Do you suffer from knee, heel, achilles, calf pain?

A common contributing cause is tight calves, and that’s why it is so important to stretch them regularly to prevent future foot and leg issues.  Achilles tendinitis, shin splints, knee pain, plantar fasciitis to name a few can all originate from tight calf muscles.

Calf tightness can lead to pain, imbalance and inefficiencies in other parts of your body. With prolonged sitting at work or with inactive lifestyles, you aren’t moving your knee and ankle joints. When there isn’t an adequate range of motion, the muscle fibres get used to staying in the shortened position. Hence the common term – use it or lose it!

CALF STRETCH WITH A RESISTANCE BAND

DOWNWARD DOG

LUNGE CALF STRETCH

HEEL DROP STRETCH ON THE EDGE OF A STEP

At Galleria Podiatry we offer customised stretching programs in conjunction with other therapies to help you towards being pain free and get you back into an active lifestyle. Pain is not normal and should not be something you have to put up with.

If you would like to find out more, or book a GAP-FREE ASSESSMENT* then please call or book below.

*Offer available to those with private health insurance with Podiatry cover, otherwise $69. Usually valued at $109.

If you or your children, grandchildren, nieces or nephews play AFL football, soccer or rugby, you’ll know that footwear is a critical part of performance and is often the most difficult to choose.

Get it right and you can maximise performance, but get it wrong and it could be a fast track to injury.

Podiatrist Nic Lange says “it is also important to remember that the boots you choose should be the most comfortable while also allowing for sufficient traction in order to maximise performance.”

During sport your feet can swell slightly with the increased blood flow so boots that are too tight can lead to changes in foot function, restriction in movement and an increased possibly of injury. Boots that are too loose could result in frictional issues such as blisters.

The correct sizing of boots is very important. You should have a 5-10mm gap between the tip of the longest toe to the tip of the boot and the studs need to be located in front and behind the ball of the big toe joint allowing it to bend appropriately.

“I always encouraged players to get their boots professionally fitted as poorly designed boots, incorrect fitting and second hand boots can lead to painful foot or leg problems, and possible long term injuries” Mr Lange said.

Our top five tips for choosing the correct football boots:

  • Get the shoes properly fitted and try on a several different styles, brands
    and sizes.
  • Ensure they have the right configurations for your chosen sport
    and playing surface.
  • Make sure you have the right support and cushioning for your feet.
  • Orthotics from a podiatrist will assist in correcting any biomechanical
    abnormalities and reducing the risk of injury
  • Comfort and fit are more important than colour and aesthetics.
  • Don’t simply wear a boot because your favourite player wears that boot.
  • Always have your feet and boots checked by a podiatrist should you
    develop an injury or blistering.

We look forward to seeing you soon.

The big toe is important for functions such as stability and walking so pain in the big toe can be quite unpleasant. The first metatarsophalangeal joint is the main joint that connects the big toe to the forefoot. So what is causing the pain?

Hallux Valgus

A common condition in the general population, also known as bunion deformity. This involves the big toe gradually moving towards the lesser toes with an enlargement of the tissue surrounding the big toe joint. Most bunions are caused by foot biomechanics, footwear and hereditary factors. They can result in symptoms such as widening of the forefoot, an irritated, red and sometimes swollen bump on the side of the joint.

Turf Toe

This is a common sports injury to the plantar plate and sesamoid when the big toe is forced upwards. The typical mechanism of injury is an athlete jamming their foot against a hard surface or pushing off the big toe with cutting/running and is usually seen in sports such as football and soccer.

Gout

This is a metabolic condition that can affect any joint but mostly occurs in the big toe joint. Gout involves a build up of uric acid in a person’s system which forms crystals that gets deposited into a joint. Symptoms of gout attacks may include: red, hot and an intense level of pain at the joint.

Sesamoiditis

The sesamoid bones are two tiny bones located under big toe joint. They lie within a tendon that flexes the big toe down. These bones are prone to trauma in activities that involve balancing on toes or jumping. Trauma can cause pain, inflammation and sometimes fracture.

