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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.

 

‘W’ SITTING – WHAT IS IT & WHY SHOULD I CORRECT IT?

W-Sitting

‘W-Sitting’ is where a child sits on the floor with their knees out forward and their legs splayed outwards to replicate a ‘W’. During their young age, sitting positions and activities will play a large role in the development of their lower limbs. ‘W-sitting’ particularly affects the hips and surrounding soft tissue such as ligaments and muscles.

This position encourages internal rotation of the hips and loosening these soft tissues to maintain this posture. These changes may also alter the child’s walking pattern. Internally rotated hips may result in a ‘pigeon-toed’ or with ‘knees pointing inwards’ while the child walks. The child may experience clumsiness, fatigue or lack of confidence in their walking and during sports. 

What can we do about it?
Encourage proper seating postures such as sitting ‘crossed legged’, this position externally rotates the legs and allows for proper development.  As well as doing activities which strengthen posterior muscles (such as the gluteals) are encouraged.

If your child experiences these symptoms, an assessment with a podiatrist may be required.

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.

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

 

ARCHIES HAVE LANDED AT TOTAL CARE PODIATRY

The thongs are made out of an unbelievably comfortable, high quality foam material and really have a “wow” factor for anyone that tries them on. Once you get used to them, you will never want to take them off your feet and most people say that they simply cannot wear ‘normal thongs’ after wearing Archies Thongs!

With up to 2.2cm of orthotic support, Archies Thongs incorporate the same amount of support that you would find from an ‘off the shelf’ orthotic, however with the patented design, they look just like normal thongs. The support found within Archies Footwear may help to support the foot in a more biomechanically appropriate position thereby easing the stresses and strains that would otherwise be transferred to the musculoskeletal system.

Come in and see our team to find the perfect ARCHIES fit for your feet!

For a no charge shoe fitting please call 5223 1531

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