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ANKLE INJURIES/SPRAINS – check out our latest blog for treatment recommendations

Ankle Injuries/Sprains

An ankle sprain may relate to ligament damage to the medial (inside), lateral (outside) or syndesmosis (‘high ankle sprain’) of the ankle. 

Sprains result from high forces at the end range of motion of a joint, putting high levels of load through the ligaments to resist these forces.

Different sports will carry higher risk for some injuries. 

Symptoms

  • Pain on weightbearing and when pain started
  • Swelling/bruising 
  • Pain on palpation

Treatment

  • RICE (Rest, ice, compress and elevate) for the first 24 hours 
  • Medical imaging may be required to investigate and rule out other injuries such as a fracture
  • Offloading
    • Taping
    • Ankle braces
    • Moonboot/post-op shoe
    • Orthotics
  • Activity modification

If in doubt please call us today for an appointment with one of our podiatrists on 5223 1531

 

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.

ANKLE INJURIES/SPRAINS – Symptoms & Treatment

Ankle Injuries/Sprains

An ankle sprain may relate to ligament damage to the medial (inside), lateral (outside) or syndesmosis (‘high ankle sprain’) of the ankle. 

Sprains result from over-extension joint, putting high levels of load through the ligaments to resist these forces. Most commonly these injuries will occur during high impact activity with different sports carrying higher risk for some injuries. 

Symptoms

  • Pain on weightbearing 
  • Swelling/bruising 
  • Pain on palpation

Treatment

  • RICE (Rest, ice, compress and elevate) for the first 24 hours 
  • Activity modification
  • Medical imaging may be required to investigate and rule out other injuries such as a fracture
  • Offloading
    • Taping
    • Ankle braces
    • Moonboot/post-op shoe
    • Orthotics
    • Laser treatment

If in doubt please call us today for an appointment with one of our podiatrists on 5223 1531

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.

HOW MANY PHALANGES DOES A HUMAN HAVE?

56 phalanges!

There are 56 phalanges (bones) in the human body, with fourteen on each hand and foot. Three phalanges are present on each finger and toe, with the exception of the thumb and large toe, which possess only two. 
The phalanges of the fingers help us manipulate our environment while the phalanges of the foot help us balance, walk, and run.

Phalanges have many attachments such as muscles (via tendons), ligaments and other soft tissue.

Treatment of Toe Fractures

Fractures of the toe bones are almost always traumatic fractures. Treatment for traumatic fractures depends on the break itself and may include these options:

  • Rest. Sometimes rest is all that is needed to treat a traumatic fracture of the toe.
  • Splinting. The toe may be fitted with a splint to keep it in a fixed position.
  • Rigid or stiff-soled shoe. Wearing a stiff-soled shoe protects the toe and helps keep it properly positioned. Use of a postoperative shoe or bootwalker is also helpful.
  • Buddy taping the fractured toe to another toe is sometimes appropriate, but in other cases, it may be harmful.
  • Surgery. If the break is badly displaced or if the joint is affected, surgery may be necessary. Surgery often involves the use of fixation devices, such as pins

Consequences of Improper Treatment

Some people say that “the doctor can’t do anything for a broken bone in the foot.” This is usually not true. In fact, if a fractured toe or metatarsal bone is not treated correctly, serious complications may develop. For example:

  • A deformity in the bony architecture, which may limit the ability to move the foot or cause difficulty in fitting shoes.
  • Arthritis, which may be caused by a fracture in a joint (the juncture where two bones meet), or may be a result of angular deformities that develop when a displaced fracture is severe or has not been properly corrected.
  • Chronic pain and deformity.
  • Non-union, or failure to heal, can lead to subsequent surgery or chronic pain.

If in doubt please call us today for an appointment with one of our podiatrists on 5223 1531

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.

 

 

 

SHIN SPLINTS AFFECTING YOUR RUN OR HIIT?

Shin Splints or MTSS or Medial tibial stress syndrome

Common in runners or those participating in running based sports

Symptoms:

  • Diffuse pain along the distal third of the tibia
  • Must be distinguished from focused pain which suggests a fracture or pain in the muscle compartments

Causes:

  • Large loads on the tibia causing strain on the surrounding soft tissues
  • Current evidence indicates that there may be bending of the tibia involved

Treatment

  • Activity modification
  • THOR Laser to address areas of inflammation and/or muscle trigger points
  • Orthotics which will provide offloading and reduce strain on the tibia
  • Footwear recommendations
  • Muscle stretches and/or strengthening

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.

COLD FEET? Diabetes Awareness Week 2020

Increasing blood flow to lower limbs

What to do?

  • Low level impact exercise, walking is great!
  • Keeping warm
  • Breaking up periods of inactivity with a short walk or low impact leg exercises 
  • Regular visits to your local podiatrist for assessment of blood flow.
  • If you have any concerns regarding your blood flow, it is always important to check with your GP

Avoid any television gimmicks, these rarely work and are often not backed up with research.

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.

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.

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!

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 

DOES YOUR CHILD EXPERIENCE HEEL PAIN? Read our ‘SEVERS DISEASE’ blog for more information!

Sever’s Disease is rear foot pain and/or ankle pain as a result of inflammation of the growth plate of the heel bone in children. The heel pain is often localized around the back of the heel. This condition most commonly affects children between the ages of 8 to 14 years. This type of condition commonly occurs in those children who are very active with sport.

What are the most common problems with sever’s disease?

Affected children will complain of pain in the rear of the foot which may impact upon their ability to run, play and/or participate in sport.

How do these problems arise?

The cause of the pain in Sever’s Disease is thought to be the tractional forces applied to the growth plate of the heel bone, the achilles tendon and the plantar fascia.

How can they be treated?

The good news is that this heel pain in children is very simple to treat and children usually respond very quickly once treatment of Sever’s Disease commences.

Treatment of Sever’s Disease usually involves a combination of ice therapy, activity review and/or modification, review of training surfaces, exercises, footwear review and orthotic inserts where foot function is causing excessive traction on the heel growth plate.

When should they be checked by a podiatrist?

In order to reduce pain and limit the effect Sever’s disease has on your child’s everyday life, it is advised that you consult a Podiatrist for assessment and specific treatment plan.

How can Total Care Podiatry help you?

At Total Care Podiatry, we can tailor a treatment plan which is specific to your child’s individual needs and activities in order to achieve the best possible outcomes.

Contact our friendly reception staff on 5223 1531 today to secure your appointment

WARNING

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.