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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 – 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.

 

 

 

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.

TOTTENHAM LEGEND GARY MABBUTT HAS FOOT EATEN BY RAT

A FORMER English football international won’t be rushing onto the field any time soon after a horrifying incident on holidays in Africa.

IT’S hard to imagine a worse way to wake up than catching a rat eating your foot.

Unfortunately for Tottenham legend Gary Mabbutt, the nightmare became a reality while on a safari in South Africa.

The 57-year-old woke to find his bed covered in blood and severe damage to his foot after the horrific incident at Kruger National Park in South Africa.

Astoundingly, Mabbut claimed he couldn’t feel the rat chowing down on his toes due to a long career in football and type 1 diabetes.

Mabbutt, who played 16 matches for England, was rushed home for treatment following the incident six weeks ago.

“Unfortunately, due to the injuries through my career and having diabetes — I have very little feeling in my feet,” he told BBC Radio Live5.

“So I’ve gone to sleep and during the night a rat has come into the bedroom, climbed into the bed and decided to chew on my foot.

“It made quite a big hole in my toe going down to the bone and ate underneath my foot so it became infected.

“I then got home quite quickly and I was in hospital for a week and that was about, crikey, about six weeks ago now.”

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.

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

 

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.