Podiatrists are trained to assess, diagnose and treat medical conditions and injuries of the lower limb. Treatments can include soft tissue and joint mobilization, taping and strapping, exercise and stretching programs and orthotic therapies. In some cases immobilisation boots and braces can be used temporarily to rest an injury.
Some common injuries seen include Plantar Fasciitis, Fat Pad Contusions, Achilles Tendonitis, Ankle Sprains, Metatarsalgia, Mortons Neuromas, Nerve Impingements and Bursitis. These injuries can be successfully treated without surgical intervention in many cases. Podiatrist can send clients for X-rays and Ultrasounds to assist in diagnosis if required.
General foot care treatments include the debridement of callous, trimming of nails. In some cases this may involve the use of specialist tools to thin the nail plate and round the nail edges. Podiatrists use sharp debridement skills hone over many years to gently callous and corns. Corns can be particularly painful and great care is taken to ensure they are removed with the absolute minimum of discomfort.
Diabetic Foot Assessment and Care:
Diabetes can have a profound affect on the health of the feet. As a result of diabetes the nerve function and blood flow can become impaired. Diabetes can also lead to changes in the shape and the way joints move in the foot. A thorough assessment of the nerves, circulation and biomechanics of the foot is required at least once per year. Doppler ultrasound and toe and ankle blood pressures can be taken to further assess the arterial circulation of the foot. A classification system for ranking the “Risk” of diabetic foot complications is used and a report is sent to the clients GP. Diabetic foot care education is also provided which includes advice on footwear.
Painful ingrowing of nails care be treated through permanent removal of the offending section of nail. The procedure is called a Partial or Total Nail Avulsion with Matrix Phenolisation. The procedure takes about 1 hour and is performed under local anaesthetic in clinic. The regrowth rate is approximately 2 percent. A minimum of two follow up appointments are required for dressings and assessment of healing.
Conditions commonly seen include in-toeing, toe walking, heel pain and flat feet. While the majority of paediatric foot issues are related to the normal development and growth of the child some conditions require treatment. Podiatrists are trained to assess the paediatric foot so please come and have your child reviewed if you have any concerns.