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COMPLIMENTARY PAEDIATRIC CLINIC

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.

CORNS AND CALLUS – what are they and treatment

Corns and Callus

Callus is the thickening of the skin on the hands and feet. On the feet, callus forms as a reaction from repeated high areas of pressure. This mechanism is to protect the skin from breaking down. Over time however this may lead to discomfort and bruising around the callus.

Corns are similar to callus but they mostly form over joints where there is a focused centre to the pressure. Due to this pressure, the callus forms a nucleus at this location which can become sensitive and painful.

Podiatrist can ‘shave’ down the callus and remove the painful centre of the corns. 

They may also recommend an offloading device to reduce the pressure at those locations.
This can be achieved through:

  • Taping
  • Orthotics
  • Foam or gel pads
  • Toe sleeves

#toesleeves

 

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.

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.

 

 

 

DIABETES AND HEATERS

Diabetes and heaters

Over time, diabetes may affect the blood vessels and nerves in your feet. This results in reduced or loss of protective sensations in the feet. 

One of these sensations is the body’s ability to detect changes in temperature and specifically if it is too hot or cold. The body may also have more difficulty in sweat regulation of the skin. 

For these reasons, heaters can become a danger risk. The body may not be able to detect the skin overheating and a burn may occur. For this reason, the following step should be followed:

  • Check the distance of your feet to the heater and assess if it may be too hot (do not sit close to the heater or fire)
  • Check your feet regularly for any changes to the skin and check the temperature of your toes and sole of the foot
  • Avoid sitting with your feet by the fire/heater
  • Avoid setting the car heater vents toward the feet

COLD WEATHER AND YOUR FEET!

Cold weather and your feet

During winter you may find your feet feeling colder and colder. It is important to do what you can to help your body climatize to the extreme colds.

What to do?

  • Wear weather appropriate clothing
  • Avoid walking barefoot on cold surfaces
  • Wear enclosed shoes
  • Try to wear natural fibre socks

Remember:

  • Do not expose your skin to extreme changes in temperature. The body takes time to properly adjust, quick changes may cause irritation or pain to the area as the body is unable to keep up.
  • Check the temperature of the water before entering the shower or bath, ensure it is not too hot.
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.

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

 

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.

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.

 

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