Our treatments

Fascia, also known as connective tissue, is a network of connective tissue structures that envelops and connects muscles, tendons, bones and organs. Healthy fascia is supple and allows muscles and tendons to glide freely past one another. Through overload, inactivity, injury or chronic tension, fascia can become adherent and thickened. This restricts mobility and causes pain.

Fascia therapy at Podotherapie Rotterdam focuses mainly on the connective tissue in the lower extremity: foot, lower leg, upper leg and pelvis. In heel spur and plantar fascia complaints, the plantar fascia is often thickened and adherent. Using specific pressure techniques and tools that support these techniques, supplemented with exercises you can do at home, we help restore the suppleness of the tissue.

The effect of fascia therapy is cumulative: after each treatment, tissue circulation improves and stiffness decreases. Most patients notice a clear improvement after two to four treatments. We often combine fascia therapy with podomanual therapy and medical taping. Podotherapeutic insoles can also be a valuable addition in achieving an optimal treatment result. Examination and treatment are often reimbursed from supplementary health insurance.

Suffering from a stiff sole or chronic heel spur complaints? Get in touch and ask about fascia therapy.

Silicone orthoses are custom-made silicone pieces produced directly on the foot, usually on the toes. They are used for toe position abnormalities such as hallux valgus (a crooked big toe), hammer toes, claw toes and overlapping toes. They also provide effective relief for callus, corns and pressure points between the toes.

With hallux valgus, the big toe deviates towards the other toes, creating a painful bump on the inside of the foot. A silicone orthosis reduces the pressure on that bump. With hammer toes and claw toes, the orthoses protect the top of the toes against friction inside the shoe and prevent the formation of callus and corns.

The advantage of silicone orthoses is that they are modelled precisely to your foot. The podotherapist applies silicone in paste form around the toe and shapes it while it hardens. This creates a perfect fit that is comfortable to wear in your shoe. The orthoses are washable, durable and last one to two years on average.

Bothered by a crooked big toe or painful hammer toes? Get in touch for an assessment and treatment with silicone orthoses.

Medical taping is a treatment technique in which elastic tape is applied to the skin in a specific way to support muscles, joints and tendons. The tape is water resistant and stays in place for three to five days on average. At Podotherapie Rotterdam, medical taping is used as a temporary solution to relieve acute complaints, but also as a supplement to other treatments.

The applications are broad: with heel spur and plantar fasciitis the tape offloads the plantar fascia, with a sprained ankle the tape stabilises the joint, with shin splints the tape reduces traction on the shin membrane, and with Achilles tendon complaints the tape supports the tendon during movement. Taping can also be used with hallux valgus to temporarily correct the position of the toe.

The difference with more structural treatments such as insoles is that medical taping offers a temporary solution. The tape works as long as it is on the skin and must be replaced regularly. We often use taping in the acute phase of a complaint, as a diagnostic aid to test which correction works best, or as a bridge while insoles are being made.

Do you have pain or other complaints? Book an appointment.

Felt techniques are a fast and effective way to support or offload the foot temporarily. The podotherapist applies specially shaped felt directly to the foot or inside the shoe to reduce pressure points, support the arch of the foot or offload painful areas. Felt provides immediate relief for acute complaints.

We often use felt techniques as a diagnostic aid. Before we manufacture insoles, we test with felt which correction has the best effect. By wearing the felt for a few days and evaluating the response, we can fine-tune the insoles more accurately. Felt techniques also offer an immediate solution for patients who need relief quickly, for example with acute metatarsalgia or with pressure points or blisters under the foot.

The felt is self-adhesive and stays on the foot for two to five days on average. It is not suitable as a permanent solution, but bridges the period until the insoles are ready, or provides a short-term treatment for temporary complaints.

Do you have acute pressure complaints? Book an appointment. We can offer relief immediately using felt techniques.