Arthritis

Arthritis in the big toe joint is also referred as hallux limitus or ‘stiff toe’, where the mobility of the big toe is affected. It can be caused by overuse of the joint or injury to the joint, thereby damaging the joint surfaces and the nearby soft tissue. Symptoms of hallux limitus can include pain with walking and stiffness, especially during cold or damp weather, swelling and inflammation around the big toe joint.

 

If you are experiencing any of these problems, an assessment by a podiatrist is recommended to see what can be done!

Book online now for a gap-free* lower limb assessment where we can give you treatment advice for your lower limb concern

(*if you have private health insurance with Podiatry cover. No Insurance? No problem, pay just $69)

What is the role of podiatrists in foot health & how can seeing a podiatrist benefit your overall health?

Podiatrists are foot health experts who are university-trained to prevent, diagnose, treat and rehabilitate medical and surgical conditions of the feet and lower limbs. Often, these conditions stem from other underlying health issues such as diabetes, stress fractures and arthritis.

Why do people see podiatrists?

Your feet house a quarter of the bones in our entire bodies – in addition to various muscles, ligaments and joints. This makes them extremely vulnerable to injury and diseases that can affect the entire body. A podiatrist will not just look at your foot, but they will carry out a biomechanical assessment to see how your gait can be impacting other parts of your body, such as your hips. (Your gait is the way you walk.) Podiatrists fully understand the structure and movement of the foot and lower limbs. They are able to diagnose foot conditions, identify systemic overall health conditions that present with foot or lower limb symptoms – and recommend appropriate treatment plans.

When should you see a podiatrist?

You may be experiencing pain in your feet, ingrown or discoloured skin/nails, corns, skin rashes, foot odour, foot injuries, broader health problems such as diabetes or arthritis, recurrent tripping or falling, problems fitting comfortably in your regular shoes; or if you notice swelling, lumps, or redness on your feet or legs. It is a common misconception that painful feet are a normal side effect from everyday activities. Yet research shows that only a fraction of individuals suffering from sore feet seek out professional advice. Just as you would visit your dentist for a toothache, you should visit a podiatrist if you suffer from painful or tired feet and/or lower limbs.

Don’t put off seeing us any longer! Booking online is easy, simply click here!

Ready to buy some new shoes for summer?

Carry out these five steps first, to ensure your
feet stay healthy and well-protected!

Step 1: Push

Want to see how much support your shoes provide?
Push the back ends of your shoes inwards. If the back end stays firm, the heel counter is robust and will provide significant
support to your feet. If the back end bends inwards, the heel counter is flexible. This means you either have a light-weight training shoe meant for activities that don’t require support, or you may need to re-think your footwear purchase!

Step 2: Bend

Want to check your shoe is flexible where it counts? Bend it where your toes will go.
Your foot naturally bends and flexes at your metatarsal joints, located just behind your toes. Having a shoe that bends with your feet is important not only for comfort, but also for facilitating training routines. The more flexible and elastic your shoe is where the metatarsal joints bend, the greater your ability to activate and act on the muscles in your foot.

Step 3: Twist

Want to make sure your foot is supported during physical activities?
Ensure the middle section of your shoe can’t twist.
You should not be able to twist your shoes through the middle, instead it should remain stable and firm. This is essential for supporting your foot arch, and when bearing the weight of your body.

Step 4: Tie

Want to make sure your feet are firmly secured in your shoes? Tying laces can help!
If you don’t want to use laces, then buckles or velcro can achieve the same result. By securing your feet, it helps to keep your toes from jamming into the front end of your shoes – and it increases support, which can help relieve pain in your feet.

Step 5: The rule of thumb

Want to ensure your shoes fit correctly? Look no further than your thumb!
You should leave about one thumb-width (1.5cm) of space between the tip of your longest toe and the front end of the shoe you are fitting for. This is because as you move, your foot slides forward. If  your toes are touching the front end of your shoes, then they are too small! Remember – your longest toe may not necessarily be your big toe!

