Robert Nekrasas D.Ch. has developed a full time 6 days a week practice treating a full range of foot conditions. Prior to becoming a chiropodist and graduating from a 3 year chiropody program in Toronto, Robert obtained a medical degree from Vilnius University in Lithuania.
Having practiced 11 years in the Ancaster “village core”, Robert has noticed an increase in several types of foot conditions. Baby boomers of today continue to remain very active and many are noticing problems with their feet.
ANCASTER FOOT CLINIC and ORHTOTIC CENTRE offers a wide range of clinical services, from routine foot care to complex biomechanical and gait analysis and proper custom made ORTHOTICS. We will examine your feet first and clearly explain what is wrong and what can be done to relieve the problem. Foot specialists, such as Robert Nekrasas D.Ch, attribute many foot problems to fashion: shoe designs that favor high heels and a narrow toe box over practicality. Feet are crammed into a narrow pointed shoe, imprisoned for 10 hours a day, withstanding almost 400 POUNDS OF PRESSURE PER SQUARE INCH every time you take a step. Your 26 foot bones and dozens of joints suffer without complaint until one day they just can’t take it anymore. Problems such as a corn, bunion, or blister can set your nerves afire.
Foot problems may take years to develop. As we age, changes can occur in ligament and muscle structure causing feet to lengthen and widen. In addition, feet tend to probate, or roll in more as we walk and the arches tend to flatten, causing heel pain. The excess weight that often comes with age may also contribute to foot problems. Unfortunately, few of us pay attention to these changes and squeeze our feet into the same size and style we have always worn.
The use of foot ORTHOTICS is serious business. Patients expect quality, value and reliability.
How do you know you are getting good value for your money? No two patients are alike.
Many factors influence the price for a particular patient, including type of ORTHOTICS, materials used, the physical condition requiring the ORTHOTICS and very importantly, the amount of follow up visits to monitor the progress and improvement.
We specialize in CONDITION SPECIFIC and ACTIVITY SPECIFIC ORTHOTICS: heel spur, plantar facilities, etc. Different types of foot ORTHOTICS are better suited for different activities such as standing, or walking on the job, and sport specific ORTHOTICS (e.g., golf, skiing). Long distance runners are in a class of their own. Their lower limb conditions may be very challenging, requiring special ORTHOTICS.
Special focus is on “DIFFICULT” cases of ORTHOTICS treatment. These conditions usually are more “Stubborn” and may require some extra fine tuning of ORTHOTICS or even a remake. In these cases a new plaster cast may be taken and new ORTHOTICS manufactured at no extra cost to the patient.
We manufacture 100% CUSTOM MADE ORTHOTICS starting from assessment, biomechanical exam, gait analysis, diagnosing, casting of the feet, prescribing and designing the ORTHOTICS, manufacturing on site and fine tuning if and when needed. Next to the medical doctors, registered chiropodists / podiatrists, primary care practitioners with at least of 3 years of post graduation training, can DIAGNOSE and TREAT foot conditions as well as PRESCRIBE biomechanical devices such as ORTHOTICS. Most extended health insurance plans cover all or part of the cost.
When you decide to visit a CHIROPODIST (foot specialist trained in Canada or U.K.) or a podiatrist (foot specialist trained in U.S) they will recommend switching to a better fitting , more supportive shoe . ORTHOTICS (devices inserted into the shoe to keep the foot positioned properly with adequate support) may also be recommended. There are 3 main types of ORTHOTIC.
OVER -THE- COUNTER TYPES, available in drugstores, can ease MINOR heel and arch pain and offer somewhat extra support in a running or walking shoe. Many are too flexible to offer much more than padding, but they can be a good place to start. They cost approximately $20.
PRE-FABRICATED DEVICES are made from semi-flexible materials. They are recommended for painful, persistent calluses and neuromas (nerve inflammation in the ball of the foot). They are available at a chiropodist’s or podiatrist’s office. Some chiropractors can also dispense them for minor biomechanical problems. They cost approximately $100.
PRESCRIPTION ORTHOTICS, custom-molded inserts, made to fit the foot precisely from a cast taken of the feet and from a thorough biomechanical examination. They may be recommended for heel spurs or plantar fasciitis (an inflammation of the tissue that connects the heel to the toes). They are available ONLY at a foot specialists office. They range in price from $400 to $500 and the cost of the is covered by most extended health insurance plans and includes adjustments if needed and a warranty.
Consider carefully when you are shopping for a foot specialist. Make sure he or she is registered with the College of Chiropodists of Ontario and has malpractice insurance and a registration number. Ask if they sterilize instruments for every patient to avoid getting infected with H.I.V., Hepatitis , Fungal infections etc…. Be aware that only chiropodists and podiatrists can meet these requirements.
IMPORTANT - When shopping for ORTHOTIC devices be aware that you shouldn't’t be paying a high price for PREFABRICATED devices, that are sold without the casting and biomechanical examination of YOUR feet.
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