Conditions Treated

Heel pain

Heel pain is a common condition causing severe pain under or around the heel bone after periods of rest. Generally the pain is worse the first few steps in the morning, toward the end of the day and after sport or exercise. There are many causes of heel pain and often the condition is misdiagnosed as plantar fasciitits. Plantar fasciitis is however very common and is caused by micro tears to the plantar fascia (the long tight cord under the arch) at the attachment point under the heel bone. Left untreated, the pain may persist for up to 18 months. Other causes of heel pain include trigger points in the intrinsic muscles of the arch, nerve entrapment, bursitis or irritation of the fat pad under the heel.

Morton’s neuroma

Mortons Neuroma / Neuritis is a condition caused by irritation and inflammation of the inter-metatarsal nerve (nerves running between the long bones of the feet) supplying the 2nd, 3rd and 4th toes. Irritation of the 3rd intermetatarsal nerve is the most common causing pain in between the bases of the 3rd and 4th toes and can result in numbness of the toes. The cause of this problem varies and there is much debate about the exact cause. Orthoses with metatarsal support can provide relief, however  often people will benefit from a medical or surgical referral once footwear and biomechanical factors have been addressed. 

Sesamoiditis

The sesamoid bones are two spherical shaped bones that sit under the head of the 1st metatarsal bone (the long bone leading up to the big toe). This area is commonly called the ‘ball of the foot’. Sesamoiditis, is the inflammation of these bones. People describe the pain as a ‘stone bruise’ type pain often in the medial (inside) sesamoid bone. Invariably, most people who present with this condition have a biomechanical foot problem which exposes the bones to more pressure when walking and running. Custom foot orthoses can be extremely effective at treating this condition.

Ingrown toenails

iStock_000012369377Small.jpgIngrown nails are painful!. An ingrown nail (onychocryptosis) can occur from trauma, tight footwear, cutting down the sides of the nail, and picking! The problem is often recurrent and patients generally report multiple episodes of infection. Unfortunately ingrown nails can occur after a visit to a nail salon where infection control procedures are not enforced and staff are not trained.

Treatment of this condition can often be effective with just one visit to our podiatrist. However in more complicated cases, a permanent solution involves  a minor surgical procedure under local anaesthetic. This provides a permanent solution in greater than 95% of cases.

Tendonitis

Achilles tendonitis is a very common condition affecting patients across all demographics.. The condition is characterised by pain in the mid part of the tendon and /or at the insertion point on the back of the heel bone. This condition has multiple causes and a thorough history and assessment is necessary. Apart from treatment to reduce pain and inflammation, it is important that a thorough biomechanical assessment is performed. This can be  aided with our  computerised gait assessment software. Subtleties in the timing of heel contact in the gait cycle can excessively load the tendon and cause injury to the tiny collagen fibres. These subtleties are difficult to see with the naked eye but with the use of the gaitscan problems can be easily identified. Treatment often involves a combination of pain relief medication, stretching, strengthening, rest and changes to footwear and or foot function using orthoses.

Shin splints

Shin splints are characterized by pain in the front or inside aspect of the lower leg. The pain usually develops gradually without a history of trauma, and might begin as a dull ache along the front or inside of the shin (Tibia) after running or even walking.

Shin splints can occur along the edge of the tibia bone at the front or the inside and can be experienced in the bone itself. A common cause of shin pain can be wearing sport shoes that have worn out. Other more complicated causes involve the biomechanical workings of the feet and lower leg and these need to be closely examined. Pain in the shin area can vary in severity and needs attention.

Treatment options vary according to the cause. It is important to seek treatment for shin pain as soon as possible so we can reduce your time away from your sporting activity and reduce the chances of complications (i.e stress fractures).

Our Podiatrists use the latest digital technology combined with hands on assessments to provide the best possible treatment plan for your shin pain.  Orthotic therapy, footwear advice and dryneedling are the most common forms of treatment however, we may need to refer you on for further investigations if indicated.

Call us today on 9446 8322 to book your appointment

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