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Treatments

Innovation Podiatry  >  Treatments

Depending on your condition, and the outcome of our assessments and diagnosis, we offer a range of treatments. Many of these are outlined below, while our more tech-focused approaches can be found on our innovation page.

Custom made orthotics (click to open/close)

Customised, functional foot orthoses are individually shaped to your specific foot contour and used in the management of a wide variety of conditions affecting the feet, ankles, legs and hips. They may be used by your podiatrist to change the positioning of bones and joints, along with the actions of various muscles to help manage your problem, or to affect the magnitude and direction of forces within the muscles, joints, tendons and bones.

Our podiatrists are highly experienced in creating your custom-made orthotics to help reduce pain and improve function and mobility. We use the latest technology to take a 3D image of your feet which is then immediately sent, along with an extensive biomechanical prescription to one of two orthotic laboratories to manufacture your devices.

The two external labs we use are;

Biolab WA – We have been using biolabs durable lightweight carbon fibre and polypropylene orthotics since we opened in 2007.

iorthotics QLD – 3D printed Enviropoly orthotics. The enviropoly orthotic reduces the environmental impact of plastic and rubber based materials that are used in today’s podiatry industry.

Your custom-made orthotics are designed to last many years, depending upon growth and the activities they are used for. A cushioning top cover helps minimise irritation between your skin and the shell, which can be made from a variety of materials such as leather, neoprene, vinyl and other specific cushioning materials.

Radial Pressure Wave Therapy

Radial Pressure Wave Therapy better known as Shockwave Therapy, helps to improve chronic musculoskeletal conditions such as:

  • Myofascial Trigger Points (localised tender or painful areas)
  • Tendinopathies such as Plantar Fasciitis & Achilles Tendinopathy
  • Activation of muscle and connective tissue to help increase circulation

Radial Shockwaves are introduced into the body by means of a hand held applicator to cover the entire pain region. The pathological association between pain, muscle tone and vascular tone is broken as a result of RPW therapy and the strong stimuli it produces, enabling old damaged and weakened cells to be removed and replaced with healthy viable cells.

Another benefit RPW therapy provides is vascular changes, such as increased blood circulation in tissues. An increase in oxygen content can significantly reduce the concentration of carbon dioxide in the tissue to help further stimulate the healing process. It is non-surgical and there is no need for painkillers.

Examples of how we use RPW Therapy at Innovation Podiatry:

  • Plantar heel pain
  • Plantar fibroma’s
  • Tendinopathies
  • Painful neuropathy
  • Shin splints
  • Neuroma and bursitis
  • Osgood Schlatter
  • Iliotibial band syndrome
  • Muscle spasticity
Acupuncture

Acupuncture is a form of therapy in which fine filament needles are inserted into specific points in order to create neurophysiological reactions in the body and stimulate a healing effect. A combination of acupuncture points and dry needling help treat and resolve a range of conditions of the lower limb. It is commonly used to treat musculoskeletal pain such as;

  • heel pain
  • Plantar Fasciitis
  • Chronic Muscle Stain
  • Peripheral Neuropathy
  • Sports Injuries
  • Rheumatiod and Osteoarthitis Pain

Dry Needling in Acupuncture involves insertion of fine filament needles into a muscle in the region of a myofascial trigger point to relieve pain and muscle tension. Trigger points are hyper-irritable, taut bands of muscle that cause tissue to shorten, tighten and/or spasm. This can lead to chronic pain and postural issues.

At Innovation Podiatry we use acupuncture and dry needling techniques in addition to other methods to offer you the most effective form of treatment.  All our podiatrists are highly trained and up to date in acupuncture and dry needling of the lower limb.

Corns and calluses

After an initial history and physical exam of your feet, x-rays will be needed to tell the whole story and determine why corns and calluses are developing. Your podiatrist is the expert in trimming down these areas of thick skin and will often apply comfortable padding to these painful corns and calluses.

Special padding devices and materials may be available only from your podiatrist or doctor for your use at home. Medication for inflammation may be utilised to treat the underlying injury and sometimes a cortisone injection into the underlying bursal sac will be recommended to rapidly reduce pain and swelling.

