CURLY OR OVERLAPPING TOES???

UNDERLAPPING, OVERLAPPING OR VARUS TOES

Characteristics
The toes stay in a flexed position with rotation towards the centre of the foot.
Curly toes are theorised to be caused by the muscles tightening and leading to the toes to buckle at the joint and stay in a flexed or curled position.
Curly toes are often genetic and can affect the 3rd, 4th and 5th toes. 

Curly toes develop before birth and do not usually express symptoms.
32.6 out of 1000 have curly toes as a child with 25-50% spontaneously resolve by age six.

Associated Symptoms

  • Nails on affected toes may become shortened, thickened and/or flattened.
  • Blisters, callus or corns may develop on the affected toes due to pressure.  

Treatment Options

  • Managing symptoms. 
  • Footwear recommendations. 
  • Tapping the overlapping and underlapping toes together in infants.

DIABETES WEEK 12-18th of July 2020

DIABETES

Why are the feet affected?

  • Due to the small size of the blood vessels and distance away from the heart, the feet are most commonly among the 1st to be affected.

Main complications are:

  • Neuropathy (decreased sensation in the feet and symptoms such as burning or tingling)
  • Vascular disease (diabetes affects the bodys ability to maintain healthy blood vessel walls)
  • Infection (the body has a decreased ability to fight bacteria and disease)

Other complications:

  • Changes to foot structure creating areas of high load
  • Changes to the skin and sweating regulation
  • Decreased sensation and reduced balance

Where podiatry fits in:

  • We conduct an annual assessment (or more regular if required) which investigates and monitors changes in
    • Blood flow
    • Nerve sensitivity
    • Foot structure
    • Areas of high load
  • We can provide tailored treatment which may include
    • Nail care
    • Callus reduction
    • Orthotics
    • Footwear recommendations
    • Review of activities
    • Referrals to include a multi-disciplinary and whole body approach to care

 

NAILS AND SKIN CARE AT TOTAL CARE PODIATRY

At Total Care Podiatry your podiatrist will begin by assessing and treating the area of most concern to you and will cut your nails and painlessly remove any callus or corns. The circulation and sensation in your feet will be assessed, as will any lumps and bumps and/or foot dysfunction that may cause pressure points. Excessive pressure areas under your feet and on your toes can lead to corns and calluses or pressure ulcers.

Conditions this service treats & how does it work

Treatments for nail and skin conditions may include:

  • Painless removal of corns and callus and thickened skin
  • Treatment and ongoing advice on preventing cracked heels
  • Ingrown Toenail surgery to remove nail spike or complete removal of nail if clinically indicated.
  • Fungal nail treatments
  • Removal and treatment of plantar warts
  • Custom made silicon toe wedges or splinting to straighten overlapped toes or protect and prevent rubbing of toes.

What are the benefits of this treatment

Corns, calluses and thickened skin are generally symptoms of other problems, so it is important for your podiatrist to examine your feet to work out what could be causing the pressure so they can provide a treatment plan which includes offloading these areas.

Your podiatrist will also provide you with advice on how you can care for your feet to prevent ongoing problems and on whether further treatment is recommended.

EVERY 20 SECONDS SOMEWHERE IN THE WORLD SOMEONE LOSES A LEG DUE TO THE COMPLICATIONS OF DIABETES

Diabetes Awareness

Every 20 seconds somewhere in the world someone loses a leg due to the complications of diabetes

WHAT RISK STATUS ARE YOU?

CATEGORY  ULCER RISK  SCREENING/FOOT CHECK 
0 Very low  Once per year 
Low  Once every 6  – 12 months 
2 Moderate  Once every 3 – 6 months 
High  Once every 1 – 3 months 

 

Understanding and being accountable for your foot health is crucial to your overall health if you are a person that suffers diabetes. When you see your podiatrist for a diabetes assessment, they will help fill any gaps in your knowledge about the risks diabetes has on your feet, which can assist you in taking the best care and precautions for your feet. Did you know that the best way to minimise complications from diabetes is being aware of them? This way you can take the necessary steps in reducing complications. Book in to see your podiatrist today for a diabetic foot screen. 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

 

FREE PRE POINTE ASSESSMENTS NOW AVAILABLE FOR DANCE STUDIOS

Total Care Podiatry podiatrists Rachel Vale and Paul Graham assisting dancers from @bellarinedance preparing to progress to pointe with one of our free pre pointe assessment nights.
We offer a pre pointe assessment free to all dance studios in the Geelong, Bellarine and Surfcoast shires.
For more information please contact our clinic on ☎️ 5223 1531 or email frontdesk@totalcarepodiatry.com.au
So excited for these tiny dancers progressing to pointe!

WHICH SHOES TO WEAR WHEN YOU TRAVEL?

During travel it is most likely you will walk a lot more than usual.

Shoes that hold your foot in at the heel will reduce the amount of work your muscles will have to do as you are walking and reduce the risk of fatigue. For this and many other reasons, we recommend a good pair of sneakers. They also provide support and protection during your travels. Be sure to assess your current shoes for wear and tear. Most commonly, a shoe will need to be replaced after 18-24 months.

