Professional podiatry services to keep you active and pain free
At Woodlands Podiatry we service a range of foot and lower leg complaints. Whether you are experiencing skin problems, skeletal pain or mobility issues, or circulation problems, a process of in depth consultation and expert diagnosis will facilitate the most appropriate treatment plan for your issues and your lifestyle.
We aim to provide you with an understanding of your problem and provide a range of treatment options so that you can effectively manage your complaint.
Choose Woodlands Podiatry for general podiatry services, including foot pain assessment and treatment to damaged toe nails, corns and callouses.
If you are suffering chronic or acute pain in your legs or feet, at Woodlands Podiatry we will gladly assess your complaint, discuss your options and effectively manage your pain. We will only prescribe functional orthotics if we think there is a real benefit.
This will involve a biomechanical analysis of your lower limb function, correction of poor footwear, and a muscle stretching and strengthening program when indicated.
At Woodlands Podiatry, in addition to state-of-the-art custom orthotics, we also provide a range of pre-formed orthotics onsite. In many cases pre-formed orthotics are very effective, and where necessary can be modified to your individual needs to produce a semi custom foot orthoses.
For comfortable and effective orthotics we offer experienced diagnosis and treatment, coupled with cutting edge equipment.
The use of orthotics, therapeutic insoles and inserts for shoes has come a long way. The latest equipment and processes together with careful and expert analysis and prescription can foster excellent results.
Using cutting edge 3D laser scanners, we scan the foot accurately to within one tenth of a millimetre. We then write a prescription based on your needs. A local Perth laboratory, with the aid of a 3D computer aided design and manufacturing process, then accurately and reliably produce your customised orthotics.
Customised functional foot orthoses can effectively manage a range of lower leg issues, relating to poor skeletal alignment and gait anomalies including:
- Patella tracking problems
- Knee pain
- Shin pain
- Poor stability
- Leg pain
- Foot pain
In making footwear assessments we look at your life style factors and goals, as well as looking closely at the biomechanics of your foot, which affects your shoe selection.The correct footwear keeps the foot secure and helps avoid injury. This is an important factor for all age groups.
Runners need to ensure their shoes are replaced regularly, sometimes as often as every few months. Depending on distances run and shoe type, important shock absorbing padding can wear thin and become ineffective.
In the aged patient, we ensure your footwear is supportive, secure and comfortable, prevents falls and avoids foot injury.
Correctly fitting footwear is essential in a diabetic to prevent pressure sores and infections.
Heel pain is a very common complaint and in some instances can be very disabling. In an adult, the pain is usually located under the heel, (planter fasciitis) and this is sometimes referred to as a heel spur. Alternatively, the pain may be occurring just behind the heel and this may indicate an Achilles tendon problem.
If you feel pain in your heel when first standing, often described as a stone bruise, you may have plantar fasciitis (Heel Spur Syndrome). The earlier you treat this problem normally the quicker the recovery. You can start to help yourself by wearing more padded, supportive footwear. Stretching, massaging and using ice may be helpful for pain relief.
Heel pain may also be associated with a prominence on the back of the heel. If this is soft in nature, it can be caused by a bursa under the Achilles tendon, or thickening of the tendon, or inflammation of the Achilles tendon insertion. If the prominence is hard, you may present with a bony prominence (Haglunds Deformity) or a posterior calcaneal (heel bone) bony prominence.
An accurate diagnosis is important in order to obtain the correct treatment and management, but in diagnosed planter fasciitis, firm padded and cushioned footwear may assist the complaint, along with simple calf stretching.
In children the most common complaint is Severs Disease, an inflammatory condition arising from the growth plate.
Other problems may include bursitis, heel bumps, tarsal tunnel syndrome, stress fractures and other tendon problems.
Expert diagnosis and customised care planning will help you effectively manage foot pain.
Foot pain may result from injury, ill-fitting shoes or an undiagnosed medical problem.
You may have a foot complaint for which you require a second opinion. We gladly see patients for a review and diagnosis of their ongoing problem.
Also, please contact us if you are experiencing uncomfortable or restricting orthotics, we will gladly further assist you.
Foot pain may include:
- Metatarsalgia – a problem which relates to the ball of the foot, often occurring in the metatarsal heads, where the three middle toes meet the ball of the foot. It is a common problem, which can affect the bones and joints of the metatarsals.
- Morton’s Neuroma – a condition that affects one of the nerves that run between the long bones (metatarsals) in the sole of the foot and between the joints in the ball of the foot
- Capsulitis – or Joint Inflammation – is inflammation of a joint capsule (made up of ligaments), which may also occur in the forefoot.
- Posterior Tendon Dysfunction – A tendon pathology on the inside of the ankle often accompanied by swelling and pain leading to the foot to collapsing, often referred to as adult acquired flat foot.
