In our last blog post, we discussed the painful condition known as onychocryptosis – or ingrown toenail.

If recurring ingrown toenail is a problem for you, your podiatrist may recommend a procedure called a partial nail avulsion or PNA.

Most people wince at the thought of surgery for an ingrown toenail, because for many years treatment involved cutting into the groove at the side of the nail (the sulcus), scraping the nail bed and being stitched afterwards. However in the majority of cases this is no longer warranted.

These days, your family podiatrist may suggest a partial nail avulsion, where phenol is used to cauterise the nail. This is a less invasive treatment, using a local rather than a general anaesthetic which means:

• that PNA is a lot more affordable as it doesn’t require an anaesthesiologist;
• recovery is less painful and more rapid;
• and it can be performed at your local podiatry clinic.

Behind the Scenes at a Partial Nail Avulsion

Before the procedure: You will be carefully assessed to ensure suitability for PNA. For example, it is not usually recommended for diabetics, people with kidney or liver problems, or if you are taking blood thinners. Your podiatrist will explain the procedure to you, encourage you to ask questions, and provide you with pamphlets to read at home.

The room is well prepped and instruments are sterilised.

During the Procedure: Two podiatrists are required by law – one maintains a sterile field and performs the procedure; the other is non sterile (to reduce any chance of cross infection), and is there to monitor your comfort levels and step you through the process. The whole procedure usually takes less than an hour.

You will be given instructions on aftercare, and the nail should be dry and you should be feeling comfortable by the time you leave the clinic.

Because a local anaesthetic has been administered, we ask that a family member, relative or friend take you home. We also supply data about the amount of anaesthetic used, just in case you are involved in an incident (eg car accident) and need further anaesthetic in the next 24 hours.

Recovery and Aftercare

We recommend you keep the nail dry for two days, and keep your foot elevated. Usually paracetamol is all that is required for pain relief, as there has been no cutting or stitching.

A follow up consultation 2 days post procedure is part of the initial fee, and allows your podiatrist to check for infection or any other problems. At this appointment you will be given dressings, antiseptic and further instructions on follow up care. Of course if there are any problems, please call us immediately, at no extra charge.

As with any medical procedure there are potential risks, the main one being infection. There is a very slight chance of regrowth; for the small number of clients who do not respond well to phenolisation (ie the nail regrows), your podiatrist will refer you to the appropriate practitioner for an excision procedure .

It might sound scary, but a partial nail avulsion should cause minimal disruption to your life, and provide an effective permanent solution (1).

Call us today to discuss treatment options if you are having problems with an ingrown toenail – phone 3207 4736.

Source:

1. 1. https://ebm.bmj.com/content/5/1/26 – viewed 22.08.19

If you are suffering the pain and discomfort of an ingrown toenail, I highly recommend visiting your local podiatry clinic for help.

I’ve found most people turn to the internet, their local chemist or GP, simply because they don’t realise a podiatrist can help!

Causes of Ingrown Toenails

Known medically as onychocryptosis, some people are unfortunately born with a tendency to suffer from ingrown toenails. They may naturally have toenails with high curves, or fan shaped nails (narrow at the base and get wider as they grow out), both of which are more likely to lead to problems.

However there are a number of other possible causes:

• Ill Fitting Footwear – An ingrown toenail may develop if the shoe is not long enough. When we are walking or running, our foot naturally expands  to fit the shoe. The secret to getting the best fit for new shoes, is to use the measuring device (known as a Brannock) to ascertain the length of your feet – and then add a complete size. This allows for foot expansion so the toenails are not constantly hitting the toe box, which can cause bruising and damage such as an ingrown toenail.
• Trauma – A blow or kick to the foot, for example when playing football or practising martial arts, can damage the toenail area. Or if you’ve ever dropped something on your toenail, you will know it goes black and blue and may even fall off eventually. When the new toenail grows in, it is usually more curved so the edges become sore and ingrown.
• Infection – Fungal nail infections can be nasty, causing the nail to thicken, change shape and look unsightly. Even once the fungus has been treated and eliminated, the sufferer will often find that their nail/s are more likely to become ingrown.
• Growing Older – Blood flow to the extremeties (like our toes) tends to decrease as we age, changing the shape of our nails and thus increasing the chance of problems.
• Medications – Young people taking a certain medication for acne, may experience a side effect of ingrown toenails.