Changes in shoewear may also be recommended. A custom-made orthotic might be made to wear inside your shoes, to redistribute pressure more evenly across the ball of your foot. A pad placed in your shoes (called a metatarsal pad) may help reduce your contracted hammertoes and relieve pressure on the ball of the foot as well.

Often, corns and calluses will have to be trimmed on a regular basis to prevent them from hurting. Eventually, you may desire corrective foot surgery by your podiatrist to straighten curled or contracted toes for corns or elevate and shorten metatarsals for calluses.

Often such surgery represents a short-term inconvenience to your lifestyle, but will not require any lengthy period of rest or inactivity. Many satisfied patients have remarked that surgery to remove the bone beneath the corn hurts less the very next day than on a painful day walking in their shoes with the corn present.

Sports Injuries

Most podiatric sports injuries occur in one of two ways. Either an acute injury caused by an episode of trauma that has caused pressure on tendons and joints, or a biomechanical injury caused by incorrect movement patterns. An injury of this nature is often impacted by compensation from an acute injury. Ie. Changing the way, you walk, run or jump to compensate for an existing injury, thereby causing further damage.

Risk factors
– Poor foot mechanics such as a pronated and/or supinated gait
– Incorrect footwear

Conditions

  • Shin splints
  • Runners knee (whats this)
  • Achilles Tendonitis
  • Corns & Bunions
  • Postural issues, hip & lower back pain
  • Ingrown nails

 

These problems can be avoided by
– Wearing supportive comfortable shoes with sufficient room at the toe box. However, you should choose your shoes based on the primary activity you will be performing when wearing them. Finding a good sturdy shoe with arch support and appropriate cushioning is key.

  • A proper warm-up is crucial to the prevention of many injuries in the sporting environment. The body needs time to adjust to each new activity and a full warm-up and cool-down before and after each session is advised to keep you on your feet.

If you do sustain an injury, it’s important not to ignore the pain. Follow the RICE protocol and seek medical attention.

Rest – stop activity immediately

Ice – Place an icepack on the injured area

Compression – wrap the injured area to reduce swelling

Elevation – Keep your leg raised so the foot is above waist height

 

Our Podiatrists are trained to prevent, diagnose, treat and rehabilitate all conditions and injuries related to the feet. We look at managing existing injuries, conducting thorough biomechanical assessments, looking at your history, assessing your footwear and advising on the correct style

Plantar Warts

We may treat your plantar warts in a number of ways. Unfortunately, warts are stubborn entities and even the best methods for removing them allow a high rate of reoccurrence, of around 15%.

We may choose to use medication that is stronger than what is available at the pharmacy. This can speed up the process. Depending on the size and number of warts, treatment can take from 1-4 months before the wart is completely gone, and like any infection, all parts of it must be completely eliminated, or it will grow back.

We may choose to use an oral medicine called Tagamet (Cimetadine) or an ointment called Efudex (5-fluorouracil) on the wart. An additional option is to physically remove the wart at one time, either surgically, with a spoon like instrument called a curette, or with the CO2 laser. The healing time is from 2-4 weeks, depending on the size. Use of the CO2 laser reduces the rate of reoccurrence to 10%, reduces post-operative pain and eliminates any bleeding.

Prolotherapy

Prolotherapy is a nonsurgical ligament reconstruction treatment for chronic pain.

This conservative treatment is useful for many different types of musculoskeletal pain including: arthritis, chronic tendonitis, partially torn tendons, ligaments and cartilage, heel spurs & plantar fasciitis, neuromas, foot & ankle pain/injuries, knee injuries, sports injuries, iliotibial pain, shin splints, post-surgical pain, as well as carpal & tarsal tunnel syndrome, fibromyalgia, unresolved whiplash injuries and degenerated or herniated discs. Depending on the nature of injury, prolotherapy has been found to be successful in treating musculoskeletal stiffness and pain (>95%),

Prolotherapy uses a dextrose (sugar water) solution mixed with normal saline and local anaesthetic, and is injected into the ligament or tendon where it attaches to the bone. This causes a localized inflammation in these weak areas which then increases the blood supply and flow of nutrients, and stimulates the tissue to repair itself.

