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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.

NAIL POLISH – YES OR NO? Read our latest blog for a solution if you said yes!

Nail Polish

Did you know that your nails are porous and they absorb what you put onto them?

Many nail polishes contain ingredients that are listed as POISONOUS. Some are listed as carcinogens and others have been linked to birth defects and breathing issues!

Why don’t we recommend it?

Nail polish can invite fungal growth to the nail. It creates a barrier which locks in pathogens and creates a protective layer. It also makes it difficult to spot changes in the nail and early signs of a fungal infection. Fungal nail infections can be very difficult to remove and we recommend taking steps to reduce your risk.

If you want to wear it, what should you do?

  • Thoroughly remove the current coat of nail polish before applying a new layer
  • Allow some time for you nail to ‘breath’ before a new layer, this allows the nail to rebuild lost oils
  • When removing layers, watch for signs of fungal nail infection such as changes in colour or thickness
  • Watch for any irritation or reaction from the nail polish to the surrounding skin. If you find a brand your skin can tolerate, try to stay with the same one to reduce the risk of a reaction occurring
  • We highly recommend FRANKIE4’s Safe 7 – a nail polish developed at Salon Standard without those scary ingredients!

For more info check out https://frankie4.com.au/shop/nail-polish.html

 

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.

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.”

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.

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.

 

WHICH SHOES TO WEAR WHEN YOU TRAVEL?

During travel it is most likely you will walk a lot more than usual.

Shoes that hold your foot in at the heel will reduce the amount of work your muscles will have to do as you are walking and reduce the risk of fatigue. For this and many other reasons, we recommend a good pair of sneakers. They also provide support and protection during your travels. Be sure to assess your current shoes for wear and tear. Most commonly, a shoe will need to be replaced after 18-24 months.

How to tell if you need new shoes:

  • Is the tread worn on the bottom of the shoe?
  • Is the sole pulling away from the shoe?
  • Is the lining tearing or looking worn?
  • Are they uncomfortable or make you feel unstable?

These might be signs that you need a new pair of shoes. If you decide you need a new pair of shoes, go to your local shoe store and follow these steps:

When buying:

  • Buy at the end of the day as your feet may swell slightly
  • Check are they appropriate how much walking you will do or the type of surface you will walk?
  • Try the shoes on for 5-10 minutes in the store to really understand if the fit is correct
  • Ensure the shoe feels good on the day, do not expect the shoes to “wear in”

How to fit the shoe:

  • Thumbs widths extra space from your big toe to the end of the shoe
  • The shoe doesn’t twist or bend at the midfoot
  • The shape, width and depth is correct for the shape for your toes

 

  • Are they orthotic friendly (if you wear these) or do you need a shoe which provide more support?

What to watch out for:

  • Any areas of rubbing or blisters from the shoe
  • Pain in the achilles tendon, under the arch or in the big toe
  • Do you feel unstable in the shoes?
  • Avoid elastic attachments as they will gradually loosen
  • Avoid the temptation of very soft/cushioned shoes as they are often very flexible and will not provide enough support for most foot types

If you want a second opinion or a more customised recommendation, see your local podiatrist.

If you do require new shoes it is most likely that good shoes are not cheap, but they will help you a lot during your holiday away.

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.