See your Podiatrist about Ingrown Toenail

When you see a podiatrist about your ingrown toenail, the first step will be to identify how it developed. Was it a one-off event, such as a kick, bump, or other trauma – or is it an ongoing problem?

Initial treatment aims to reduce the pain and inflammation, and prevent infection.

While this is usually all that is needed, in some cases the ingrown toenail has contributed to a permanent deformity of the nail bed, and requires further treatment.

The good news is that in most cases there is no need to see a specialist for surgery. Instead, we offer a partial nail avulsion (PNA) – a minor procedure which can be performed under a local anaesthetic, right here in our podiatry clinic. On the rare occasion when specialist treatment is required, we can refer you on to the appropriate medical professional.

Got a tender toenail? Call our Redlands podiatry clinic on (07) 3207 4736 or make a booking online today.

Heel pain would have to be one of the most common problems that clients present with at our Redlands podiatry clinic.

Heel pain affects all age groups and genders; it can involve either the bottom, sides, or back of the heel; and the pain can intensify at certain times of the day. Some people find it is worst when they first get out of bed, while others are affected at night, or after walking or running.

It can be puzzling because in a lot of cases, heel pain doesn’t follow an injury such as a sprain. Instead, it usually starts out as a mild irritation, becoming more severe – even disabling – over time.

Persistent heel pain usually won’t go away on its own; it may even be a sign of a rare yet serious condition known as osteomyelitis, so if heel pain has been troubling you for some time, please visit your local podiatry clinic.

What Causes Heel Pain?

Heel pain may be a symptom of a vast number of conditions, and may develop as a result of any of the following:

• Physical Trauma – in the wake of an injury such as a sprained ankle, where ligament, tendon, bone, or nerve damage has been sustained (this is where foot mobilisation therapy may be of benefit).
• Arthritis – usually associated with ageing, and a lifetime of wear and tear on the body – although genetic factors and old injuries may also be contributing factors.
• Sever’s Disease – this is a growth-related condition, most commonly seen in very active children under the age of 12.
• Autoimmune Disorders – eg rheumatoid arthritis.
• Plantar Fasciitis – inflammation of the ligament which runs lengthways along the arch of your foot.
• Heel Bursitis – a bursa is a fluid-filled sac which naturally occurs in the body, usually sitting between two structures as a cushion – for example, to prevent tendons from rubbing on bone. It can become inflamed as a result of injury or repetitive movement.
• Achilles Tendonitis – a chronic long term irritation, caused by abnormal loads placed on the foot and heel. Achilles tendonitis usually develops as a result of wearing incorrect footwear, or by suddenly getting back into exercise and doing too much too soon.
• Nerve Damage – such as tarsal tunnel syndrome. You might have heard of carpal tunnel syndrome in the wrist; the tarsal tunnel is located in the ankle region. It can arise as a result of abnormal foot mechanics, or perhaps due to systemic factors like rheumatoids.
• Back problems – Pain in the heel may actually be “referred pain” – that is, stemming from a problem elsewhere in your body, eg your lower back, and then referred to your foot.
• Heel Spurs – a bone-like growth which develops between the heel bone and the arch of your foot.
• Gout – Contrary to popular opinion, gout doesn’t just affect the big toes – it can also cause heel pain. When there is too much uric acid in the bloodstream, it can crystallise and form deposits in the joints.

Less common but more serious causes of heel pain include ligament tears; nerve entrapment; circulatory problems; soft tissue matter such as lipomas and fibromas; an underactive thyroid; bone cysts; stress factors; and osteomyelitis (infection of the bone).

