A big welcome to our new Podiatrist, Ash Cooper. Ash will be working with us on Satruday mornings and brings a vast knowledge base on all things podiatry with a special interest in anatomy and orthotic management of injuries. For a full Bio on Ash, click here.
He can also answer any Trivia question you throw at him!
To make an appointment with Ash, or Samantha click below!
With the few little glimpses of good weather we had last week, many of us are contemplating sandals and exposing our toes!
If your toes are unsightly from the following issues he Keryflex nail restoration system may be appropriate for you:
Before and after photos courtesy of Keryflex.com
Onychomycosis (nail fungus)
Nail shape changes due to injury
Spoon shaped nails
Brittle and splitting nails
The system allows your podiatrist to remodel nails affected by fungus, nail dystrophies and trauma using a special resin which creates a flexible, non-porous nail which is unaffected by detergents, nail polish and acetone.
A few days ago, I had to teach my 6 year old son to tie his shoelaces thanks to a new pair of running shoes. After several attempts at the single loop and rabbit ears method, we stumbled upon this little gem! It is super easy to learn (although can cause a knot when untying).
See the video below (starring the 6 year-old to prove how easy it is!):
It is important that Diabetic monitor their blood sugar levels regularly, maintain an active lifestyle and healthy diet, but also, that they take care of their foot health!
People who have diabetes have a much higher chance of developing Neuropathy and vascular conditions, which affect the sensation in the feet and the ability to heal any wounds, which may occur. As a result it is important for Diabetics to follow a few guidelines to take care of their feet.
Annual foot health checks with a podiatrist (this can often attract a medicare rebate if the patient has a team care plan from their GP)
Ensure you have a good fitting shoe which has a large toe box to prevent rubbing and natural fibre shoes and socks
DAILY FOOT CHECK
Take a look at the bottom of your feet every day. If you can’t reach your feet to see your feet, use a mirror to look at the bottom
Ensure you dry your feet thoroughly especially between the toes. If you can’t reach your feet, you can put a portion of towel on a ruler and wipe between the toes)
Apply daily moisturiser to the heels (not between the toes)
WHAT TO AVOID
HEAT- Avoid Electric blankets, hot water bottles or heaters…. you can burn your skin without realising it
COLD- Avoid extreme cold and try to keep your feet warm
PRESSURE- Pressure can cause calluses and redness that can develop into ulcers. Ensure your shoes fit well without causing pressure spots or rubbing
Pregnancy takes a big toll on our bodies and can be quite uncomfortable for many women. Whilst some women have no trouble with their feet at all, many have pain and discomfort. Generally the pain resolves shortly after the baby arrives, but in some cases, the changes are long term. Here are a few issues you may have with your feet and some ways to alleviate some of the discomfort:
Sore Heels/Arches: With the additional weight of your baby, fluid and the placenta, a lot of extra load is placed on the feet. This extra load, coupled with the relaxin hormone, released in pregnancy can result in the muscles and ligaments supporting the arch of the foot to stretch and reduce the arch height resulting in a flat foot. Flat feet or excessive pronation (rolling in) can result in foot, leg and hip pain
Treatment: To prevent pain, there are a number of things you can do
Choose supportive footwear. This doesn’t mean you have to wear orthopaedic shoes, but wherever possible, forego the heels or ballet flats for a shoe that holds your heel firmly in place and supports the arch and foot.
Massage your foot: Rolling your foot along a ball when you are sitting down or a specialised foot roller, can stimulate blood flow and drainage away from the feet and minimise discomfort
Temporary arch supports/orthotics- if the pain is very bad, it may be necessary to wear an insert in your shoe during the pregnancy to help maintain the arch and minimise pain
Visit your Podiatrist- 9 months is a long time to have sore feet….. if the pain is getting worse, a podiatrist can help to relieve the pain and get you moving during pregnancy
Alter your exercise program to include more low impact or no impact exercise such as swimming
Shoe size changes: There are many reasons that a pregnant woman’s shoe size can increase- Swelling of the feet, the effects of relaxin, extra load- but it is important to ensure that you accommodate the larger foot to avoid painful skin changes (corns and calluses), ingrown toenails or toenail thickening.
Swelling: There are number of reasons that a pregnant woman’s feet may swell and these are best discussed with your obstetrician. They may suggest compression stockings and elevating the feet whenever possible.
Callous and Corns: For the reasons listed above (extra weight, swelling etc), the foot may fit differently into shoes and take more pressure during walking. As a result to protect underlying vessels and nerves, the body will create thicker skin in the areas at risk. This thickening of the skin may become painful and your podiatrist can remove this for you.
Given today is the coldest day of the year so far, I thought it was a good time to talk about Chilblains.
Photograph Courtesy of Wikipedia
Chilblains present on the feet as patches of red, inflamed lumps on the skin that are often itchy or painful. Whilst you can get one chilblain at a time, it is more common to see several appear at once. Chilblains are caused by frequent and repeated exposure to cold then heat. This is because the blood vessels in the feet constrict (get smaller) in the cold and when exposed to heat very quickly, a rush of blood to the vessels can result blood leaking into the surrounding tissue causing a chilblain.
Red, swollen patches on the skin (these can even be blue or white in appearance)
Itchy sensation at the sight of the patches
Burning sensation on the skin
Dry skin in the area
Blistering or ulceration in extreme cases
Parafin Wax baths can encourage better circulation to the feet and assist in healing the chilblains and preventing further chilblains developing. At Richmond Podiatry we have found this to be a most effective treatment
Whilst there are no creams to heal the chilblain Corticosteroid cream can be effective in reducing the itch
Who is most at Risk?
Chilblains can affect the heathy general population, however are more common in children and the elderly.
Patients with existing Circulation problems such as Diabetes and Raynaud’s Syndrome and smokers are most at risk.
Patients with Diabetes who develop Chilblains should see their podiatrist for treatment to ensure the Chilblain does not become ulcerated.
Tips to Avoid Chilblains
Warm up gradually- avoid hot water bottles, electric blankets and direct exposure to a heat source
It’s Back to School Time and for many parents, a time to buy new school shoes.
Here’s a few tips for making sure you buy the right shoes for your child:
Try to purchase Leather shoes if you can afford to- the natural fibre will allow the children feet to breathe and will wear much better than synthetic shoes. 100% Cotton socks are always a better option too
Look for a shoe which is firm around the heel and ‘cups’ the heel. Make sure that the heel is not slipping at the back
A Leather lace up is always a good idea, but if that is not possible (i.e.. your child can’t tie their laces or won’t tolerate such a fashion travesty- as in the case of my niece), look for a Velcro or Mary Jane Style alternative that still holds the child’s foot firmly in the shoe
The sole of the shoe should be relatively firm, but bend well at the toe
Choosing the size: Allow a thumb width between the end of the Child’s big toe and the end of the shoe
Choosing the Style: If your Child is a very active Child, it is a good idea to choose a Sports-like shoe or one with a sports style sole
Which Shoes did my son start Prep with last week? The Ascent Junior…. It looks like a normal school shoe, but has the sole of a sports shoe and is endorsed by the Australian Podiatry Council. It also comes in half sizes which was a big plus for us given my son is halfway between 2 sizes.
If unsure, feel free to email us for advise or come into the rooms at the Epworth in Richmond. Call 9421 4116 or Book online