Posts Tagged ‘Podiatrist Cairns’

OUCH! Why does my heel hurt?

Tuesday, August 11th, 2020

Plantar Fasciitis – Aka ‘Heel Spur Syndrome’

Have you changed your exercise routine as a result of Covid-19 and all of a sudden developed pain under your heel? Are those first few steps when getting out of bed in the morning particularly painful? Chances are, you have developed Plantar Fasciitis!

What is plantar fasciitis?

Plantar fasciitis is the most common injury that we see at FNQ Podiatry & Orthotics. Contrary to the common belief that the pain is a Heel Spur, it is more often than not discomfort/irritation of the Plantar Fascia. The Plantar Fascia is a band/fascia of connective tissue that runs from the heel to the base of the toes. This fascia is the main supportive structure through your arch and takes the majority of the load whilst you are walking. 

There are a few key characteristics:

  • Pain when walking first thing in the morning or after rest. 
  • Site of pain can vary from directly under the heel, into the arch or around the perimeter of the heel itself. 
  • Pain generally improves after you have been walking on it for a short while. 

It is vital that you address this issue immediately as it has been potential to develop into a chronic injury that can take up to 18 months to fix. Given this, here is our simple 5 step guide to managing heel pain that you can try from the comfort of our home!
Settling the pain and inflammation

  • Icing (can be done up to 5x a day)
  • Topical anti-inflammatories (Voltaren/Deep Heat)

Self-massage using a spiky ball or tennis ball

  • In a seated position, roll your foot over the ball. The focus needs to be in the arch area, don’t go directly on the heel.
  • 5-10 minutes, twice a day

Wearing your most supportive shoes as often as possible, particularly when walking first thing in the morning when you get out of bed. Here are a few pointers to help choose appropriate shoes;

  • Shoes with arch support which therefore place less pressure on the plantar fascia by propping it up.
  • A deep heel cup. The right heel cup should hug your heel to protect the heel bone 
  • Cushioning. Make sure the shoes have an excellent cushioning system to absorb the impact when the heel hits the ground
  • Flexibility – Shoes that are either too stiff or too unstructured might exacerbate symptoms. To test the shoes, trying twisting and bending them.
  • Ladies, consider trialling a 2-3cm wedge around the house. This will help take pressure off the heel and often helps with pain!

Calf stretches

  • Using the wall for support, legs apart and feet facing straight ahead and parallel to one another. Back knee straight and front knee is bent and lean into the stretch
  • 3 x 20s on each leg, in each position, as shown in the diagram below
  • Repeat on the opposite leg and then try bending the back leg (soleus stretch) 

Toe scrunches with towel

  • Seated with your toes on a towel.
  • Scrunch towel towards you and hold for 2 seconds before releasing. 
  • Repeat movement 3 x 60 seconds on each foot or until muscle fatigue in the arch

For more information on Plantar Fasciitis, click here. 

Give these 5 steps a go at home and they should help to improve your comfort.  If symptoms persist, further intervention may be required, in which case, call our clinic on 40 455 749 and one of our friendly and experienced Podiatrists will be able to get you pain free and back doing what you love!

Plantar Warts: Do I have one and what are they?

Tuesday, August 11th, 2020

Have you noticed a small growth on the under-side of your feet or toes? Has it started to cause some pain when you are walking bare-foot around the house? Chances are, you could have a plantar wart or otherwise known as a ‘Verruca’. Our Senior Podiatrist, Chris Murray regularly see’s patients in our clinics presenting with plantar warts so has written the following information document to help patients identify and treat them early. 

What is a plantar wart?

Plantar warts are growths that appear on the soles (plantar aspect) of the feet. They are commonly encountered on high pressure or weight bearing areas like the heel and across the balls of the feet. Because of their tendency to appear on weight bearing areas they can be painful and debilitating. This can lead to changes in walking style as an avoidance mechanism, which can then create other compensatory gait and musculoskeletal problems. 

What causes a plantar wart?

