Open as normal

At Prime Podiatry we are happy to advise we are open as normal for our usual trading hours in each of our Floreat, Noranda and Darch clinics. Please see our contacts page for locations and contact details for bookings.

Prime Podiatry Floreat – NOW OPEN!!!!

We are very excited to announce the opening of our new Floreat Forum clinic. Prime Podiatry are extending it’s relationship with Life Ready Physio and is now open for bookings. In this clinic we will be providing general podiatry services and diabetic foot care. We also have podiatrists with expertise in dance and ballet podiatry with pre-pointe assessments available, dance shoe fitting, children’s foot complaints and pediatric assessment, sports podiatry and orthotics.

To make an appointment call 08 6280 1128.
See you there!

Prime Podiatry Floreat – Coming Soon!

We are opening a new clinic!
Our 4th clinic in Perth will be opening in November in Floreat Forum Shopping centre. We are very excited to be extending the work we do with Life Ready Physio and opening this clinic. Our experienced podiatrists will be be available for appointments at the beginning of November. This will be a progressive clinic with experts available in the following area:

Ballet pre-pointe assessment and shoe fitting
Sports Podiatry and orthotics

Diabetic foot assessment and foot care

Enchanced Primary Care Progream

General Podiatry and Footcare

We look forward to seeing you in clinic!

Restorate Foot Balm

Our practitioners are now using Restorate Foot Balm when treating our patients. This intensive foot cream is for regular use and treatment of dry skin on the feet or cracked heels. The feedback on this cream has been fantastic. We asked one of our Podiatrists, Dr Ben Morrell, why he thinks this cream has been so successful.
‘Many of the foot creams on the market are heavy, greasy creams that are uncomfortable and time consuming to apply in summer. This is when it is imperative that those with dry skin use it. Restorate is non-greasy, can be applied quickly and is absorbed very fast. It has high levels of peppermint oil in it which gives it a very cool feel during and after application. This means patients really enjoy using the cream in summer our patients want to use it regularly as a result. We have seen excellent improvements in the state of our patients feet as a result’
Restorate is available at Prime Podiatry to be purchased over the counter, or during a  consult with one of our Podiatry Team.

Bunions

bunionHallux abducto valgus or Bunions are a common foot complaint thought to affect around 1% of the adult population. Women are said to be 75% more likely than men to get a bunion throughout their lifetime. They are also much more typical in people over the age of 60, however they can occur at any age.

 

So what is a bunion?

A bunion can be described as a bony lump that may or may not be painful. The bony prominence represents a misalignment of the joints in the big toe which may also be accompanied by additional bone development. Often the bones of the big toe begin to move towards the lesser toes, whereas the metatarsal bone that lies below the big toe deviates in the other direction.

 

Why does a bunion develop?

There are thought to be a variety of causes of bunion development including:

Certain diseases and conditions:

  1. Inflammatory arthritic conditions such as rheumatoid arthritis and gout.
  2. Hypermobility syndromes, resulting in ligament laxity of the feet and ankles.
  3. Neuromuscular diseases that predispose you to developing a certain foot type, such as multiple sclerosis (MS).

Other causes:

  1. A genetic predisposition for inheriting features of a foot that lead to bunion development.
    1. This includes foot pronation (flat feet)
  2. Contrary to popular belief ill-fitting footwear has not been proven to cause a bunion to develop, however can certainly exacerbate an existing condition.
  3. A long 2nd metatarsal bone or short 1st metatarsal bone.
  4. Reduced movement of the big toe joint.
  5. Leg length discrepancy.
  6. Trauma to the big toe joint.
  7. Dislocation of the 2nd toe joint.
  8. Decreased foot muscular function.

 

What are some of the complications of having a bunion?

There are a variety of other effects resulting from bunion development and include some of the following: crowding of the smaller toes, hammer toe deformity and corn development, difficulty walking and selecting footwear and reduced balance which could contribute to falls. Therefore it often becomes important to undergo some changes to prevent and manage some of these complications.

 

Treatments for bunions:

 

Conservative: There are a number of ways to reduce down symptoms before resorting to surgical intervention which include some of the following:

  • Regular maintenance to help prevent corn and callus formation.
  • Changing your footwear to reduce pressure on the bunion.
    • Deep toe boxes and wider fitting footwear often help to relieve symptoms.
    • Leather style footwear or footwear with a stretchy fabric upper also allows the shoe to better conform to the foot.
    • Running style footwear generally tends to work quite well.
    • Avoiding high heeled shoes and shoes with narrow toe boxes are also advised to reduce the pressure placed on the bunion.
  • Bunion Splints.
    • At the current time bunion splints have not shown much improvement in symptom reduction, therefore they are not considered an effective treatment.
    • Also known as arch supports or shoe inserts have been found to help with pain but at this stage there is no evidence to suggest they are able to prevent progression or reduce the deformity.

 

Surgery: Once a bunion has become painful and cosmetic concerns are also involved, the only effective treatment is surgical intervention.  Surgery is only reserved for the most severe and painful cases as there are some risks and complications involved. There are many different types of procedures for bunion correction and can depend on pain levels, cosmetic appearance, age of the person undergoing the procedure and surgeon preference.

 

If you have any concerns regarding bunions don’t hesitate to visit your local podiatrist today!

 

Digital Scanning for Custom Orthotics

You may have seen our recent TV advert on channel 10 displaying the 3-Dimensional digital technology we use to manufacture our custom orthotics.