Typically two out of three people who receive prolotherapy feel better. If individuals have not had any improvement by the fifth or sixth treatment, prolotherapy sessions are generally stopped.

Ingrown toenails

In the most minor cases, we will simply cut the nail to shorten it, and show you how to cut the nail in the future, to prevent ingrowing of the nail again. In more severe cases, but not those in which an infection hasn’t developed, we may gently remove the ingrown portion of the nail. This affords considerable relief, but is temporary.

After a few weeks, when the nail grows long again, it will again grow in. In cases where the nail has grown in repeatedly, or more critically, when the nail edge has penetrated the skin and caused an infection, we will perform a minor procedure called an Ingrown Nail Correction or Matricectomy. We will gently numb your toe, reshape the nail edge and finally, apply a medicine which will, in most cases, permanently prevent the nail edge from growing improperly again.

Fungal nails

If the nails are infected, we will often cut or grind back the infected nail. Because the infected nail is dead, the removal of the nail is a painless procedure. We will suggest treatment that you can put on the infection.

Foot hygiene is of the utmost importance. You do not want the fungus to spread to your skin and cause tinea. Shoes need to be kept in a well-ventilated area. Socks or stockings need to be washed after each use, and infected nails need to be cut short. Also, you should visit your doctor or podiatrist regularly.

Diabetes and your feet

Anyone with diabetes should follow these steps to protect from foot complications:

  • Check you feet daily. Look for any redness, swelling blisters, cuts or abnormalities. If you have difficulty reaching your feet, use a mirror to see under your foot. If you have poor eyesight, ask a relative or friend to help you. If you notice any problems, see your podiatrist or doctor.
  • Have a podiatrist check your feet every year for nerve and blood circulation problems.
  • Do not soak you feet for long periods or use talc powder.
  • If you have dry skin, use Sorbolene daily before going to bed.
  • Cut toenails straight across and do not cut down the edges if you have nail deformities. Your podiatrist can advise you on the best way to care for your nails.
  • Wear clean socks and stockings every day. Make sure that they fit to avoid blisters. Seamless non-elastic rimmed socks are recommended by Diabetes Australia.
  • Check you shoes for stones, nails or rough areas daily before you put them on.
  • Do not use ‘home cures’ to treat corns and calluses – see you doctor or podiatrist.
  • Be careful if using hot water bottles, electric blankets or heaters.
  • Maintain a healthy lifestyle – exercise regularly with a balanced diet.
  • If you smoke, STOP. Smoking further reduces your blood supply.
Shoe information

It is often a daunting task purchasing sports footwear, particularly when there is a wall of footwear to choose from. Rather than choose a shoe for its colour, it is more important to make sure the shoe has the specific features that suit your foot and the activity that you are going to be doing.

Firstly, it is important to know your foot type, so that an appropriate choice of footwear can be made. A simple test is to stand on a towel once you get out of the shower and look at the impression or footprint that is made.

There are three general shapes of feet, and the impression made on the towel can aid in determining whether you have a pronated, neutral or supinated foot type. Each foot type functions differently, and to complicate matters further, if you have had a severe injury, have a disease such as diabetes or arthritis or have had any foot or leg surgery, the overall function of the foot will change. You will need to have an assessment by a podiatrist if you have any doubt about your foot type.

Once you have determined your foot type, it makes purchasing shoes a whole lot easier.
We can not only help you work out what type of foot you have, but also provide lots of useful information on what type of shoe suits you best, across:

  • Running
  • Cross-training
  • Netball
  • Walking

plus a whole range of other sports and activities.

Ganglion and other deep cysts

Anytime you notice a lump or mass, you should have it checked out by a doctor as soon as possible, even if it isn’t painful. If the cyst isn’t painful, it may be best to just watch it to see if it changes over time. If you have a painful ganglion, you can try padding the area around the lump or try changing your shoe gear to relieve the pressure.

Your podiatrist will look at and feel the lump. If it is a ganglion, we will numb the area, then try to pull as much fluid out of the cyst as possible using a syringe. Many podiatrists will then inject a steroid or hardening agent into the cyst to try to prevent it from filling again. About half of the time, the cyst will fill up again after the treatment. We will then give you the option of having it removed surgically.

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