Here are some tips to help ensure your shoes fit correctly.

  • Are you in pain? Pain is the most obvious signal that your shoes are ill-fitting – does taking your shoes off give you relief? This is your biggest clue!
  • Is there enough space between your longest toe and the end of the shoe? Look for around 1.5 centimetres of space ideally. Remember, your big toe may not always be your longest toe.
  • Have you tested a range of surfaces? Check how your shoes move with your feet when walking on carpet, tiled areas or other surfaces – your heels shouldn’t move inside your shoes on any surface.
  • Have you looked at the widest part of the shoe? This should match where the ball of your foot sits, that is, the widest part just before your toes.
  • Have you had your feet measured by a professional? Ideally have your feet measured before buying shoes – preferably at the end of the day, as this is when your feet are at their largest.

What ailments can be caused by incorrectly fitted shoes?

  • Plantar fasciitis – you may experience a deep ache or shooting pain in the heel if you have plantar fasciitis.
  • Bunions – can present as a swelling or deformity of the first joint of the big toe.
  • Blisters – can be caused by a range of reasons, but a friction blister is usually caused by tight shoes that create irritation through the foot rubbing against the shoe.
  • Metatarsalgia – this condition is when the ball of the foot becomes so inflamed it can be unbearable to stand or walk.
  • Corns and calluses – can be caused by continuous friction between the foot and the shoe, which can be avoided by wearing correctly fitted shoes.

Where can you go to get shoes fitted correctly?

A podiatrist is able to assess whether your current shoes fit correctly and make recommendations if not. When in store, ask to be professionally measured and fitted before buying any shoes.

 

Corns, Calluses & Warts

One of our most frequently asked questions by patients is: what is the difference between a corn, callus or wart? Most of the time they have similar appearances and can be confused for one thing or another. However the correct diagnosis is important in order to properly treat or advise on the skin condition.

CALLUSES

Calluses are areas of thickened, hard, rough skin. They typically develop in areas of pressure such as the soles of your feet, under the heels or balls of your feet. They are usually larger than corns.

CORNS

Corns are similar to calluses however they tend to be smaller in size, have a hard centre of hard skin surrounded by inflamed skin. They can form on areas of weight bearing (forefoot, heel etc.) but they can also be found in non-weight bearing areas (tops and dies of toes, in between toes). Corns are often painful when pressed.

PLANTAR WARTS

Plantar warts (also known as verrucas) are commonly found on the soles of the feet or around the toes. They are caused by the Human Papilloma Virus (HPV). People can come into contact with the virus in areas such as swimming pools, changing room floors and communal shower areas. The appearance of verrucas is a small cauliflower-type growth, sometimes with overlying callus, on the soles of your feet with tiny black dots. They can also have pin point bleeding when the callus is removed. The area can be painful when you pinch it and can cause discomfort when you walk on it.

Treatment on each of these skin conditions are different. If you have diabetes, poor circulation or are pregnant, it is important that you seek advice from a podiatrist rather than treating it yourself.

Book online now for a gap-free* lower limb assessment where we can give you treatment advice for your lower limb concern

(*if you have private health insurance with Podiatry cover. No Insurance? No problem, pay just $69) 

 

Foot exercises and foot orthoses are more effective than knee focused exercises in individuals with patellofemoral pain

New research showing the addition of foot strengthening exercises (including resistance band inversion, proprioceptive, standing calf raises and doming) with orthotic therapy for 12 weeks was more effective than knee targeted exercises alone in individuals with patellofemoral pain.

 

Click here to read the full article

What are Shockwaves and how do they work?

Radial shockwaves are delivered into the injured body tissue by means of a special freely-movable applicator (similar to therapeutic ultrasound). The treatment covers the entire painful region in just a few minutes.

The body’s pain response is interrupted as a result of the shock waves which results in reduced pain sensation and the gradual return of more natural, pain-free  movement patterns.

Will it work for me?