Treating Heel Pain

The first step in treating heal pain is to establish a possible cause. As a podiatrist, I will consider variables such as:

• the age of the individual;
• their preferred footwear, and if it is fit for purpose;
• the surface or terrain upon which the pain is experienced;
• the time of day when pain is at its worst;
• lower limb alignment;
• and the individual’s general health.

In the majority of cases, symptoms may be relieved with the application of ice, heat, calf stretching, rest, and wearing the appropriate footwear.

However to paraphrase the TV ads: “Should heel pain persist, please see your ‘foot doctor'” – your local podiatrist.

How can you tell if your legs are different lengths? And why does it matter?

Although most of the population naturally have a difference in the length of their limbs (1), it is usually slight, and not likely to require any treatment. It is only if you notice symptoms such as a head tilt, shoulder dip, limping, or a variation in shoe sizes, these may be worth investigating with your local podiatrist.

But what most people don’t realise, is that injury and/or surgery can also cause limb length discrepancy.

Limb Length Discrepancy Symptoms

Should limb length discrepancy develop following these circumstances, it may result in pain in the:

• lower back;
• buttocks;
• running down the back of the leg;
• in, or on the outside of the knee;
• ankle;
• foot.

There may even be an increased risk of stress fractures (2).

These problems arise because the differing leg lengths increase pressure on the nerves in the lower back, which innervate the foot.

The Impact of Injury or Surgery

While surgical interventions such as hip or knee replacements, ligament or tendon repair, may fix one problem, these procedures – and aids such as crutches and moon boots – can affect the length of your limbs.

The simple ankle sprain is also a common culprit. We often see clients many months afterwards, reporting that although the sprained ankle is now healed, it still doesn’t feel quite right. The incredible forces placed on the site during the injury have caused joints to pop out of alignment. As a result the individual begins walking differently to compensate, without even realising it – upsetting the body’s natural balance.

It can take a full 6 to 12 months for the body to recover from surgery or injury. In the meantime however, our body has compensated and while we may have completed the rehabilitation process, all of a sudden something else is getting sore. The lower back, the ball of the foot, or the outside of the knee are suddenly causing pain! But why?!

All of these problems may affect your limb length, and ultimately, your body’s balance.

Treatment for Limb Length Discrepancy

Following injury or surgery, the connection between the foot and brain – and vice versa – can be lost.

In order to improve your body’s balance and reconnect that neurological pathway, at Trevor Lane Podiatry we may use treatments such as:

• Foot Mobilisation Therapy (the only local podiatrist qualified in this modality);
• special shoes or orthotics;
• kinetic tape.

However we can only assess what else was interrupted during that healing process, by physical examination, digital gait analysis or other diagnostic imaging, once you’ve recovered from the initial bruising, swelling, stitches, crutches, boots etc.

Sometimes there are other factors which may be at play, meaning that podiatry treatment may not be suitable. At these times your local podiatrist may refer you to another allied health care practitioner such as a chiropractor, osteopath, or physiotherapist. While your podiatrist plays a key role in a complex overall picture, the aim is to work in conjunction with other health services to ensure the best possible result for you as the client.

If you have recovered from a physical trauma, but now experience pain in your feet, lower limbs, or lower back, you can click to book an appointment online or call Trevor Lane Podiatry on 3207 4736.

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1232860/
2. http://www.podiatryinstitute.com/pdfs/Update_2011/2011_35.pdf

A podiatrist is a health professional concerned with treating ailments of the feet and lower limbs (although some still refer to them by the outdated term, chiropodist – which is still in common use in the UK).

Both “podiatrist” and “chiropodist” come from the Greek word “pod” – meaning “foot” – which forms the basis of our English words tripod, podium and antipodes, etc.

It comes as no surprise then that if you have problems with your feet – eg an ingrown toenail, corns and calluses, or a sprained ankle – a trip to your local podiatry clinic is a good idea.