Plantar warts are caused by the human papilloma virus (HPV) and are quite contagious (spread easily). Means of transmission include direct skin to skin contact as well as coming into contact with a contaminated surface (such as a floor). The virus enters the body through small cuts or breaks in the skin. HPV thrives in warm, moist environments so walking barefoot in gym change rooms and around swimming pools increases the risk of transmission. 

What do warts look like?:

Your podiatrist will be able to easily identify a plantar wart and be able to differentiate between a plantar wart and other common skin lesions (like a corn). After diagnosis the podiatrist will then be able to plan an appropriate treatment pathway. 

Common features of a wart: 

  • A flattened (from pressure) hard grainy appearance that can have a thick overlying callous. 
  • An irregular ‘cauliflower like’ pattern. 
  • Interruption to the normal striations of the skin (skin lines)
  • Tiny black pinpoints through the lesion that are small clotted blood vessels (capillaries). 
  • Pain on medial and lateral compression (squeeze) as well as on direct pressure and weight bearing. 

Who is at risk of getting a plantar wart?

  • Children and adolescents
  • People with a compromised immune system
  • People who walk barefoot in areas where there is a lot of public barefoot traffic like swimming pools, change rooms, gyms and parks.

How do I reduce the risk of getting a plantar wart?

  • Do not walk barefoot in public areas, particularly those that are warm, humid and wet such as swimming pools, change rooms, parks and gardens. 
  • Try and maintain good foot hygiene by making sure your feet are clean and dry at all times. 
  • Avoid picking at the skin on your feet as this can lead to breaks in the skin barrier.
  • Avoid direct contact with warts. If you have touched a wart, make sure you wash your hands and feet thoroughly. 

What are the treatment options for plantar warts? 

  1. Over-the-counter non prescription topical preparations from the pharmacy can sometimes be trailed, particularly on small and recent onset plantar warts. These are generally either a low strength salicylic acid (up to 10% is common), or a small liquid nitrogen applicator.
  2. Liquid nitrogen/cryotherapy (through a podiatry or GP clinic).
  3. For long-standing and stubborn plantar warts that haven’t responded to over-the-counter treatments, a podiatrist may use a strong caustic preparation such as salicylic acid paste (up to 60%). Salicylic acid works in two ways – by chemically destroying wart tissue, and by stimulating the body’s immune response
  4. In rare cases where strong salicylic acid has not been effective, another treatment option for patients at FNQ Podiatry & Orthotics is multi- puncture.  This procedure is done under local anaesthetic and involves needling the wart to break up wart tissue and debridement to remove the loosened material.

How long will it take to get rid of the wart?

  • When treated with high strength salicylic acid a plantar wart will generally need anywhere from 3-6 treatments. These treatments are spaced a week apart. 
  • If treated via multi-puncture, a plantar wart is removed in its entirety during the procedure. A follow up review appointment is arranged to check healing and ensure complete resolution has been achieved.

If you think you may have a Plantar wart and would like to see what your treatment options are please contact FNQ Podiatry & Orthotics and book an appointment to see one of our friendly Podiatrists. 

Stress fractures in Athletes

Tuesday, August 11th, 2020

So, you’ve finally decided to enter that marathon/triathlon you’ve been talking about for a while and have started training harder than ever. You are past the initial ‘why on earth am I doing this phase!’, you are starting to feel like you are getting into a groove and getting some solid km’s under your belt. All of a sudden, you wake up one morning and notice an intense pain in your foot that you haven’t experienced before. It is quite different to the post run muscle pains you have been experiencing and feels quite focal to one particular area. Even though these symptoms could be attributed to a range of different injuries, there is a chance that you have a stress fracture!

Stress fractures are a common over-use injury that we see across our Cairns Podiatry clinics. Every step that you take during a run results in 3-4x your body weight going through each foot. This, particularly if your body isn’t custom to the impact from running, can lead to repetitive bone stress and breakdown which eventually results in a stress fracture. So who is at risk for a foot stress fracture?

