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Podiatry: Common Foot Conditions Treated

SKIN treatment throughout the year is required
to maintain the foot and prevent
These include the debridement (removal) problems. Once again podiatrists work
of callus which is an over production of very closely with GP's/ Endocrinologists
skin on the foot in response to pressure, on this matter and may be included in the
a focal area of pressure can result in a overall care plan for the patient - as
corn which can also be removed via designed by the GP
mechanical debridement. Other skin BIOMECHANICAL INJURY
conditions include plantar verrucae's
which are warts on the bottom surface of Various lower limb injuries related to
the foot which can become painful with activity and overuse syndromes may have a
weight-bearing activity. These may be biomechanical cause. Podiatrists are able
debrided and then treated via dry ice to identify such things through gait
acidic therapies. Fungal infections of analysis and biomechanical assessment.
the skin of the foot are also common due For example an overly pronating ('rolling
the environment within shoes where in') foot may be associated with such
ventilation is poor and moisture can conditions as
build up, these are also contagious heel spur syndrome/arch pain- 'plantar
through water droplets in public bathing fasciitis'
areas such as showers and pools. Achilles tendonitis
Bacterial infections can also occur on Shin pain- often generically referred to
the skin particularly when there is as 'shin splints' eg. periostitis,
injury to the skin surface or when tendonitis, stress fracture
circulation is poor. An example of this anterior knee pain- patellofemoral joint
is with ingrown toe nails whereby the pain
nail pierces the superficial layers of metatarsalgia- any conditions affecting
the skin. The podiatrist is trained to the metatarsals
recognize the difference between these sinus tarsi syndrome
things, treat where necessary and offer tibialis posterior dysfunction - most
suggested therapies. common cause of unilateral flat foot in
adulthood
NAIL tarsal coalition- most common cause of
unilateral flat foot in children
Nail conditions may include thickening morton's neuroma- a perineural fibroma
of the nails due to either trauma, ie- scar tissue build up around an
onychomycosis (fungal infection), intermetatarsal nerve
neglect, or poor circulation. A
podiatrist is able to maintain the nails An overly supinating ('rolling out')
and suggest other conjunctive therapies. foot is less common and may be associated
Ingrown toe nails as previously mentioned with conditions such as
are also commonly treated and the
podiatrist may skillfully remove these repetitive lateral ankle joint sprains
with or without the administration of peroneal tendonitis
local anaesthetic depending on the site lateral ligament sprains
and degree of the problem. In this Iliotibial band friction syndrome
situation the podiatrist works closely
with the GP and antibiotics may also be Podiatrists are able to identify
administered if infection is present. underlying causes to various injuries and
treat accordingly using strappings, foot
DIABETES orthoses (custom made insoles),
stretching/strengthening programs,
Care of the diabetic foot has become an footwear advice and managing injury in
important facet of podiatry due to the acute phasePeter Marks is CEO of
possible complications involving the Holdsworth House Medical Practice in NSW
sensory and vascular system of the foot Australia. Holdsworth House Allied
and leg. With poor diabetes control the Health (HHH) employs highly qualified
circulation and / or nerve supply to the Podiatrists who specialise in a range of
feet may be compromised. Neurovascular areas Heel Pain, Diabetes, Warts,
tests along with assessment of the Toenail, Problems, Corns, Callous,
general foot condition are performed to Footwear Advice, Children's Feet & more.
determine whether the patient is at low, HHH is located in Darlinghurst & Byron
medium or high risk of foot Bay. Podiatry is available in Holdsworth
complications. Neurovascular testing of House's Sydney (Darlinghurst) Medical
the diabetic foot is recommended every 12 Practice. Visit for more information.
months minimum, and quite often ongoing




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