTo book an appointment call: 0117 980 4022www.spirehealthcare.com/bristol/
SOCKS OFF at ELITE FITNESS Bristol Naomi works at Socks Off on Thursdays.Elite Fitness26-30 St Mary StreetThornburyBristolBS35 2ATTo book an appointment call:07590 686870www.naomigreenpodiatry.co.ukinfo_naomigreenpodiatry.co.uk

BRIGHTWELL CLINIC Reading

Naomi works at Brightwell Clinic, in Reading, on Wednesdays and Fridays.

To book an appointment call:

0118 958 7151

www.brightwellclinic.co.uk

naomi_brightwellclinic.co.uk

HEALTH INSURANCE

Health Insurance

Naomi Green is recognised by most major Private Health Insurance Companies, some of which require you to quote the Clinicians Provider number. Naomi's Provider Numbers are: BUPA No: 85012049Aviva / Norwich Union: 600058908Exeter Friendly Society: S2160620PruHealth: PRU3574597Standard LifeIf your Private health cover company is not listed here, this does not mean that Naomi is not registered or recognised by that company. Please check with your provider. Private Health Insurance Policies Invoices issued for treatment you receive from Naomi will contain details of the insurance company provider numbers . Whilst some of the fees and charges may be recoverable under insurance polices not all items treatments or items prescribed will be paid for by insurance companies. Even though you may have cover, some treatments require payment by yourself and you will be provided with an invoice to support your application to the insurance company for reimbursement of the allowable cost of treatment.
PROFESSIONAL MEMBERSHIPS:Health Professions Council - CH14231The Society of Chiropodists and Podiatrists - 015225Member of the International Foot and Ankle Biomechanics Community Member of Podopaediatrics Interest GroupBritish Association of Sports and ExerciseInternational Society of Biomechanics in Sports

CONTACT

CONTACT US.

OUR LOCATION.

Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Suspendisse at nulla. In tincidunt, nunc vitae

TELEPHONE: + 1 800 6886889

FAX: + 1 800 6886999

FREEPHONE: + 1 800 6886777

E-MAIL: mail_viewbusiness

HAVE A QUESTION,

JUST

SHOUT

LINKS

www.newbalance.com

www.asics.co.uk/running

Please click on the logos to open the relevant link.

www.easyrunner.co.uk

www.sweatshop.co.uk

www.mymoti.com

www.upandrunning.co.uk/shops/bristol.php

www.meanfeet.co.uk

www.shoon.com

www.jamesinglis.com

www.cosyfeet.com

www.hotter.com

www.widefitshoes.co.uk

www.clarks.co.uk

www.thinkshoesusa.com

www.shoe-shop.org.uk

www.MyPhysio.org.uk

Services

465368-two-female-feet-waiting-for-a-massage-very-shallow-depth-of-field-focus-is-in-the-middle.jpg

Foot and other Joint Pain

Toes & Toenails

Skin

Discomfort with Toenails or Difficulty Cutting Toenails It's often difficult to reach our own toenails, and many of us find it hard to cut our nails properly. Frequently, poorly cut nails or injured nails will give us discomfort. Seeing Naomi will help to ensure that your nails are cut properly and that you don't get ingrown nails or other nail problems.Discoloured or Yellow ToenailsDiscoloured nails (most often a yellow colour) are usually caused by a type of fungus of the nail, which can be treated with nail paints and creams or, in some cases an oral medications may be prescribed by your GP. Ingrown ToenailsIngrown toenails are caused when the nail pierces into the skin and can be very painful. It can occur on any toenail of the foot, and once the nail has broken the skin there is a high chance of the toe becoming infected so it'’s important to see a podiatrist. Sore ToesPainful toes can be due to several different injuries or conditions and Naomi can provide pads, arch supports, and insoles in your shoes to alleviate your foot pain.
Heel PainAny kind of pain in the heel needs to be seen by a podiatrist and can be due to serveral different causes. Diagnosis is often made on type of pain and when it is occurring.A common type of heel pain is plantar fasciitis which is normally treated with insoles and physical therapies. When the problem is chronic an injection may be required. Pain in the Ball of the FootWhen the balls of your feet hurt, it's best to see a podiatrist for advice and treatment as they will be able to assess the cause of pain. Frequently insoles are used to alleviate pain, but it is necessary to have the podiatrist evaluate and fit you for them.Bunions Bunions are a structural deformity of the bones in the foot and the joint that is between the foot and big toe and most commonly hurt when they become swollen and are irritated by footwear and walking. In severe cases surgery may be required but early assessment, advice and podiatric input can help in managing this condition and possibly reduce the progression of the deformity. Flattened ArchesMany of us notice that our feet flatten out when standing. An arch that appears flat may be a sign of a foot that pronates or is weak. A foot that functions like this can, in the long term, lead to pain from overuse of our muscles and tendons degeneration in the joints.Naomi uses gait analysis to assess how your feet are working and can address their function with the aim of preventing further damage to your joints.Pain in the Feet, Legs or Back While WalkingTendons, muscles and bone/joint problems can all stem from how our feet work when in contact with the ground. Naomi uses gait analysis to assess how your feet are working and can address their function with the aim of preventing further damage to your joints.
Corns and CallusHard skin on your feet makes the skin less flexible and so can be quite uncomfortable especially when it gets thick. Naomi can remove the hard skin and give advice on how to prolong it reforming.ChilblainsAre small, red and itchy swellings on your feet which can become large dry areas and this may lead to a crack in the skin and can bleed. They often painful and are caused by the skin reacting abnormally when temperatures are cold particuarly, but not always, in the winter season.BlistersMany of us have had a blister at some point whether on our hands or feet. They are due to skin friction causing the body to produce fluid beneath the skin leading to pain and if the blister 'bursts' the area may become infected. When a patient has diabetes or poor circulation blisters and can lead to ulcerations and infection. Advice and treatment for blisters from a podiatrist is always advisable.Verrucae/wartsVerrucae are warts that occur on the soles of the feet. They are the same as warts on any other part of the body. However, they are often not raised in appearance like warts as our weight flattens them when we walk. Verrucae are frequently painful and some people find their warts unsightly.Verrucae are contagious and you can also spread the wart virus to other areas of your body. Most warts go on their own within 1-2 years but sometimes warts last longer.