However, you may be surprised by these three more unusual reasons to see a podiatrist:

1 – Back Problems

Our bodies are made up of a complex network of bones, muscles, tendons, ligaments, etc. No one body part works in isolation; which is why if you suffer from back pain, a podiatrist – somebody who can diagnose and treat conditions affecting your feet – may be able to help.

If you are experiencing lower back pain, it could be that there is a problem with the structure and function of your feet – which is causing you to walk in a particular way, resulting in additional stress on your back.

As we age, years of poor biomechanics in our feet begin to take their toll and although we may never have had a problem before, all of a sudden we are plagued by backaches.

Conversely, if you are suffering from pain and discomfort in your feet, the culprit could very well be a problem in your back! The connective nature of the body means that you are experiencing what is known as “referred pain” – a problem with your back, is causing the symptoms in your feet.

2 – Diabetes

What does the level of glucose in your blood have to do with your feet? And how could a podiatrist possibly help?

When your body has problems with producing and maintaining your glucose levels, it can affect your feet in the following ways:

• Diabetes can damage delicate nerve endings, causing reduced sensation in the feet. Have you ever had a blister develop when wearing a new pair of shoes? Ouch! A person with diabetes however, may not actually feel or even notice the blister. Although this sounds like a good thing, it can be dangerous especially when combined with the second side effect of diabetes, which is …
• Reduced blood flow to the extremities. This means that a blister on your foot will take a lot longer to heal, increasing the risk of infection and serious problems.

For these two reasons,  your doctor will refer you to see a local podiatrist if you are diagnosed with diabetes.

3 – Before you take up running or a new sport

Yes, podiatrists treat injuries and ailments of the feet and lower limbs. Why would you see one before any damage is done?

It all comes back to that old proverb, “prevention is better than cure”.

Running and some sports (eg netball, football) place an incredible amount of force on the feet and lower limbs – a hard surface, speed, and sudden changes in movement and direction can all take their toll.

With 52 bones in your feet, 33 joints, 107 ligaments and 19 muscles – you can see why there is a lot of potential for damage!

Your podiatrist can give you information and advice – from choosing the best running shoes for your needs, to warm up exercises – to help you reduce your risk of injury.

Although problems with your toes, feet and ankles are the most common reasons to see a podiatrist, this article details some of the more unexpected ones.

At our Redlands podiatry clinic, we treat each patient as a whole person, rather than just a foot! Call for an appointment on 3207 4736 or book a Redlands podiatrist online now.

It may seem strange to think of somebody going to a podiatry clinic, when they actually have a problem with their back.

After all, podiatry is the branch of medicine which diagnoses and treats issues related to the lower limbs – heels, toes, feet, ankles and knees.

And yet I see many patients complaining of leg or heel pain, for example, only to discover that the cause is primarily a back problem.

The Connection Between Podiatry and Back Problems

When I was in Cubs and Scouts years ago, we used to sing about how the knee bone’s connected to the thigh bone, the thigh bone’s connected to the hip bone, and so on.

We thought it was just a silly song, however in over twenty years of podiatry practice I have come to realise just how much truth it holds: the body is indeed a series of connective tissues, bones, nerves and systems, that all work in harmony with each other.

So when a patient is experiencing pain in the heels or legs, it may in fact be something called “referred pain”. That is, although they may not have pain there, it is actually a back problem which is causing the symptoms in their feet, knees or legs.

Conversely, lower back pain may actually be related to poor biomechanics of the feet. In such cases, a podiatrist may be able to address the back pain, by prescribing certain shoes or orthotics that improve your overall body balance.

How the Legs and Back are Linked

The lumbar region at the base of the spine consists of five vertebrae, which play a really important role in how we use our lower limbs.

So when a client presents at our podiatry clinic with pain in both heels, we not only check for conditions such as spurs, ligament or tendon damage – but we also need to consider the body as a whole.

It is extremely rare for a patient to have an identical injury in the same location on both feet at the same time. Instead, we usually find that there are lower back issues, or other pathologies such as:

• thyroid disease;
• osteoarthritis;
• limb length discrepancies;
• scoliois (curvature of the spine).

