Posts

WHEN TO FIX KIDS FEET?

/in , /by

When to fix kids’ feet?

 

Worried about your child’s feet? It is important to know what is a normal presentation for a child in their age group, as opposed to what actually may be considered a “red flag” in their development. When asking the question of whether to “fix my child’s feet” it is crucially important to make an informed decision with the professional advice and assessment of health professionals. Our Podiatrists will thoroughly assess your child and determine what treatment, if any, is suitable at that time of the child’s development and will reassure you what is normal! Depending on your child’s age and the presenting condition, there are treatment windows within a child’s normal physical development within which to correct any structural abnormalities.

Did you know? Recent evidence based research on thousands of children aged 3-15 years shows the most common foot posture or foot type is a ‘flat’ or pronated foot.* From this it can be concluded that a flat foot without any other abnormal characteristics is not abnormal. So, not all “flat feet” need to be fixed as such. Foot pronation in itself is often a compensatory response to other biomechanical and structural adaptations or elements of the lower limb and rest of the body. Hence overpronation of the foot may not be a causative element but an end result, and there may be other elements of the lower limb that are better addressed first before treatment of the flatfoot is considered. 

Did you know? At birth, only some bones of the foot are formed. By only age 5, the last major bone of the foot is formed, the Navicular, which structurally forms the “arch” of the foot. 

Total Care Podiatry believes in the value of assessing children at an early age or at any age in their development to rule out any abnormalities or red flags in musculoskeletal development in particular and to reassure parents what is normal. Total Care runs a Paediatric screening clinic once monthly to offer a free assessment. We ask that to book into this clinic, a small donation be made to Kids Plus foundation. Kids Plus “offers programs that include early treatment and specific intervention strategies to improve children’s abilities across a range of developmental areas.” 

On Friday July 9th 2021, we have a Complimentary Family Foot Check clinic scheduled. If you have any concerns about a family member’s foot health, especially your child of any age; please book in for your free assessment! PH: 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.

 

SURFCOAST TREK RECOVERY

/in , /by

There are many things to consider after the trek – these are some tips we would recommend: 

  1. Take a recovery pair of socks and shoes. Clean and dry your feet and put these on after the event to prevent blisters. Keep warm. 
  2. Go for brunch! Treat yourself. You will be tired, and your body will be hungry for a high protein and carb meal. It is important to refuel!
  3. A light stretch and walk in the afternoon for optimal muscle recovery 
  4. Avoid deep tissue massage in the first week – be gentle and start with light muscle recovery. If you have any pain that is disproportional to what you consider to be normal recovering muscle pain, seek advice from the appropriate healthcare professional be it your GP, physiotherapist, or podiatrist ? 

If you have any queries before the trek, come in for your free 15 minute foot check! 

PH: 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.

ARE YOU READY FOR THE SURF COAST TREK?

/in , /by

Free Foot & Leg Assessment

Total Care Podiatry is offering Surf Coast trek participants a complimentary Foot and Leg Assessment.  This will take into account your individual requirements and help you work out a strategy to help your feet and legs stay the distance.

Call Total Care Podiatry on 5223 1531 to book in your Complimentary Foot & Leg Assessment.

Make sure you mention that you have registered for the Surf Coast Trek.

Preparing for a long distance walk

Getting your feet ready for a 40 km trek needs a lot of planning and preparation. You’re asking a lot of your poor feet pounding into the ground, and they’ll need some TLC to get you there.

Every individual’s body will respond differently so there’s no one solution that will suit everyone, especially in an endurance event lasting many hours like the Surfcoast Trek.

Just like your fitness, preparing your feet and legs has to start early, not the week before or the day before.

During the 40 km trek, your body will change in a number of ways to keep you going. The extent of the changes will very much rely on how you’ve trained your body prior to the event.

Here’s what will happen for most of us at the 20 to 30 km mark:

  • Muscles in our core and legs will tire and as a result our walking pattern will change, placing more pressure on our joints.
  • Feet may swell causing changes in how the foot fits into the shoe, causing pressure areas, and
  • The heels may start slipping up and down in the shoe as the calf muscles tighten, increasing the risk of blister formation.

Footwear

For endurance walking the shoes you wear will have a significant bearing on whether or not you enjoy the trek. The runners you use around the house or for activities such as walking around the block will probably not be appropriate.