If you have Diabetes

Foot health is especially important for people who have diabetes. Diabetes can limit the blood supply to your feet and can also cause a loss of feeling in your feet. This can mean foot injuries do not heal well.

Naomi can check your feet to assess both the blood supply to your feet, look for evidence of loss of sensation and treat any corns or callus and cut your nails to avoid any foot problems developing.

services2

Injection Therapy

Acupuncture

Foot Mobilisation

Corticosteroid drugs are used to treat pain and inflammation, certain other medical problems. They can be helpful in treating many foot problems are are given via injection.We use a local anaesthetic to make the injection more comfortable for you and this will make the area numb for a few hours. Following an injection you will be reviewed 4 to 6 weeks later and the injection may be repeated if required. A patient can receive a maximum of three doses in a year.Corticosteroids are frequently injected lfor an anti-inflammatory effect In heel pain and plantar fasciitis. For osteo-arthritis, they are injected intra-articularly to relieve pain and increase mobility.For the treatment of painful musculoskeletal conditions of the foot, I may also use sodium hyaluronate for painful joints and fillers for soft tissue defects.
Podiatric Acupuncture is the use of acupuncture as a therapeutic tool, by podiatrists , to treat problems of the lower limbs. Acupuncture needles are placed along specific pathways or meridians at acupoints, or at trigger points. The needles stimulate the release of natural painkillers which help relieves the discomfort associated with painful conditions.Acupuncture is used to treat many foot problems, but is particularly useful for pain. It can help with painful joints and is also used to treat problems such as plantar fasciitis, heel pain, Morton's neuroma and forefoot pain. Acupuncture can be effective as the only treatment used, but is frequently used in conjunction with other podiatry treatments.In this procedure, needles are inserted at individually determined points of the body where they are left for a while whilst you sit and relax. You should find acupuncture quite relaxing during, or after your treatment. You may experience other sensations, such as feeling hot or cold. Acupuncture is only undertaken following a full assessment to ensure that acupuncture is a suitable treatment for you.Pain in the foot and ankle can frequently respond to acupuncture. In general it is a painless process but when discomfort does occur it is far less than an ordinary injection and usually lasts only a moment.The number of treatments varies from person to person for complex or long-standing conditions, one or two treatments a week for several weeks may be recommended. For acute problems, usually fewer visits are required, and for health maintenance, four sessions a year may be all that is necessary. Most people need between 3 to 8 treatments, and some people need to return for regular "top up" treatments every few months.Acupuncture is effective for the following:•plantar fasciitis•heel pain•first metatarsal pain•metatarsalgia•mortons neuroma•digital neuritis•achilles tendonitis•ankle pain•ankle and knee instability•shin splints•cramps
Foot Mobilisation stems from manipulative therapy, which is a long established technique widely used by the physiotherapy, chiropractic and osteopathic professions.We use FMT is to improve mobility of a hypomobile (stiff) joint where tissues in and around the joint have adaptated such as when an area has been immobilised or has not been functional properly as in abnormal walking patterns. We use FMT to gently & painlessly restore the mobility and flexibility of joints. When combined with corrective exercises, FMT will stretch, strengthen & stabilise the joints of the lower limb.The philosophical basis of FMT is that ‘'everything works best when it’s in the right position’ and the body is innately always trying to repair & restore itself. FMT helps the body help itself more effectively.'FMT is specifically designed improve joint position to provide the body with greater functional capacity to: heal and repair and deal with the forces acting on the joints and the movements occurring. 'Biomechanical & musculo-skeletal disorders of the foot & leg result from abnormal compensation of the affected structures. Joint dysfunction will cause compensation of related structures such as bones, cartilage, muscle, ligaments, tendons, nerves and blood vessels.' FMT.Correcting joint dysfunction with FMT will aid the treatment of the following conditions:Plantar FasciitisHeel Spur SyndromeMetatarsalgiaMorton’s NeuromaHallux ValgusSesamoiditisCuboid SyndromeSinus Tarsi SyndromeDigital Contractures such as Hammer ToesAnkle InstabilityAnkle sprainsPosterior Tibialis TendonitisShin SplintsPatello-femoral syndrome
Click on Each Logo for Details of Clinics