Conditions Treated

General Foot Care

General Foot Care

As we age, it is important we take care of our feet to maintain our mobility and overall health.

 

The Podiatrist will treat and manage a range of problems affecting ageing feet including; diabetes, arthritis, ingrown toenails, corns, callus and other skin conditions.

 

Our Podiatrist will keep you on your feet, healthier and more mobile for longer.

Foot Pain

Foot Pain

Pain is not normal!

 

It could be caused by many things, or be the result of a problem the structure of your foot. Or it may be related to an issue further up your body that affects the way you walk. Whatever your problem is, we will diagnose and provide a treatment option to suit you.

 

The Podiatrist will thoroughly assess the area where you are experiencing pain.

In the event we need further information to understand what’s happening we will refer you for x-rays, ultrasound (Medicare rebates apply) or other medical imaging.  Any medical images that you may already have are very helpful to bring along to your appointment.

 

We also like to check out the footwear that you use on a day to day basis to reveal clues about how your feet work.

Children's Foot Complaints

Children's Foot Complaints

If you are concerned about your child’s walking or they are complaining of tired or aching legs and feet; or even pain, then get advice from a Podiatrist.

 

Children sometimes experience problems with their feet and lower limbs. Some of the common problems that children may suffer from are:

  • Flat feet
  • Toeing in or toeing out
  • Toe walking
  • Heel Pain
  • Knee pain
  • Knock knees
  • Ingrown toenails
  • Sprained ankles
  • Warts

Cracked Heels

Cracked Heels

Cracked heels or heel fissures are a common foot problem resulting from dry skin around the heels. There may even be a thick callus around the heel.

 

There are numerous causes of heel fissures or cracked heels, common causes include hormonal changes, infection, medication or dry skin. Biomechanical factors can also lead to cracked heels and this includes excess weight or forces on the heel pad and continual flattening of the heel pad structure, leading to callus and fissures.

 

Heel fissures are often painful and if deep can be a source of infection so they should not be dismissed.

Treatment of cracked heels or fissures involves careful reduction of the excess callus and fissure. This treatment is painless and produces immediate results.

Tinea

Tinea

Tinea, also commonly referred to as “athlete’s foot” is a common skin condition found on the foot that is caused by a fungus.

 

Tinea often presents as scaling or flaking skin in its early stages. If allowed to progress to a chronic stage, tinea can lead to inflammation, itchy skin and sometimes even infection. People who suffer from sweaty feet are more prone to tinea infections. Being enclosed in socks or nylon stockings for long periods also provides a perfect breeding ground for tinea.

 

Treatment involves treating the cause, the Podiatrist can also recommend anti-fungal treatments to help treat and prevent tinea.

Nail Fungus

Nail Fungus

When fungus infects the skin under the toenails, it can result in unsightly discoloured nails, thickened nails or flaky and brittle nails.

 

The Podiatrist will assess, diagnose and recommend the best course of treatment.

Ingrown Toenails

Ingrown Toenails

Highgate Podiatry specialise in the gentle care of ingrown nails.

 

We will educate you on proper nail cutting techniques, as well as the best way to treat fungal toenail infections.

 

Ingrowing toenails can be an incredibly painful issue. Most often we can provide instant relief of your painful ingrown nail. We know how much they hurt and we’ll take the upmost care.

 

For recurrent infected ingrown toenails we can offer you regular maintenance care to prevent them occurring, or a minor surgical procedure in the clinic for a long-term solution.

Nails, Corns & Calluses

Nails, Corns & Calluses

Toenail problems tend to be more common with advancing age. Problems include fungal infection, nail deformities and brittle nails. Causes of nail problems include trauma, ill-fitting shoes, poor circulation and infection.

 

Corns and calluses can develop due to pressure on the foot, this could be due to footwear or due to the way we stand, walk or run. The body responds to the pressure by producing thickenings in the surface layer of the skin. These hard patches of skin are called calluses and are part of the body’s defense system to protect the underlying tissues. If the cause of pressure is not relieved, calluses become painful. Common sites of corn and callus formation include the ball of the foot, under the big toe, tips and tops of toes and between the toes.

 

Treatment options and solutions range from removing the callus or corn, to footwear advice, redistributing the pressure with the use of padding or strapping and in some cases orthotics.

Warts

Warts

Warts, also referred to as plantar warts, verrucae and papilloma, are a growth on the foot caused by the Human Papillomavirus. This virus can be easily picked up when the foot is wet as this breaks down the foot’s natural skin barrier.

 

Warts are very common in children, patients with suppressed immune systems are also more prone to warts.