  • Footwear should fit your foot comfortably, not too tight or loose.
  • The upper should be made of a material that will easily breathe and allow the perspiration that your feet generate evaporates into the environment rather than build-up heat in your foot.
  • The sole should not be too stiff or controlling and provide good cushioning.
  • The toe box, (the area of the shoe where your toes are), should be deep and rounded to accommodate any swelling.
  • No part of your foot should slip in the shoes, at any time.
  • It is best if the lace area is as long as possible so you can alter the fit around the heel from the midfoot and the forefoot. You may have to adjust the lacing a number of times during the walk, to make sure your foot is supported and any pressure areas lessened.
    For more information regarding lacing techniques look here: How to Lace a Hiking Boot

Blisters

Blisters are caused by friction, where the surface of the skin is held in one place and the tissues underneath the surface are stretched to the point of tearing. It is influenced by 3 things:

1. The nature of your skin

Our skin often has different qualities depending on age, sun exposure, gender, shoes we wear etc. Some people have firm strong and resilient skin. Others have tender, thin and easily affected skin. The latter type of skin can be toughened to cope and protected for the walk using a number of different taping techniques. Skin temperature also needs to be maintained so that the skin does not become overly sweaty and moist which increases the risk of blisters.

Socks that are designed to ‘wick moisture away’; that is take the moisture away from the skin out through the sock to the other side of the sock, is the best way of managing this.

2. How your foot works

Your foot has two main functions, it has to adapt the body above to the ground beneath, and then has to be stable enough for the body to move over a solid foundation. If these functions are not working properly areas of high pressure develop which can directly cause tissue injury. The most obvious is blisters but also stress fractures and indirectly, increased risk of ligament or tendon damage as muscles get tired; often seen in cases of rolled ankles. Research shows that cushioning insoles can address the direct high-pressure areas, but the reasons why the foot is not functioning properly, causing risk of injury, needs to be understood and then addressed appropriately.

3. The level of friction.

There are many ways people use to reduce friction. For most people the best strategy is wearing well fitted merino padded socks. These socks should have built in padding to assist with small pressure areas.  If you have bony feet, or a tendency for rubbing, wearing two pairs of socks can be the solution. If you often have blisters on or in between your toes, ‘toe socks’, worn under the padded merino socks, can be the answer.

A final note on blisters, if the top of the blister rubs off and you’re left with a red raw sore, a band-aid type of dressing is not a good option as it may cause more friction. Instead, compound dressings are good for this, as is some taping, so long as your skin is not sensitive to the adhesive.

We congratulate everyone who is taking on the Surf Coast trek for the challenge it provides as well as supporting a fantastic local charity which benefits our whole community. Total Care Podiatry is proud to support your effort with a Complimentary Foot & Leg Assessment.

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.

BALANCE ISSUES

/in , /by

Balance Issues

In the body, there are many components that come together to create a stable sense of balance. One of these components is proprioception, it is the sense of knowing where you are in space. An example of this is knowing where your hand is, even if your eyes are closed. 

This assists the body in walking/activity, as your feet are constantly providing this feedback. They provide information on your pace, the type of terrain you are walking on, how level is the floor, etc.

With age, this sensation of proprioception naturally reduces. This causes a reduction in balance and creates instability when walking. 

To improve or maintain balance you can:

  • Attend balance classes
  • Work with an Exercise Physiologist 
  • Muscle strengthening 
  • Falls awareness and prevention classes
  • Staying active

If you are experiencing pain or discomfort, please call us today for an appointment 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.

FIT FEET FOR A BETTER YOU!

/in , /by

Take the first steps to get back on track

The human foot is a marvel of biomechanical engineering that most of us take for granted until the system fails or breaks down. The average person will walk the equivalent of twice around the world in a lifetime, which is a long time on your feet.

Tips to Maintain Healthy Feet

Inspect your feet regularly and pay attention to changes in color, texture or appearance.

 

Maintain good foot hygiene, including washing and drying between the toes.pumice bar foot health age upkeepHydrate the skin. Australian weather and open shoes can cause rapid loss of moisture from the skin and may result in cracking or the formation of fissures. It is helpful to replace the moisture content by using lotions or creams on a regular basis.
toe foot ailment dry skin peeling toe fungus

Buy proper-size shoes. You may not wear the same size in shoes made by different manufacturers. Purchase new shoes late in the day, when feet tend to be at their largest. Always buy the shoes that feel the best.too small shoes black ballet flats heel pain

Don’t ignore foot pain Symptoms that increase or do not resolve within a reasonable period of time need to be evaluated by your podiatrist. Podiatrists get you moving, pain free and living an active life.

foot pain maintenance ailments upkeep heel pain

Cut toenails straight across. Never cut into the corners — this could cause an ingrown toenail. Gently file away sharp corners or rough edges with an emery board.proper toe nail cutting technique

Exercise – Walking is a great way to keep weight under control and is an excellent conditioner for the feet. Be sure to wear appropriate athletic shoes when exercising.