These conditions can put pressure on the nerves, which then refer that pain to whatever they innovate. The lumbar region, for example, refers pain to your legs and your feet.

A Whole of Body Approach

This is why a good podiatrist needs to assess your whole body, and not just your lower limbs.

Whatever we do to your lower limbs impacts on your hips, your back, and right up to your neck. When we treat foot pain, we don’t want it to cause an increase in lower back pain or headaches, instead!

So in addition to looking at your foot type, the surface you stand on, your shoes and how they are wearing – your podiatrist should also check things like:

• Your body’s symmetry: are your legs the same length? Are your hips and buttocks level? Are your shoulders level or dropped to one side?
• The condition of various muscles: are they tight, or weak?

Because of the way the various parts of our body are connected and impact on each other, there are times when we need to refer a patient to other allied health care professionals.

At our Redlands podiatry clinic, we have a great working relationship with some of the local physiotherapists, chiropractors, osteopaths and the like, to ensure the best of care for the whole of your body in these particular situations.

The Problem with Growing Older

No body is perfect and we all have alignment imperfections. However as we grow older, our body’s ability to deal with these alignment anomalies starts to falter, so symptoms start to appear.

Patients often ask me: Why now? When I was younger I never had this problem!

And that is exactly my point – the body is no longer coping with or compensating for a certain twist in the back, a short leg, a bow in the bone, etc.

So next time you visit our podiatry clinic, don’t be surprised if as well as considering your fallen arches, or sore achilles tendon, we also assess your whole body alignment.

At our Redlands podiatry clinic, we treat each patient as a whole person, rather than just a foot! Call today on 3207 4736 for an appointment, if you are experiencing foot or leg pain. 

With one person being diagnosed every five minutes in Australia, diabetes is an increasingly common problem – so how can a podiatrist help a diabetic?

Effective management of diabetes requires the support of a team of allied health professionals, not just your local GP – such as a dietitian, endocrinologist, and a podiatrist.

Podiatry and Diabetic Foot Care

A podiatrist provides medical diagnosis and treatment for problems of the feet and lower limbs: swelling and ankle sprains, ingrown toenails, foot fractures, bunions, spurs, hammer toes, warts, corns and calluses, fungal nails, ulcers and cracked heels.

Upon being diagnosed with diabetes, your risk of developing foot problems rises significantly due to two common features of the disease:

1. Reduced blood flow to the feet – which means any sores or other problems will take longer to heal; and
2. Reduced sensitivity of the nervous system – which means the diabetic individual may not even notice pain or sores developing on their feet and lower limbs in the first place.

How can a Podiatrist help a Diabetic?

At our Redlands podiatry clinic, we have three podiatrists trained to provide diabetic foot assessment and diabetes foot care.

• For those with type 1 diabetes, a diabetic foot assessment every six months is required.
• For type 2 diabetics, the risk is slightly less, so an annual visit is recommended.

What is a Diabetic Foot Assessment?

As part of a diabetic foot assessment, your podiatrist will check:

• The blood flow to your feet by recording the pulse rate in two places – on the top of your foot (the dorsalis pedis), and the inside of the ankle (tibialis posterior). Should there be any concerns about reduced blood flow, your GP will be notified and you will need ultrasounds and further investigations.
• Your podiatrist will also check the sensitivity of the nerve endings in your feet. While you have your eyes closed, you will be asked to identify different sensations, such as sharp, blunt, hot, or cold. While most people take these sensations for granted, the nerves can be damaged by diabetes.

You can see why it’s really important for diabetics to take extra care of their feet: The decreased nerve sensitivity means that as a diabetic, you may not feel and therefore notice any sores or other problems; and the reduced blood flow means that the body’s healing ability is impaired.

As a result, if left unnoticed and/or untreated, sores, ingrown toenails and other problems can lead to infection.

Infection can cause serious health complications, such as ulcers and even lead to amputation of toes or feet.

Is There a Diabetes Podiatrist Near Me?

