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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.

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.

DON’T MISS OUT! our ‘JULY FREE PAEDIATRIC CLINIC’ IS BOOKING FAST

SECURE YOUR APPOINTMENT FOR JULY 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!

OUR 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 PH: 5223 1531

 

DO YOU NEED A CAM WALKER? AKA MOON BOOT

What is it?

  • The sole purpose of a Cam Walker, commonly known as a ’’moon boot’’ is to limit mobility in the foot and ankle.

Type of injuries?/How long?

  • You may be temporarily prescribed a cam walker by your Podiatrist if you have an acute or chronic injury that needs rest for a period of time, but still allows you to walk. Examples of injuries could include ankle sprains, achilles injuries or even to take pressure off an ulcerated area of the foot.
  • The time required for each individual will vary however a typical injury may result in needing to wear the Cam Walker for 2-8 weeks.

Did you know??

  • As the boot has a thick sole, this often leads to symptoms in the back or hips.
  • We will provide you with an ‘Even-up’, which aims to help level you up in order to reduce the chance of further problems.

Important to know

  • As the Cam Walker’s sole purpose is to reduce movement at the time of injury to allow for healing, it is extremely important that proper rehabilitation follows this stage.
  • Your Podiatrist will guide you towards a suitable management plan, to help reduce chance of future complications.

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.

TOP TIPS FOR FEET FOR TRAIL RUNNING

There are a few things to consider if you enjoy trail running.

Skin integrity
This may include blisters, callous, corns and dry skin.
To help prevent these from developing, wear appropriate socks.  The best material is predominantly polyester, as this transfers or wicks moisturise away from the skin. This keeps the skin strong and dry, less likely to cause blisters. You can also wear two pairs of socks(to reduce friction); one very thin, without any creases but stretches around the foot and the second pair worn on top, a bit more cushioned. Wearing two pairs creates a barrier, meaning that if there is any friction, it more likely to occur inbetween the two socks rather than directly to the skin.
You may require specific padding to redistribute pressure points in the feet.

Skin and nail preparation
Cut your nails (not too short and not the day before your run)
Moisturise your feet daily to prevent skin irritation from stress. Apply everywhere except inbetween the toes as we want to keep these areas dry. Use a quality urea-based cream.
Address callous and cracked skin if you are not able to manage this.

Footwear
Make sure that you have a well-fitted pair of trail shoes (a cushioned runner with appropriate grip)
Make sure you have a little room in the shoe, if the feet begin to swell. Ability to adjust lace-technique if signs of swelling and pressure from shoes occur is also important.

If you have any lower leg or foot injuries, your risk of injury may be heightened due to the possible uneven trail surfaces.  You may require taping or further advice from your Podiatrist.

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.

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!

 

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 SHOES

Around 400 BC the Greek Physician said “Walking is man’s best medicine”

If your daily exercise now involves walking you should be comfortable! Here are some of our common tips and tricks to find a perfect pair of walking shoes:

1)    Buy your shoes at the end of the day when your feet are more likely to be swollen.

2)    Look at your old shoes for hints on the type of foot you have – if you are a pronator/supinator/neutral. This can help with finding your next pair.

3)    Most people benefit from a small heel pitch – we recommend you see a podiatrist, but try a shoe with a 10mm heel pitch and see how you feel.

4)    For a durable shoe you will need a durable upper – that is the part that covers your foot. Soft leather is a good option. The upper should also be flexible and bend easily where your toes bend – the shoe should not bend where your arch is.

5)    It’s best to go and try the shoes on before buying or ensure the online shop offers returns if they are not right. The shoes should be comfortable, and you should be able to press your thumb between your longest toe and the end of the shoe.

If you have any pain or discomfort give us a call 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.