Alternate your shoes each day. Since the feet have sweat glands, your shoes will absorb moisture from your feet, so it is important to allow your shoes to dry out completely.Avoid walking barefoot to help protect your feet from injury and infection

Put sunblock on your feet while wearing sandals during the day to avoid sunburn.

Source: UCLA Health System, Happy Feet Plus, foothealthaustralia.org.au

If you are experiencing pain or discomfort, please call us today for an appointment 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.

 

GROWING PAINS?

/in , /by

Growing Pains?

Is pain most commonly affecting the legs during adolescence. This pain most often occurs at afternoon to night time and will affect the muscles. 

Growing pains is defined as pain in the muscles and not the bones or joints. Often it is genralised muscle pain which is often described as non-specific pain.

There are many theories as to why it occurs. The first theory is that due to large amounts of growth in a short time, there is an increased effort for the leg muscles to work and so pain occurs. The second is that the muscles fatigue due to overuse in active children. Lastly, there may be a psychological aspect to the pain development within the brain. 

Growing pains is linked to obesity, lowered pain thresholds, decreased bone strength and is more prevalent in children who suffer migraines. 

The symptoms will include being bilateral, pain in the late afternoon or evening, intermittent pain with some pain free days and is most likely be in the calf or quad muscles.

If the symptoms are unilateral, persistent, within joint or persistent until the next morning, see your doctor immediately.

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

COMPLIMENTARY PAEDIATRIC CLINIC

/in , /by

Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet. 

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

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.

ACHILLES TENDINOPATHY – Who does it affect? Read our latest blog to find out more!

/in , /by

Achilles Tendinopathy

Tendinitis (inflammation), Tendinosis (degenerative) or Rupture

The Achilles tendon attaches the muscles of the calf to the calcaneus (heel bone). This tendon undergoes a lot of stress due to the amount of tension and forces it withstands. Over time, if the amount of stress to this tendon is too great, it may lead to an injury to the area and pain to develop. Most commonly, there will be a single event or injury that will cause the pain to start. 

Symptoms

  • May have started from an event/injury
  • Pain on movement or palpation
  • Swelling of the ankle
  • Bruising in the area

When injured, treatment of the Achilles tendon involves progressively loading the tissue as it best reacts to load. Repeated stimulation allows the tendon to properly heal and return to its ideal state

Treatment is tailored to each patient and their unique presentation

Treatment may include:

  • Surgery (if a rupture occurs)
  • Moonboot
  • Heel lifts
  • Exercise program
  • Activity modifications
  • THOR Laser
  • Taping
  • Orthotics
  • Footwear Recommendations
  • Activity Modification

If you are experiencing pain or discomfort, please call us today for an appointment 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.

DIABETES AND SUMMER – If you have reduced feeling in your feet this blog is for you!

/in , /by

Diabetes and summer

Previously discussed in these blogs was the effect of diabetes on the sensitivity of nerves. Over time, the nerves may have reduced sensitivity causing numbness and a loss of protective sensation.

When this happens, there are certain things to consider to ensure your safety in summer. During the mid-summer heat, concrete becomes particularly warm and may cause burns to occur on the bottom of the feet. If you have reduced sensation, you may not feel any burning of the skin.

To be safe:

  • Wear enclosed shoes when outside at all times
  • Check feet regularly for any changes or cuts
  • Avoid risk factors such as standing on/near hot surfaces

If you are experiencing pain or discomfort, please call us today for an appointment 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.

TOENAIL BRUISING AND INJURY

/in , /by

Toenail bruising and injury

Bruising of the toenails is very common. It can occur because of an injury (i.e. dropping something on it) or from repetitive stress to the area. This is frequently occurring in ballet dancers and football players due to the nature of their activities.

When to see a podiatrist?

–          If it causes any pain

–          If the nail breaks, thickens, cracks or lifts from the nail bed

–          If the bruising is not going away

–          If the bruising has defined borders or occurs in a strip

Depending on the presentation and cause for the changes to the nail, the podiatrist may:

–          Cut and file the nail

–          Monitor it for changes

–          Offload the area with paddings and/or orthotics

–          Provide footwear recommendations

–          Activity modifications

 

 

If you are experiencing pain or discomfort, please call us today for an appointment 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.