How We Can Help You
Following a detailed biomechanical assessment, you will normally be filmed walking or running on a treadmill so that a gait analysis can be performed. Our Local Podiatrists can then accurately assess your walking or running style, which can help to diagnose the cause of your existing problems and often prevent future overuse syndromes.
Gait Analysis thoroughly breaks down the way you walk or run frame by frame to evaluate any underlying cause of your foot pain and then apply that to any orthotics you have or may require. We then relate this information to the type of footwear that best suits your feet and how your gait impacts on your presenting condition.
A biomechanical assessment is an in depth assessment of the way you move. It involves taking a detailed history of the symptoms or injuries you have come in to see us or been referred for, taking into consideration your medical conditions, lifestyle factors, physical activities, and occupational hazards.
Abnormal foot biomechanics is a major contributing factor in the development of pain and injury in the feet, ankles, knees and legs. Our experienced Local Podiatrists are trained to detect biomechanical abnormalities that may be the cause of your pain or may predispose you to injury.
Your Local Podiatrist will conduct:
– Comprehensive evaluation of the alignment, structure, and function of the feet and legs while standing and during walking (gait analysis)
– Testing joint range of motion and flexibility
– Testing for foot and leg muscle strength, to detect muscle imbalances and weakness
– Balance and pelvic stability tests
– Screening for leg length difference
– Footwear assessment
The information gained from the biomechanical assessment and gait analysis helps our Local Podiatrists to recommend the most effective treatment program for your specific problem, and can help you to return to your chosen sport or exercise, maximize your athletic performance and minimize the risk of injury recurrence.
Podiatry is for all ages. At Local Podiatry we can help your children with a range of problems from:
– Flat Feet
– Walking Problems
– Growing Pains
– Tired/Sore Legs
– Heel Pain
– In-toeing (Pigeon toeing)
– Sports Injuries
– Plantar Warts
– Ingrown toenails
– School Shoes
We provide the following services:
– If your child is complaining of tired and aching legs and/or feet, growing pains
– pain when playing sport or are having difficulty with their running or walking then we recommend a Biomechanical and Gait Assessment
– Your Local Podiatrists will be able to assess their lower limb biomechanics and muscle structure and put together a treatment plan for your child and monitor their progression
– At Local Podiatry we have a specific range of orthotics that are designed for children and cost effective, taking into account their growing feet
– Footwear advice
– Ingrown Toenail Surgery
General Foot Care
Our Local Podiatrists can provide you with a unique general foot care treatment plan to help relieve your pain and issues and prevent future complications.
Treatment will be using our modern equipment and professionally sterilised instruments.
General foot care includes assessing, diagnosing and treating conditions such as:
– Ingrown Toenails
– Cracked Heels
– Toenail Fungal Infections
– Thickened Toenails
– Plantar Warts
Diabetic Foot Screening
Podiatrists play an important role in monitoring and caring for patients’ feet who have diabetes.
Having diabetes increases the risk of foot complications due to its affect on the circulation system and nerves of the lower limb.
Diabetic foot assessments include:
– Doppler ultrasound for lower limb vascular (circulation) assessment
– Neurological (nerve) screening including testing your tactile pressure sensation, reflexes, and vibration
– Skin and toenail conditions
– Bone and joint function
– Risk categorisation
– Footwear advice
– Advice on how to maintain good foot health in between visits
– It is important for diabetic patients to have their feet checked every 6-12 months to monitor any changes
– Regular general treatments are recommended for all diabetic patients
Peripheral neuropathy is damage to the nerves in the extremities, such as the feet. It can cause tingling, numbness and loss of sensation. The loss of feeling places patients with diabetes at an increased risk for ulcerations and amputations. Early diagnosis can improve quality of life and reduce risks of complications.
Poor circulation is due to the narrowing and/or hardening of the artery walls in response to high sugar levels. It can start as leg cramps or pain when walking short distances, and relieved by rest. If left untreated, small cuts will not be able to heal, which can increase the risk for ulcerations.
Orthotics are shoe inserts designed to help re-align, support and improve the function of the foot. Orthotics fit comfortably in your shoes and may be prescribed for the treatment of foot or lower limb conditions.
At local Podiatry we use the latest orthotic technology with 3D scanning, where your foot is scanned in its ideal position, a computer model is created and designed to suit your prescription, followed by the manufacture of a customised orthotic device.
The benefits of 3D include:
– The foot can be scanned weight bearing, semi-weight bearing or non-weight bearing, held in its correct position
The 3D computer model allows us to customise your orthotics to suit your prescription
– No messy plaster casts
– Your foot scans are stored on our computers if you require additional pairs
– Variety of prescription orthotics are available and comfortable to wear
Ingrown Toenail Surgery
Ingrown toenails are the most common toenail problem. As the nail irritates the skin, it often creates pain, redness, swelling, and warmth in the toe. If the ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area.
Ingrown toenails may be caused by:
– Improperly trimmed nails
– Very curved edges of the nails
– Shoe pressure or repeated trauma to the feet from normal activities
– They can be inherited
– Previous or current nail problems, such as fungal infections or losing a toenail due to trauma
Most cases will require conservative treatment, while others may need surgical correction that can be conducted by your Local Podiatrist using local anaesthesia.
Nail surgery is a minor procedure that involves removing part or the entire toenail. This is done in such a way that the nail does not grow back.
When is Nail Surgery Required?
– When an ingrown toenail repeatedly gets infected
– When the toe is continually painful
– When you are unable to wear closed shoes
What does the Nail Surgery involve?
A pre-operative appointment is required at which a complete neurovascular examination is performed, history taken including a list of current medications and allergies to determine whether the patient is fit for surgery. Chronically infected toes may require an X-ray to rule out secondary bone infection and a visit to the GP for a course of antibiotics. All of the benefits and possible complications of nail surgery will be discussed by your Local Podiatrist at this appointment.
– At the operation appointment a local anaesthetic is injected to either side of the toe to numb it.
– Once the toe is numb a tourniquet is applied to prevent blood loss.
– The complete toenail or a small section of the offending toenail is removed from the side or sides of the nail while the rest of the nail remains intact.
– A chemical called phenol is then applied to the ‘matrix’ or ‘root’ of the toenail area to prevent the nail re-growing.
– The area is flushed with saline.
– Sterile dressings are applied to the toe and no stitching is required.
– A sandal, thong or a deep wide shoe is to be worn home.
– The dressing will need to be kept dry and will be changed by your Local podiatrist after 2-3 days, and will advise self-care instructions.
– A second follow-up visit will be booked after 5-7 days.
– The toe generally becomes completely healed in approximately 4-6 weeks.
Your Local Podiatrists provide advice on the type of footwear your chosen activity requires. Finding the correct pair of shoes for you will improve your foot health.
The benefits of orthotics and appropriate footwear include:
– Relief from painful foot problems, especially for those who walk or stand for long hours at work, or in everyday activities
– Improve balance and posture
– Improve athletic performance
– Alter any abnormal foot function
– Alleviate knee, hip and back pain
– Help to maintain the normal positioning of the bones in the foot, as well as the joints in the ankles and knees
– Can provide additional shock absorption
We provide advice on stretching exercises that will gently lengthen your tight muscles and tendons.
An increase in flexibility may improve your performance in physical activities or decrease your risk of injuries by helping your joints move through their full range of motion. Stretching also increases blood flow to the muscle.
Through our examinations we can identify the areas of your tight muscles and tendons and will advise you with stretching exercises.