We do we use digital scanning technology?

  • It’s an accurate representation of the foot resulting in a more comfortable orthotics
  • It’s faster and less messy than the old plaster casting method
  • The foot scan is captured non-weightbearing, reducing the chance of capturing any pathology foot deformity
  • The orthotics can be made faster as we eliminate freight time
  • We have your own personal 3-D foot print on file to refer and compare to in future, should your feet change

So what’s the process? First you need to be initially assessed to look at whether or not you would benefit from a custom device and to discuss and diagnose what your specific problem or injury is or if there is a more suitable treatment. We will then book you in for a biomechanical and gait assessment and digital scanning.

At Prime Podiatry we believe in doing a full biomechanical and gait assessment when we do our scanning or orthotic prescription. This involves the measurement of relevant joint ranges or motion and an assessment of your gait when walking in real time or on the treadmill, if needed. The time taken to do a full assessment means we can an accurate and comfortable orthotic.  Please also bring some footwear to this assessment as it will affect the type of orthotic we can make you.

Your Podiatrist will then write you are prescription and send it away with your scans. The orthotics take around 2 weeks to be made (they can be done faster if needed). The payment for your orthotics, digital scans and assessment covers the review process for these devices and any adjustments that need to be made in the first 3 months. This way we can deliver a premium orthotic and a far reduced cost to the patient.

To make an appointment or if you have any questions regarding treatment, please give one of our clinics a call.

Laser Treatment of Fungal Toenails – Does it work?

laser toe

Thickened, deformed and discoloured nails. We see it every day in the clinic and it is a great source of frustration for many patients. It affects a large percentage of the population. Despite not being painful in most cases, patients are very keen on treating it as quickly and effectively as possible as it’s often unsightly.

There are hundreds of topical treatments available, some oral treatments and a recent, popular treatment is laser. Many clinics boast success in 1-2 treatments and show stunning before and after pictures to support the use of laser. It can be expensive but is said to have no side effects or pain during treatment.

So does it work?
Overall, the evidence is not great. Studies have been done on effectiveness in clearing the infection and patient satisfaction. Unfortunately, there are no well conducted or large studies existing that support the use of laser in the treatment of these infections. There have been some small studies showing positive results but there are also many studies that show no improvement in nails after treatment. There is poor evidence particularly for laser’s use in more severe and deeper nail infections. Laser seems to be effective in superficial or minor infections and may be worth a try, especially if you have unsuccessfully tried the topical treatments available.
So what should you do?

Number 1 is to see a Podiatrist to get a correct diagnosis. Not all thickened and discoloured nails are fungal. They can be caused by trauma, footwear and even can be genetically inherited. This is no point using antifungal treatments on these nails and improvements can be made usually with one simple consult.

If your podiatrist confirms a fungus they can significant reduce the amount of affected nail for treatment. This can increase the chance of topical or other treatments working and can clear a majority of minor infections. For more severe infections the only treatment that has shown to be effective is oral antifungal treatment. This requires a positive pathology sample of the nail taken by the Podiatrist and then referral to your GP to approve start therapy.

You can save yourself a lot of time and money with the right advice.

Prevention of running injuries – 4 Rules for Happy Running

It’s running season again with HBF Run for a Reason just passed and many events ahead of us in the coming months. Here are some quick and easy tips on how to avoid nasty injuries and run happy and pain free.

Footwear

I’m constantly asked ‘What is the best shoe brand?’ The answer is there is often a right and wrong shoe for your feet from every brand. There are variations between brands in sizing, widths, cushioning and midsole material but there is usually one for you within that brand.  Knowing your foot type can help and get the right shoes for the right feet. Foot type refers to width, shape and if you’re a pronator (low arch) a supinators (high arch) or neutral.  If you don’t know, consult a podiatrist or reputable shoe store to find out. The right shoes can prevent a lot of foot and knee injuries.

Warm up and stretch

The jury is still out on the effectiveness of stretching and distance running. I am still a firm believer in the effectiveness in stretching in injury prevention and management. Dynamic stretches that are more active appear to be more beneficial than static or sitting stretches. I see foot pathologies every day that are actually caused by tight posterior leg muscles, particularly the hamstrings and calves. This commonly results from our jobs sitting or high heeled shoes in women. It is also beneficial to have a good warm up and cool down program that involves time loosen up muscles and keep them loose post exercises.

Blisters

They are small and temporary but they can ruin your run and day very quickly! Good quality mixed fibre socks, well fitting and sized runners, reduction of sweating or hydration of dry skin are the keys to not getting blisters. They are caused by excessive shearing force which is usually link to the skin being caught and rubbed over a bony prominence in the foot. Sweating will cause this so it’s important to use powders to reduce it. Likewise and areas of dry skin or very prominent bony parts need to made more slippery with Vaseline or bodyglide or by wearing two pairs of think socks. Toe socks are a great way to reduce friction between toes.

Core and gluteals

You cannot underestimate the level of forces going through your joints and muscles when running. The repetitive nature of running makes it very tough on certain lower limb structures. The risk of chronic overuse injures is much greater than high impact, contact sports. If you want to avoid leg injuries it is crucial to have a strong core and gluteal muscles to reduce the impact of running and evenly distribute work on the soft tissue and joints.

Dr Ben Morrell – Podiatrist

Prime Podiatry