  • Sudden increase in running
  • Sudden change in activity e.g. from gym to running
  • High or low arched foot type
  • Inappropriate footwear for your biomechanics
  • People with low bone density/osteoporosis
  • Individuals with a poor diet (low calcium, protein etc)
  • Significant muscle tightness
  • Previous history of stress fractures

How is a stress fracture diagnosed?

Stress fractures in the foot are normally diagnosed with a combination of a thorough history, clinical examination and imaging. Plain x-rays often don’t show a stress fracture, particularly in the first two weeks so gold standard imaging usually involves an MRI or bone scan. As you can see from the below imaging, if a stress fracture is found on a plain x-ray, they are generally characterized by a ‘cloudy’ appearance around the fracture site. This is a phenomenon where your body is trying to produce more bone tissue to promote healing.  

How do we treat Stress Fractures of the foot at FNQ Podiatry & Orthotics?

Treatment for a stress fracture of the foot is based around short-term immobilization and rest. The more load we can take off the fracture site, the quicker the bone will heal. Given this, we will place you into a cam-walker (moon boot) for a period of time that will be determined by the site and severity of your stress fracture, generally ranging from 4-12 weeks. For higher risk stress fractures (e.g. mid-foot or heel), we may suggest crutches for a short period of time to take further pressure off the site. 

Other recommendations for nonsurgical treatment may include:

  • Modified activities. It typically takes from 6 to 8 weeks for a stress fracture to heal. During that time, we will recommend activities that place less stress on your foot and leg. Swimming and cycling are good alternative activities. However, you should not resume any type of physical activity that involves your injured foot or ankle – even if it is low impact – without our recommendation.
  • Non-weight bearing exercises to restore some strength and movement in that foot/ankle
  • Protective footwear – We will often use a soft in-shoe orthotic device and supportive pair of runners to help you progress away from your moon boot into normal shoes. This will help to support the foot and help with a gradual return to normal activities.

If you require further information, call our friendly team to arrange an assessment. Book online now or give us a call on 40 455 749

Caring for the Diabetic Foot

Tuesday, August 11th, 2020

Many people may not recognise the seriousness or number of complications that may occur if Diabetes is not properly controlled and monitored, with foot problems among the most serious. Approximately 15% of diabetics will develop a foot ulcer, with a smaller percentage of those at risk of limb amputation. 

The Diabetic foot requires a significant amount of attention and care to ensure that complications are rare, with your General Practitioner and Podiatrist playing a key role in your ongoing monitoring. In saying this, every diabetic has their own important role to play in maintaining foot health. Below are some useful tips for caring for your feet at home. 

Check your feet on a daily basis for any of the following signs; (a mirror is useful to help to see the soles of your feet easily) 

  • Any cuts, abrasions or foreign objection within the skin. 
  • Redness and/or swelling 

Run your hands along the soles of your feet to check for any temperature changes from top to bottom. 

  • Wash and dry your feet well each day. A cotton tip or small towel around a long handled object can make this easier.
  • If your feet remain moist for long periods of time, particularly between your toes, the skin may begin to break down which increases the risk of infection occurring.

Check your shoes before you put them on each day and have them fitted properly 

  • Check for any foreign objects which may have landed in there. If the feeling in your feet is compromised you may not be able to feel a sharp object pressing into your foot until it has caused a cut.
  • Shoes which do not fit correctly, whether it be too big, too small or too narrow can cause rubbing and friction when you walk increasing the risk of blisters, callouses and corns. 

It is important that if you notice any of the above signs when you check your feet that you contact your podiatrist ASAP for a proper review. Early treatment of wounds will reduce healing times and significantly minimise the risk of further complications. 

Aside from your daily self-foot care, ensure you are visiting the podiatrist at minimum 12 monthly for a full diabetic foot assessment. This should involve a blood supply check with a Doppler and blood pressure machine, a nerve function assessment and general foot care. More frequent checks may be indicated for higher risk patients. 