At our Redlands podiatry clinic, we offer personal diabetic foot care to help you manage the risk of complications, by providing you with education and support around:

• Foot hygiene and cleanliness;
• Daily foot examination, to check for visual signs of broken skin, punctures, cuts and wounds, because you may not feel or notice them otherwise;
• Cutting toenails correctly, to reduce the risk of cuts and infection;
• Footwear. This is crucial for diabetics, as poorly fitting shoes can lead to blisters, corns, calluses and worse. At our Redlands podiatry clinic we can provide guidance on the type of shoe and features to look for; we even offer a professional shoe fitting service and stock a range of quality footwear.

Regular appointments with your local podiatrist, in conjunction with the care of your GP, dietitian and other allied health professionals, will ensure that any potential problems associated with diabetes can be detected early when it is far easier to treat.

If you have ever wondered, “Is there a diabetes podiatrist near me?” – then call our Redlands podiatry clinic today on 3207 4736. 

March heralds the start of netball season – and also when we notice a sudden influx of clients suffering from netball injuries, at our family podiatry centre.

Netball is the most popular women’s sport in Australia, with around a dozen clubs based in the Redlands and bayside areas – at Alexandra Hills, Capalaba, Lota, Thornlands, Thorneside, Victoria Point and Wellington Point to name just a few.

However, there are still a lot of netball players out there, unaware of just how much a podiatrist can help – particularly if they struggle with frequent injuries.

You might be surprised that there are so many netball injuries when it is a non-contact sport – the high rate of injuries is due to other factors, such as the hard playing surface, the fast pace, and sudden changes in movement and direction.

3 Most Common Injuries in Netball

Sprained Ankle – By far the most common of all netball injuries is the ankle sprain, due to the large amount of jumping, landing and pivoting actions. These actions involve numerous structures of the foot – when you have an ankle sprain, the ligaments, muscles and tendons can all be damaged and compromised.

The best way to go about healing a sprained ankle is the RICE technique – Rest, Ice, Compress and Elevate your foot for the first two or three days.

If there is serious purple, blue or black bruising – an x-ray is generally the next step, to allow for correct diagnosis and treatment. But if in doubt, or if you are finding that things just aren’t the same after a netball injury, talk to a podiatrist.

Jumper’s Knee – This involves the ligament which runs just underneath your knee cap, the patella tendon, and is one of the most common injuries in netball due to the high prevalence of jumping and bounding.

Should your knee/s become sore it’s important to listen to your body; pain is your body’s way of letting you know that there is an injury. Again, the recommended treatment is to cut back on the activity and  ice the region down. We are the only bayside podiatrist clinic using the foot mobilisation technique to help your foot, leg, knee and thigh to work in harmony, so that you are not only back on your feet, but playing netball again soon.

And, we can also set you up with the correct footwear to prevent further problems.

Achille’s Tendon Injury – Any athlete or professional sports person will tell you that damaging the  Achilles tendon is their most dreaded injury. That’s because it is the largest tendon in your body, and helps propel your body forward. It delivers all the energy stored in your calf, transferring it down your leg through the tendon and into the midfoot.

The location of the pain, the swelling, and the stiffness will determine what treatment regime a podiatrist will prescribe. Once upon a time it was thought that all Achilles tendon pain could be treated by stretching the calf, hanging your foot off a step, however that does not suffice anymore. Treatment now is prescribed specifically based on the location of the suspected injury in the tendon.

Preparing for Netball Season

There are a few things you can do to minimise your risk of sustaining any netball injuries this season.

Footwear – The most important part of your netball uniform is your shoes. Make sure your playing shoes:

• provide the correct level of arch support;
• have plenty of cushioning to protect your foot from the impact of hard court surfaces;
• and that the sole suits the playing surface – outdoor and indoor courts require different materials and grip of the outdoor sole. For indoor netball, look for something like the Dunlop Volley with its fishbone pattern; whereas for outdoor courts, look for sports shoes where the spacing between the grip on the sole is slightly wider apart, to give you more traction.

