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A Breakthrough Treatment for Warts

Microwave Therapy for Verruca (Warts) Lesions

Dr Gregory McCluney Perth Podiatrist, June 17th 2018.   Plantar warts cause a hard-grainy growth or growths on the bottom of the feet with small black dots on the surface.  One or more may occur in an area and may result in pain with pressure such as walking.  Warts are caused by the Human Papilloma Virus (HPV) and on occasions become very painful and difficult to treat.  They are transmitted via direct contact but may also be transmitted indirectly, however, the virus will not affect tissues deeper than the basal (bottom) layer of the epidermis.   Woodlands Podiatry and Glengarry Podiatry are pleased to offer this new technology,  which has shown that with the use of the Swift Microwave Therapy a resolution rate of 75.9% in patients with recalcitrant warts present for an average of over 5 years and 83% effective in patients with plantar warts present for shorter duration’s.                        

Large multiple plantar warts

     

         

After Swift Microwave Therapy

         

Common Treatments

Warts are a virus and just like the common cold, the body’s immune system will take care of it in time.  However, in the case of plantar warts, the warts frequently become painful, increase in size,  multiply and spread to other people and are difficult to treat in adults.          

Current Common Treatments

 
  • Waiting: Warts may spread or become painful.
  • Chemical cauterization: 6-8 treatments, salicylic acid, dressing kept dry.
  • Cryotherapy(freezing): painful, often multiple treatments, risk of scarring and spreading.
  • Surgery with curettage: requires a local anaesthetic, risk of scarring and regrowth

How Does Swift Microwave Work?

Swift Microwave Therapy is designed to promote your local immune response and for the body to heal itself.  Swift treatment results in a degree of localised tissue stress promoting a healing response, recruiting antibodies and stimulates a heat shock protein production, which is known to prompt a strong healing process. So, if you are in pain, embarrassed by your stubborn Plantar Warts and just sick of applying over the counter acids,  please consider Woodlands Podiatry and Glengarry Podiatry for a better more effective treatment.                                  

Key points on Swift Microwave Therapy

       

Clinicians are reporting a 83%  success rate with Swift Microwave Therapy with research demonstrating a 79.3% effectiveness in patients who have had plantar warts on an average period of over 5 years and where other treatments had failed.

     

Please call Woodlands Podiatry near Innaloo Shopping Centre or Glengarry Podiatry in Duncraig.


Extracorporeal Shock Wave Therapy

Dr Gregory McCluney, Perth Podiatrist, January 1st  2018.   Woodlands Podiatry and Glengarry Podiatry is pleased to introduce a new treatment in the management of chronic soft tissue injuries of the foot and lower leg know as Extracorporeal Shock Wave Therapy. Chronic inflammatory conditions of the lower limb can reduce your mobility. ESWT can effectively be used to treat lower limb conditions including:  
  • Plantar Fasciitis/Heel Spur Pain Syndrome
  • Achilles Tendinopathies
  • Shin Splints
  • Patella Tendonitis/Jumpers Knee
  Extracorporeal Shock Wave Therapy, or ESWT, was originally developed and used in the treatment of kidney stones sending high energy sound wave into the body to break up the stones. New technology has been developed to deliver specific high energy shock waves through a specalised probe to specific target area of the body which can be used to treat heel pain or plantar fasciitis.   ESWT increases blood flow and improves healing by triggering and activating cellular events(1), and showing clinically significant improvements in 78.38% in Achilles tendon pathology(2) and 82% success when combined with other treatment modalities (3), and significantly improves plantar heel pain commonly know as heel spur syndrome or plantar fasciitis(4, 5, 6, and 7).   Patients presenting for ESWT generally require 3 treatment sessions spaced over 3-4 weeks, although patients may achieve pain relief after one treatment. ESWT is a safe and effective pain management technique, especially when used in conjunction with appropriate stretching and muscle strengthening. Please call Woodlands or Glengarry Podiatry for an appointment so that we can help you further.   1. Int J Surg. 2015 Nov 23. Cristina d’Agostino M, et al. 2. J Foot Ankle Surg 2011, 50(3):315-9. Saxena A et al. 3. American Journal of Sports Medicine 2009, Volume 37, No. 3, pp. 463-471 Rompe et al. 4. Clin Orthop Relat Res. 2013 June 28. Aqil et al. 5. Arch Phys Med Rehabil. July 2012. Chang KV et al. 6. Foot Ankle Int. 2010 May;31(5):391-7. Ibrahim et al. 7. Am J Sports Med. 2008 Nov;36(11):2100-9. Gerdesmeyer L et al.

Cracked Heels

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Dr Gregory McCluney, Perth Podiatrist, October 9th 2016.  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 picture on the top shows a more severe case of extended thong use in a dry arid Australian climate, which we frequently see and treat at both Woodlands Podiatry and Glengarry Podiatry.

The following are some recommendations that will help reduce the problem.

  1. Foot soaks for 5-10 minutes to soften the skin in warm water.
  2. Use a pumice stone or file to loosen dead layers of skin (Do not use blades or razors)
  3. Apply cream containing 15-25% urea due to it’s water retentive properties.
  4. Apply small quantities of cream after showering.
  5. 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.


Do Children Need Orthotics?

Four babies learning to walk
Dr Gregory McCluney, Perth Podiatrist, February 24th 2016.  As a parent you want the best for your children and early medical intervention often produces the best outcomes but do children need orthotics?   Orthotics or shoe inserts are specifically designed to alter gait and re-align foot posture. Herein lays the problem, children frequently present with flat feet. Please note the above picture, which shows that all the children who are weight bearing, appear flat footed!   So do flat feet need early treatment or are they something children simply ‘grow out of’? Treatment should not be automatic but depends on a number of factors including age, severity and type of problem and whether the child presents with pain. Three broad categories are normally applied at both Woodlands and Glengarry Podiatry, leave alone, treat, or ‘wait and watch’, but if pain presents treatment is normally offered.   What should you take home as a parent?
  • 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.
  Please be assured at Woodland Podiatry we have a policy to not over treat and offer the very best in terms of experience and expertise in Perth when it comes to the treatment of your child.   Please contact Woodlands Podiatry in Woodlands near Innaloo Shopping Centre or our Duncraig Practice, Glengarry Podiatry for an appointment to have your child properly assessed so that you may receive the best advice.

Bunions

Photo of a pair of feet with bunions
Dr Gregory McCluney, Perth Podiatrist, February 24th 2016.  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.

Treating Fungal Nails with Lasers

Photo of a pin point laser being used to treat fungal nails
Dr Gregory McCluney, Perth Podiatrist, February 24th 2016. 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.  Is it the most effective?   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, including hot and cold laser.
  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.