The Clinique du Pied in Paris, which specializes in fine surgery for foot pathologies, has had the assistance of an osteopath, Jacques-Alain Lachant, for a year and a half. The osteopathic consultation makes it possible to intervene pre-operatively in order to better prepare the patient’s situation before surgery and post-operatively in order to promote rapid recovery of locomotion and reduce pain.
Even if osteopathy is not yet recognized as an effective therapy by the medical profession, it continues to progress in the daily lives of people who are tired of suffering from joint and muscle pain.
It sometimes happens that complementary therapies carried out by experienced practitioners provide empirical proof of their virtues and that the evidence of the benefit manages to force the doors of the most closed cenacles.
This is what happened to the osteopath Jacques Alain Lachant, a specialist in disorders induced by walking, who for one and a half years has opened an osteopathy consultation dedicated to walking disorders and specific pathologies at the Clinique du Mont -Louis, in Paris, renowned for bringing together the best experts in foot pathologies.
The medico-surgical staff includes 6 orthopedic surgeons, a rheumatologist, a radiologist, three podiatrists, and a sports doctor. The fine flower of the foot, however, wished to attach the skills of an osteopath specialized in joint, tendon and muscle disorders of the lower limbs in order to improve the pre and postoperative care of his patients.
Patients are divided into two main categories, the others are patients with gait disorders. For the first, these are patients who have already been operated on for an orthopedic pathology of the foot and ankle and who suffer years later from new problems affecting the operated foot. For the second category, these are patients who are potential candidates for surgery for an orthopedic condition of the foot-ankle complex or more generally of the lower limbs.
The foot is weak
Among the most common pathologies encountered are for example: sequelae of foot and lower limb trauma, hallux valgus, hallux rigidus, Morton’s syndromes, Achilles tendinopathies and those of the stabilizing apparatus of the foot, claw toes, bearing pain under the 2nd, 3rd and 4th metatarsal heads, sequelae of sprains, ankle instability, certain painful hollow or flat feet and coxarthrosis.
In all cases, these pathologies seriously impede the balance of walking and the autonomy of the patients. Each patient being unique, the complexity of his biomechanical situation requires a multidisciplinary diagnosis, involving the historical analysis of the disease and the examination of the patient by the group, each bringing his light.
Osteopathy for the operation to go well
The clinical contribution of osteopathy in the management of foot or ankle pathologies is decisive in helping patients to put all the chances on their side before the operation so that it goes as well as possible, then , after the operation to promote rapid recovery and reduce pain.
Often, the patient’s recovery difficulties following an operation are linked to an old functional disorder: walking disorder, unconscious lameness, overweight, etc. Patients who have not been able to benefit from preventive care in osteopathy often recover more difficultly than others. Osteopathic care is for anyone who needs foot, ankle, knee or hip surgery.
First of all, in the pre-operative phase, the osteopath’s gaze makes it possible to diagnose the functional disorders pre-existing at the onset of the pathology which could make it difficult for the patient to recover properly after his intervention. But more, in his consultation at the Mont-Louis clinic, Jacques-Alain Lachant helps the patient prepare for the operation by restoring better joint mobility, for all the joints involved in standing posture and walking (foot, ankle , knee, hip, pelvis, spine, shoulders, hands).
In addition, it treats muscular insufficiencies and those of the tone of the foot and leg, it treats walking disorders whatever the origin and which the patient does not always feel.
As part of the preoperative care of the patient, the osteopath takes a look back on the motor disorders that presided over the deterioration of the joints of the foot and ankle and treat them.
This is to help the surgical act, to facilitate and optimize the recovery of the patient who has long since lost the harmony of his walk. By pushing this preparation to its maximum, the patient is given a better guarantee of post-operative recovery. This highly specialized care can be initiated at least three months before the planned date of the intervention.
Post-operative osteopathy: less pain, better recovery
Osteopathy also intervenes for the greater benefit of patients in post-operative support, for example in optimizing the recovery of all the dynamic functions of the foot, walking comfort and reducing pain. Most often, certain gait defects present before the operation may persist afterwards, even without pain, and make recovery of good locomotion more complicated.
A patient operated on, for example, for a simple hallux valgus, can also be carrier, without knowing it or feeling it, of a weakness of the hip or knee, of a complete tension of the connective envelopes of the posterior muscles of the leg or even silent osteoarthritis of the ankle which considerably interferes with recovery.
Osteopathy therefore makes it possible to make the diagnosis at the right time to apply rapid and well-adapted therapeutic solutions to these pathologies which are most often peripheral to the operated joint.
But osteopathic treatments will also focus specifically on the area of surgery. The specific care will thus make it possible to: release the mobility of the joints involved in the motor physiology of the foot and ankle, relieve residual pain, remove edema of the foot and ankle, restore painless support as quickly as possible by stimulation specific muscles, correct any lameness, learning a real lightness of motor skills to relieve weight-bearing joints, treating frequent damage and disparities in the muscle tone of the foot and learning and reprogramming non-traumatic walking . Muscle disparities of the plantar flexor and propeller muscles of the foot.
For certain patients and in certain complex medico-surgical situations, the team meets to study and propose the best options to be favored in terms of pre- and post-operative follow-up. This is to provide the assurance of maximum safety for the patient. The patient’s osteopathic follow-up lasts for a year and sometimes more after the operation, until the discomfort and pain disappear.
Jacques-Alain Lachant, osteopath receives every day of the week. He can be reached at 9 Bis Rue de Valence, 75005 Paris, tel: 01 43 37 85 55 or on his mobile: 0615386320. Jacques-Alain Lachant is also the author of a book “La marche qui soigne”, published by Payot editions -Shores.
Website address www.jacqueslachnat.com