Radial pressure wave therapy is indicated for the following applications:

  • Myofascial trigger points – localised tender or painful areas.
  • Tendinopathies e.g. plantar fasciitis, achilles tendonitis, shin splints, etc.
  • Activation of muscle and connective tissue. e.g. increased circulation.

Is Shockwave Therapy appropriate for me?

There are times in which Shockwave therapy may not be appropriate, with the reasons listed below. If you do have any further questions please give us a call!

  • Pregnancy
  • Haemophilia or other coagulation disorders
  • Acute inflammation
  • Diabetes
  • Corticosteroid injections – please wait a minimum of 6 weeks before commencing Shockwave Therapy
  • Malignancy

Are there any side effects from Shockwave Therapy?

Like any treatment, there are potential side effects which can be discussed in more detail at the consult. The side effects of Shockwave Therapy are mostly mild. If you do experience any side effects the majority will appear 1 – 2 days following treatment.

Some common side effects include;

  • Localise Redness
  • Mild Swelling
  • Mild Pain
  • Possible Bruising
  • Red spots

Where to from here?

If you are suffering plantar fasciitis, heel spurs, nerve impingement, ankle pain, shin splints, Achilles tendonitis, or any other lower limb soft tissue injury then take advantage of our Gap-Free* Lower Limb Assessment where you can find out more about Shockwave Therapy and if it’s suitable for your particular situation.

Click the button below to book your appointment.


BOOK NOW FOR YOUR GAP-FREE LOWER LIMB ASSESSMENT

What is KeryFlex?

The patented resin creates a flexible, non-porous nail plate that allows the real nail to grow in a fungal free environment. The KeryFlex™ artificial nail bonds to any remaining nail tissue and nail bed to provide an exceptionally realistic looking plate during concurrent anti-fungal therapies such as oral medications. It transforms an unsightly, disfigured nail, providing an immediate cosmetic improvement to compliment fungal nail laser treatment and regular debridement with oral or topical treatment.

How Long Does KeryFlex Take & How Long Does it Last?

Treatment takes around 20 minutes and under normal conditions the KeryFlex™ restored nail will bond to the regrowing nail for up to 10 weeks !

The KeryFlex™ nail is durable and unaffected by acetone (nail polish remover), nail polishes or detergents. Restore your confidence in the appearance of your toenails with the KeryFlex™ Nail Restoration System.

What is the KeryFlex treatment process?

  1. Nail bed is prepared with debridement of the nail.
  2. KeryFlex Bond is brushed onto the nail plate and nail bed.
  3. KeryFlex Resin builds up the nail and allows sculpting and contouring of the nail.
  4. KeryFlex Seal is applied after the modeling process is completed.
  5. Ultraviolet light hardens the substances within 2 minutes.

Why choose KeryFlex?

  • Offers an additional option for damaged toenails
  • Provides for cosmetically pleasing nails during most antifungal treatment regimens
  • Will not irritate or cause further damage to the underlying nail or skin
  • Is unaffected by acetone, nail polishes or detergents
  • Is non-porous and will not allow moisture to penetrate between the natural and prosthetic nail

PACT® Toenail Fungus Treatment

In addition to Keryflex, you may consider Photodynamic Antimicrobial Therapy (PACT) which is used to treat fungal infection of the toenail.

It is estimated that fungal nail infections affect up to 1.6 million Australians, and before now there has been little success rate with most treatments and medications.

PACT® (Photodynamic Antimicrobial Therapy) is a PAINLESS method of treatment
which effectively kills bacteria, viruses and fungi on skin surfaces and toenails.

A single PACT nail fungus treatment session will involve the following:

  1. Our Podiatrists will firstly debride and remove all of the infected part of the nail.
  2. A special PACT nail fungus gel is then applied to the nail and left to absorb for 10 minutes. This gel stains the fungal cells making them sensitive to the light emitted by the scientifically tested PACT LED lamp.
  3. The PACT LED light is applied for 9.5 minutes penetrating the nail and destroying the fungal cells.

