BOSIC News March 2018

Trevor Proskewitz

BOSIC’s very own podiatrist, Trevor Proskewitz, was featured on on Channel 7’s popular breakfast show Sunrise. During the segment, Trevor touched upon a range of foot-related issues. He busted myths like: “A lot of people accept that having a bit of foot pain is a normal thing to have.” He also shared practical tips such as: “Try and wear sneakers while walking to work and then change into heels.”


Trevor Proskewitz
Podiatrist Trevor Proskewitz on Sunrise

Give Plantar Fasciitis the Boot

Do you wake up every day with a searing pain in the heel or arch of your foot? Do you then hobble about your morning routine, waiting for the pain to subside? Ouch! Looks like you’ve got plantar fasciitis.

Plantar fasciitis occurs when the plantar fascia (a band of tissue that extends from the heel to the toe on the bottom of your foot) becomes irritated and inflamed, causing heel pain. It is a common symptom of overtraining and can severely hinder your athletic abilities if left unaddressed.

While plantar fasciitis is painful, the podiatry team at BOSIC can treat it fairly easily. From getting you fitted with the correct shoes to preparing a fitness program tailored to your needs, the expert podiatrists at our footinjuryclinic will get you back on your feet in no time.

podiatry consultation discount

Keep Calm – The Space Studio has a Special Offer

BOSIC’s next door neighbour, The Space Studio, is opening its doors to you – literally.  All BOSIC clients get 50% off an Introductory offer which allows you to try the Studio for two weeks of unlimited classes for just $25! Use it or lose it by 5th April 2018.

To activate this fantastic offer:

  1. Go to The Space Studio’s timetable.

  2. Select the class you would like to commence your 2-week pass.

  3. Create an account.

  4. Enter the promo code HEALTH50 on checkout to receive 50% off.

space studio

Eating Right During Easter

The Easter holidays are right around the corner. A good time to take a break, relax and rejuvenate. But if you’ve hatched a plan to eat all your kids’ Easter eggs (Mmm, those Lindt chocolate bunnies!), better read this 4-Point Plan to curb those unhealthy Easter Egg-stravagances.



Make it a Good Friday: (and Saturday, and Sunday.) Start each holiday with a protein-rich breakfast – yes, real eggs instead of chocolate ones. Foods like hot cross buns are full of sugar and processed carbs, making your blood sugar spike and then drop sharply. Choose healthy snack options like a handful of nuts, veggie sticks with hummus, a protein shake, or cheese with an apple every time you feel the munchies coming on.

Portion Control: The holidays are not an excuse to go overboard. Yes, you’re probably going to have a seafood feast on Good Friday, but watch your portions. Fill up on fresh salads (hold the aioli dressing). Remember, everything in moderation. So, that’s one hot cross bun; not four.  

Plan Ahead: Don’t forget to stock up on fresh produce before your local Woolies closes for Good Friday. And when you catch up with friends and family, offer to cook a dish or two so that you know exactly what you’re eating. Instead of processed snacks laden with additives, preservatives and sugar, reach for real food. Also make sure you’re well hydrated – we often mistake thirst for hunger.

No Guilt: If you’re going to grab an Easter treat, think quality over quantity. Choose dark chocolate (at least 70% cocoa) over the cheap and nasty Easter eggs filled with sugar and palm oil. If you do overindulge, shake it off with some exercise. Psst! The best time to break your diet is immediately after a strenuous workout while your metabolism is still firing.

bosic easter

Chronic Exertional Compartment Syndrome

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Chronic Compartment Syndrome (CECS) is a painful, chronic exercise-induced musculosketal problem in the affected limb. It is widely under recognised and often misdiagnosed as shin splints in the lower leg or as general muscle tightness from pushing too hard in the gym. Because the symptoms could be explained by a number of factors, formal diagnosis and relevant imaging can sometimes take time. 

Typical Signs and Symptoms: 

  • Aching, tightness, swelling, cramping in the affected limb which can be progressively debilitating 
  • Pins and needles or numbness
  • Can occur in one limb or both (more common) 
  • Pain typically induced by exercise and typically worsened with increased intensity, distance or time 
  • Pain subsidises within minutes of finishing activity


  • When there is increased muscle pressure in a particular muscle compartment during and after exercise 
  • Primarily affects the lower legs and is more commonly seen in the front and side of the shin bone where the compartments sit in a tighter space.
  • When exercises, blood flow increases to the working muscles to improve their capacity, but if the muscle does not expand then the pressure builds up within the compartment and causes severe pain

    Risk Factors: 

  • Age – Although anybody can develop this problem, the condition is more common in athletes under the age of 30 years
  • Exercise – Repetitive impact activities such as running, soccer, walking and jumping
  • Over training – Increasing the duration or intensity of training can increase symptoms significantly


  • Suspected with a good history and thorough clinical examination  
  • If CESC is suspected then referral to a Sports and exercise Physician is advised to discuss the relevant imaging required 
  • Diagnosis is confirmed when the pressure within the compartment exceeds normal limits. A pressure test is required for this, 

    Treatment Options:

  • Non Operative – Symptoms can be well managed and greatly relieved with activity modification, relative test, optimal biomechanics and compression. However, given the pathophysiology, if an individual wants to maintain a high level of intensive activity and CECS is confirmed on pressure testing then referral to a surgeon is advised 
  • Operative – The operation required for relief is known as a fasciotomy whereby the surgeon divides the outer layer of the muscle (fascia) to relieve pressure. 

It is important to note that chronic exertional compartment syndrome is not a life-threatening condition. It is different from an acute episode of compartment syndrome which is considered a medical emergency.