Check the age and integrity of your netball shoes – the traction layer, the midsole cushioning layer, the upper. For more tips, including when to invest in new shoes, check out my previous article on what to look for in sports or running shoes.

Correct fitting is particularly important in a dynamic sport like netball. You don’t want to have too much movement of your foot within the shoe, but at the same time you don’t want a shoe that is too tight as it can cause compression on the nerves.

If you are in need of new sports shoes, we recommend you visit a reputable shoe fitting specialist – or your local podiatrist – somebody with the training and the equipment for a proper fit.

Player Fitness – Netball is an extremely fast paced game, with plenty of repetitive movements such as catching, throwing, and jumping, all of which increases a player’s chances of chronic leg and arm fatigue.

As fatigue increases – if your biomechanics is poor – if your footwear is aged – the consequence is that your body is not as well protected as it could be. This then increases your chances of fatigue; and the moment you start increasing fatigue, your chances of suffering netball injuries are going up exponentially.

So increase your level of fitness with a mixed program involving cardio vascular fitness, muscular strength, flexibility and balance, as these are vital if you want to see out the season without falling victim to netball injuries.

Netball injuries are not 100% preventable, but if these little things can be addressed, it does play a huge part in a player’s longevity and enjoyment of the sport.

Our podiatry clinic offers professional fitting of sports shoes, and treatment for netball injuries involving the feet and lower limbs – call us today on 3207 4736 for personal assistance.

Many of the most common sports injuries affect our feet which is how the field of sports podiatry has developed.

The risk of injury to the feet is not surprising when we remember that a quarter of the bones in our entire body are located there!

Sport and other high impact activities can subject our feet to loads and forces of up to 10 to 15 times our body weight so it’s no wonder we treat so many sports injuries at our podiatry clinic!

Here are the five most common sports injuries we see:

Sesamoiditis

The sesamoids are two small bones beneath the joint of the big toe, within the tendons; sesamoiditis is the name given when there is an inflammation in these bones.

Sesamoiditis can occur from the type of activities commonly found in high intensity boot camps – jumping, lunges, or activities with a heavy push off or loading.

If you are experiencing a painful big toe following physical activity, it is important to visit a podiatry clinic for diagnosis and treatment. Serious long term damage can result if the bones have fractured, or blood flow has been disrupted.

Stress Fractures

Sports and exercise can also cause stress fractures – tiny hair like fractures in the bones – usually in the five long metatarsal bones of the foot. Symptoms include swelling on the top of your foot, and pain when walking.

Stress fractures are associated with repetitive activity, or a sudden increase in training level and intensity. Other factors may include ageing footwear, the training surface (eg concrete, tar, grass, artificial turf). People suffering from reduced bone density – osteoporosis – are at a much greater risk of foot fractures.

The good news is, stress fractures usually heal on their own, following periods of rest and reduced activity, but it is still wise to consult with a podiatrist with a special interest in and understanding of sports podiatry.

Turf Toe

This painful injury occurs when the forefoot catches on the ground (usually grass or artificial turf) while you are in a forward motion, causing the toe to bend upwards, outside of the normal range of movement.

Your podiatrist may recommend wearing footwear with a stiffened toe box, toe strapping, and/or reduced activity, for a period of time.

Plantar Fasciitis

Foot pain which improves over the course of the day, is generally caused by plantar fasciitis. Patients often report that the first couple of steps out of bed in the morning are the most painful.

Although plantar fasciitis is common in runners, dancers and people who jump, it also affects people with reduced flexibility (eg those born with a reduced calf length), or women with a high heel habit. It is a condition which often develops in flight attendants, after years of wearing heels at work. Over time the calf muscles shorten to adapt to the heel height – and the calf becomes so tight that it is no longer possible to wear flat or low heels. This places strain on the arch of the foot, resulting in plantar fasciitis.

Your local podiatrist can prescribe treatment such as ice, heat packs, exercises, and specific footwear.

