About Us

Freedom through Mobility

At Total Care Podiatry we care about how your level of mobility affects and impacts your ability to enjoy life and do the things you want to do.

If you have chronic pain or a complex condition affecting your feet, lower limbs and/or your back, our team approach to patient care is aimed at providing a complete and comprehensive treatment plan.

Your treatment plan will address all the components of your condition in an integrated approach to reach a pre-determined goal set in consultation with you.

Paul Graham

Paul has been a podiatrist in private practice since 1987 with a special interest in musculoskeletal conditions. He is a fellow of the Australasian Academy of Podiatric Sports Medicine and has recently become the first podiatrist admitted as a member of the Pain Society of Australia.

The focus of his practice has always been on comprehensive, evidence based examination and diagnosis of the underlying causes of presenting symptoms, to achieve the best possible outcome for each patient.

If you wish for Paul Graham to speak at your next event please call 5223 1531 to arrange a time.

Amelia Ling

Amelia joined Total Care Podiatry in 2006 after graduating with a Bachelor of Podiatry from LaTrobe University in 2005. She graduated with Honours after completing her thesis on ‘Postural Asymmetries and Clinical Measurements’.

Amelia grew up in Geelong and has keen interests in basketball, netball and enjoys watching a game of footy.

Esther Francavilla

Esther graduated with a Bachelor of Health Science/Master of Podiatric Practice from La Trobe University. She has a passion for podiatry and enjoys all aspects, including biomechanics, diabetic foot care sports injury and general foot care.

Esther grew up in Melbourne and has a strong interest in dance, particularly classical ballet. She loves spending time near the beach and enjoys being active, travelling and spending time with friends and family.

Sam Meehan

Sam has completed a Bachelor of Health Sciences/Masters in Podiatric Practice through La Trobe University. He has gained a variety of experience in both the public and private sectors including management of the diabetic patient, musculoskeletal injuries, orthotic therapy, dermatological conditions, paediatric podiatry, general podiatric care, and wound management.

Sam holds a particular interest for biomechanics and management of musculoskeletal injuries of the foot and lower limb. He also has many years’ experience as a footwear sales assistant and incorporates this knowledge into his podiatry practice.

In his spare time, Sam has a background in both playing and coaching Tennis at various levels. He has a passion for running, music, watching many different sports, reading, playing the drums, and spending time with family and friends.

Front Desk Team

At Total Care Podiatry our front desk team guides your first steps into the care we strive to give all our patients. Kate Thomas and Kate Wombwell have many years experience of service in private health practice. Their care and attention to detail is focused on our patients’ needs. Our Practice Manager, Rae-Ellen Graham has worked for over 25 years in administration management and is also our shoe fitter and orthotic technician.

Total Care Podiatry and the Community

Workshops and Lectures such as for:

  • Diabetes updates to Health Professionals

  • Strive 2 Thrive group 3 monthly presentation

  • Polio Australia and Myeloma Australia

  • Free Come & Try Nordic Walking sessions

  • Run Geelong - Free foot assessments & advice

  • Career information evenings - Deakin University

  • 2nd and 4th Year University student placements

  • Physical Revolution Boot Camp - Information sessions

  • Regular guest speaker to Community Groups

Paul Graham

Paul Graham has been using plantar pressure analysis as part of his clinical practice since first purchasing an Fscan Mat and in-shoe system in 1998. It was a steep learning curve to understand the information behind the pretty colours and what it means. This form of analysis was in its infancy in Australia, and  the only way of gaining an appreciable understanding of what the data represented and how could be used in clinical practice was gained through regular email and phone contact with a number of American podiatrists who had been using the Fscan system for many years.

The most well-known of these practitioners is Dr Howard Dannenberg and through this relationship Paul grew to understand the relationship of sagittal plane movement and the importance of how the foot has a significant effect on the rest of the body. In fact Paul’s foundational knowledge of recording, data management and analysis came through Howard’s leadership and the plantar pressure case studies that were shared. This knowledge base was further augmented when Dr Bruce Williams DPM, a protégé of Howard’s training, visited Australia in 2004 and stayed with Paul in Geelong, working and training him in his clinic. In 2005, Paul was invited to Latrobe University to present on his clinical use of plantar pressure in the prescription of the orthotic correction design.

Up until this stage, Paul was combining evidence-based examination and video gait assessment with plantar pressure analysis and, through this orthotic manufacture. The issue was that each part of the assessment used different equipment. In 2006 Paul moved to the Milletrex system, (forerunner of the Freestep software and Sensormedica hardware) and as this combined all aspects of the diagnostic and manufacturing process, he moved to this system. Again a learning curve was required to become familiar with the different parts of the system, however planter pressure is planter pressure and as such, once you understand the recording and data management side, analysis can be done.

In late 2010, the Freestep software program was presented and the engineers in Italy were keen to make it the best on the market. Through the years there have been regular updates making the program more user-friendly and the data presentation more valuable and easy to understand. In fact at present Paul is working with Scott Sorenson and the Italian software developers to enhance this further so that areas of dysfunction and asymmetry are easily noted and measured,. This will be valuable for both the initial assessment and also to easily chart improvement at review appointments. This continued refinement and development, makes Freestep a very valuable clinical tool.

Plantar pressure analysis can only grow in significance as it shows objective data that the eye cannot see. This is now even more important with the discovery that vertical force,( that we describe as pressure), is what causes the overloading that results in tissue damage, rather than any angular anomaly such as an inverted heel or lowering of the medial longitudinal arch. Using Freestep enables Paul to chart improvement effectively and efficiently each visit by simply having a person walk over the mat or treadmill and comparing it to the previous visit; all within five minutes. This is then a record of the patient’s progress, valuable, not only to the treating clinician, but also to any third party who is paying for the treatment.

Video gait assessment is very, very helpful in understanding the biomechanics of the body in motion and should be used in conjunction with planter pressure analysis; however Paul’s clinical use of plantar pressure analysis has led him to the conclusion that it is superior in consistency, ease and speed.

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