Posts

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.

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 

RECEIVE 10% OFF YOUR NEXT VISIT

Are your feet happier after visiting one of our expert podiatrists?

Would you like to receive 10% off your next visit? 

Take a moment to like us and write a review on our face book page and receive 10% off your next visit with us ( you can even do this whilst in our waiting room!)

To claim your 10% please show are staff at the front desk during payment your like and review

 

 

 

 

OUR PAEDIATRIC CLINIC IS BACK!

SECURE YOUR APPOINTMENT FOR JUNE 2020 ~ call 5223 1531

  • 15 minute assessment with one of our expert podiatrists
  • Held on the last Wednesday of every month
  • Age limit ~ 6 years old and under
  • During Covid-19 we are asking that only 1 carer attends appointments
  • Please arrive on time to help our paediatric clinic run on time
  • Gold coin donation to ‘Kids plus foundation’ is welcomed
  • Call 5223 1531 today!

 

AFTERPAY IS HERE!

Shop now, pay it in 4!

Love AfterpayWe‘ve got it!  No waiting for treatment, Afterpay has it covered and you pay it back fortnightly.

Same day orthotic service available.

Pay for your purchase over 4 easy instalments, with an interest-free payment schedule from Afterpay. You’ll receive handy notifications when your payment is close to due and no fees when you pay on time

Afterpay – Shop now. Wear now. Pay later. Interest-free!*

Afterpay offers interest-free payment plans for your purchases online and in-store. Buy and receive what you want today and pay it off in four instalments fortnightly.

To make a purchase using Afterpay you will need:

  • A debit or credit card
  • To be over 18 years of age
  • An Australian residential address

Before your visit to our practice:

  • Download the Afterpay app.
  • Sign in or follow the steps to create your Afterpay account.*
  • Make sure to add your payment details.
  • The front desk girls will then simply scan the barcode prior to the purchase being completed.

*A brief pre-approval process may be required and you may be asked to provide your Drivers License or Medicare card to verify your identity.

* If a payment is due from you but not received by Afterpay in accordance with the payment schedule, a $10 late payment fee will be charged, with a further $7 late payment fee added seven days later if the payment remains unpaid.

#AFTERPAYIT

For more information about Afterpay terms and conditions, visit the Afterpay website.

https://www.afterpay.com/en-AU/index

 

EXPERIENCING PAIN IN YOUR ANKLES, KNEES OR HIPS? 

EXPERIENCING PAIN IN YOUR ANKLES, KNEES OR HIPS?

At Total Care Podiatry the podiatrist will ascertain what dysfunction is occurring in your feet, how this is interacting with the muscles in your back, pelvis and legs and will see what areas in your lifestyle may be placing you at risk of continuing the injury. We will also work together with other health professionals involved in your care to achieve a long term solution.

Your knees and hips are the largest joints in your body. They are responsible for supporting your weight as you stand and walk. If you are experiencing chronic pain in your hips, knees, or even in your lower back, shoulders and neck, there may be a connection between this pain and the way your feet function.

Walking is good for you, right? Absolutely. But beware of poor walking habits that can cause or exacerbate knee and hip problems. On the positive side, however, a safe and smart walking regime can help improve joint problems, not to mention how good it is for your overall health.

KNEE PAIN

Watch your feet. If you are prone to foot problems, such as hypermobile feet (when the joints in and around the feet move more than they should) or  fallen arches caused by over pronation, your gait may be compromised. And this change can cause unnecessary stress on the knees, resulting in painful injuries.

The knee is made to bend only in one direction—facing straight forward.  When the foot over-pronates, the leg rotates inward toward the opposite leg. This causes the knee to flex and extend while pointing inward and not in the normal direction, which puts stress on the knee.

People who suffer from osteoarthritis pain have worn cartilage on the inside (medial) area of their knee joint. Research is being done to determine how walking differently can help manage this pain. According to the Arthritis Foundation, studies are finding that pointing your toes slightly outwards (about 7°) when you walk will shift pressure to the outside (lateral) part of the knee, relieving the pain radiating from the inside of your knee joint.