Black Bruised Big Toenail

If you have been shocked to find a black bruised big toenail when taking off your shoes, this is a sign that either:

• The shoe doesn’t fit properly, and your toes are repeatedly knocking on the toe box.
• Or, your feet are moving forward in the shoe. Generally patients with this problem have a narrow foot, and a lacing technique called a heel lock helps to pull the foot back into the rear two thirds of the shoe.

Often seen in runners, hikers, snow skiers and tennis players, a black bruised toenail is caused by a bleed under the nail (called a hematoma). It can be quite painful, so it’s a good idea to visit a podiatry clinic, where they can relieve the pressure under the nail.

Eventually the damaged nail will come away, but it may take as long as 6 to 12 months to fully recover.

Avoiding the Most Common Sports Injuries

If you are looking for a foot care expert with a special interest in sports podiatry, give us a call on 3207 4736. We have plenty of experience, as our podiatry clinic sees a definite increase in sports podiatry related injuries over spring and summer, as people become more physically active.

While we have a special interest in sports podiatry, we are always happy to help with any foot injury, or to answer any questions. If you love your sport – remember, don’t go too hard too fast, because prevention is better than cure!

I often encounter clients that say, “Ever since I had that sprained ankle, my foot has never been quite the same”.

Usually, they are having difficulties with things like climbing stairs, squatting and getting a good calf stretch – because the ankle feels like it is “stuck”.

A sprained ankle is a particularly common injury within certain sports such as touch football, netball and basketball. Watching my daughter play netball one weekend recently, I noticed several players experience this terrible traumatic event.

What’s Happening Inside a Sprained Ankle?

When we sprain or roll our ankle, our immediate reaction is to catch our breath from the pain, as we watch it swelling up before our very eyes. Obviously, we’ve done some ligament or muscle damage. Ouch!

What is not so commonly known however, is that when you sprain your ankle, you have also:

• placed incredible abnormal forces on the bones and joints in your foot and surrounding structures. With 26 bones and 43 joints in the foot, there is a lot of potential for something to go wrong!
• disrupted the neurological pathway connecting your foot to your brain. Normally, we don’t need to think about being able to walk; our brain automatically knows the position of our feet, and how to move them. However, a sprained ankle can affect these messages between brain and foot.

This is why people often feel that the sprained ankle just “isn’t quite right”, many months afterwards – a lot more has been impacted, than just the ligaments or muscles of the foot.

Treating a sprained ankle begins with applying ice to reduce swelling and bruising, and perhaps seeking out x-rays for potential foot fractures. For many people, that’s as far as it goes. However, it’s important to seek treatment from your local podiatrist to achieve complete healing of a sprained ankle.

How Foot Mobilisation Therapy Helps with Healing a Sprained Ankle

Foot Mobilisation Therapy is a fairly recent development in the field of podiatry. It is a simple process incorporating gentle traction or stretch, while placing the joint through the normal range of movement.

The foot mobilisation technique allows the joint to simply realign itself. Sometimes, the patient may be lucky enough to hear a click or a pop when this happens, though not always. It’s not painful, and the pop or click does not indicate any form of damage – rather, that full range of movement in the joint has been restored.

What to Expect from Your Local Podiatrist

Your local podiatrist will work with you to regain muscular strength in your foot and leg, through the use of specific exercises, often using a resistance band (or theraband).

Restoring the electrical pathways between brain and foot (and vice versa) is an important part of the healing process. Your podiatrist may apply kinetic tape, to remind your body how the foot is supposed to function; and teach you simple balance exercises.

The good news is – the days of limping for a significant period of time, resulting in potential secondary problems such as sore knees and lower back pain – are now a thing of the past.

If you are a sports lover, there is nothing worse than having to sit on the sidelines due to injury. With Foot Mobilisation Therapy, you can be back to your beloved game, faster than you ever imagined!

Did you know – we are the only Redlands podiatry clinic with podiatrists qualified to provide Foot Mobilisation Therapy? If you are suffering any pain or difficulties with movement following an ankle sprain, call for an appointment with either Trevor Lane today, on 3207 4736.