- Plantar Fasciitis/Heel Spur Pain Syndrome
- Achilles Tendinopathies
- Shin Splints
- Patella Tendonitis/Jumpers Knee
A common question I get asked as a podiatrist is “What is the best way to stop cracked heels?” especially towards the end of summer, when cracked and sore heels present more frequently.
The following are some recommendations that will help reduce the problem.
- Foot soaks for 5-10 minutes to soften the skin in warm water.
- Use a pumice stone or file to loosen dead layers of skin (Do not use blades or razors)
- Apply cream containing 15-25% urea due to it’s water retentive properties.
- Apply small quantities of cream after showering.
- Apply cream more frequently in arid climates or when using open footwear.
Try the above treatment 2-3 times per week for two weeks and if there is no improvement in two weeks please make an appointment.
If you are a diabetic, present with poor circulation or have poor healing, please consult with your Podiatrist before undertaking the above management. Please do not feel embarrassed, we can effectively and safely remove hard skin making you feel and look your best.
- Children do naturally have flat feet.
- Children should not automatically require orthotics.
- Treatment and management may include, “leave alone, treat, or wait and watch.”
- Research does not prove or disprove the use of orthotics in the correction of flat feet.
- Treatment may be footwear modifications, simple calf stretching or orthotics.
Hallux Valgus, more commonly known as “Bunions”, is a deformity of the big toe joint. The foot becomes wider and the big toe joint develops a bony prominence and becomes painful against footwear.
Who gets bunions?
There is a well spread rumour that they are caused by pointed shoes! However, barefooted Islanders develop bunions! Literature accepts genetics plays a large factor in their development, with women developing bunions more frequently but other factors include: Foot injury.
- Systemic disorders.
- Hypermobility Syndromes
- Skeletal alignment and angulations.
- Foot function.
- Activities that place high pressure on that joint and associated Hypermobility Syndromes.
Please see McCluney JG, Tinley P. J Foot Ankle Surg. 2006 May-Jun; 45(3):161-7, where I proposed a long 1st metatarsal contributed to the development of Juvenile Hallux Valgus, or go to www.ncbi.nlm.nih.gov/pubmed and read the abstract.
As my research would suggest, I am particularly interested in discussing bunions and Hallux Valgus so please contact me at Woodlands Podiatry.
Laser for the treatment of fungal nails is a hot and current topic at the moment and is currently being promoted as the most effective treatment of fungal infections of toenails.
A perfect treatment modality would be inexpensive, very effective, and very safe. Sadly, we have not achieved this perfect situation yet. Current treatment modalities include:
- Topical antifungal agents.
- Oral antifungal agents.
- Toenail removal.
- Light therapy or photodynamic therapy.
Due to the difficulty of treating fungal nails and the modern age we live in, the use of lasers has been thrust upon us but do they work?
A review of www.ncbi.nlm.nih.gov/pubmed on laser treatments for fungal nails showed scant research over the last 10 years with variable results.
Before seeking expensive laser treatment on fungal toe nails, please contact our podiatrists to obtain a clear diagnosis of why your nails have their appearance. We frequently have patients worried they have fungal toenails, to only be diagnosed with another cause, often just a result of nail varnish damage. Woodlands Podiatry is closely monitoring the research and effectiveness of laser treatment of fungal nails.