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LIVING WITH ARTHRITIS? Check out our latest blog to find out more!

ARTHRITIS

There are 3 types of arthritis that commonly affect the feet
Osteoarthritis

 Osteoarthritis
Rheumatoid arthritis

 Rheumatoid Arthritis
Gout

 Gout

These will most likely affect the big toe of the foot and lead to degeneration of the joint.

Over time this may lead to structural changes of the joint and reduce range of motion.

Reduced range of motion will decrease the body’s ability to adapt to forces loaded to the area and impinge on the normal function of
the joint.

Symptoms
Reduced range of motion
Visible changes to the joint
Pain in the joint and/or surrounding soft tissue
Change in walking gait

Treatment is to help decreased pain and maintain the joint’s range of motion.

This may include
Mobilisation
Soft tissue therapy
Orthotics
Exercise prescription
Footwear recommendations

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.

SESAMOIDITIS – What is it???

Sesamoiditis

What is it?

There are two small bones under the hallux (big toe) of both feet called sesamoids. These bones are designed to create a mechanical advantage for the muscles, take some weightbearing and elevate the metatarsal bone off the ground. These bones are relatively small and due to their location, can be easily overloaded. This can occur from an acute injury or from a chronic overloading.  

Symptoms

  • Painful to touch
  • Painful to load the area or walk on
  • Reduced range of motion of the hallux 
  • Swelling of the area

 

Treatment 

  • Offloading
    • Tape
    • Post op shoe
    • Orthotics
  • Activity modifications
  • Footwear recommendations
  • Medical imaging
  • Biomechanical assessment
  • THOR low level laser therapy

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 – 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.

PLANTAR FASCIOPATHY – PLANTAR FASCIITIS – PLANTAR HEEL PAIN

Plantar fasciopathy

  • Also known as plantar fasciitis, plantar fasciosis or plantar heel pain.

Refers to dysfunction of the plantar fascia (or plantar aponeurosis) under the foot. It is a connective tissue which connects the heel to the toes. The tissue may thicken, tear or become inflamed from overloading.

Symptoms

  • Pain under the arch of the foot. Most often ‘first step’ pain which occurs in the morning or after rest.
  • Can occur gradually over time or from an acute injury

Risk factors

  • High BMI
  • Reduced ankle range of motion
  • Foot structure
  • Occupation: jobs involving a lot of time standing

Treatment

  • Biomechanical assessment
  • Offloading with taping or orthotics
  • Footwear recommendations
  • Pain relief 
  • Activity modifications
  • THOR low level laser treatment to help reduce inflammation
  • Stretches

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.

 

 

 

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.

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.

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.