RUNNER’S KNEE (which is not exclusive to runners!) is identified by a throbbing pain on your kneecap. The impact of your foot hitting the ground causes your kneecap to rub against the femur bone. If you have a misaligned kneecap or previous injury, your knees are more vulnerable. Other causes are weak thigh muscles, soft knee cartilage, or flat feet.

HIP PAIN

Pain from bursitis is felt on the outside of your hip, whereas arthritis is felt on the inner hip near your groin. Relief from each requires different walking treatments.

Repetitive stress (including excess walking or running) can cause the bursa that cushions your hip to become inflamed. Another cause of bursitis is exercising without proper warm-ups and cool downs, which are a vital part of any program. You need to follow a very slow walking regime when recovering from a bout of bursitis. This involves gradually increasing the frequency and length of your walks.

As with osteoarthritis in general, the cause of hip arthritis can be genetic. It can be a hereditary or a congenital problem with an improperly formed hip joint. Hip arthritis can also develop from an injury or trauma to the hip area, or stress from excess weight or activity.

The problems caused by over pronation, which were discussed for knee pain, are also true for the hip joint. When the foot pronates, the leg rotates inward and the hip can become unaligned. This condition puts stress on the hip and on the entire leg muscles.

HOW TO HELP YOUR ANKLES, KNEES AND HIPS

Any problem with the foot or ankle resulting in a compromised posture or gait can lead to knee and hip pain. Examples of common foot problems that can lead to poor posture and irregular walking patterns include:

  • Plantar fasciitis, which can lead to chronic heel pain and/or arch pain
  • Nerve pain or numbness in the foot (such as neuromas and tarsal tunnel syndrome)
  • Bunions and bunionettes (big-toe versus little-toe side, respectively)
  • Excessive foot  pronation (rolling in) or  supination (rolling out)

When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it may be possible to reduce the knee and hip pain by improving foot function, using proper footwear and orthotic insoles.

A Harvard medical school health publication advises that exercise is an important treatment for arthritis. It improves the strength and function of the afflicted area(s).

In many cases, a moderate walking plan is recommended to alleviate such pain. It is considered a low impact activity that strengthens the supporting muscles, relieving the pressure on the joint. Be sure to walk on a smooth, soft surface such as a track or treadmill. Your doctor or physical therapist can advise how much walking is best for you. An extra bonus is walking will help with weight loss, which takes some stress off your joints.

When you compensate for pain by limping or walking with an abnormal gait, other joints can suffer wear and tear. Your rheumatologist, orthopedic doctor or physical therapist can help determine if changing your walking gait could help reduce pain. Many PTs will video patients as they walk on a treadmill and then review their walking habits to determine what pain reduction improvements can be made. You can make a conscience effort to minimize limping by holding your body straight without swaying and maintaining and even stride.

THE RIGHT SHOE REGIME

Healthy shoes play a significant role in knee and hip pain management. Here are a few tips on the importance of wearing good shoes.

  • Never wear heels over two inches high. Heels increase the risk of knee joint degeneration.
  • However, not all flat shoes are good for your feet. Flats that do not provide any arch support can lead to knee, hip, and back pain.
  • Get the right fit. Tight shoes can cause limping from foot pain. Oversized shoes can also impair your gait. Either way, you’ll be putting unnecessary stress on your knees and hips.
  • Stability sneakers provide cushioning and help control over pronation. They also relieve the ball of the foot, which helps arthritic pain in the hip, knee, foot or ankle.
  • Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful.
  • If knee or hip pain is due to your foot function, the proper footwear along with orthotic insoles can be a very effective way to relieve symptoms.
  • Invest in quality shoes that are specifically made for your condition. Total Care Podiatry provides the ability to browse shoe selections that meet your needs.