How to tell if you need new shoes:

  • Is the tread worn on the bottom of the shoe?
  • Is the sole pulling away from the shoe?
  • Is the lining tearing or looking worn?
  • Are they uncomfortable or make you feel unstable?

These might be signs that you need a new pair of shoes. If you decide you need a new pair of shoes, go to your local shoe store and follow these steps:

When buying:

  • Buy at the end of the day as your feet may swell slightly
  • Check are they appropriate how much walking you will do or the type of surface you will walk?
  • Try the shoes on for 5-10 minutes in the store to really understand if the fit is correct
  • Ensure the shoe feels good on the day, do not expect the shoes to “wear in”

How to fit the shoe:

  • Thumbs widths extra space from your big toe to the end of the shoe
  • The shoe doesn’t twist or bend at the midfoot
  • The shape, width and depth is correct for the shape for your toes

 

  • Are they orthotic friendly (if you wear these) or do you need a shoe which provide more support?

What to watch out for:

  • Any areas of rubbing or blisters from the shoe
  • Pain in the achilles tendon, under the arch or in the big toe
  • Do you feel unstable in the shoes?
  • Avoid elastic attachments as they will gradually loosen
  • Avoid the temptation of very soft/cushioned shoes as they are often very flexible and will not provide enough support for most foot types

If you want a second opinion or a more customised recommendation, see your local podiatrist.

If you do require new shoes it is most likely that good shoes are not cheap, but they will help you a lot during your holiday away.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

BLISTERS…why do they occur and prevention

Blisters form due to repetitive friction and trauma to the skin.

They are most commonly caused by rubbing or friction from footwear applying pressure to the foot and overloading the soft tissue during activity.A blister forms as a clear fluid filled lesion within the outer layers of the skin.

What to do:
– If the blister is closed; keep the blister protected (with a dressing), do not ‘pop’ the blister and reduce activity/change footwear.
– If the blister opens, apply antiseptic (e.g. betadine) to the area and a dressing. Reduce activity and monitor the blister for signs of infection. If any signs of infection occur contact your doctor.

Prevention

  • Appropriate shoe fit and style
  • Double layered socks and/or moisture wicking socks
  • Tapes/dressings
  • Paddings
  • Lubricant

Long term treatment

  • Footwear change
  • Biomechanical assessment to investigate areas of high pressure
  • Sock choice
  • Activity modification
THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

SKIP A STEP & SAVE MONEY…do I need to see my GP or Podiatrist for a foot complaint?

Podiatry

A podiatrist is an Allied health professional in foot care. Podiatrists help people in the care of their lower limbs including the foot and ankle and may also be involved in supporting older people to reduce their risk of falling.

They can treat conditions such as toe fungus, ingrown toenails, corns, calluses, bunions, infections and foot injuries. Podiatrists can perform ingrown toenail surgery using a local anaesthetic.

Where do podiatrists practice?

Podiatrists mainly work in private practices but also work in a range of health settings including hospitals, aged care, sports clinics and research and policy organisations.

When should I see a podiatrist?

There are a wide range of reasons to see a podiatrist but some typical foot conditions include heel pain, bunions, ingrown toenails, tinea, plantar warts, corns and calluses.  Some typical examples of why someone might see a podiatrist are:

  • Patient with diabetes and peripheral vascular disease, or neuropathy
  • Clinical diagnosis or history of foot or lower limb deformity
  • Clinical diagnosis of falls
  • Arthritis
  • Soft tissue and muscular pathologies
  • Circulatory diseases.

What services do podiatrists provide?

Podiatrists provide a wide range of services from the treatment of calluses to the treatment of bone and joint disorders. For conditions such as recurring sprains and chronic pain, podiatrists may prescribe foot orthoses.

The podiatrist’s scope of practice includes areas such as paediatrics, diabetes, sports injuries, structural problems, treatment of the elderly as well as general foot care.

Podiatrists with additional qualifications and registration may also perform foot surgery.

How are podiatrists qualified?

In order to practice in Australia, a podiatrist must complete the following:

  • A Bachelor of Podiatry
  • Australian Health Practitioner Regulation Agency (AHPRA)
  • Continuing professional development.

Skip a step and make a direct booking with one of our qualified podiatrists today on 5223 1531 

TOTAL CARE PODIATRY ~ FREE FAMILY FOOT CLINIC RETURNS ~ 2nd of July 2020

Free family foot clinic!

THURSDAY 2nd of July 2020

15 minute FREE consultation 

Please arrive on time to help our family clinic run on time

Gold coin donation to ‘Kids plus foundation’ is welcomed

Call our friendly reception staff today to secure your appointment 5223 1531

 

DON’T MISS OUT! our ‘JULY FREE PAEDIATRIC CLINIC’ IS BOOKING FAST

SECURE YOUR APPOINTMENT FOR JULY 2020 ~ call 5223 1531

  • 15 minute assessment with one of our expert podiatrists
  • Held on the last Wednesday of every month
  • Age limit ~ 6 years old and under
  • During Covid-19 we are asking that only 1 carer attends appointments
  • Please arrive on time to help our paediatric clinic run on time
  • Gold coin donation to ‘Kids plus foundation’ is welcomed
  • Call 5223 1531 today!