Recent Articles

Achilles Tendonitis

Eon Digital Labs - Wednesday, November 23, 2016
Achilles Tendonopathy is also known as Achilles Tendonitis.  It is a condition involving pain and swelling of the Achilles tendon just above the heel in particular, but can also occur at the back of the heel.  Whilst it is not true inflammation of the tendon, there can be swelling and pain associated.  This can markedly limit a person's ability to walk, run, play sport and undertake daily activities.

Symptoms may include swelling of the tendon without very much pain, but the majority of people will have significant pain after physical activity or post-rest.  In mild cases the pain may occur after a bout of walking, running or even shopping.  The morning usually involves some stiffness, until the tendon frees up with activity and time.

There are a number of influencing factors to the development of Achilles Tendonopathy.  Age plays a big role and it is more common to see an Achilles Tendonopathy in people under the age of 30 years.  Increased or over-activity and stressing the tendon certainly contributes to the development.  Over training, running and jumping, particularly on hard surfaces or wearing poor footwear can be an issue.  Specifically a flat foot type, over-pronation or certain other bio mechanical factors play a common contributing cause.  Tight muscles also have an effect.

Treating an Achilles Tendonopathy can be complex, early diagnosis is important. Treating the swelling early with rest, ice and the use of specific anti-inflammatory measures  is also important.  Of most importance is assessing the function of the lower limb relative to the injury, particularly over-pronation or poor function. These problems can be addressed using orthotic devices.  Your podiatrist is the best person to see for early diagnosis, treatment and rehabilitation of this injury.


Best Practice Procedures for Managing Ingrown Nails

Newcastle Podiatry - Friday, November 18, 2016

Ingrown nails can be very painful, but in addition to that, unsightly and annoying. There are often stories about their painful battles with infection and even a few scary tales of home surgeries. When we see an ingrown nail we weigh up the likely success of two alternative treatments and make the appropriate choice in conjunction with the patient. The first option is to carefully clear the offending piece of nail reducing pain and infection. This may then be reviewed to ensure the ingrown nail will not recur, or if so look at further treatment.

The second option is suited to long standing cases or those nails which cannot be settled. Sometimes this is dictated by the shape of the nail or the infection history. This minor surgical procedure is called a Partial Nail Avulsion with phenolisation, (PNA for short).

Carried out under local anaesthetic and with hospital grade surgical scrub and drape, the offending nail margin is gently removed and procedures put in place to prevent regrowth utilising phenol and with minimal discomfort, with most patients not required post-operative pain relief.

The balance between nail aesthetic and ongoing nail health is carefully considered in pre surgical planning and during the procedure. Commonly as little as an eighth of the nail is removed maintaining a normalised appearance particularly important for our female patients.

This surgical procedure is a highly effective, safe procedure that we frequently administer at our practice. If have concerns or ongoing pain be sure to ask our podiatrists or our friendly front office team.

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