See our website for more information on diabetes and the feet. https://www.fnqpodiatry.com.au/cairns-podiatry-orthotics-services/diabetic-foot-treatment-cairns/

What Services Does A Podiatrist In Cairns Provide For Our Better Health?

Tuesday, February 20th, 2018

Your Podiatrist in Cairns provides services dedicated to the diagnosis, treatment, prevention, and management of medical conditions and injuries of the foot, ankle and lower limb.

Foot and ankle problems can be caused from chronic medical conditions like Arthritis or Diabetes, however the wearing of ill fitting shoes is a very real concern as this can cause acute pain in the feet.

People who may need to visit heir local Podiatrist include those who:

People who are prone to aches and pains such as shin splints – Shin splints’ is a term referring to pain felt anywhere along the shinbone from knee to ankle. Shin splints are often caused by issues through the foot and ankle, the most common being over-pronation or ‘rolling in’ when running.
Suffer with Arthritis – Our Podiatrist will carefully assess the severity of the condition and can recommend the appropriate footwear and level of support for your feet. This reduces the risks of other injuries such as blisters, corns and calluses that can be caused by ill-fitting footwear.
Have Diabetes – Regular podiatric care plays an integral role in the prevention of diabetic foot complications such as the likelihood of limb amputation.
Suffer with ingrown toenails – Our Podiatrist will assess problem toenails to identify the best possible treatment option. In some cases, a minor ingrown toenail surgery is required and provides a permanent solution to the issue.

Family Podiatrist In Cairns

FNQ Podiatry & Orthotics offers an extensive range of Podiatric care options for the entire family, with a particular focus on sports related injuries to the lower limb and foot.

We are very proud to provide comprehensive Podiatric assessments for our patients by using evidence based treatments and the latest Podiatric technology from Europe, the Paromed system. We also maintain our committment to continued clinical education by attending regular professional development seminars and allows us to stay up to date with current research.

Whether you are a seasoned athlete, a dancer, a busy mother with small children or a council worker wearing steel capped boots 5 days a week, if you are noticing problems with your lower legs or feet, make an appointment with us to get a correct diagnosis and the appropriate treatment.

We are able to ensure a holistic approach to your well being due to our well established relationships with other allied health professionals including Physiotherapists, Osteopaths, Chiropractors and Exercise Physiologists, all located in close proximity to our clinics located in:

  • Redlynch
  • Edmonton
  • Mareeba
  • Innisfail

For more information on our services please contact one of our local clinics in Cairns to arrange an appointment with one of our highly trained and experienced Podiatrists.

Phone:
(07) 4045 5749
Fax:
(07) 3014 0161
Email:
info@fnqpodiatry.com.au

Take A Step In The Right Direction With Your Local Podiatrist In Cairns

Monday, January 22nd, 2018

If you are you continually suffering from tired, aching feet, you can choose to take a step in the right direction and head for your local Podiatrist in Cairns.

You may be surprised to discover that the shoes which you are wearing, are actually causing problems with your feet.

Wearing the correct footwear is crucial when it comes to not only preventing sore feet and legs, but also to prevent ongoing injury as well.

Tired, sore feet need the right combination of support and cushioning.

You need to wear the correct type of footwear depending on your lifestyle and what activity you will be doing, and if you are not sure how to choose the right shoes for your lifestyle needs, your Cairns Podiatrist will be able to advise you.

Stilettos and high wedge heels may be very trendy at the moment, however these fashion styles can cause a lot of problems if worn for long periods of time. A sensible option would be to alternate the size of the heels of the shoes in your wardrobe and have several pairs of flat shoes as well.

If you are suffering from back pain, a visit to your local podiatrist for an accurate assessment will be well worth the effort as it is not uncommon for a person to have a difference in the lengths of their legs, and this alone can cause them back pain.

Have A Foot Check-Up With Your Cairns Podiatrist

Your local Podiatrist in Cairns will examine you thoroughly using the very latest technology to determine if any corrections to your feet are necessary and what footwear you may need to be wearing to avoid further aggravation and discomfort.

