Dr. William Mirchoff
350-1641 Hillside Avenue
Victoria, B.C. V8T 5G1
Tel: 250-592-0224

 

The Following are foot conditions that Dr. Mirchoff can help you with:

• Arthritis

• Athlete’s Foot

• Blisters

• Bunions

• Calluses and Corns

• Circulation

• Diabetic Foot Care

• Flat Feet

• Foot and Ankle Injuries

• Foot Odour and Sweat

• Foot Pain

• Hammertoes

• Heel and Arch Pain

• Ingrown Toenail(s)

• Nail Problems

• Neuromas

• Orthotics

• Plantar Fasciitis

• Plantar Warts

• Toenail Fungus

​​Orthotics:

​A functional orthotic (F.O.) is a transferable shoe insert which accurately supports the foot to allow for more normal function. Functional Orthotics must be made from an impression of the foot while the sub-talar joint is held in nuetral position and the midtarsal joint loaded, usually from a plaster cast. If the foot is not in the proper position, an orthotic cannot be made properly.

 

That is why weight bearing impressions, especially computer scanners, cannot make an orthotic properly, except for people who don't need them! 

 

A functional orthotic must be rigid enough to counteract the force of gravity - which is 1 1/2 x your body weight when walking, and about 3 x when running. That is why soft arch supports are not functional orthotics.

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Arch supports distribute weight better and are of some help but do not accurately control joint motion. Softer accomodative orthotics are only adequate for those with an apropulsive gait - which causes short, flat steps usually because of muscle weakness (elderly, arthritis, neuromucsular conditions, traumas, or joint damage (arthritis) trauma.

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Podiatric Biomechanics: The study of human locomotion

​The foot is the most uniquely human anatomic structure. Our upward moving great toe, unique amoung mammals, is what allows us to walk upright. Our inherited structure is what determines how we function.

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In one survey, 63% of adults believed that having tired or sore feet after a long day is normal - it is not.

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Biomechanical instability (excessive flexibility / pronation / collapse) or a lack of flexability in the ankle, subtalar joint (rearfoot) midtarsal joint (midfoot / arch) and or the forefoot (metatarsals and toes) cause or contribute to a myriad of conditions including: Bunions, Hammertoes, Corns, Calluses, Plantar Fasciitis, Heel Spur Syndrome, Neuromas, Metatarsalgia, Stress Fractures, Capsulitis, Tendonitis, Shin Splints, and damage to joints (Arthritis) of the foot, ankle, knee, hip, and spine.

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​​​​​​Shoes:

Shoes can provide shock absorption which is very important for some. 

Although shoes are critically important, no shoe can provide proper support for anyone, except for those who need very little.

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Unfortunately for the public, anyone can put anything in a shoe and call it an "orthotic". Anyone can call themselves an orthotic specialist.

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Doctors of Podiatric Medicine have the highest level of training in lower extremity biomechanics and must pass 2nd and 4th year National Board Exams in the subject. Not all DPMs have a strong interest in biomechanics.

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