PACT nail fungus therapy is 100% safe with no known contra-indications. Repeated exposure to the light does not produce any adverse effects.

Book online now for a gap free* lower limb assessment

(*if you have private health insurance with Podiatry cover. No Insurance? No problem, pay just $69) 

What are they?

Medial Tibial Stress Syndrome (MTSS), or more commonly known as ‘Shin Splints’, is a chronic over-use injury that generally affects active individuals. The condition is characterised by diffuse pain along the inside of the shin bone (Tibia), and is generally located over an area of approximately 5-10cm. Through its early stages, patients often mention that the pain improves after warming up. However, once the condition progresses, pain levels can become quite debilitating resulting in cessation of exercise. Despite previous thoughts, the pain is as a result of small micro-tears in the musculature attaching to the bone, rather than directly over the bone itself.

Why do I get Shin Splints?

Shin Splints can be caused by many factors and is generally seen in active/sporty individuals of all ages. The majority of people with the condition often present with many of the following risk factors:

  • Poor footwear
  • Biomechanical foot issues (poor alignment)
  • Sudden increase in exercise levels
  • Sudden change in exercise program
  • Tight lower limb musculature
  • Poor running style

Possible Treatments for Shin Splints

  • Strapping
  • Rest, Ice, compression
  • Footwear advice
  • Custom orthotics devices
  • Soft tissue massage
  • Dry needling
  • Anti-inflammatories
  • Moderated rest
  • Rehabilitation program
  • Surgery (rarely required)

What is my expected outcome?

roviding absolute compliance to the above conservative treatment options, individuals with Shin Splints are generally back to full activity after 4-6 weeks. Surgery is very rarely recommended however is an option for non-responsive, chronic cases.

For a limited time we are offering a Gap-Free Lower Limb Assessment*

(*Gap-free if you have private health insurance with podiatry cover. If you don’t have private health insurance it’s just $69!)

As Podiatrists we knows all too well that a big part of going back to school is buying a new pair of school shoes and the right footwear and foot support can help children to maintain their active lifestyles without pain.

Most parents know, buying children’s school shoes can be a challenge as they can sometimes wear out their shoes in 6 weeks, grow out of them in one school term, or even lose them!

However, school shoes are a particularly important purchase because children are likely to be wearing these shoes for 35 to 40 hours per week.

Buying the correct pair of shoes for kids depends on what activities the shoe will be used for.
A cross-trainer is a durable sports shoe for multiple activities including running, court sports, general PE and everyday wear. Cross-Trainers are generally the most durable shoe on the market and are a popular option for a school shoe.
A running shoe, on the other hand is usually the lightest and most comfortable, however, parents need to be aware that a running shoe will wear out a lot faster if worn for court sports such as tennis or netball.

Ensuring the correct fit is also very important. One thumb width between the end of the longest toe and the end of the shoe is a good general rule.
Parents should visit a shoe store that provides a professional measuring service which will ensure that shoes have the correct length, width and depth for the child’s feet. The Athlete’s Foot is a great place to start.

Parents should ask the child if the shoes feel comfortable as they are often the best judge of a good fit. Make sure your child can wriggle their toes, and check that the shoe is firm around the heels and only bends across the ball of the foot.

Many children wear hand-me-downs simply because of how quickly they can grow but parents really need to invest in new shoes for each stage of growth as second-hand shoes will have taken the shape of the other child’s feet, and that isn’t healthy for foot development.

A good choice of footwear can also help to minimise the effect of faulty foot biomechanics, such as whether the feet roll in or out. Children whose feet tend to roll in or out excessively, can find that this puts extra strain on surrounding soft tissues, contributing to problems such as Sever’s disease (pain in the back of the heel bone) or growing pains (aching legs mostly in the late afternoon or evening). Faulty foot function can also be a factor in pain further up the body, such as in the knees, hips or low back.

We urge parents with school-aged children to see a Podiatrist before they purchase their school shoes to get some basic education on choosing the correct school shoes, and advice with regard to further podiatry needs that may be identified.