At Total Care Podiatry the podiatrist will ascertain what dysfunction is occurring in your feet, how this is interacting with the muscles in your back, pelvis and legs and will see what areas in your lifestyle may be placing you at risk of continuing the injury. We will also work together with other health professionals involved in your care to achieve a long term solution.

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.

WALKING/RUNNING MORE THAN EVER SINCE YOUR GYM CLOSED? We Can Help You Move While You Wait!

HIP & LEG ASSESSMENTS NOW AVAILABLE 

IN CLINIC OR VIA TELEHEALTH

When you see a heath professional for back pain, do they remark how your ‘pelvis is rotated’ or ‘out’?

Does the treatment only give short term relief before the pain is back again?

It may be that you have a difference in leg length or the alignment of your pelvis is abnormal.

Maybe you’ve had an injury which has resulted in one leg bone being shorter than the other. Alternatively, if the pelvic misalignment is more than mild, it may be caused by a structural back condition called scolosis.

Also, a total hip or knee replacement can result in a shortening of one leg. This can be significant when combined with how your body adapted before the surgery and how it then adapts again after surgery.

Walking should be a fluid motion from the time the heel hits the ground to the point where we step forward and off the foot. Sometimes, if the forefoot and especially the big toe joint becomes jammed, the forward movement is momentarily blocked, forcing other joints to compensate.

The repetition of every step you take is enough to place strain and stress on the muscles and joints leading to inflammation and increased risk of injury.

If you experience back pain and/or pain and fatigue it is important that you have the alignment of your lower limbs and feet analysed to ensure there are no abnormalities that could be contributing to this pain.

HOW DOES THIS TREATMENT WORK?

If your pelvis is misaligned or you have a difference in leg length, each step is going to place a little more pressure on one side than the other, forcing the joints and muscles to compensate, 4,000 times a day for each leg!

At Total Care Podiatry, we analyse these misalignments to make sure you are as straight as possible.

We then measure any misalignments with:

  • Plantar Pressure analysis to measure the amount and timing of pressure underneath your feet in walking and standing. We use our pressure plate to note asymmetry between the pressure on one side to the pressure on the other
  • A digital pelvic inclinometer (DPI). This equipment has only been available in Australia since early 2015 and the research has shown it to be very accurate. Using the DPI we can better understand why the difference is there and how much is from your pelvis, leg and foot and the compensations and adaptations that have occurred over time.
  • Treadmill analysis. To see how your body functions with in-shoe corrections we have you comfortably walking on our state of the art treadmill, that has an inbuilt plantar pressure plate. This allows us to examine how your pelvis functions dynamically. We also note symmetry in your stride, and as your body moves up and down with each step, by assessing the differences using the plantar pressure data.

WHAT ARE THE BENEFITS OF THIS TREATMENT?

A hip and leg assessment provides objective information which can be compared to results after we implement a treatment plan. We also advise your back health professional on our treatment and ask them to monitor it at your next treatments. Working closely with them, we aim to give you the very best chance of having a long lasting solution to greater mobility.

TELEHEALTH

Total Care Podiatry now has a ‘TELEHEALTH’ option if you are unable to leave your home.

As a community service at this time we have made available three FREE TeleHealth consultations per week.

Call 5223 1531 to book

Using the secure Physitrack software our podiatrists will be able to provide online:

  • a video conference for you to explain your concerns and receive clinical advice,  and, if required
  • an exercise and rehabilitation program of video demonstrations within the Physitrack App.

This will enable us to begin or adjust your treatment plan from the comfort of your own home with subsequent face to face appointments occurring as required.

The billing for these will be the same as usual for NDIS and Veterans. For patients with a Chronic Diseases Management plan (for Medicare rebates) we are able to bulk bill with a new Item number provided by Medicare. For private patients the Fee is $30. Please give us a call  on 5223 1531 to discuss your situation.

If you have any questions,  concerns or special requirements please give us a call on 5223 1531 and we’ll do our best to help you.

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.