- Heel Pain – which may be attributed to plantar fasciitis (or Jogger’s Heal), heel spurs, tendon injuries, and/or adult acquired flat foot or arthritis. (Link Heel Pain)
Contact Woodlands Podiatry today for expert diagnosis and treatment planning for any of the following podiatric skin or nail complaints:
- Callouses and Corns
- Athletes Foot
- Nail Problems
- Cracked Heels
- Verruca/Plantar Warts
Callouses and CornsCallouses and corns are areas of skin that thicken, after exposure to repetitive forces, in order to protect the skin. When a callous develops a mass of dead cells in its centre, it becomes a corn. Corns generally occur on the toes and balls of the feet. They are generally symptoms of underlying problems and in some instances, an early warning sign of more complex foot problems. A callous or corn will require treatment when they become painful. If you suffer from diabetes, poor blood circulation, or loss of sensation (neuropathy), you should seek professional treatment even if there is no associated pain.
Athletes FootTinea pedis (Athletes Foot) is a skin condition which affects about 15% of the population. Symptoms include scaling and flaking, or softening and whitening of the skin on the feet and in particular between the toes. Secondary bacterial infection can lead to itchiness or unpleasant odour. Ensuring proper drying and aerating of the feet, with appropriate foot care routines and shoe selection can sometimes resolve the issue. Your podiatrist can prescribe an appropriate topical medicine that can give fast and effective results.
Nail ProblemsHealthy nails are pink, and grow constantly. A big toe nail takes up to 12 months to replace itself with a new nail. Unfortunately, nail problems are common and may be caused by warts, tumours under the nail plate, trauma and infection. Fungal nails may require topical paints and when necessary oral antifungal agents. Other conditions may cause nails to have the appearance of a fungal infection, such as Psoriasis. You should obtain a clear diagnosis and treatment options from your podiatrist.
Cracked HeelsYou may have hard or cracked skin on your heels, which can be painful or unsightly. Occasionally these cracks may become infected requiring antibiotics. In severe cases of hyperkeratosis (thickened skin) podiatry treatment can quickly and effectively remove the dry cracked skin. This can be followed up with the application of an appropriate heel balm, which can reduce the rate of reoccurrence.
Verruca /Plantar WartsA verruca or plantar wart is a small spot that develops on the sole of the foot with tiny black spots, which are tiny areas of pinpoint bleeding. If you notice a spot of this description, it may be a plantar wart and if it grows will become painful for you when standing or walking. Plantar warts may occur at all ages but they are most common among children 12-16 years of age. Plantar warts are viral tissue, contagious and may be spread in public showers or occur after minor skin trauma. If they become painful, begin to spread, or you require confirmation on the lesion, we can assist. We offer a range of treatment options.
To understand and manage your complaint effectively, you may be referred for further diagnostic studies, which may include Magnetic Resonance Imaging (MRI), Ultrasound and Plain X-ray.
These diagnostic modalities are requested only when necessary and can greatly assist in obtaining a clear diagnosis to facilitate an effective management plan.
Your management plan may include a referral to a radiologist for a therapeutic injection such as an ultrasound guided cortisone (steroid) injection. This is useful in the management of a number of common foot and ankle pathologies including:
- Morton’s neuroma – nerve pain, characterised by pain and/or numbness, sometimes relieved by removing footwear.
- Bursitis – the inflammation of one or more bursae (small sacs) of synovial fluid in the body resting on areas of muscle, tendon, or bone.
- Tendonitis – Tendonitis is inflammation of a tendon. Tendons are bands of strong connective tissue that attach muscle to bone.
- Plantar fasciitis – (also known as jogger’s heel) is a common painful disorder affecting the heel and underside of the foot, caused or aggravated by increases in exercise, weight or age.
- Capsulitus/Joint inflammation -Capsulitis is inflammation of a joint capsule (made up of ligaments)
- Posterior tendon dysfunction – A tendon pathology on the inside of the ankle often accompanied by swelling and pain leading to the foot to collapse, often referred to as adult acquired flat foot.
- Osteoarthritis – a degenerative joint disease; a very common form of arthritis
- Ganglion cysts – a benign (non-cancerous) lump; a ball of fluid that grows under the membrane of a tendon or joint.
For expert diagnosis you need cutting edge equipment backed up with the experience to interpret the results. Bi-directional Doppler ES-100V3 (ultrasound) helps diagnose circulation and blood flow disorders affecting your lower legs and feet. Connected to computer software this appliance also provides hard copy information for you or your treating medical practitioner.
If you have unexplained calf pain when walking, or suffer from poor circulation a non invasive Doppler assessment will accurately determine your blood flow to your feet and is an extremely useful tool in assessing diabetic patients. We are happy to discuss your concerns, liaising with your doctor when required.