 

When warts occur in a weight bearing area of the foot a wart will grow into the superficial layers of the skin. These warts often cause pain as they can press on nerve endings.

 

If left untreated warts can sometimes grow bigger and spread to other parts of the feet making treatment more difficult.

Diabetic Foot Problems

Diabetic Foot Problems

Diabetics need to take great care of their feet to prevent serious complications as the disease can cause damage to the nerves and blood supply. The loss of nerve function (neuropathy) in the legs and feet typically develops overtime and foot injuries, ulcers, infections, and other problems can occur painlessly. Blood supply becomes reduced or altered, which prevents foot injuries from healing.

 

Symptoms of diabetic foot problems include pain or a tingling foot sensation in the feet at night. Common diabetic foot problems include:

  • Foot ulcers
  • Swelling
  • Cuts and sores
  • Corns
  • Ingrown toenails
  • Deep infections
  • Charcot fractures (unrealised fractures because lack of sensation does not cause pain)

 

Diabetics should see a Podiatrist regularly. The Podiatrist can provide comprehensive ongoing treatment, in conjunction with your Doctor and other diabetes professionals. Treatment options range from regular foot maintenance, ulcer care, footwear advice and in some cases customised orthotics (insoles).

Biomechanicals - Orthotics

Biomechanicals - Orthotics

Orthotics are shoe inserts that improve foot function and lower leg mechanics. The main purpose of orthotic therapy is to adjust the position of your feet to improve foot function and overall biomechanics. They can help reduce a number of symptoms including back, hip, knee, leg, ankle and foot pain.

 

Custom orthotics are made specifically to suit your feet. Uncomfortable custom orthotics are those that have been poorly prescribed. Our Podiatrist – Torben – will make your custom orthotics in his clinic.

 

If your orthotics are looking tired but are functionally correct, recovering them is a simple way of extending the life of your orthotics. Modification of orthotics is common and Highgate Podiatry can make these minor changes.

Bunions

Bunions

Bunions are often seen as a bump on the side of the big toe. A bunion occurs when the joint at the base of your big toe becomes enlarged, sore and swollen.

 

Your big toe may start to angle toward your second toe, or move underneath it, this puts the other bones out of alignment, producing the bump that we call the bunion.

 

Bunions are progressive. They begin with the leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which can continue to become increasingly prominent.

 

Bunions can be painful; if you are experiencing problems with your feet then come and our Podiatrist and find out your treatment options

Ulcer

Ulcer

An ulcer is breakdown of the bottom layer of the skin (dermis). It provides a direct route into your bloodstream and other deeper structures like bone. If neglected an ulcer will lead to infection and this infection may spread to the bone and other parts of the body.

 

Ulcers on the feet can be caused by excess pressure, poor blood supply or poor blood flow.

 

Neuropathic ulcers are pressure ulcers caused in patients who have neuropathy (no feeling in their feet) and can be common in diabetic patients.

Heel and Arch Pain

Heel and Arch Pain

Heel pain commonly causes pain when getting out of bed in the morning. It often recurs throughout the day especially after rest and prolonged movement.

 

Plantar fasciitis or more correctly Plantar Fasciosis is often referred to as ‘stone bruise’ or ‘heel spurs’.  It is an inflammation or irritation of the plantar fascia that extends from the heel to the toes. The attachment at the inside of the heel becomes irritated and then inflamed resulting in heel pain. The pain may or may not increase with time on your feet. The pain may increase over a number of months. People with either overly flat feet or high-arched feet are most prone to developing this heel pain.

 

Plantar fasciitis is an overuse injury where excessive pronation (fallen arches) adds additional tension to the plantar fascia causing the initial irritation. Spending long periods of time walking on hard surfaces and wearing low flat shoes that have little support can increase symptoms. On X-ray, heel spurs can be found in patients with heel pain, these are great indicators of tension at the attachment however these are rarely a source of pain.

Sever's Disease

Sever's Disease

Sever’s disease is the most common cause of heel pain in pre-adolescent and adolescent children. It occurs most commonly in (but is not limited to) physically active children between 7 -14 years of age.

 

Sever’s disease is most often caused by inadequate footwear, playing sport on hard surfaces, calf tightness and biomechanical problems.  The disease is caused when the leg muscles become tight and overstretched or by repetitive stress being placed on the growth plate of the heel bone. Over time this stress causes micro-trauma, inflammation and pain.

 

The treatment for Sever’s disease can vary from resting from sports, cold packs, stretching and strengthening exercises, footwear advice and heel inserts for shoes and trainers.