FNQ Podiatry & Orthotics, are a local practice where the podiatrists treat a range of foot & lower limb conditions that can affect the entire family. There are several busy clinics throughout the Cairns area including;

  • Redlynch
  • Edmonton
  • Mareeba
  • Innisfail

The professional team at FNQ Podiatry & Orthotics provide the very highest standard of care to patients of all ages including children, by implementing the latest European technology, the Paromed system, together with thorough manual assessments and treatments.

Paromed 3D Laser Foot Scan

The Paromed scanner takes a 3D scan of your foot that is exact to 0.1 of a mm, sending a 3D picture of your foot onto the computer for analysis.

Pending on your assessment findings, the scans are taken non-weight bearing, partial weight-bearing or during stance. If orthotic therapy is clinically indicated, the Podiatrist will then use this scan to design your insoles onsite.

FNQ Podiatry & Orthotics are able to produce some of the best foot orthotics in the world.

Cairns Podiatry clinics are just a phone call away.

Phone:
(07) 4045 5749
Fax:
(07) 3014 0161
Email:
info@fnqpodiatry.com.au

Your Local Podiatrist In Cairns For Family Foot Care

Wednesday, December 13th, 2017

Taking care of your feet, ankles and legs is what we do best at our Podiatry and Orthotics clinics in Cairns. We will always strive to provide the very best Podiatry care that you would expect for yourself and your family.

As a local practice with an excellent team of dedicated practitioners and staff, we value our commitment to our patients to ensure their feet are in good hands with a local Podiatrist at any of our clinics.

We offer an extensive range of Podiatry services in Cairns for the entire family with a special interest in sport injuries to the foot and lower limb.

As you are on your feet everyday, you can easily take for granted the pain free steps that you walk each day, however it is only when discomfort is noticed that you might give thought to the condition of your feet. More often than not, discomfort or pain in your feet is a sign that something is not as it should be and a professional examination is needed.

Putting Both Feet Forward With Your Family Podiatrist In Cairns

Feet are the foundation for your body and therefore alignment issues can lead to a range of lower limb problems including:

• Ankle pain

• Shin pain

• Knee pain

• Hip pain

• Lower back pain

Our Podiatrists at FNQ Podiatry & Orthotics in Cairns diagnose and manage all of these issues and literally get you back on your feet as soon as possible.

Our thorough assessment ensures that not only your current issue gets resolved, but also reduces the likelihood of future lower limb injuries.

We use the latest Podiatric technology from Europe – the Paromed system. This, in conjunction with a thorough manual assessment/history allows for high quality evidence based care.

By using the high speed video gait analysis, pressure plate analysis and 3D foot scanner, we are able to produce high quality foot orthotics that are supportive but still provide a soft feel underfoot.

We stand by our product and offer a money back guarantee – if you aren’t satisfied with your orthotics, we will continue to work with you, for free, until the issues are resolved.

Paediatric Podiatry & Orthotics

Our Podiatrists have a special interest in Paediatric Podiatry and are passionate about providing your children’s feet with the best possible start in life. There is no such thing as ‘growing pains’. If your child is complaining of an aching foot, heel, shin or knee, there is more often than not, a genuine reason for the discomfort. Our Podiatrists run your child through a thorough assessment to get to the root cause of the issue and then develop a targeted treatment plan for their particular issue and individual requirements.

The most common issues our Podiatrists see children for are:

• Heel pain (Sever’s)

• Shin pain

• Knee pain

• Postural issues

• Flat feet

• Pigeon toe walking

All of our clinics are staffed with highly trained professional Podiatrists and supporting staff, to ensure you experience a positive outcome with your treatment where possible.

To make an appointment please call us on (07) 4045 5749 or book online at www.fnqpodiatry.com.au

Hours: 8am to 6pm Mon-Fri | 8am to 3pm on Saturdays